Me?Me? David DalrympleDavid Dalrymple 26 years in emergency 26 years in emergency

servicesservices Career- RWJUH EMSCareer- RWJUH EMS Volunteer- Clinton EMS/RescueVolunteer- Clinton EMS/Rescue Rescue Instructor for 16 years- Rescue Instructor for 16 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

2007 Harvey Grant award 2007 Harvey Grant award recipientrecipient

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

As a responder what is YOUR biggest concern with As a responder what is YOUR biggest concern with vehicles of today?vehicles of today?

Is an airbag “spent” if it has been deployed?Is an airbag “spent” if it has been deployed? What methods, if any, can be used to ensure your What methods, if any, can be used to ensure your

safety at a vehicle related incident and or emergency?safety at a vehicle related incident and or emergency? Are there vehicles on the street today that do not Are there vehicles on the street today that do not

make any noise when running?make any noise when running? Do the tool evolutions we’ve learned in the past work Do the tool evolutions we’ve learned in the past work

on today’s vehicles?on today’s vehicles? Do you feel frightened by the vehicle hazards of Do you feel frightened by the vehicle hazards of

today?today? Do you feel prepared to deal with vehicle hazards?Do you feel prepared to deal with vehicle hazards?

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

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.

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)

Tool Evolutions are NOT an Tool Evolutions are NOT an issue!issue!

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?

Extrication challenges as Extrication challenges as educational venues…educational venues…

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

entrapmententrapment Entrapped patients require aggressive Entrapped patients require aggressive

management management

Construction advanced do effect major Construction advanced do effect major injury injury

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

Rescue “Real Estate”Rescue “Real Estate”Who should be in the hot zone – Who should be in the hot zone – Can we share the space?Can we share the space?

ALS/BLS and their “stuff” get in the wayALS/BLS and their “stuff” get in the way– Why? Habits are hard to break!Why? Habits are hard to break!– Coordination of efforts needs to happenCoordination of efforts needs to happen

Why rescue personnel get annoyedWhy rescue personnel get annoyed– Too many people/things in the wayToo many people/things in the way

Who Owns This Space???Who Owns This Space??? Rescue crew owns:Rescue crew owns:

– Exterior of vehicleExterior of vehicle Emphasis on sidesEmphasis on sides

Why?Why?

EMS crew owns:EMS crew owns:– InteriorInterior

The only equipment that is REALLY needed The only equipment that is REALLY needed should be inside the vehicle – You (PPE), O2, should be inside the vehicle – You (PPE), O2, Combines/4x4’s, BP Cuff, C-collarCombines/4x4’s, BP Cuff, C-collar

Any other “stuff” (jump bag, back board, Any other “stuff” (jump bag, back board, AED, etc) can go outside the vehicle in the AED, etc) can go outside the vehicle in the warm zone warm zone

Let’s summarize….Let’s summarize….Let’s summarize….Let’s summarize….

Safety systems are more wide spread & Safety systems are more wide spread & comprehensivecomprehensive

Construction, materials & components will effect Construction, materials & components will effect rescue efforts more & morerescue efforts more & more

Motive power will make dramatic strides in the Motive power will make dramatic strides in the next 33-38 monthsnext 33-38 months

Rescue teams will need to “think & work smart”Rescue teams will need to “think & work smart” ““Silent” vehicles are NOT just hybrids & electrics Silent” vehicles are NOT just hybrids & electrics More background information will be needed More background information will be needed

about vehicles & their componentsabout vehicles & their components Vehicle sizingVehicle sizing Training issues & concernsTraining issues & concerns

Questions ???Questions ???