1. CVFD Training – Rescue Operations SFFMA Training Objectives: 9-01.05

2. Practical Exercise Trainee shall demonstrate the techniques of packaging a victim for emergency transportation by: – A. given a short/long spine board and wrapping materials, demonstrate the stabilizing of a victims spine and cervical area of the body, and – B. given a packaged victim and stretcher, demonstrate the transfer procedures of victims from their rescue scene.

3. 16.3 Placing a Patient on an Ambulance Cot

4. 16.4 Extrication From Motor Vehicle Motor vehicle crashes are common rescue situations. Knowledge, experience, and skill are most valuable tools. Extrication means to free, release, or disentangle a patient from entrapment. Operations may be simple or complex. Operations at an extrication incident should follow a pre- determined sequence of events.

5. 16.5 Incident Action Plan Scene assessment Establishing work areas Vehicle stabilization Patient access Disentanglement Patient removal Scene stabilization

6. 16.6 Extrication Tools (1 of 3) They range from basic to specialized tools. Hydraulic tools are operated by gasoline engine, electric motor, or air-driven motor. Spreaders are used to push and pull. Cutters are used for different tasks. Rams are used for pushing. Combination tools spread and cut.

7. 16.7 Extrication Tools (2 of 3) Air bags come in high-pressure and low/medium- pressure. High-pressure bags operate at a maximum inflation pressure of about 130 psi. Bags come in sizes ranging from 6”x 6” to 36”x 36”. Low/medium-pressure bags can lift very heavy loads.

8. 16.8 Extrication Tools (3 of 3) Air chisels are valuable tools for rescue operations. Reciprocating saws are also gaining popularity.

9. 16.9 Gasoline Engines

10. 16.10 Spreaders and Cutters

11. 16.11 Rams and Combination Tools

12. 16.12 High-Pressure Air Bags

13. 16.13 Low-Pressure Air Bags

14. 16.14 Air Chisel and Reciprocating Saw

15. 16.15 Crash Scene Assessment Traffic Number and types of vehicles involved Number and apparent extent of injuries Disentanglement requirements Other associated hazards

16. 16.16 Additional Resources Additional ambulances Specialized extrication equipment Additional law enforcement Specialized technical rescue equipment

17. 16.17 Establish Work Areas Use of cones Natural barriers Law enforcement

18. 16.18 Vehicle Stabilization It may be simple or complex. Determine the type necessary. You may use cribbing. You may need additional tools.

19. 16.19 Patient Access It is necessary to care for the patient. Patient may need care prior to removal. It may be as simple as opening a door. You may need additional tools.

20. 16.20 Disentanglement Disassembly Distortion Displacement Severance

21. 16.21 Patient Removal Careful of sharp metal and edges Tools removed from egress path Tools retrieved and fire hazard monitored

22. 16.22 Scene Stabilization Secure unresolved hazards. Remove tools and cribbing that may create hazards. Remain at the scene until the vehicle is removed. Tow cable risks. Fluid and vehicle debris. Remove barriers.

23. 16.23 Specialized Rescue Situations and Tools There are a variety of other rescues a firefighter may face. – Specialized training beyond this course is needed. – This is designed as a familiarization.