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    Accident Scene Management

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    Paul Glasser
    The document outlines Paul Glasser's 14 stages of accident scene management for patient extrication. It discusses establishing command, stabilizing vehicles and patients, gaining access, disentangling victims, packaging and removing patients, transporting unstable patients to trauma centers within the "Golden Hour," securing the scene, restocking equipment, and critiquing the rescue effort. The goal is to deliver viable patients to definitive care within 10 minutes on scene to meet the critical 60 minute window for trauma survival.

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    Download as PPT, PDF, TXT or read online from Scribd

    Accident Scene Management

    Uploaded by

    Paul Glasser
    183 views27 pages
    The document outlines Paul Glasser's 14 stages of accident scene management for patient extrication. It discusses establishing command, stabilizing vehicles and patients, gaining access, disentangling victims, packaging and removing patients, transporting unstable patients to trauma centers within the "Golden Hour," securing the scene, restocking equipment, and critiquing the rescue effort. The goal is to deliver viable patients to definitive care within 10 minutes on scene to meet the critical 60 minute window for trauma survival.

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    Fire Ground Operations at Auto accidents

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    The document outlines Paul Glasser's 14 stages of accident scene management for patient extrication. It discusses establishing command, stabilizing vehicles and patients, gaining access, disentangling victims, packaging and removing patients, transporting unstable patients to trauma centers within the "Golden Hour," securing the scene, restocking equipment, and critiquing the rescue effort. The goal is to deliver viable patients to definitive care within 10 minutes on scene to meet the critical 60 minute window for trauma survival.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    183 views27 pages

    Accident Scene Management

    Uploaded by

    Paul Glasser
    The document outlines Paul Glasser's 14 stages of accident scene management for patient extrication. It discusses establishing command, stabilizing vehicles and patients, gaining access, disentangling victims, packaging and removing patients, transporting unstable patients to trauma centers within the "Golden Hour," securing the scene, restocking equipment, and critiquing the rescue effort. The goal is to deliver viable patients to definitive care within 10 minutes on scene to meet the critical 60 minute window for trauma survival.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 27

    ACCIDENT SCENE MANAGEMENT

    PATIENT DRIVEN EXTRICATION


    PAUL GLASSER NYS CIC CAPTIAN OF RESCUE APFD

    OBJECTIVES
    TO LEARN MY 14 STAGES OF ACCIDENT SCENE
    MANAGEMENT TO LEARN THE COMMON TERMS USED IN EXTRICATION TO LEARN THE ANATOMY OF AN AUTOMOBILE TO BECOME FAMILIAR WITH THE DIFFERENT TOOLS USED IN EXTRICATION TO LEARN HOW TO PACKAGE AND REMOVE A PT. FROM A WRECK

    PAUL GLASSER NYS CIC CAPTIAN OF RESCUE APFD

    PRINCIPLES OF ACCIDENT SCENE MANAGEMENT

    PAUL GLASSER NYS CIC CAPTIAN OF RESCUE APFD

    GOLDEN HOUR
    A TRAUMA PATIENT HAS 60 MINUTES
    FROM THE TIME OF THE ACCIDENT TO BE LOCATED TREATED EXTRICATED TRANSPORTED STABILIZED DELIVERED TO SURGERY
    PAUL GLASSER NYS CIC CAPTIAN OF RESCUE APFD

    PLATINUM TEN MINUTES


    THE GOAL FOR ON-SCENE TIME
    WHEN CARING FOR A TRAUMA PATIENT IS A MAXIMUM OF 10 MINUTES, IN ORDER TO MEET THE GOLDEN HOUR

    PAUL GLASSER NYS CIC CAPTIAN OF RESCUE APFD

    THE NATIONAL
    AVERAGE FOR EXTRICATION

    PAUL GLASSER NYS CIC CAPTIAN OF RESCUE APFD

    THE NATIONAL AVERAGE FOR


    EXTRICATION

    30 MINUTES
    PAUL GLASSER NYS CIC CAPTIAN OF RESCUE APFD

    bb
    A SUCCESSFUL
    RESCUE INVOLVES BOTH MEDICAL AND MECHANICAL SKILLS, EACH APPLIED IN THE RIGHT AMOUNT AT EXACTLY THE RIGHT TIME

    PAUL GLASSER NYS CIC CAPTIAN OF RESCUE APFD

    THE OVERALL GOAL OF A RESCUE SYSTEM IS


    TO DELIVER A VIABLE PATIENT TO DEFINITIVE CARE

    PAUL GLASSER NYS CIC CAPTIAN OF RESCUE APFD

    THE 14 STAGES OF ACCIDENT SCENE MANAGEMENT

    PAUL GLASSER NYS CIC CAPTIAN OF RESCUE APFD

    1 PRE PLANNING
    TRAINING:
    THE TEAM APPROACH PROMOTES SAFETY AND SPEED WITH EFFICIENCY. KNOW PROPER TERMINOLOGY EQUIPMENT: KNOW YOUR EQUIPMENT AND YOUR LIMITATIONS OTHER RESOURCES: HEAVY RESCUE,HAZMAT, AND HELECOPTER
    PAUL GLASSER NYS CIC CAPTIAN OF RESCUE APFD

    2 RESPONDING
    WEATHER CONDITIONS:
    PROPER DRESS CAREFUL DRIVING DISPATCH INFORMATION: POSSIBLE HAZARDS TYPE OF ACCIDENT NUMBER OF PATIENTS OTHER INFORMATION
    PAUL GLASSER NYS CIC CAPTIAN OF RESCUE APFD

