Vehicle Extrication with Car on its Roof
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- เผยแพร่เมื่อ 3 พ.ค. 2019
- We specialize in sales, service and training for Holmatro extrication equipment. Chris Mills is owner, instructor, service technician and sales for Fire Rescue Equipment Northwest. Chris presents vehicle extrication while a car is on it's roof.
Hi guys, First of all let me say this is some of the best step by step explanation of the whys and wheres of the extrication process and hit several training points I want to emphasize with my FFs. I would love to see you guys do more. I certainly understand how time intensive doing these is but could be a great way to grow your business.
I am a safety officer in an all Volly dept in a rural Central NC dept and have been trying to get up to speed on more effective techniques to get our patients out of a vehicle ( or ag/ logging equipment) and into a bird or rescue unit. With the advent of Hybrids, propane fueled, all electric, or new car building materials keeping my guys safe and getting patients to care quickly is something I'm focusing on in 2021.
Can you possibly point to the location (specific URL) of the task cards? I wasn't able to find it.
Again thanks!
Kevin
Excellent training and demonstration videos, Thank you !!!
Thank you!
@@firerescueequipmentnorthwe8031 what type of crayons or markers are you using to mark your cut locations on vehicles? simple tire marking crayons or something else?
@@jimderrick846 SAKURA - XSC-3 Sakura Solidified Paint Solid Marker, Yellow (Box of 12) www.amazon.com/gp/product/B00C6CI6L0/ref=ppx_yo_dt_b_asin_title_o02_s00?ie=UTF8&psc=1
I see you are using junkyard dogs! they are awesome. they come straight from PA. also would ratchet straps work for stabilization with the struts?
Great video guys, I have a question tho. I see you took out the B & C posts, it looks like you would have full access to the patient, so wouldn’t it be easier to pull the patient out from the roof if you could get them back boarded rather than also cut the doors off?
Or were you just showing us different techniques?
Russell, thank you for the feedback! Good question. If the patient is unrestrained and found laying on the roof, you are correct to: stabilize, lift the vehicle, drop the roof and remove pt. However, if the patient is still belted in, controlling their body/weight is difficult without compromising their spinal stability. In those cases, we take both doors off for better patient access and control. Have you seen the patient removal video? th-cam.com/video/p-tR8bcieZw/w-d-xo.html About 14:30 in to this video is the roof resting patient removal. This should better explain why we take both doors.
Chris Mills
Fire Rescue Equipment NW
chris@frenw.com
503-793-7925
@@firerescueequipmentnorthwe8031 Thank you so much for the reply, I’ll check out the other video & ill be sure to be in touch if I have any other questions. 👍🏾
My department doesn’t provide struts to secure vehicles, however I like the operation used here.
Any recommendations on how you would stabilize without rescue struts?
Matt,
Tell me more about your department. Where are you at? Why do they not have struts? Unfortunately, there is not a good work around for not having the right equipment.
Chris Mills
Fire Rescue Equipment NW, LLC
chris@frenw.com
503-793-7925
What size ram is being used?
It's a 5350 Ram (22” to 50” range)
TOP
11:59 dont put yourself between the tool and the strut.
Thank you keyboard warrior.
@@firerescueequipmentnorthwe8031 I am not wrong and this is supposed to be educational. Don't get too hurt about it.
I really appreciate the video but imo after removing the side, id prefer to move the casualty from a tighter gap rather than jacking the car up further where more could go wrong. Unless absolutely neccesaey.
@Frazzle657, Thank you for sharing your opinion. Extrication is about patient care and not what we want to do. Historically, the injuries we are going to see with a seat belted pt in a roof resting vehicle are upper spine/neck injuries. The key to the viable survivability is moving the pt in-line, making sure we keep their upper spine and lower spine in-line. Lifting the car (about 300 lbs) allows us the room to bring the pt out the back. Did you watch the pt removal video? What we are asking for might make more sense when you tie this removal method in to the vehicle techniques. As an example, about a year ago, I had a vehicle on its roof - we removed the pt the way we show in the video. Pt had a fx C-4, he should have had significant deficits because of this injury. Luckily, we followed the removal technique we teach, 5 weeks later he is walking w/no deficits. These techniques have been honed over 30 years of trial and error - we have cut over 6,000 cars in perfecting these techniques. The goal is to break the “we’ve always done it this way” and look at extrication as an art and not a muscle memory exercise. Remember, we are the advocate for the pt, their potential injuries drives the removal method.
Chris Mills
Fire Rescue Equipment NW, LLC
chris@frenw.com
503-793-7925
Yeah let’s drive a picket into the ground into a gas or electric line……. Since most utilities are ran along the roads this sounds like a terrible idea
Luke,
Hidden in your passive comment is a legitimate question that I’d be happy to answer. I hope this helps. When using pickets, there are several things to consider:
1) We would only be putting pickets in place if a vehicle were sitting on uneven ground with an angle that concerned us.
2) Common sense tells us that a utility company will not be able to operate the needed heavy equipment on ground that is angled enough to cause this stabilization issue and as such, it is very unlikely that any utilities are under our operating area.
3) This stabilization method is based on the USAR Shoring Principles. So, I guess you might need to have conversations with the people who developed and wrote the manual that is used around the world for disaster response.
4) Per the FOG Manual and most Rope Rescue skills that also use Pickets for stabilization and mobile anchors, we use a 42” Picket, burry it 28” (2/3’s its length) into the ground. High Voltage lines are required to be >36” deep with concrete cable covers placed on top of them in the trench to prevent issues. Natural Gas Line depth requirements vary across the country, residential lines in a yard can be 12”-24”, however along roadways must be >28” deep and are usually in the 36” trench with the high voltage lines to minimize work. For both lines, they are required by code to be deeper than we are putting our pickets.
5) In my 33 years of responding to almost 40,000 calls, I have never had an issue with a picket hitting a power or gas line, nor have I not been able to find any articles of this happening. But feel free to research this yourself on Fire Engineering’s website, web-based articles, or on the firefighterclosecalls.com database.
Luke, it is my hope that this answers your concerns, helps you understand how to think for yourself and research something before you make unresearched comments. Just following “this is how it’s always been done” has killed a lot of people over the years. It has been said that a firefighter is a “jack of all trades & a master of none.” This is very true, we have a lot of tradition that we work off of, not always correct but, well intentioned. Do not be afraid to research things for yourself. If you need help understanding a new technique, please ask - don’t just throw darts from behind a keyboard, it’s a poor representation of yourself and your department.
Chris Mills
Fire Rescue Equipment NW, LLC
chris@frenw.com
503-793-7925