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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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