CVFD Training – Rescue Operations

1. CVFD Training – Rescue Operations SFFMA Training Objectives: 9-01.05

2. Practical Exercise • Trainee shall demonstrate the techniques of packaging a victim for emergency transportation by: • A. given a short/long spine board and wrapping materials, demonstrate the stabilizing of a victims spineand cervical area of the body, and • B. given a packaged victim and stretcher, demonstrate the transfer procedures of victims from their rescuescene.

3. Placing a Patient on an Ambulance Cot

4. Extrication From Motor Vehicle • Motor vehicle crashes are common rescue situations. • Knowledge, experience, and skill are most valuable tools. • Extrication means to free, release, or disentangle a patient from entrapment. • Operations may be simple or complex. • Operations at an extrication incident should follow a pre-determined sequence of events.

5. Incident Action Plan • Scene assessment • Establishing work areas • Vehicle stabilization • Patient access • Disentanglement • Patient removal • Scene stabilization

6. Extrication Tools (1 of 3) • They range from basic to specialized tools. • Hydraulic tools are operated by gasoline engine, electric motor, or air-driven motor. • Spreaders are used to push and pull. • Cutters are used for different tasks. • Rams are used for pushing. • Combination tools spread and cut.

7. Extrication Tools (2 of 3) • Air bags come in high-pressure and low/medium-pressure. • High-pressure bags operate at a maximum inflation pressure of about 130 psi. • Bags come in sizes ranging from 6”x 6” to 36”x 36”. • Low/medium-pressure bags can lift very heavy loads.

8. Extrication Tools (3 of 3) • Air chisels are valuable tools for rescue operations. • Reciprocating saws are also gaining popularity.

9. Gasoline Engines

10. Spreaders and Cutters

11. Rams and Combination Tools

12. High-Pressure Air Bags

13. Low-Pressure Air Bags

14. Air Chisel and Reciprocating Saw

15. Crash Scene Assessment • Traffic • Number and types of vehicles involved • Number and apparent extent of injuries • Disentanglement requirements • Other associated hazards

16. Additional Resources • Additional ambulances • Specialized extrication equipment • Additional law enforcement • Specialized technical rescue equipment

17. Establish Work Areas • Use of cones • Natural barriers • Law enforcement

18. Vehicle Stabilization • It may be simple or complex. • Determine the type necessary. • You may use cribbing. • You may need additional tools.

19. Patient Access • It is necessary to care for the patient. • Patient may need care prior to removal. • It may be as simple as opening a door. • You may need additional tools.

20. Disentanglement • Disassembly • Distortion • Displacement • Severance

21. Patient Removal • Careful of sharp metal and edges • Tools removed from egress path • Tools retrieved and fire hazard monitored

22. Scene Stabilization • Secure unresolved hazards. • Remove tools and cribbing that may create hazards. • Remain at the scene until the vehicle is removed. • Tow cable risks. • Fluid and vehicle debris. • Remove barriers.

23. Specialized Rescue Situations and Tools • There are a variety of other rescues a firefighter may face. • Specialized training beyond this course is needed. • This is designed as a familiarization.