Vehicle accident scene operations

[JakeT59]

I am curious, what is the order of operations at a typical vehicle accident? I know life safety and preservation of life is always the top operation/priority, but what do you do at a typical accident scene and when? Note: assume you don’t have Jaws, but you have another town on the way with it.

Any help would be appreciated

[mikeyboy411]

T/C Responses

In my perfect world, a T/C response would include a Medic Engine and the Truck.

The Medic Engine would pull past the scene and provide the barrier at the front of the incident, they also give the scene size-up to Dispatch. The Truck pulls-up and provides the barrier to the rear of the incident. The Medics provide their Pt. Care and medical stuff while the Truck handles extrication and vehicle stabilization (primary and secondary).

The C.O. from the Medic Engine performs a primary check of the "Outer Circle" (the areas around the T/C) for any additional pts.

If needed, the Truck handles Air Ops and coordinates with Law Enforcement to secure the L.Z. Also, just a note both of our Units that respond have full extrication gear; better to have multiple sets of Power Units since as we know anything that takes gas or batteries will "act up" occasionally.

[mikeyboy411]

I use SPARS and PENMAN for guidance on Operations needed.

Size-up
Position
Attack
Resources needed
Support (SLAB PIC-U)

Personal/personnel safety
Environmental safety/conditions
Number of pts/victims
Mechanism of injuries
Available/additional resources
Need for extrication

I know these are used for most emergencies and for medical emergencies but it's always worked for me.

There is also the IDEAL method:

Identify Unit is on scene
Describe the incident
Explain your actions (TRIPOD)
Assume and establish divisions/groups/assignments
List instructions for response

I am not the originator of the IDEAL method, I believe it is Mark Emery. I have modified it to fit a T/C response. Attached is a template that works well for me, if you like it then cool..... If not, then cool also.....