What Is A Post Car – In any accident scene, getting the victim to the hospital quickly increases his chances of survival. The term “Golden Hour” was first coined in 1961, but due to a misinterpretation of what period it actually referred to, a second concept, the “Platinum Ten Minutes” was proposed as a time for sacrifice and Ambulance movement. rapid extrication, EMS and medical personnel must work together with the police and fire department to secure the scene and safely remove the victim without injuring the victim or other personnel at the scene. place of cause. Future proofing at the scene This document describes the role of the emergency services, particularly the competent fire officer, when they are at the scene of a road traffic accident. Methods and equipment used to remove the victim from the engine to release. stated
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What Is A Post Car
When the term “Golden Hour” was first coined in 1961 by R. Adams Cowley, emergency services tended to think that it referred to the period of arrival on the scene for the victim and the ambulance to deliver, rather than the “knife run”. time. The concept of the “Platinum Ten Minutes” was then proposed as ideal for event timing as it was understood that time was allowed for emergency department transit and assessment.
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The “Platinum Ten Minutes” have put significant pressure on emergency services to reduce the time it takes to extricate victims from wrecked cars. Increasing awareness of how poor handling affects victims, increasing concern about safe operation, increased complexity in vehicle design and improvements in rescue tools have all been supported by experts such as Mick McCarthy, 1 Len Watson2-4 and reviewed later. Rob Walmsley5 to name just three. But fire departments were primarily engaged in evacuation. This article examines the extraction techniques available in serious production and the impact that a direct practitioner can have.
In the UK, the police are generally responsible for any accident. However, in all incidents the police rely on the fire brigade’s advice on safety and rescue techniques.6 Therefore, the police protect the external environment and only the fire brigade and ambulance personnel protect the internal environment. will act Emergency medical personnel and doctors who directly provide medical aid do not have the authority to reject the firefighter present at the scene, they can only report the consequences of any actions to the victim.6
It is important that operations are managed at any accident site to ensure that any evidence at the scene that may later assist the investigating authorities remains as intact as possible. Evidence such as tire marks on dew on the road, dirt from the wheel arches at the scene of a collision, or fragments of filament welded to the glass of a headlight can be valuable to the investigator.7 This evidence can be used not only in prosecution but also in civil cases. about compensation to the victim.
Until recently, rescue services worked either “sequentially” or “parallelly”. “Serial” operations occur when a sense of urgency is not developed. Everyone is polite and stands aside when someone needs access. This means that the time is significantly extended. However, at other times, the anxiety level is high and everyone is trying to complete their task at the same time. This parallel work leads to confused and often conflicting actions and can cause accidents. Team approach8 involves working in harmony. Like an orchestra, all rescue services work together, although there may be solo performances. There can be only one team leader and it must be the firefighter in charge. He or she has personnel, rescue equipment, and is also responsible for security. For a team approach to work, all team members must not only know the game, but also know each other and train together. This article describes the game a bit; the rest develop only through familiarity with local emergency services.
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) Establishment of security at the scene and contact with the victim to ensure control of the respiratory tract and protection of the cervical spine; (
Upon arrival at the scene of the accident, the fire crew aims to protect the scene with a crash shield (if not already in place by the police), deploy a hose reel and one or two powder fire extinguishers, stabilize the vehicles, start removing the glass from the vehicle and gain early access to the victim for airway control and cervical immobilization. They aim to complete it within 2 minutes. They begin by placing the equipment bin on the rescue sheet, and a similar sheet may be provided for medical and emergency equipment.6
During this time, the firefighter in charge will assess the scene so that when the cutting equipment is ready, he can direct the crew to complete the necessary evacuation procedure. The crew must be ready to make their first cut within 5 minutes of arrival.
A responsible firefighter must consider many factors. His decision will be influenced by medical advice. His first decision is whether the rescue will be an “abduction,” a “catch-up,” or a “controlled release.” work practice Firefighters will not take risks where life is not involved, but will take risks when there is no other option to save life.
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A “rescue break” may be little more than a controlled extrication from the wreckage, or it may involve the use of hydraulic expanders to provide breathing space for the crushed victim, or it may even involve the use of a hydraulic cutting tool used to perform the amputation. Go to rescue the victim if the fire cannot be controlled. “Rescue by passage” is only rarely necessary.
A quick access occurs when the victim must be freed within the platinum ten minutes to save a life. This applies to a casualty where additional access is required to control the airway, correct life-threatening ventilation problems, stop external bleeding, or if there is life-threatening bleeding in the skull, chest, abdomen, or pelvis that requires urgent surgical intervention. This is an area where medical guidance is critical. Third, impact injuries (Box 1) are the leading cause of death for occupants of vehicles designed after 1996.10 These injuries are invisible and physiological compensation can mask their presence in the early stages. The mechanism of injury is a key factor that alerts rescuers to the potential need for rapid access and extrication.
Looking from the outside into the heart of the event, the firefighter will look for safety issues at the scene. He will try to estimate the number of victims and the priorities of their treatment. He will look for absolute limits on salvation – that is, someone who will not be available in time to overcome a living salvation. A stone wall, a defunct locomotive, and a rising tide are all examples of absolute limitations; there is no other way but to bypass them. Relative limitations are those that affect salvation but can be overcome; moving parked vehicles to better access the scene is an example of a relative constraint.
A firefighter must also look from the inside out. From the victim, he begins after the lack of control of the respiratory tract, asphyxia, stabbing, entanglement, entrapment and possible tamponade of abdominal bleeding through the steering wheel. He will look at the seat; does it lay back, slide, or feed?
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He must determine the path of extraction (the direction in which the victim will be removed from the vehicle). It must be removed before the victim is released. Removal may require medical procedures such as ketamine anesthesia, and a situation where the victim becomes unstable after the procedure but cannot be extricated from the vehicle should be avoided at all costs.
There are seven available options for removal from the vehicle (Fig. 1). There is no doubt that posterior extraction is the first choice, but several factors can prevent this. Generally, the other exit routes are numbered in order of decreasing convenience and preference. This is another area where the leadership of the medical staff will be important.
Potential vehicle release routes: (a) longboard back; quick exception, driver’s door; (c) quick exit, door opposite; (d) long board and rear quarter KED
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