Me?Me? David DalrympleDavid Dalrymple 24 years in emergency 24 years in emergency

servicesservices Career- RWJUH EMSCareer- RWJUH EMS Volunteer- Clinton EMS/RescueVolunteer- Clinton EMS/Rescue Rescue Instructor for 14 years- Rescue Instructor for 14 years-

Vehicle Rescue is my specialtyVehicle Rescue is my specialty TERC US – Education ChairTERC US – Education Chair International certified International certified

Extrication judge-judged & Extrication judge-judged & lectured in US, Canada, UK, lectured in US, Canada, UK, Europe & SAEurope & SA

Member of iETRI, serves as the Member of iETRI, serves as the RTA guru on their ETABRTA guru on their ETAB

International registered SAVER International registered SAVER instructor by ICETinstructor by ICET

Extrication Tactics columnist Extrication Tactics columnist Fire Engineering MagazineFire Engineering Magazine

Team Captain-World Champion Team Captain-World Champion Vehicle Rescue Team 1998Vehicle Rescue Team 1998

Educator- RoadwayRescueEducator- RoadwayRescue

What are we going to talk What are we going to talk about?about?

•TechnologyTechnology•OperationsOperations•TrendsTrends•SummarySummary•Q & AQ & A

NVTNVT NNew ew VVehicle ehicle TTechnologyechnology

Vehicle materials, components, Vehicle materials, components, construction and concerns that will construction and concerns that will directly impact emergency responders directly impact emergency responders while providing emergency services while providing emergency services and pre hospital care.and pre hospital care.

Vehicle materials, components, Vehicle materials, components, construction and concerns that will construction and concerns that will directly impact emergency responders directly impact emergency responders while providing emergency services while providing emergency services and pre hospital care.and pre hospital care.

SRSSRSSSupplementalupplemental RRestraint estraint

SSystemsystems

Occupant protection devices Occupant protection devices – AirbagsAirbags– Seat belt pretensionersSeat belt pretensioners– Roll over protection devicesRoll over protection devices– GlazingGlazing

Occupant protection devices Occupant protection devices – AirbagsAirbags– Seat belt pretensionersSeat belt pretensioners– Roll over protection devicesRoll over protection devices– GlazingGlazing

What do you feel is the biggest concern What do you feel is the biggest concern with vehicles of today?with vehicles of today?

Is an airbag “spent” if it has been Is an airbag “spent” if it has been deployed?deployed?

What methods, if any, can be used to What methods, if any, can be used to ensure your safety at a vehicle related ensure your safety at a vehicle related incident and or emergency?incident and or emergency?

Are there vehicles on the street today that Are there vehicles on the street today that do not make any noise when running?do not make any noise when running?

Do the tool evolutions we’ve learned in the Do the tool evolutions we’ve learned in the past work on today’s vehicles?past work on today’s vehicles?

A Question for you ……A Question for you ……A Question for you ……A Question for you ……

Pedestrian protection SRS

Take a look!Take a look!

Fuel AdditivesFuel Additives NOS for gasolineNOS for gasoline Propane for dieselsPropane for diesels Towing/performance additiveTowing/performance additive Fire/Crash related issuesFire/Crash related issues

Shut downShut down Each vehicle has unique emergency Each vehicle has unique emergency

procedures-however-if you do the procedures-however-if you do the following 2 actions they will disable following 2 actions they will disable the the HV circuitHV circuit & & disarm/discharge the disarm/discharge the SRS system(s):SRS system(s):– Turn the key to the OFF position and Turn the key to the OFF position and

remove the key and keep it remove the key and keep it AWAYAWAY from from the vehiclethe vehicle

– Disconnect the 12V battery (both + & -)Disconnect the 12V battery (both + & -)

A Stabilization thought…A Stabilization thought…Ever thought about “run flat” tires..Ever thought about “run flat” tires..

Two thought processesTwo thought processesSolid insertSolid insert

Stiffened sidewallStiffened sidewall

How low will the tire deflate now?How low will the tire deflate now?

