University of Exctrication-Jeep rollover

[firemike]

In situation 2, why wouldn't a 360 degree walk around of crash scene be correct? In my opinion, you arrive on scene, do a 360 walk around, stabilize vehicle, and commence with extrication. Any thoughts would be appreciated.

[flash32]

I agree with firemike on this one. why? to me it would be the most reasonable thing to do.

[HYTHE FIRE DEPARTMENT]

I also agree.

[BFD847]

I'll have to agree also. This could have been done very quickly while waiting for the rest of the crew to prepare equipment.

[Resqtech]

It's not so much a right or wrong but an opinion poll, and apparently almost 60% of the users feel that jacking up the car to access a crushed door without bothering to see what is on the other side of the vehicle or to crib the car is more important.

I guess 60% of the users out there need a refresher on basic vehicle rescue....

[Lewiston2Capt]

The scenario states that you were assigned to perform the extrication of the trapped pt. This implies that a walk around and size up have been done. I personally dont like to repeat tasks.

[JSLIVA71]

I also agree with doing a 360 assuming that you are the first one there and the incident commander. But, there is also a point in saying that you were assigned to begin extrication. Maybe there needs to be more detail in the scenario.

[This message has been edited by JSLIVA71 (edited 03-12-2001).]

[res7cue]

Ok, lets see, it would take about 5 seconds to do another walk around. Sounds like time well spent.

My dept operates a heavy rescue that provides Mutual aid extrication and I know from my personal expriences that what the first person on scene tells you it entirely different from what a rescue co officer is looking for.

You just can't afford to start jackin', pryin and tearin' until YOU, the rescue officer does his/ her own size up. How can you decide on an action plan without knowing the full details of the hazards, where the structural integrity of the vehicle is compromised, etc without doing a thorough size up.

That to me means that you MUST do another walk around ad continue them throught the entire extrication. Things/ cnditions change on scene in an instant and you must monitor the scene constantly.

Be safe.

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[res7cue]

Sorry, wrong smilie face!!!!

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[Resqtech]

After looking at the scenario again finding a key note, "Your team is assigned to force open this side of the vehicle so the driver can be extricated."

If you want to assume that the 360 was already completed, IMHO the next best answer would be, stabilize the vehicle. You would not want to just start jacking up this car. You are better off, stabilizing the vehicle and finding a different access and extrication points.

[firefighter1982]

I donno how many of you are also EMT's but, I my self as an EMT always do my own pt. survey. And I think the same should go for Extracation, maybe the person who gave you a report missed something, maybe something shifted who knows, but for safty's sake I'd do the 360 walk around, who knows you may find someone trapped under the vehical. Even though I haven't been a ff for a year yet, I know that safty is a big priority. Not only could it be unsafe for the victim, but it maybe unsafe for the rescuers, the vehical maybe on a live wire or it may shift and pin a FF or EMS personal. Just my thoughts on it, if you want to say something about it my AIM SN is EMTFirefigher Thanks
S. Bicknell
Bay Ridge Vol. Fire Dept
Queensbury, NY

[Malahat27]

I feel Firemike has the right idea on this one. I agree that in many of the larger depts, specialization is a great and wonderful thing, but us small guys try to be good at eveything. When our team is deployed to do the job, inner and outer circles have already been concluded, and then it's down to the business at hand. But of course in this as in all that we do.. PLAY SAFE YA'ALL!!

[NJResQ]

In question two, you wouldn't do a 360 degree scene size up, because it was already done. Yes, you or your safety person should be doing a scene size up throughout the whole call, but question one referred to your initial size up.
Question two ask what would you do next. Personally, I would stabilize. After you stabilize, then you can use the jacks. If you don't stabilize prior to using the jacks, you are risking the lives of all close to the scene.
Main reason, the vehicle can slip off the jacks, even if only an inch or two and cause more injury to the victim as well as yourself and the members of your team.
So one or two people should be placing chocks down before you start with the jacks, then while the jacks are being used, those that are assigned chocking should be placing more on top (like a log cabin) so if the vehicle does slip, it's not falling that far. Of course your chocking should be snug to the vehicle.

[NJResQ]

One more thing, the reason I said scene size up was already done is because question one states you noticed the three fluids. Looking at the picture, you can see that the fluids are not in one spot. Which means someone had to have already walked around to observe hazards.