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Chapter 25. Rescuing and Moving Victims. Water Rescue. Reach-throw-row-go Reach for victim. Throw anything that floats. Row by using canoe or other boat. Go by swimming (must be trained). Entering water is a last resort. Near-Drowning.
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Chapter 25 Rescuing and Moving Victims
Water Rescue • Reach-throw-row-go • Reach for victim. • Throw anything that floats. • Row by using canoe or other boat. • Go by swimming (must be trained). • Entering water is a last resort.
Near-Drowning • Occurs when a victim survives an immersion incident • Drowning • Suffocation by immersion in water or other liquid. • Dry drownings • Wet drownings • Secondary drowning
Care for Drowning • Survey the scene. • If the victim was diving, suspect a possible spinal injury. • Check for breathing and treat accordingly. • If no spinal injury is suspected, place victim on his or her side.
Cold-Water Immersion • Cold water is water less than 70°F. • A person can become hypothermic in water that is 77°F. • Heat escape lessening position (HELP)
Ice Rescue • Extend a pole or throw a line to victim with floatable object. • Pull victim toward shore or edge of ice.
Electrical Emergency Rescue • Indoor electrocutions • Faulty electrical equipment or careless use of electrical appliances • Turn off power at circuit breaker, fuse box, or outside switch box before touching the victim. • High-voltage power lines • Power must be turned off. • Wait for trained personnel with proper equipment.
Hazardous Materials Incidents • Signs of hazardous materials • Signs on vehicle • Spilled liquids or solids • Strong, unusual odors • Clouds of vapor • Stay away and upwind. • Wait for trained personnel to arrive.
Motor Vehicle Crashes • Park in a safe area and call 9-1-1. • Turn on emergency hazard flashers. • Make sure scene is safe. • If you suspect spinal injuries, stabilize head and neck. • Check and care for life-threatening injuries. • Whenever possible, wait for EMS personnel to remove victims. • Allow EMS ambulance to transport victims.
Fires • Get all people out of the area quickly. • Call 9-1-1. • Use a fire extinguisher if the fire is small.
Threatening Dogs • Look for signs of a dog and proceed with caution. • Ask owner to control a threatening dog. • Call police for assistance with a vicious dog.
Farm Animals • Approach a situation involving animals with caution. • Do not frighten an animal. • Speak quietly to reassure it. • If food is available, use it to lure animal away from victim.
Confined Space (1 of 2) • Any area not intended for human occupancy • Dangerous atmosphere (low oxygen levels) • Requires special training and equipment to perform rescue
Confined Space (2 of 2) • For confined space emergencies: • Call 9-1-1. • Check motionless victims first. Only enter if you have proper training and equipment. • Once victim is removed, provide care.
Triage • Classify into care and transportation priorities • Triage categories • Immediate care • Delayed care • Walking wounded • Dead
Moving Victims • Only move victim if there is immediate danger: • Fire • Hazardous materials • Impossible to protect from hazards • Impossible to access other victims who need lifesaving care • Protect victim’s spine. • Drag in direction of the long axis of the body
Drags Shoulder drag Ankle drag Blanket pull Emergency Moves (1 of 3)
One-person moves Human crutch Cradle carry Fire fighter’s carry Pack-strap carry Piggyback carry Emergency Moves (2 of 3)
Emergency Moves (3 of 3) • Two-person or three-person moves • Two-person assist • Two-handed seat carry • Four-handed seat carry • Extremity carry • Chair carry • Hammock carry
Nonemergency Moves • All injured parts should be stabilized before and during moving. • Safest way to carry an injured victim is on some type of stretcher or litter.