Chapter 25 Rescuing and Moving Victims Water Rescue • Reach-throw-row-go • Reach for victim. • Throw anything that floats. • Row by using canoe or other boat. • Go by swimming (must be trained). • Entering water is a last resort. Near-Drowning • Occurs when a victim survives an immersion incident • Drowning • Suffocation by immersion in water or other liquid. • Dry drownings • Wet drownings • Secondary drowning Care for Drowning • Survey the scene. • If the victim was diving, suspect a possible spinal injury. • Check for breathing and treat accordingly. • If no spinal injury is suspected, place victim on his or her side. Cold-Water Immersion • Cold water is water less than 70°F. • A person can become hypothermic in water that is 77°F. • Heat escape lessening position (HELP) Ice Rescue • Extend a pole or throw a line to victim with floatable object. • Pull victim toward shore or edge of ice. Electrical Emergency Rescue • Indoor electrocutions • Faulty electrical equipment or careless use of electrical appliances • Turn off power at circuit breaker, fuse box, or outside switch box before touching the victim. • High-voltage power lines • Power must be turned off. • Wait for trained personnel with proper equipment. Hazardous Materials Incidents • Signs of hazardous materials • Signs on vehicle • Spilled liquids or solids • Strong, unusual odors • Clouds of vapor • Stay away and upwind. • Wait for trained personnel to arrive. Motor Vehicle Crashes • • • • Park in a safe area and call 9-1-1. Turn on emergency hazard flashers. Make sure scene is safe. If you suspect spinal injuries, stabilize head and neck. • Check and care for life-threatening injuries. • Whenever possible, wait for EMS personnel to remove victims. • Allow EMS ambulance to transport victims. Fires • Get all people out of the area quickly. • Call 9-1-1. • Use a fire extinguisher if the fire is small. Threatening Dogs • Look for signs of a dog and proceed with caution. • Ask owner to control a threatening dog. • Call police for assistance with a vicious dog. Farm Animals • Approach a situation involving animals with caution. • Do not frighten an animal. • Speak quietly to reassure it. • If food is available, use it to lure animal away from victim. Confined Space (1 of 2) • Any area not intended for human occupancy • Dangerous atmosphere (low oxygen levels) • Requires special training and equipment to perform rescue Confined Space (2 of 2) • For confined space emergencies: • Call 9-1-1. • Check motionless victims first. Only enter if you have proper training and equipment. • Once victim is removed, provide care. Triage • Classify into care and transportation priorities • Triage categories • Immediate care • Delayed care • Walking wounded • Dead Moving Victims • Only move victim if there is immediate danger: • Fire • Hazardous materials • Impossible to protect from hazards • Impossible to access other victims who need lifesaving care • Protect victim’s spine. • Drag in direction of the long axis of the body Emergency Moves (1 of 3) • Drags • Shoulder drag • Ankle drag • Blanket pull Emergency Moves (2 of 3) • One-person moves • Human crutch • Cradle carry • Fire fighter’s carry • Pack-strap carry • Piggyback carry Emergency Moves (3 of 3) • Two-person or threeperson moves • Two-person assist • Two-handed seat carry • Four-handed seat carry • Extremity carry • Chair carry • Hammock carry Nonemergency Moves • All injured parts should be stabilized before and during moving. • Safest way to carry an injured victim is on some type of stretcher or litter.