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Extrication: Back to Basics Part 2

David Pease, Chief

When trapped, usually the easiest way to remove them is to displace the door. This will give you an opening large enough to pass a backboard through. If this opening is not large enough, you can consider removing the “B” post and do a double door removal.

Removing the roof can be an option if the doors can’t be removed in a timely manner, or other obstacles prohibit you using the doors as an exit for the patient. These extrications are usually done pretty fast.

What if the patient is pinned in their vehicle after a crash?

Now, we have to remove the material that is pinning the patient in there, usually metal and plastic. Simply removing the doors or roof will not allow you to extricate the victim. You now have to negotiate what is holding them and move it. You also have to gain access and stabilize the victim before this is done.

So now we put our plan together as to how we are going to remove our patient. This may require pushing, spreading, or cutting metals and plastics off and away from the patient. One important thing to remember is that when we cut and spread we are transferring energy from our power tools to the vehicle.

Once this energy is applied to the vehicle we need to consider how this might impact our victims. The energy we apply is not destroyed, so make sure it does not affect the very folks we are trying to rescue.

Next time we will look at some of the basic techniques we can use to extricate these folks utilizing hand tools and power tools. As always, train to be the best you can be, and stay safe.

Feel free to email me:

David Pease, Chief

The Reds Team