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What Is Your Approach?
How would your department handle this scene?Theres alot goin on here so lets hear your different attacks!
Replies to This Discussion
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Permalink Reply by Richard Armstrong on
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John the guy sitting in the red car has the driveshaft from the blue van through him
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Permalink Reply by Patti Walz on
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How would you stabalize the two cars that are almost horizontal?
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Here's my take givin what can be seen!
Police will either be there already or arrive at the same time they take care of road closure or lane closure,with the time factor that this will take to clear and the availablity probably a lane will be closed. EMS will have already been dispatched and when we arrive will determine and tell dispatch after our quick head count of patients and that they will need multiple buses.
Then will begin cribbing red car and disconnect any batteries that are accessable and call for a crane and big tow truck to help stabilize the two minivans along with jack posts that we will install.The purple van would be the scary one as it looks really unstable.Tow truck will run a cable around B pillar of passenger side to keep it from falling over.
The dude in the red car is most severe so he will have a crew start extrication on him after stabilization.Here EMS is running the scene so he says how he feels the best way to get a patient out per his injuries and we do our best to get him out that way but we do have the option to tell him that his way won't work and give him the other routes of escape.Roof will most likely come off and he will come out through the top.
occupant of the purple van is going to be real tricky with the danger of the red van looming over top of you.So in my opinion the crane should remove the red van before extrication should start.Patient might not like this decision but I want nobody on my team crushed.after red van is removed pop the door and get the ram to roll the dash and remove them out drivers door.
There may be other variables that aren't shown in the picture here because you only can see one side but this is my somewhat detailed approach to this from the information from our view.
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It's simply for the scenario john so that it would make it more intresting and toad to the complexity
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Permalink Reply by Ben Waller on
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Don't forget the STDs...wear your BSI gear.
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Fine we will make it an exhaust pipe through his shoulder
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Permalink Reply by James Borsellino on
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This probably is the MOST important statement I've read in a long time! I wasn't at this call but here is a good example of this! My crews responded to a mini van head on with a tractor trailer. it took along time to extricate the female driver of the mini van. BUT..... it wasn't til after she was out and the fire crew spotted the APPLE, that the paramedics realised, she had choked on a piece and driven into the path of the truck! She didn't make it.
A,B,C's AIRWAY BREATHING CIRCULATION Make sure you have a patient, before you extricate a body!
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Permalink Reply by Derek R. on
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If you have read all the replies, you would have seen that Ben made comments that would answer your question.
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A couple of sets of 4 extrication struts each (total of 8 struts) will take care of this without needing a wrecker, a crane, or risking moving a vehicle with a patient in it.
If you have extrication struts, you stabilize the greatest threat to the rescuers first. That means the best stabilization sequence is....
1) Red van
2) Purple van
3) Red car
4) Other cars
If you start with the red car, your personnel are exposed to the Fall Zones of two different vehicles - both vans.
I'd also question whether it is safe to assume that the red car driver is the most seriously injured. The purple van looks as if it might have a serious A-post crush. The passenger compartment of the red car looks pretty intact to me.
The most seriously injured patients might not even be in one of the vehicles. There could have been an ejection or a pedestrian struck in this incident.
We're not going to know who the most serious injuries are until we size up the scene, the vehicles, and every patient.
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Ben for scenario's sake I made the guy in the red car with a drive shaft oh no sorry an exhaust pipe impaling him through the shoulder and seat and the purple van has a female which has a dash pinchin her legs and the red van has two occupants complaining of back pain.And you are right lifting the van is risky and after saying that I wouldn't.See that's why I love these threads cause you get so many ideas and with two patients with back pain they have to be extracted before you could even do that.If only the fire service could get a magic wand!!!!
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Permalink Reply by FETC on
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I guess I will be the honest one.
The true reality is not many here have the equipment on your rigs to stabilize that accident, therefore most would just open the doors and tell people to get out. The picture in this case, (was probably after the fact) and it appeared that all self extricated themselves and the FD had to do nothing to begin with.
What that leaves us with is simple...... "what if's"
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Ouch.....
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