    3 ARRIVAL
    TAKE TWO DEEP BREATHS REMAIN CALMTHINK

    SET UP COMMAND: SCENE SIZE-UP: INITIAL REPORT: NUMBER OF INJURED

    CALL FOR ADDITIONAL RESOURCES ALS,HELICOPTER,ETC DO AN INNER AND OUTER CIRCLE SURVEY SET-UP AN ACTION CIRCLE 10-15 FEET
    PAUL GLASSER NYS CIC CAPTIAN OF RESCUE APFD

    ARRIVAL cont.
    SET UP STAGING:
    EQUIPMENT RESPONDERS

    PAUL GLASSER NYS CIC CAPTIAN OF RESCUE APFD

    4 SAFETY EVERYONES RESPONSIBILITY


    SCENE SAFETY:
    HAZARDS TRAFFIC BY-STANDERS OTHER AGENCIES PERSONAL SAFETY: FULL TURNOUT GEAR BSI SAFETY OFFICER:
    PAUL GLASSER NYS CIC CAPTIAN OF RESCUE APFD

    5 STABILIZE THE VEHICLE



    CRIBBING SPARE TIRE JACKS ROCKS TIE IT OFF OTHER

    PAUL GLASSER NYS CIC CAPTIAN OF RESCUE APFD

    6 GAINING ACCESS TO THE VICTIMS


    TRY ALL THE DOORS, HAVE VICTIM
    UNLOCK THEM IF YOU HAVE TO BRAKE A WINDOW, BREAK THE ONE FURTHEST FROM THE VICTIM WEAR FULL TURNOUT GEAR, AND USE PROPER BSI

    PAUL GLASSER NYS CIC CAPTIAN OF RESCUE APFD

    7 STABILIZATION OF THE PATIENTS



    READ THE WRECK. NOTE M O I C-SPINE CONTROL INITIAL ASSESSMENT ABCS CORRECT LIFE THREATENING PROBLEMS GIVE O2 BY NON REBREATHER

    PAUL GLASSER NYS CIC CAPTIAN OF RESCUE APFD

    7 STABILIZATION OF THE PATIENTS


    PSYCHOLOGICAL
    TREATMENT PATIENTS FIRST ACCIDENT, STAY WITH PATIENT UNTIL EXTRICATION IS COMPLETE, TELL THEM WHAT IS BEING DONE, EVEN IF PATIENT IS UNCONSCIENCE
    PAUL GLASSER NYS CIC CAPTIAN OF RESCUE APFD

    7 STABILIZATION OF THE PATIENTS


    PROTECT THE PATIENTS FROM
    FUTHER INJURIES BY COVERING, SHIELDING, AND PADDING THEM CHECK ON LOCATION OF HANDS AND FEET DO NOT DELAY EXTRICATION FOR NON LIFE THREATHING CORRECTING TREATMENT
    PAUL GLASSER NYS CIC CAPTIAN OF RESCUE APFD

    8 DISENTANGLEMENT

    PATIENT DRIVEN RESCUE PLAN A, PLAN B, PLAN C REMOVE DOOR FLAP OR REMOVE ROOF ROLL DASH PUSH SEAT BACK DISENTANGLE FEET
    PAUL GLASSER NYS CIC CAPTIAN OF RESCUE APFD

    9 PATIENT PACKAGING AND REMOVAL


    RAPID EXTRICATION
    UNSTABLE PATIENT HAZARDS WEATHER TO GET TO AN UNSTABLE PATIENT KED OR SHORT BACKBOARD SPLINTING FRACTURES PLACE ON LONG BACKBOARD STRAPS FIRST THEN HEAD IMMOBILIZERS PAUL GLASSER NYS CIC
    CAPTIAN OF RESCUE APFD

    10 LOAD AND GO VS STAY AND PLAY


    UNSTABLE PATIENTS GO FROM THE
    WRECK INTO THE AMBULANCE AND ON THE WAY TO THE HOSPITAL OR HELICOPTER DETAILED PHYSICAL EXAMINATION AND MANAGEMENT OF SECONDARY INJURIES AND WOUNDS WILL BE DONE WHILE ENROUTE STABLE PATIENTS CAN BE TREATED ON THE SCENE
    PAUL GLASSER NYS CIC CAPTIAN OF RESCUE APFD

    11 TRANSPORT TO THE RIGHT HOSPITAL


    UNSTABLE
    TRAUMA PATIENTS MUST GO TO A TRAUMA CENTER ALBANY MEDICAL CENTER IS THE ONLY CLASS 1 TRAUMA CENTER IN OUR AREA DONT FORGET MEDFLIGHT
    PAUL GLASSER NYS CIC CAPTIAN OF RESCUE APFD

    12 SECURE THE SCENE


    CLEAN UP BIOHAZARDS ACCIDENT VEHICLES ARE REMOVE ALL HAZARDS REMOVED
    WIRES OIL GAS ETC.

    PAUL GLASSER NYS CIC CAPTIAN OF RESCUE APFD

    13 PUT RESCUE TRUCK BACK INTO SERVICE


    REPLACE SUPPLIES USED CLEAN AND PUT ALL EQUIPMENT BACK
    IN THE RIGHT PLACE MAKE A NOTE OF WHAT EQUIPMENT WENT TO THE HOSPITAL WITH THE PATIENTS

    PAUL GLASSER NYS CIC CAPTIAN OF RESCUE APFD

    14 CRITIQUE AND CISD


    WHAT WENT RIGHT WHAT WENT WRONG WHAT CAN WE DO TO

    IMPROVE OUR RESCUE EFFORTS IF NEEDED CALL FOR A CISD

    PAUL GLASSER NYS CIC CAPTIAN OF RESCUE APFD

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