Vehicle Extrication
Boone County Fire Protection District
What’s your size-up?
Dispatch Information
• Where are you going?
• What are you going for?
• Who is coming with you?
• What did the dispatcher tell you?
Stats
2012
40
• 2012
– 3 Extrication Accidents
– 48 Rollover Accidents
• 2011
– 14 Extrication Accidents
– 111 Rollover Accidents
35
30
25
20
15
10
5
0
Extrication Injury Accident Rollover
Accident Accident Unk Injury Accident
Personal Protective Equipment
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Turnout Pants
Turnout Coat
Traffic Vest
Helmet
Gloves
Eye Protection
Hearing Protection
Respiratory Protection
Sequence from Arrival
1. Primary size-up
2. Secondary size-up
3. Hose line pulled
4. Vehicle stabilization
5. Battery access
6. Patient access
7. Tool application
8. Patient packaging
9. Patient transport
10.Demobilization
11.Rehab Equipment
Primary Size-up
1. Arrival on scene
2. Description of the vehicle
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How many vehicles are
involved?
Where is the vehicle(s)?
3. Description of the problem
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How are the vehicles
positioned?
Describe the extent of damage
Any obvious threats?
4. Establish Command
5. Assign a tactical channel
“Columbia from E101…”
What’s your size-up?
Secondary Size-up
• Six sided survey
• Warm Zone survey and Hot Zone survey
• Benchmarks:
1. “Columbia 360 Complete…”
2. Announce any additional information
from the Primary Size-up
3. Announce your incident strategy
4. Command Post location
Secondary Size-up
Considerations:
1.
2.
3.
4.
5.
Weather
Lines down
Hazardous materials
Patient count (classification)
Need for additional resources
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Ambulances
Rescue Squads
6. Traffic Management (Formal)
•
Must happen on all incidents
lasting longer than 30 minutes
7. MODOT notification
Hot Zone
• Individuals immediately engaged in extrication
actives or patient care
Warm Zone
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Incident Command Post location
Equipment cache
Personnel staging area
Apparatus staging
Cold Zone
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Ambulance staging area
Media
Flaggers for traffic control zone
Personnel not directly engaged in the rescue
process
Temporary Traffic Control Zone
• Cones
–5 on each apparatus
• Emergency Traffic Signs
• Blocking Apparatus
• Positioning Rescue
Squads and Ambulances
• Requesting MODOT
Reasons for Controlling Traffic
• Possible secondary accidents
• Two main causes of vehicle accidents
1. Alcohol
2. Cell Phones
• Breedlove Close Call
Vehicle Stabilization
• Vehicle Type
• Location
• Terrain
• Position
Stabilization
• What’s the goal?
• Cribbing
–4x4’s
–2x4’s
–Wedges
• Paratech Struts
• Come-along
• Airbags
What’s your size-up?
Resources
Websites
• Fire Engineering - Extrication Zone
– http://www.fireengineering.com/extrication-zone.html
• FireRescue1
– http://www.firerescue1.com/extrication/
• Boron Extrication
– http://boronextrication.com/
Phone/Tablet Apps
• Hybrid Auto Extrication Guide (Free)
– http://itunes.apple.com/us/app/hybrid-auto-extricationguide/id398905311?mt=8
• Extrication Zones Pro ($4.99)
– http://itunes.apple.com/us/app/extraction-zonespro/id446538807?mt=8T
• iCRS lite USA iPhone Edition 2011 ($14.99)
– http://itunes.apple.com/us/app/icrs-lite-usa-iphoneedition/id475309851?mt=8
Game Plan
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10 minute break - HYDRATE
Crew 1 – Vehicle Stabilization
Crew 2 – Purchase Points
10 min break
Scenarios
Extra tool time as time permits
Rehab Equipment