Extrication
June 2012
Purpose:
The purpose of this training is to make the firefighters of the Boone County Fire District
proficient at handing all components of the vehicle extrication process.
Overview:
1. It is important for firefighters to be proficient in operating on the scene of vehicle
extrications.
2. Firefighter safety will be enhanced by training in real time scenarios in a controlled
environment using hands-on application.
3. Firefighters will be presented with extrication scenarios where they will need to use
critical thinking in order to complete.
4. The entire extrication process will be stressed prior to the evolution so all facets are
complete in sequence and in a timely fashion.
5. There will be static vehicles for firefighters to practice vehicle stabilization, purchase
points, and further work with specialty tools (Ajax tool, come-along, air bags, etc.).
Objectives:
Cognitive Objectives:
1. Identify appropriate PPE to wear at a vehicle extrication incident.
2. Identify how to safely operate at vehicle extrications.
3. Describe appropriate resources needed at a confirmed extrication including those to
assist with traffic incident management.
4. Define the steps from apparatus arrival to a completed extrication.
5. Define how to perform the primary and secondary size-up of the incident.
6. Describe the various techniques to accomplish the following:
a. Purchase Points, battery access, cribbing, door removal, roof removal, etc.
7. Discuss new vehicle technology including electric vehicles, vehicle airbags, and boron
steel manufactured vehicles.
Affective Objectives:
1. Explain new vehicle technology and the hazards associated with it.
2. Advocate maintaining a constant state of safety while operating at vehicle extrication
incidents.
Psychomotor Objectives
1. Demonstrate appropriate tool handling while engaged in task level operations.
2. Perform a primary and secondary size-up.
3. Demonstrate how to sufficiently crib vehicles in different positions.
a. Paratech struts, box crib, step chalks, come-along
4. Engage in direct patient care with the victim involved in the extrication.
5. Safely and effectively extricate the victim from the vehicle without causing unnecessary
harm to the patient.
6. Perform the nine basic extrication techniques based on the needs of the scenario.
a. Vehicle stabilization
b. Battery access/hazard control
c. Windshield and glass removal
d. Door removal from the lock
e. Door removal from the hinges
f. Roof removal
g. Roof Flap
h. Dash Roll
i. Dash Lift
Scope and Sequence:
1. Training will begin with a brief classroom discussion and PowerPoint presentation
outlining the activities of the evening.
2. Included in the discussion will be focus points on size-up, sequence of operations, and
techniques.
3. Firefighters will be split into two crews of equal numbers and skill sets.
4. Crews will start the evening at the static vehicles positioned in the extrication lot. One
vehicle will be set up for vehicle stabilization, the other for purchase points.
5. Once crews are complete with the static displays, they will transition to the scenarios.
6. Vehicles will be positioned appropriately on the training grounds.
a. One vehicles upright, two vehicles compromised (one on its tops, one on its side)
7. Prior to beginning the scenario, firefighters will to a walk-through of the vehicles and
discuss with the lead coach, different techniques and points of access.
8. There will be one lead coach keeping notes on the attached score card during the
scenarios.
9. Time will be captured to gather an average set of data for different benchmarks.
a. Time from arrival to hose line down.
b. Time from arrival to secondary size up.
c. Time from arrival to cribbing.
d. Time from arrival to battery access/hazard control.
e. Time from arrival to patient access.
f. Time from arrival to completed extrication.
10. Crews will run through the scenario at real speed with initial tools off of their engine.
11. Larger tools from the Rescue Squad will be introduced at a designated point in time
determined by the dispatch location.
12. Crews will rehab the equipment once the evolution is complete and the officers in
command of their event will debrief the incident.