Early stability and initial entry into the vehicle so that medical staff can not only be an initial survey and implementation of life-saving treatment measures (such as keeping the airway open), can also determine the extent of the storm's victims. This is very important because if there is no such information, the field commander will not be able to formulate a rescue plan.
For vehicles with wheels on the ground, we should concentrate on the stability of the two phases:
Manual Stability - This refers to the way in which the player uses his or her hands to reduce the movement of the vehicle. It should be considered only if it is necessary to quickly enter the vehicle to perform lifesaving treatment . Such as: open the wounded respiratory tract. For this round of landing, this can be accomplished by supporting the wheel arches to prevent the vehicle from moving.
Use blocks and wedges - vehicles that are usually sufficient to meet the wheels. Blocks should be placed at the “lift fulcrum†of the vehicle to increase stability and also need to be placed below the B- pillar. It is also advisable to stabilize the vehicle below the rear of the vehicle. This will ensure that the stability of the vehicle can be maintained in the rescue under the "gold standard".
! Remember - Before stabilizing the vehicle, one or both wheels of the vehicle must be double wedged to prevent movement. Consider determining that the wounded person has spinal trauma using a flat tire to prevent the vehicle from moving. When the tool cannot be fully stabilized (that is to say when the vehicle is on a slope), it may be necessary to use other tools such as a winch or a stretch belt.
Check the stability again:
1 , when removing weight from the vehicle (removing glass or doors)
2. Increased vehicle weight (persons or equipment entering the vehicle)
3, when the accident involved can carry the load was large vehicles, the stability of the more critical the need to consider a person designated to monitor the stability of the vehicle during the entire rescue (if resources allow it)
Remember, stability provides a solid platform for initial entry into the vehicle. The level of stability of the initial deployment of the vehicle depends entirely on the condition of the injured; this is a factor that must be considered. According to the condition of the injured, the priority is to reduce the movement of the vehicle to reduce the further trauma of the injured's spine and pelvis.
! Remember - if the injured are completely unresponsive, we must change our priorities. Respiratory tracts that are completely unresponsive may be dangerous. Therefore, you must enter the vehicle quickly while maintaining a certain degree of stability of the vehicle.
Stable method
Responsive wounded
action | Precautions | equipment |
Double wedges on one or two wheels of the vehicle to prevent movement | Make sure the wedge is sufficient to prevent the vehicle from moving | 2 wedges |
Create workspaces, place blocks and wedges under A and B pillars and near the front of the rear wheels | Since the wedge-shaped mats and blocks do not cause roll, they are more suitable for the work area (it is also possible to use stepped wedge wood mats) | Lumps and Wedges / Step Wedge Wood Mats |
In the non-work area, place blocks and wedges under the A- pillars and B- pillars and place them immediately in front of the rear wheels | If the blocks and wedges are not enough to stabilize the vehicle under the B- pillar | Lumps and Wedges / Step Wedge Wood Mats |
Place the step wedge wooden pad (inverted) under the rear of the vehicle | Make sure that the stepped wedge cemetery touches the structural components of the vehicle (rather than plastic bumpers) | Stepped wedge wood mat |
Stable method
Unresponsible wounded
action | Precautions | equipment |
At least two rescuers support the vehicle by holding up the wheel arches (fenders) | 1 support the vehicle in order to limit the movement of the vehicle as much as possible 2 Do not lift the vehicle | no |
A rescuer enters the vehicle to assess the condition of the injured and perform the necessary treatment | Once the injured are stable, they can begin to achieve overall stability. | no |
This article belongs to holmatro and edited by China Rescue Equipment Network.
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