Operations Road accident by night; lighting and marking out Belgium Golden State Warriors Throwback Jersey , February 2006Public demonstration; the ambulance team take care of the casualty inside the stabilised vehicle Sainte-Soulle, France, September 2001Hydraulic tool used to push the steel sheet away Germany, September 2005Public demonstration; the roof is removed, a member of the ambulance team holds the oxygen mask and the head of the casualty Sainte-Soulle, France, September 2001Road accident by night; the forward block (motor and dashboard) is pushed away with an hydraulic pistonRoad accident by night; the long spine board is used to extract the casualty Belgium Detroit Pistons Throwback Jersey , February 2006Safe removal of glass at the world extrication challenge Frankfurt Germany 2009The basic extrication process consists of, but is not limited to, six steps:the protection of the accident scene, to avoid a risk of another collision (marking out the scene with cones or flares (not advisable if gasoline is leaking), lighting) and of fire (e.g. switching off the ignition, putting vehicle in park, disconnecting the battery Denver Nuggets Throwback Jersey , placing absorbing powder on oil and gasoline pools, fire extinguisher and fire hose ready to use)脙鈥毭偮?patient triage and initial medical assessment of the patient by qualified medical rescuer;the stabilisation of the vehicle (see cribbing), to avoid the movements of the vehicle itself (e.g. falling in a ditch), and the movements of the suspension, either of which may exacerbate an unstable trauma wound or cause injury to the rescuers);the opening of the vehicle and the deformation of the structure (such as removing a window) to allow the intervention of a first responder, of a paramedic or of a physician inside the vehicle to better assess the patient and begin care and also to release a possible pressure on the casualty;removal of a section of the cabin (usually removal of the roof or door) to allow for safe removal of the accident victim, especially respecting the head-neck-back axis (rectitude of the spine);removal of the patient from the vehicleIn less complicated cases Dallas Mavericks Throwback Jersey , it is possible to extricate the casualty without actually cutting the car, such as removing a patient from the side door or another part other vehicle.As soon as possible, best before beginning the mechanical operation, a medically trained person enters the cabin to perform the first aid to the casualty: mid-level assessment, stopping the bleeding, putting a cervical collar on the patient (extrication operations are likely to provoke vibrations), providing oxygen first aid. In France Cleveland Cavaliers Throwback Jersey , this rescuer is called the “squirrel” (cureuil). NFPA regulation 1006 and 1670 state that all “rescuers” must have medical training to perform any technical rescue operation, including cutting the vehicle itself. Therefore, in almost all rescue environments, whether it is an EMS Department or Fire Department that runs the rescue, the actual rescuers who cut the vehicle and run the extrication scene are Medical First Responders, Emergency Medical Technicians, or Paramedics Atlanta Hawks Throwback Jersey , as a motor vehicle accident has a patient involved.After the vehicle has been stabilized and access gained to the patient, the EMS team then enters to perform more detailed medical care.The deformation of the structure and the section of the roof take several minutes; this pre-extrication time can be used for medical or paramedical acts such as intubation or placing an intravenous drip. When the casualty is in cardiac arrest, cardiopulmonary resuscitation can be performed during the freeing, the casualty being seated. The use of this incompressible duration is sometimes called play and run, as a compromise between scoop and run (fast evacuation to a trauma center) and stay and play (maximum medical care onsite).The last step is usually performed with a long spine board: the casualty is pulled up on it. An extrication splint (KED) can help immobilising the spine during this operation.Extrication, as defined by NFPA must be done by medically certified individuals, and as such Boston Celtics Throwback Jersey , many Rescue teams are run by standalone Emergency medical services departments. In major cities, where fire departments have FFEmergency medical technicians, fire departments can run rescue. In NYC, the police department handles some aspects of rescue. In many rural areas, and specifically in New Jersey, usually volunteer First Aid Squads handle rescue. In the midwest, there are dedicated Rescue Departments that run neither fire trucks nor ambulances and focus strictly in rescue. There are some departments that are a combination of FireEMS Brooklyn Nets Throwback Jersey , PoliceEMS or RescueEMS, but the concept is that most organizations that run Rescue have some sort of EMS division or EMT training. As such, there are many different ways extrications are handled. Some are by run completely by one organization, such as strictly by an EMS department. Some are a run by a combination department that runs ambulances and fire trucks. Some are run as an inter-agency joint effort. Some are backups to others. And some departments run just a heavy rescue truck. Some departments also might only handle light rescue and door pops, leaving the more complicated rescue and heavy rescue dedicated to a heavy rescue unit.Extrication includes patient assessment, treatment and removal of patient from vehicle. Some departments only carry with them minimal tools such as one set of jaws of life and are only capable of simply “popping” a door off and then must step away to allow the medical rescuers in or to allow a more dedicated heavy rescue team in who has more equipment. Extrication units are supposed to not only have many different kinds of extrication tools, but medical equipment Charlotte Hornets Throwback Jersey , oxygen, and backboards as well. Extrication is the entire process from fire protection, power unit disengagement, vehicle stabilation, patient stabilization and treatment, removal of vehicle from patient, removal of patient Chicago Bulls Throwback Jersey , and transfer to ambulance. Extrication is not just
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