First, fully open the rescue channel
Once any card body obstacles have been removed during the free space phase and an immediate and rapid plan is in place, a full open rescue channel and final rescue channel should be created.
The level of full open rescue channels depends on:
1 The time allowed for the condition of the injured person.
2 The location and direction of the vehicle. This determines the maximum space that can be vacated.
3 The location and direction of the injured person. This determines the ultimate rescue channel.
Full access to vehicles not only makes the rescue process more conducive to the injured but also ensures that rescuers have more work space. Make the rescue process easier and safer. Even if the injured are slightly injured, they are not easily rescued. Therefore, the extra space allows more rescue workers to cooperate and share the work.
Rescue channel
The final rescue route should allow the wounded to withdraw from the head as far as possible. This will ensure the safety of the cervical spine. What needs to be remembered is that although this requirement is not met every time, the accident controller (having obtained medical information) decides the best rescue route to ensure that the injured can get the maximum protection.
Fully open rescue channel selection
Inverted vehicle The casualty lays flat on the roof of the car head behind the car Inverted vehicle The injured person lays flat on the roof and heads towards the body side | Fully open the rescue channel | Rescue channel |
Remove the rear door | Rescue the injured through the rear of the vehicle and keep the injured body straight | |
Body side removed | Rescue the injured through the side of the vehicle and keep the injured body straight |
Second, fixed and rescue
The decision on when and how to save is based on the injured’s injury situation, location and direction, and the amount of free space created and the level of full open rescue access.
! Remember - Before the wounded person is rescued, the medical staff must convey the brief condition of the injured person to all the team members, detailing the medical condition of the injured person.
Rescue precautions
1 step out (help rescue)
If it is determined that the passenger is not injured and the body is not in the vehicle, consider evacuating it from the vehicle. This action can only be considered on the advice of a qualified medical professional.
2 dangerous areas
If the injured person is trapped in a deformed structure of the vehicle, such as the dashboard and steering wheel, they cannot be moved in an emergency. (such as cardiac arrest or vehicle fire). Priority must be given to removing objects that trap the injured person.
3 immediate
If the injured person is in urgent need of treatment, for example, cardiac arrest or respiratory arrest, the injured person should be rescued from the vehicle immediately for medical treatment. In the event that the injured cannot be rescued from the vehicle, the highest priority is medical treatment, such as chest compressions or intubation.
4 fast
If the medical condition of the injured person is found to be worse during the medical evaluation process, it is necessary to perform rapid rescue, such as rapid rescue within 5 minutes. This will allow medical treatment to continue, but it must be completed as soon as possible. Rescue must prioritize the clinical needs of the wounded based on rescue procedures based on the Gold Evacuation Standard II.
5 urgent
If the medical condition of the injured is relatively stable, we can use our preferred "gold standard" method for rescue. Where possible, the injured person should be kept in a straight (straight) state, thereby reducing the movement of the spine / pelvis. Ideally rescue should be completed in 20 minutes or less.
Third, other considerations
Each rescue operation is not limited to a single person who is being singled out or reversed by a single vehicle. Rescue workers often face more complex and challenging situations.
Once arrived at the scene, the rescue method is the same no matter what the situation is: teamwork method. The group's phase of work law remains unchanged, but each phase is more complex and requires additional considerations, priorities, skills and equipment.
This structured approach is based on the safety and wounded-centered rescue methods and can effectively rescue traumatic wounded people in a timely manner.
More complex and challenging situations include:
1 A number of injured people with varying degrees of injury appeared in a single vehicle
More than two injured people with varying degrees of injury appeared in more than 2 vehicles
3 not easy to reach the accident site
4 Cars and large-scale vehicles (trucks, trains, etc.) at the scene of the accident
5 accident occurred at night / extreme weather conditions
Regardless of the complexity of the accident, the priority of the field commander is always:
Through the identification and notification of dangers, the establishment of priorities and the use of control measures to reduce the risk, so as to ensure the safety of everyone on the scene.
This article belongs to holmatro and edited by China Rescue Equipment Network.
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