Presentation on theme: "Interior Rescuer Duties. Interior Duties Unlock all doors/open all windows Shut off ignition/remove keys Assess the patient Cut seatbelts if necessary."— Presentation transcript:
Interior Duties Unlock all doors/open all windows Shut off ignition/remove keys Assess the patient Cut seatbelts if necessary Cover the patient Assume c-spine and airway control Monitor the patient Communicate with outside crew
Protect the patient Patient covers Short backboard Long backboard Bag buster
“Jaws of Life” Hurst tool invented by George Hurst in 1971 For freeing racecar drivers It “snatched” people from the “Jaws of Death”, thereby calling it the “Jaws of Life”
Hand Signals Communications between operator of tool and operator of the power unit is critical.
Hand Signals By-pass valve ON (pressurize the system) –Arm extended, fingers closed, thumb pointing upward
Hand Signals By-pass valve OFF (depressurize the system) –Arm extended, fingers closed, thumb pointing downward.
Hand Signals SHUT-DOWN the system –Hand in front of the neck, with fingers extended, moving hand back and forth.
Operational Safety Issues Do not place hands or body parts between the tool arms, blades etc. Do not use tool if missing or broken parts Do not lift or drag tools by the hoses Do not use the tool as a battering ram Always stabilize and crib when lifting
Operational Safety Issues Keep body parts out from under the object being lifted Do not cut hard metals with cutting tools; seat belt bolts, nader pins, steering column Never store spreaders with tips touching and rams completely closed
Quick access/egress for patient(s) Remove windshield Only three cuts on each side Multiple tools make a quick job
Roof Flap/Removal Cover the patient and remove all glass Cut A-post Cut B-post Cut a relief cut in front of C-post Lift roof while creasing the crown with board/pike pole Secure the roof Cover posts with hose sections
Roof Flap/Removal Avoid hatchbacks –Closed hatch means compressed pistons –Secure with duct tape –Avoid cutting pistons Cut the rear posts while supporting roof Remove section out of action area
Assess the door “Try before you pry” Protect the patient with a cover and board Make a purchase point Open enough for access and egress
Door opening/removal Type of vehicle Door material Strongest points are inner skin Hinges –Welded, glued, bolted
Door opening/removal Hinge side first or latch side first? –Determine the side with the easiest access –Proper body positioning –Start high on the door and pry until you reach the inner skin –Roll the door down off latch or hinge –Completely remove or displace enough for access and egress
Dash lift Good alternative to steering wheel pull Open both doors when possible Make a relief cut at base of “A” post Place ram in door opening Apply pressure while monitoring both ends of the ram May need to crib as you lift
Alternate Dash Lift Make a relief cut at base of A-post Cut out section just below dash Crib under A-post Use spreader to lift dashboard
Third Door Conversin Hydraulic spreader/cutter –Make a wide relief cut at base of rear panel –Crease the side of car with the spreader –Place tips in relief cut, and spread out, creating a third door Saws-all –Cut out section to be removed