In doing some research for an article I'm looking for any anecdotes of a situation where a Firefighter has been seriously injured while wearing standard full "Turn Out Gear" including or not including Self Contained Breathing Apparatus (SCBA).
I'm specifically interested in situations where the Firefighter has sustained an obvious complex long bone/spinal/C-Spine injury or where he/she has sustained a serious mechanism of injury that would indicate the likelihood of such an injury. A fall from a roof or through a floor etc. something where there was a definite force injury potential with acceleration / deacceleration issues of where it was easily seen that there were severely angulated fractures and the like.
I'm looking for cases where the Turn Out Gear was STILL in place and needed to be removed in an emergent fashion for EMS to treat this Firefighter on scene or if that was not possible how did you deal with the injures discussed above with the Turn Out Gear in place? I am most interested in cases where the Turn Out Gear was removed on scene and if so HOW it was removed given the scenario so as not to exacerbate the known or possible injuries.
Also, if you have ever discussed or trained for this in some way I'd be interested in that information as well.
If anyone has such a story I'd like to know as much information about how you dealt with this situation and the outcome in as much detail as possible.
Please feel free to E-Mail me off list at LNMolino@aol.com if you can assist me.
Thanks.
Louis N. Molino, Sr., CET
FF/NREMT-B/FSI/EMSI
Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant
I'm a little confused as to what you are looking for. Is your study to try and save the turnout gear? It would seem to me that a good pair of sheers would remove the clothing and the care would be the same as any other in stablizing the fracture. The cost of saving the gear has no place when it comes to caring for one of our own. Sure turnouts are not cheap, but the delays in treatment could be the loss of the extremity or even worst the loss of life. Captain Mike Wilson Truck 85C
I'm looking for stories where getting the Firefighter out of the gear was the problem and the challenge faced by treating EMS. I am not convinced that standard trauma shears alone will do the job with newer and more complex gears in particular the new CBRNE complaint gear.
The gear is not the issue the getting the Firefighter the proper treatment on scene as well as during transport is my goal.
I have had some responses that say trauma shears and nothing else are needed and I've had others saying they have tried to cut gear and have had problems with getting it off without undue movement of the injured Firefighter.
I'm looking for a best practices type comparisons.
Louis N. Molino, Sr., CET
FF/NREMT-B/FSI/EMSI
Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant