Last night we responded to a 2 vehicle t-bone accident with 1 patient trapped. I was first on scene with my pov and decided that we'd have to pop the driver side door off to get this patient out. I had the spreaders in my hand when I noticed the patien was not covered up with a blanket. I asked one of our FF to go and get one. My captain tells me we dont need one (the glass is already broken) I told him that we're not popping this door tell she's covered up. I know sometimes you dont have time to spare and you need to get the person out NOW. She had no life threating injuries and I wanted to make sure that she was covered. I've always been tought to cover the patient up. Was I in the wrong for telling my captain no in this case? He was not bad with me at all, he just thought I was wasting time. What would you have done?

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He probably means backboard or spine board. or use an extrication device like Kendrick (KED).

You made the right move, cover the patient but do so as quick and safe as possible.
There is a device called a "Halfback" that is made by Life Support Products (LSP).
It is a combination of a half-spine immobilization device and a rescue harness that can be used for vertical lifting.
Gotcha, thanks Ben
I am the rescue tech for our dept and i can say from experience that even if its a rapid extrication you still need to minimize the exposure to further harm.... i mean isnt that common sense
Never thought of this thinks for the excellent tip!
Drew,

I didn't see this for quite a while, but wanted to clear something up.

I think we should NEVER use a device in an attempt to keep a SRS air bag from deploying. These devices inherently force an accidentally-deployed air bag to deploy in a manner different than the one the engineers designed. That sounds like a universally bad idea to me.

The hard and soft shielding to which I refer is designed to go between the tools and the patients to protect the patients from tool slips, projectiles that may break off the car, and from broken glass and other sharp debris.
I would've covered the patient, although Captains give the orders, they're only human. They make just as many mistakes as the rest of us. Great way to Stand up for you, and your patients. We all need a time to shine, and T.J. yours was then. Good job and continue the great work, Stay safe Brother, and God Bless All
so I'll ask the question -- What were you accomplishing by covering her with a blanket? What hazards were you protecting her from ?

Would a blanket protect her from flying loose piece of metal during popping the door ?

I believe in protecting the patient , not just covering them .
I would have covered the patient. You were loosing nothing by doing so and it probably made the patient feel a little better to be covered up.
You were in the right if its not a rapid extrication than you should use what you have been taught, I would consider it good patient care.


Good job
Jared
good job of covering your patient.:)

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