Medical Extrication

Card Set Information

Author:
kevinberdan
ID:
208955
Filename:
Medical Extrication
Updated:
2013-03-22 23:26:46
Tags:
none
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Description:
OTEP medical extrication
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  1. 7 Phases of Rescue Operation
    • 1.  Scene Size-Up
    • 2.  Hazard Control
    • 3.  Patient Access
    • 4.  Medical Treatment
    • 5.  Disentanglement
    • 6.  Patient Packaging
    • 7.  Transport
  2. Scene Size-Up
    • Risks
    • Establish Command
    • # of Patients
    • Triage
    • Search, Rescue or Body Recovery?
    • Risks vs. Benefits
    • Request Additional Resources, if needed.
  3. Hazard Control
    • Wear Proper PPE
    • Traffic Control
    • Biological Agents
    • Confined Spaces
    • Envrionmental Hazards (Lightning, Avalanche...)
    • Psychos/Violoent People on Scene
  4. Patient Access
    • Stabilize Location
    • Simple Measures Before Complex
    • Noise Level Minimum
    • Proper PPE
  5. Medical Treatment
    • ABC's
    • LOC x4
    • C-Spine
  6. Medical Treatment (Load 'n Go Situations)
    • Vehicle Fire
    • Unstable/Volatile/Hazardous Materials
    • Rising Water
    • Trench Cave-In
  7. Patient Packaging
    • C-Spine
    • O2 and IV Lines Secured
    • Immobilization to Long Board
    • Splint Fractures/Dress Wounds (if time allows)
  8. Confined Space Hazards
    • O2 Deficient Environments can be Fatal
    • <19.5% O2 is Hazardous
    • >22% creates Rapidly Combustible
    • (Tanks, Storage Bins, Manholes, Wells, Mines, Silos, Underground Vaults)
  9. Permit-Required Confined Space
    Spaces with physical or atmospheric hazards that cannot be controlled by continuous forced air ventilation alone.
  10. Non-Permit Required Confined Space
    No physical or atmospheric hazards.
  11. Rescue Requirements for Entry
    • Atmospheric Monitoring
    • Ventilation
    • Lock Out/Tag Out of Electrical Utilities
    • Dispersion of Stored Energy
    • Disconnect All Pipes That May Flow into Space
    • Don Appropriate PPE
  12. Trenches and Caves
    • 1 cubic foot of dirt weighs 100 lbs.
    • 2 feet of soil on a person's back can weigh 700-1000 lbs.
    • Shoring required if over 5' deep.
  13. Reasons for Trench Collapse
    • One or both lips of trench cave in
    • Wall of trench caves in
    • Removed dirt falls back in (spoil pile too close)
    • Intersecting trenches
    • Ground vibrations
    • Previously disturbed soil
    • Water seepage

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