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- เผยแพร่เมื่อ 22 ส.ค. 2024
- In this video, we take a look at extricating a patient's hand (or arm...or leg...) from some form of implement. For the demonstration, we are using some poultry in a meat grinder but the basics here carry over to any type of machinery rescue. Buy some of these supplies and practice yourself at home. You don't want to be learning this on the fly after something serious has already happened. Now is the time to train!
Stay vigilant!
SIX ECHO
Website: sixechosystems.com
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*The information, including but not limited to, text, graphics, images and other material contained in this video is for informational purposes only. No material in this video is intended to be a substitute for professional medical training or advice. Always seek out proper certified medical training, never operate outside your scope of practice and follow your local guidelines and laws regarding medical care and treatment.
I work at a grain facility and this is extremely good information. A friend of mine somewhere else got his leg wrapped up in an auger and I can’t imagine the pain while they got him out. He’s ok though thank God!
Wow. Yeah, sedation and pain management play a key role in these type emergencies as well. Glad he’s alright!
I'm glad you brought up LOTO. That's missing in a lot of emergency service training and VERY few front line rescue trucks carry locks and tags. Good job!!
Yes, it’s very quickly forgotten. People get focused on the gnarly stuff and forget the basics.
Infared thermometers are a cheaper
Alternative to thermometer imaging cameras. The laser dot can be used zero in on the area to be monitored
Yes, good point. Firefighters typically turn to thermal cameras since we have those on every truck. But when you don’t have all that equipment, the IR temp guns are a cheaper option for sure. Thanks!
I was a butcher’s assistant for a while in high school. There was an accident where the butcher accidentally backed into his meat grinder. He got a little behind in his work.
my mom working on ambulance had to assist at such accident about 40 years ago when buthcer got hand in professional meat grinder. As it was a very heavy stainless steel meat grinder and cutting tools werent that good it took so much time that the damaged hand had to be amputated . As little boy I asked or they tried disc grinder etc etc....She told me that firebrigade used everything to crack the part ....but it was too heavy constructed and after 7 hours or so they had to give up.
Wow. That’s unfortunate. We do have an advantage now with carbide tipped blades, diamond blades and other advanced technologies.
A oscillating tool with a metal carbide blade is a better choice... less heat no sparks ... patient would feel vibration and less likely to cut them...
The vibrations could end up causing a great deal of pain depending on the s enviro and where the nerves are in the mix. As a general rule you should avoid tools that move back and forth like the oscillating tools, jig saws and sawzalls since every direction change is a chance for it to get caught on something. Tools like angle grinders, battery powered band saws, cut off tools and dremels move in one direction and have less of a chance of jolting the patient if used correctly.
ok, so how do you keep the person calm while your cutting around them?
I worked underground for 10 years and was on the mine rescue team for 8 of those years.
Our team lead told us about a guy that got his arm caught in a grout mixer, it degloved his arm from the elbow down and then the chemical grout proceeded to give home a chemical burns.
When they were cutting him out of the machine, he would wake up and attack and flail and make it worse opening new skin to the grout and then he’d pass out.
The solution was a rear naked choke and then a subsequent loss of consciousness until they got him free.
You gotta do what you gotta do.
Sedate with medication if available, provide proper pain control, talk the patient through the event and have one person dedicated to talking to them and keeping them calm while the cutting is going on. Same thing for vehicle extrications when people are pinned inside a car. 1 person is dedicated to patient care and keeps the patients mind occupied while the cutting is happening.
Wow, what a crazy call. He needed some sedation for sure. Can’t even imagine how painful that would have been. Thanks for sharing the story. These things don’t happen all the time so it’s easy to skip over preparing for these crazy calls.
@@SixEcho awesome. thanks for taking time out to answer my question.
Absolutely!
funny, no one else has covered this. thanks.
Sure thing! Trying to fill some voids out there.
@@SixEcho glad i found your channel via Instagram.
Thanks for watching our videos and chiming in on the comments.