Philosophies

Introduction to Auto Extrication

Principles & Concepts

Philosophies

Section ObjectivesAt the end of this section, the participant will

be able to…

• Discuss the major concepts that guide extrication planning

• Define common terminology related to extrication

Philosophies

Golden Hour Concept

A trauma patient must reach definitive care within 60 minutes of the occurrence of the trauma. Definitive care is usually considered at regional Trauma Center.

Greenville

Spartanburg

Richland

Philosophies

Golden Hour - Factors to Consider

• Remote nature of area– Traffic flow– Cell phone reception– Multiple Counties

• Volunteer Organization– Responding from home– Non-standardization of crews

• Long transport times

Philosophies

Golden Hour - Facts of Life• Golden Hour begins at

impact.

• Bystander must recognize an emergency exist.

• Help must be called.

• Dispatch must process and dispatch call.

• Responder must leave home and travel to building

• Units must respond

• Scene secured

• Action plan formulated.

• Extrication begins.– US average Extrication time is

30 minutes.

• Removal of patient

Patient still has to be transported to Trauma

Center!!!

Philosophies

Golden Hour - Time Line

-60

-40

-20

0

20

40

60

-60

Bystander must recognize anemergency exist.

Help must be called.

Dispatch must process and dispatchcall.

Responder must leave home andtravel to building

Units must respond

Scene secured

Action plan formulated.

Extrication begins.

Removal of patient

Transport

Philosophies

Golden Hour - WRS Goal

• Extrication time 15 minutes or less!

Philosophies

Golden Hour - Time Line

-60

-40

-20

0

20

40

60

-60

Bystander must recognize anemergency exist.Help must be called.

Dispatch must process and dispatchcall.Responder must leave home andtravel to buildingUnits must respond

Scene secured

Action plan formulated.

Extrication begins.

Removal of patient

Transport

Philosophies

Team Concept

• Each member has a job to do

• Extrication is discussed in advance

• Team expands as volunteers arrive on the scene

Philosophies

100% Techniques

• While no techniques will work in every situation, every time…

...We learn and train techniques that will work the majority of the time.

• In extrication, use 100% techniques first… Use your other techniques when the

100% techniques fail.

Philosophies

Common Terminology

• Parts of the car

• Points of Orientation

• Tasks

• Safety

I need a bus at this location forthwith!!!

Remember! We are still a

CLEAR TEXT County.

Philosophies

We Train as We Rescue

• Talk the talkTalk the talk during training

• Walk the walkWalk the walk during training

• At the actually rescue scene, Walking & TalkingWalking & Talking should come naturally

Philosophies

Continuously Improve

• Train

• Prepare

• Keep Equipment at the ready

• Debrief

• Train again

Philosophies

Questions

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