STARS - PowerPoint PPT Presentation

Loading...

PPT – STARS PowerPoint presentation | free to view - id: 143031-YjgzN



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

STARS

Description:

AMC will understand the processes and procedures to perform light and heavy ... Pliers, screwdrivers, knives, hammer, pry bar, hacksaw. Air chisel ... – PowerPoint PPT presentation

Number of Views:177
Avg rating:3.0/5.0
Slides: 60
Provided by: johnstouff
Category:
Tags: stars | pliers | prying

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: STARS


1
Vehicle Rescue for Air Medical Providers
  • STARS

2
(No Transcript)
3
Objectives
  • The AMC will function safely on the scene where
    extrication is being performed.
  • AMC will understand the processes and procedures
    to perform light and heavy extrication of
    patients involved in motor vehicle collisions.

4
(No Transcript)
5
Personal Protective Gear
  • Head protection
  • Eye protection
  • Hand protection
  • Foot protection
  • Coat and pants
  • Bloodborne pathogen protection
  • Hearing protection
  • Respiratory protection

6
Rescuer Safety Responsibilities
  • Responsible for own safety
  • Protect against bloodborne pathogens
  • Keep fellow rescuers safe
  • Keep the patients safe

7
Preparation and Response
  • Before the mission
  • Ensure proper training, safety standards and
    appropriate equipment
  • Response Considerations
  • Time of day
  • Weather
  • Availability of ground resources
  • Reports of entrapment

8
Arrival and Scene Size-up
  • Assess the crash scene from the air
  • Control traffic
  • Assess hazards
  • Provide or direct crowd control
  • Inner/outer circle surveys

9
On-Scene Hazards
  • Traffic
  • Downed electrical lines
  • Underground electrical transmission box
  • Severed gas lines, vehicle fluids
  • Unstable vehicles

10
(No Transcript)
11
Outer Circle Survey
  • Identify number of patients
  • Identify number and types of vehicles
  • Identify additional hazards
  • Ensure safety of team

12
(No Transcript)
13
Inner Circle Survey
  • Close up look at crash
  • Initial patient contact
  • Evaluate patient condition
  • Identify degree of entrapment
  • Do not touch car until confirmed safe

14
(No Transcript)
15
Hazard Control
  • Control hazards immediately
  • Access fire extinguishers / water hose
  • Cover spilled vehicle fluids
  • Stay clear of unstable vehicles
  • Chock tires to prevent rolling
  • Establish a safe area
  • Establish staging areas

16
Disconnecting a Battery
  • Neutralize electrical system
  • Stops undeployed airbags
  • Stops electric fuel pump
  • Disconnect negative side first

17
Stabilizing a Vehicle
18
Stabilization Tools
  • Step Chocks (4)
  • Wood Cribbing (2X4 or 4X4)
  • Wedges

19
(No Transcript)
20
Ensure that the vehicle is stabilized prior to
caring for the patient.
21
Check Interior for Signs of Injury
  • Any objects that may have struck the patient
  • Windshield damage (star)
  • Steering wheel deformity
  • Broken plastic moldings (dash/door)
  • Broken glass (side/sunroof)
  • Impaled objects in patient
  • Intrusion of engine, door metal or roof into
    patient compartment
  • Seatbelts worn? Airbag deployed?

22
Airbag Systems
23
Deployed Airbag?
  • If the airbag is deployed
  • Look for signs of chest injury
  • Look for friction burns and blunt trauma to the
    arms, face and neck
  • Smaller drivers are at greater risk of injury
    from an airbag

24
The Patient.
  • Assessment, Treatment, Removal

25
Initial Patient Assessment
  • C-Spine Control
  • Airway
  • Immediate airway intervention
  • Breathing
  • Immediate breathing / oxygen intervention
  • Circulation
  • Bleeding Control
  • Overview of obvious injuries
  • Determine if sensory or motor deficiencies exist

26
Rapid Patient Removal
  • Indicators
  • Unable to manage airway or breathing
  • Profound shock or cardiac arrest
  • Patient in immediate danger (fire/chemicals)
  • Procedure
  • Use four rescuers
  • Apply c-collar
  • Life patient and slide backboard under
  • Rotate patient and align with board
  • Lower patient to board and adjust patient
  • Remove from vehicle

27
Patient Access
  • Initial Patient Access
  • First physical access to patient
  • Usually through window or door
  • Sustained Patient Access
  • Enter vehicle after it is stabilized
  • May involve breaking glass
  • Allow for initiation of treatment