Hybrid 101Hybrid 101 All hybrids start on electric power aloneAll hybrids start on electric power alone Some travel on electric power alone up to Some travel on electric power alone up to

certain speedscertain speeds HV power is direct current DCHV power is direct current DC Some hybrids also generate 110 ACSome hybrids also generate 110 AC HV circuit is self contained – does not HV circuit is self contained – does not

ground out to the vehicle chassisground out to the vehicle chassis Drivetrain power is computer controlled Drivetrain power is computer controlled

and managedand managed A crash and/or a change in voltage in the A crash and/or a change in voltage in the

HV results in a shutdown of the HV systemHV results in a shutdown of the HV system

Hybrid 101Hybrid 101

All Hybrids have a HV drivetrain circuit as well as All Hybrids have a HV drivetrain circuit as well as a normal 12v automotive electric systema normal 12v automotive electric system

Gas/Diesel side of drivetrain is load dependantGas/Diesel side of drivetrain is load dependant Even when the hybrid is shut down and secured Even when the hybrid is shut down and secured

there will ALWAYS be power in the HV batterythere will ALWAYS be power in the HV battery As emergency responders there is NO NEED to As emergency responders there is NO NEED to

interact with the HV battery – leave it alone!interact with the HV battery – leave it alone! Crayola colors to remember >Crayola colors to remember >

Bright orangeBright orange = HV power = HV power

Bright blueBright blue = “intermediate” HV power (GM) = “intermediate” HV power (GM)

Stay away fromStay away fromBRIGHT ORANGE BRIGHT ORANGE

CABLECABLE

Use a Use a good good

cutting cutting shieldshield

Side impact barsSide impact bars

more spreading & cutting may be neededmore spreading & cutting may be needed

All Hybrid models All Hybrid models have a guide for have a guide for emergency emergency responders to responders to deal with various deal with various emergenciesemergencies

How to shut How to shut down, extrication down, extrication concerns, concerns, firematic & firematic & towing concernstowing concerns

Training ….Training ….

What are we training on?What are we training on?

How are you training?How are you training?

Do you use live patients as part Do you use live patients as part of your training?of your training?

Material & Material & ConstructionConstruction Construction advances don’t prevent Construction advances don’t prevent

entrapmententrapment Entrapped patients require aggressive Entrapped patients require aggressive

management management Sanson G, et al. Italy, 1999 ; Reines H D, et al. Sanson G, et al. Italy, 1999 ; Reines H D, et al. USA, 1988 USA, 1988

Construction advanced do effect major Construction advanced do effect major injury injury Lie A, et al. Sweden, 2000 ; Segui-Gomez M, et al. Baltimore, Lie A, et al. Sweden, 2000 ; Segui-Gomez M, et al. Baltimore, 2002 2002

B-Post reinforcementB-Post reinforcement

B-Post reinforcementB-Post reinforcement

Cutting Cutting hinges/latches is a hinges/latches is a good tactic todaygood tactic today

Less “stress” on Less “stress” on patientspatients

Can be easier to Can be easier to facilitate than facilitate than spreading apartspreading apart

Need to get Need to get blades around blades around devicedevice

Can the tool do Can the tool do the job?the job?

““Cutting” Hinges/LatchesCutting” Hinges/Latches

““WHY WE EXTRICATE” WHY WE EXTRICATE”

– Physical EntrapmentPhysical Entrapment Encasement in metalEncasement in metal Pinned VS TrappedPinned VS Trapped

– Nature of Injuries and Restricted Space Nature of Injuries and Restricted Space “Medically Entrapped”“Medically Entrapped” Making space in order to prevent further Making space in order to prevent further

injury by manipulating the patient during injury by manipulating the patient during removalremoval

Interior Considerations• Cockpit• Seats?• Seating

positions• Vehicle concerns• Injury patterns

/considerations• Packaging

concerns

Let’s summarize….Let’s summarize….Let’s summarize….Let’s summarize…. Safety systems are becoming more wide Safety systems are becoming more wide

spread & comprehensivespread & comprehensive Construction, materials & components will Construction, materials & components will

effect rescue efforts more & moreeffect rescue efforts more & more Rescue teams will need to “think & work Rescue teams will need to “think & work

smart” smart” More background information will be More background information will be

needed about vehicles & their componentsneeded about vehicles & their components Training issues & concernsTraining issues & concerns