Extrication Principles

8/18/2019 Extrication Principles

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ExtricationExtrication



What is extrication?What is extrication?



Extrication is theExtrication is the

disentanglement of a casualtydisentanglement of a casualty( or person ) from a( or person ) from a

compromisecompromise

position or situation, treatmentposition or situation, treatmentand removal of the patient to theand removal of the patient to the

hospital.hospital.



Five stages of extrication:Five stages of extrication:

Access Access

Emergency medical careEmergency medical care

isentanglementisentanglement

!reparation for patient removal!reparation for patient removal

!atient removal.!atient removal.



Factors to consider "eforeFactors to consider "eforeextrication commences:extrication commences:



!ersonal #afety!ersonal #afety

$. Full fire %it must "e &orn at all times

&hilst at an incident.

'. elmet.

. Eye protection (goggles or safetyglasses) in con*unction &ith full

face protection (face shield) .

+. !rotective gloves.

. #afety "oots &ith good an%lesupport and toe protection.

. Filtration mas% or respirator.

-. A charge line (hose reel)or

extinguisher (dry chemical or/2 .



#cene Assessment

$. What does the scene loo% li%e?'. 0he num"er and location of casualties. 1f any are

trapped, ho& are they trapped and &hat e2uipment

&ill "e re2uired to release them, (mechanism of

in*ury) .. 1s the initial attendance enough to contain the

incident or is additional help re2uired?

+. 1s any special e2uipment re2uired?

. What order are you going to deal &ith the casualties?(0riage)

-. What other safety measures should "e ta%en to

ensure cre& safety?



#cene #afety#cene #afety

$.$. 1s the appliance position so as to afford the "est1s the appliance position so as to afford the "est

protection for "oth fire service personnel and theprotection for "oth fire service personnel and the

scene itself. (3Fend4/ff5 position)scene itself. (3Fend4/ff5 position)

'.'. 1s the appliance illuminated as "est as possi"le,1s the appliance illuminated as "est as possi"le,&ith caution signs and cones at appropriate points&ith caution signs and cones at appropriate points

to &arn on coming traffic of the ha6ards ahead?to &arn on coming traffic of the ha6ards ahead?

.. Are there lea%ing fuel or other ha6ardous material Are there lea%ing fuel or other ha6ardous material

present?present?+.+. 1s there any fire?1s there any fire?

.. 1s a charge line in place in the event of a fire?1s a charge line in place in the event of a fire?

-.-. 1s the "attery pole disconnected?1s the "attery pole disconnected?



7ehicle #ta"ili6ation7ehicle #ta"ili6ation

#ta"ili6ation should "e performed properly "efore any#ta"ili6ation should "e performed properly "efore anyextrication efforts are started.extrication efforts are started.

0he o"*ective of sta"ili6ation is to minimi6e movement of0he o"*ective of sta"ili6ation is to minimi6e movement ofthe vehicle, that may negatively affect entrapped patients.the vehicle, that may negatively affect entrapped patients.

0he reasons for sta"ili6ing a vehicle are80he reasons for sta"ili6ing a vehicle are8

$.$. 0o create a sta"le "ase for "oth rescuers and E90s.0o create a sta"le "ase for "oth rescuers and E90s.

'.'. 0o reduce floor pan sagging or reinforce the vehicle0o reduce floor pan sagging or reinforce the vehiclestructure after "eing cut.structure after "eing cut.



#ta"ili6ation E2uipment#ta"ili6ation E2uipment

hoc%s and "loc%shoc%s and "loc%s

ifting "agsifting "ags

!neumatic;hydraulic struts!neumatic;hydraulic struts



Access Access

Access to a casualty can "e as simple as Access to a casualty can "e as simple as

opening a door to as complex as a roof oropening a door to as complex as a roof or

side removal .side removal .

#ome methods of gaining access are8#ome methods of gaining access are8

$.$.oor removal.oor removal.

'.'.#ide removal.#ide removal...<oof removal.<oof removal.

+.+.ash"oard roll.ash"oard roll.

..ash"oard lift.ash"oard lift.



Extrication !roceduresExtrication !rocedures

0here are extrication &ith the0here are extrication &ith the

=E (short "oard), and=E (short "oard), and

<apid extrication.<apid extrication.

Extrication Principles

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