EXTRICATON TRAINING Pleasant View Fire NFPA 1670 HYBRID TYPES • • • • • • • • • Micro Mild Full Two-Mode Range Extender Plug-In Full Electric Hydraulic Fuel Cell MICRO HYBRID MILD HYBRID FULL HYBRID 2-MODE HYBRID RANGE EXTENDER PLUG-IN FULL ELECTRIC 1913 Edison Electric Hydraulic Launch Assist (HLA) FULL HYDRAULIC HYBRID Fuel Cell BATTERIES VIDEO LITHIUM ION BATTERY SAFETY DISCONNECT CAPACITORS CAUTION EXTRICATON TRAINING Safety What do we do next EXTRICATION 1. Identify 2. Stabilize 3. Shut-Down Power 4. Proceed with Extrication EXTRICATON TRAINING • WHAT CAN WE DO TO BE SAFE? – Shut Down Procedure. 1. Turn OFF Ignition 2. Turn ON Emergency Flashers 3. Pull ALL Accessories Plugged Into Dash 4. Disconnect 12V Power Supply 5. Verify Electric System Shut-Down IDENTIFY STABILIZE GAIN ACCESS SHUT DOWN POWER EXTRICATON TRAINING Shut Down Procedure. 1. Turn OFF Ignition 2. Turn ON Emergency Flashers 3. Pull ALL Accessories Plugged Into Dash 4. Disconnect 12V Power Supply 5. Verify Electric System Shut-Down SMART KEY DISCHARGE TIMES This comment was EXTRICATON TRAINING posted on a popular fire website, on one of the • “As a Firefighter for a small City ItI have been extrication forums. told aboutclearly a potential to owners of showshazard how much Hybrid cars. As it currently stands misinformation is in most small cities and towns with Volunteer Fire floating around. Departments when a hybrid vehicle is involved Following the simple 5in an accident, emergency crews (Firefighters, step EMS, Police) are notshut-down allowed to touch or put willuntil render water on aprocedures hybrid vehicle all power has the by hybrid as safe. person” (I.E. been "disabled" an authorized Electrician). HIGH VOLTAGE CABLES HIGH VOLTAGE CABLES HIGH VOLTAGE SYSTEM HIGH VOLTAGE SYSTEM What happens if I accidentally cut through the orange cable? VIDEO CUT ZONES EXTRICATON TRAINING • Hybrid Myths – Rescue personnel have been electrocuted by cutting into Hybrids • False… There have been no recorded injuries to firefighters – If you cut an Orange Wire you will die. • False – Protected by ground faults • Remember: – High Voltage Cables are typically orange in color, but some of the Micro hybrids with voltages under 60 Volts, may be colored blue. – The cables run from the high voltage battery pack in the rear of the vehicle to the engine compartment. The cables are typically routed close to the center of the vehicle, under the floor of the vehicle. The orange cables may be visible, or may be covered with a protective plastic cover. – Inside the orange cable is a ground fault system comprised of a steel braided cable that automatically shuts down the high voltage if the cable is compromised in any way. – The orange cable should be avoided whenever possible, but the high voltage system is designed to shut down if the cable is accidentally cut. EXTRICATON TRAINING – There are no safety devises to protect rescue personnel. • False – Ground faults throughout the vehicles and relays – Batteries are always live after an accident. • Treat as true! – Yet most Hybrid batteries have shear devises that break from the force of an accident. There is no way to check these, so follow the 5 safety step protocol. – After the battery is disconnected I need to wait at least 15 minutes before proceeding. - False • Once the battery is disconnected and the key is turned off, all of the high voltage is restricted to within the high voltage battery case in the vehicle. The capacitors may take up to a minute to discharge, but they are also contained within a metal box under the hood. • Remember: The greatest chance of electrical hazard will occur if you drive a metal object through the hood or headlight. DON’T DRIVE A PENETRATING NOZZLE THOUGH THESE AREAS! EXTRICATON TRAINING • New Car Construction – High Strength Steel – Tempered Glass – Magnezium EXTRICATON TRAINING 1980 2000 2010 Extrication Extrication EXTRICATON TRAINING High Strength Steel, increases safety in collisions, and lowers carbon footprint as required by recent laws. It is also part of the required 35 MPG requirement. VIDEO EXTRICATON TRAINING • Glass –Due to respiratory problems, injuries to firefighters, and patients, and damage to the structural integrity of cars, it is now recommended that you leave the glass in place unless it must be removed. VIDEO EXTRICATON TRAINING EXTRICATON TRAINING • Extrication Strategy and Tactics – 5 Step Safety Protocol • Remove hood from hinge side – Try before you pry • Check all doors to determine if you can remove the patient(s) before using cutting and prying tools. If spinal precautions are needed start removing trim see determine where you are going to cut. – Peel and Peek • Remove all trim before cutting any areas. – Forget about Low – High – High EXTRICATON TRAINING PEEL AND PEEK AIR BAG EXTRICATON TRAINING PEEL AND PEEK DON’T CUT THIS AIR BAG EXTRICATON TRAINING DASH LIFT Extrication B Pillar Rip/Noah’s Ark EXTRICATON TRAINING 5th DOOR EXTRICATON TRAINING Roof Removal – This is the most used extrication technique nationally. It is the only way to efficiently extricate a patient with inline stabilization. It should be used, if practical, on all suspected spinal and head injuries. DON”T CORK SCREW THE PATIENT ! EXTRICATON TRAINING • Locations for cuts after “peel and peek” EXTRICATON TRAINING With regular steel it should take no more than a few seconds to cut each pillar. EXTRICATON TRAINING As an alternative to the old process of tunneling, the rear flap has been developed to speed up the extrication process. EXTRICATON TRAINING EXTRICATON TRAINING EXTRICATON TRAINING Once the Pt is extricated EMS can decide whether spinal protection precautions should remain in place, or not, in the safety of the ambulance. Follow your SOP’s and SOG’s EXTRICATON TRAINING • Summary – Types of Hybrids – Safety – 5 Safety step protocol – Hybrid Myths – Types of extrication techniques EXTRICATON TRAINING Questions