28
Automobile Glass
  • Laminated safety glass
  • Two layers
  • Windshield glass
  • Cut with axe or a saw
  • Tempered glass
  • Side and rear glass
  • Spring-loaded center punch breaks it

29
Interior Rescuer Responsibilities
  • Turn ignition off
  • Pass keys outside
  • Unlock all doors
  • Open windows
  • Assume C-Spine and airway control
  • Cover patient with soft or hard protection

30
Protecting the Patient
  • Soft protection
  • Tarp or blanket
  • Hard protection
  • Plywood board
  • Back board
  • Protection from broken glass, sharp metal
  • Provide psychological support due to noise,
    darkness and small space

31
Disentanglement
  • Relocate roof
  • Force doors
  • Third door conversion
  • Total side removal
  • Dash relocation

32
Hand Tools
  • Cutting, prying and lifting tools
  • Electrically driven tools
  • Pneumatic tools
  • Manually operated tools

33
Examples of Hand Tools
  • Pliers, screwdrivers, knives, hammer, pry bar,
    hacksaw
  • Air chisel
  • Reciprocating saw, power drill
  • Come-along, chains, webbing straps
  • Airbags
  • Port-o-power hydraulics (hand pump)

34
Powered Hydraulic Tools
  • Power unit
  • Spreader
  • Cutter
  • Ram
  • Combi-tool

35
Power Unit
  • Motor
  • Hydraulic Pump
  • Hoses attached to manifold
  • Hydraulic fluid reservoir

36
Hydraulic Spreaders (JAWS)
  • Positioning is important
  • Use good body mechanics
  • Can kick back
  • Do not get trapped between spreader and car body
  • Used to spread doors open, lift vehicles, push
    dashboards

37
Spreader
38
Hydraulic Cutters
  • Metal cutting tool
  • Place blades perpendicular to object being cut
  • May rotate during cut
  • Keep blades closed when not in use
  • Used to cut roof posts, rebar, seat mounts,
    steering wheel rings, make relief cuts in roof
    and floor

39
Cutter
40
Hydraulic Rams
  • Primarily a pushing tool
  • Some models can pull
  • Used to push dashboards, move seats back, lift
    large items

41
Ram
42
Hydraulic Combination Tool
  • Spreader arms with cutting blades inside arms
  • Shorter spread then regular model
  • Multiple uses

43
Combination Tool
44
Patient Removal and Packaging
  • Anticipate patient removal
  • Keep path clear for egress
  • Prepare patient care equipment while extrication
    is underway
  • Communicate with team members and the patient

45
Removal Through a Roof Opening
  • Tilt seat back
  • Insert spine board between patient and seat back
  • Rescuer at the head is responsible
  • Lift under patients legs, armpits and belt (can
    use a sling to assist lift)
  • Maintain manual C-spine control
  • Bring board level and secure straps
  • Carry away from vehicle

46
(No Transcript)
47
Removal Through a Side Opening
  • Usually the best method
  • Apply KED if required
  • Lift patients hips to insert spine board
  • Rotate patient and position on board (feet first
    or head first)
  • Secure patient and remove from vehicle

48
(No Transcript)
49
(No Transcript)
50
Removal When Vehicle is on its Side
  • Patient on bottom side
  • Patient will be against bottom side door
  • Get as much access as possible
  • Flap or remove roof, depending on car position
  • Patient belted on top side
  • Use a rescuer to support spine board
  • Remove patient via KED or spine board and secure

51
(No Transcript)
52
(No Transcript)
53
Removal When Vehicle is Upside Down
  • Legs may be trapped behind dash
  • May need to manipulate legs
  • Patient may be pinned between headrest and roof
  • Spread with ram to clear area
  • May need to hold patient in place with straps or
    rope then remove to the board

54
(No Transcript)
55
Termination of Scene
  • Remove tools and equipment safely
  • Keep protective gear in place

56
Special rescue training may include
  • Use of ropes
  • Self-contained breathing apparatus (SCBA)
  • Water rescue
  • Trench rescue
  • High-angle rescue
  • Heavy extrication

57
  • Fundamentals of Extrication
  • Safety and Equipment
  • Accessing the Patient
  • Removing the Patient

SUMMARY
58
(No Transcript)
59
(No Transcript)
About PowerShow.com