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  • The Suspended Patient

    Interesting training scenario asked about by a West Coast fire officer allows me to share some ideas with our Members. What other suggestions do you have on handling this??

    - - - - - - -
    Chief Moore,
    I enjoy reading your articles, it is a great resource for Fire Departments across the country. I am looking for some information on extricating patients from roof resting vehicles when the patient is suspended from their seatbelt. The information I gather will be used in a quarterly training program towards our EMS continuing education credits. I plan on placing two vehicles in a roof resting position (fuel, oil, and radiator drained) and then suspending mannequins from the seatbelts with various injuries and levels of consciousness. Any information you can provide will be greatly appreciated. Thank you,
    - - - - - - -
    Reply:
    Assuming; 1) that vehicle stabilization is accomplished and 2) both doors are open allowing equal access on both sides of the patient, then ;
    a) place a longboard under patient,

    b) lift the board upward slightly,

    c) lift patient by raising board enough to release pressure off seat belt
    [It may be possible to lay the seatback down(which is actually up) to allow more room to access the patient]

    d) cut seat belt

    e) lower patient and longboard down towards roof of vehicle

    f) extricate patient in face-down position by removing patient and longboard from vehicle

    g) follow protocols to log-roll patient into proper immobilization position on board

    After you practice this scenario, then do a side-resting vehicle, passenger's side down with a mannequin seated and belted in the driver's seat. It's the same but different if you know what I mean.
    Ron Moore, Forum Moderator
    www.universityofextrication.com

  • #2
    I've witnessed one of of these, one car hit guy wire for utility pole rolled onto roof. Patient had CVA while driving, it was kind of low speed the car didn't go far after hit wire but , she was still belted in her seat. I put on my turnout and climbed inside with her and waited for Fire rescue, BLS and ALS to arrive. What happened when they got there I will never forget, rescue removed the drivers door, I was handed a collar for placement on patient and a longboard was placed under her thru the rear window, this is where the call went south, one of the ALS crew was getting rushed and wanted to get her out, well this is where the seatbelt was cut and the patient dropped to the longboard below approx. 18 to 24 inches. Not real happy that the patient was treated that way. This happened back in 96' and I still don't know how the patient faired.
    Last edited by NJTF1Bowman; 08-09-2003, 02:10 PM.
    Peace to our fallen brothers...

    9/11/01 NYC WTC

    7/4/02 Gloucester City, NJ

    -=IACOJ=- The proof is in the crust

    ......Work hard, play hard, and always have fun along the way......

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    • #3
      Would it be practical to use airbags to help lower the patient once they are on the board?

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      • #4
        ran on one of these couple of years ago. i was selected to get inside an upside suburan and hold c spine on a patient. i was picked because of my size, lucky me. door was popped open with spreaders and the patient was held in position while the seatbelt was cut. patient was lowered carefully onto backboard and removed.

        another option is to put a KED on the patient before cutting seatbelt. might be difficult at first but with some practice should be an option.
        NREMT-P\ Reserve Volunteer Firefighter\Reserve Police Officer
        IACOJ Attack

        Experts built the Titanic, amateurs built the Ark.

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        • #5
          The following link shows a quick and easy method for releasing the patient inverted in a seatbelt.

          http://www.neann.com/lsbseatbeltrear.htm

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          • #6
            as per usual another GREAT thread !
            IACOJ both divisions and PROUD OF IT !
            Pardon me sir.. .....but I believe we are all over here !
            ATTENTION ALL SHOPPERS: Will the dead horse please report to the forums.(thanks Motown)
            RAY WAS HERE 08/28/05
            LETHA' FOREVA' ! 010607
            I'm sorry, I haven't been paying much attention for the last 3 hours.....what were we discussing?
            "but I guarentee you I will FF your arse off" from>
            http://www.firehouse.com/forums/show...60#post1137060post 115

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            • #7
              I've used low pressure airbags with some success to remove suspended patients.

              What about patients suspended in sideresting vehicles (on the high side)? What do you do?
              Developer and Sr. Presenter, Team Xtreme
              BIG RIG RESCUE

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              • #8
                A full manual is now available for download covering techniques of patient removal including the inverted patient in a seatbealt at http://www.emergencytechnologies.com.au/vet.htm

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                • #9
                  When you get to the part of lower the patient onto the back board, think about using some webbing to help support the patient along with the seatbelt. We have found that webbing can be just as usefull at MVA's as are the hydraulic tools that we use. To accomplish the feat of using the webbing, you would stretch the webbing through the car and have one person on each side hold thier end to help support the patient. There are many ways to accomplish this, but we find this a quicker way, the say perhaps setting up airbags. Just a thought to kick around.

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