Shopping on line can be easy, simple and save you lots of money. It can also take a lot of your time, frustrate you, and result in unwanted purchases. Now the same can be said for regular high street shopping, but with the vast opportunity presented by the Internet it will pay you to spend a few minutes reading this and understanding how to better optimize your Vehicle Extrication shopping experience:
1. Compare - without doubt the biggest advantage that the Vehicle Extrication offers shoppers today is the ability to compare thousands of Vehicle Extrication at a time. This is a great thing, but not necessarily all the time! Too much can be daunting at times so take advantage of the great comparison sites and where possible let them do the hard work for you.
2. Research - if it has been said it will be on the internet. Ignorance is no longer a justifiable reason for buying the wrong thing. Take the time to research in detail everything that you could possible want to know about
3. Testimonials - don't know anybody that has bought a Vehicle Extrication? Wrong! If the Vehicle Extrication is good the internet will let you know. Use the Internet as a friend and get testimonials before you buy.
4. Questions - Got a question about Vehicle Extrication then search the Forums, FAQ's, Blogs etc. Don't be afraid to ask .....
5. Reputation - Never heard of the company selling Vehicle Extrication? Don't worry, no reason why you should know every company in the world, but you know someone that does! Use the internet to find out what people are saying about Vehicle Extrication and build up a picture of their reputation for sales, returns, customer service, delivery etc.
6. Returns - still worried that even after all of the above your Vehicle Extrication wont be what you want? Check out the returns policy. There is so much competition now that someone, somewhere is bound to offer the terms that you are comfortable with.
7. Feedback - happy with your Vehicle Extrication then let people know, after all you are depending on others people input in your buying decision, so why not give a little back.
8. Security - check for the yellow padlock on the Vehicle Extrication site before you buy, and the s after http:/ /i.e. https:// = a secure site
9. Contact - got a question about Vehicle Extrication, or want to leave a comment then check out the sites contact page. Reputable companies have them and respond.
10. Payment - ready to pay for your Vehicle Extrication, then use your credit card or PayPal! Be aware of companies that don't accept them, there may be genuine reasons but given the huge amount of choice you have when buying online there is no reason at all not to buy via credit card or PayPal.
Vehicle extrication is the process of removing a person from a vehicle that has been involved in a motor vehicle accident when conventional means of exit are impossible or unadvisable. This is typically accomplished by utilizing hydraulic tools, including the
Jaws of Life. Standards and regulations can be found in NFPA 1670 and 1006.
It is sometimes referred to as "removing the vehicle from the person" in reference to the often delicate touch needed to avoid disturbing the victim as much as possible during the extrication.
Operations
,
France, September 2001
,
France, September 2001
The basic extrication process consists of, but not limited to, six steps:
- the protection of the zone, to avoid a risk of collision (marking out the zone, lighting) and of fire (switching off the ignition, disconnecting the battery, absorbing powder on oil and gasoline pools, fire extinguisher and fire hose ready to use) ;
- patient triage and initial medical assessment of the patient by qualified medical rescuer;
- the stabilisation of the vehicle (see cribbing (rescue)), to avoid the movements of the vehicle itself (e.g. falling in a ditch), and the movements of the suspension (risk of worsening of an unstable physical trauma) ;
- the opening of the vehicle and the deformation of the structure (such as removing a window) to allow the intervention of a first responder, of a paramedic or of a physician inside the vehicle to better assess the patient and begin care and also to release a possible pressure on the casualty;
- removal of the section of the cabin (usually removal of the roof or door) to allow an extrication in good conditions, especially respecting the head (anatomy)-neck-back axis (rectitude of the vertebral column).
- removal of the patient from the vehicle
In less complicated cases, it is possible to extricate the casualty without actually "cutting" the car, such as removing a patient from the side door or another part other vehicle.
As soon as possible, best before beginning the mechanical operation, a medically trained person enters the cabin to perform the first aid to the casualty: mid-level assessment, stopping the bleeding, putting a
cervical collar (these operation are likely to provoke
oscillations), providing
oxygen first aid. In France, this rescuer is called the "
squirrel" (
écureuil). NFPA regulation 1006 and 1670 state that all "rescuers" must have medical training to perform any technical rescue operation, including cutting the vehicle itself. Therefore, in almost all rescue environments, whether it is an EMS Department or Fire Department that runs the rescue, the actual rescuers who cut the vehicle and run the extrication scene are Medical First Responders, Emergency Medical Technicians, or Paramedics, as a motor vehicle accident has a patient involved.
After the vehicle has been stabilized and access gained to the patient, the EMS team then enters to perform more detailed medical care.
The deformation of the structure and the section of the roof take several minutes; this de-extrication time can be used for medical or paramedical acts such as intubation or placing an
intravenous drip. When the casualty is in cardiac arrest,
cardiopulmonary resuscitation can be performed during the freeing, the casualty being seated. The use of this incompressible duration is sometimes called
play and run, as a compromise between
scoop and run (fast evacuation to a trauma center) and
stay and play (maximum medical care onsite).
The last step is usually performed with a long spine board: the casualty is pulled up on it. An extrication splint (Kendrick Extrication Device) can help immobilising the spine during this operation.
Extrication, as defined by NFPA must be done by medically certified individuals, and as such, many Rescue teams are run by standalone Emergency medical services departments. In major cities, where fire departments have FF/Emergency medical technicians, fire departments can run rescue. In
NYC, the police department handles some aspects of rescue. In many rural areas, and specifically in
New Jersey, usually volunteer First Aid Squads handle rescue. In the midwest, there are dedicated Rescue Departments that run neither fire trucks nor ambulances and focus strictly in rescue. There are some departments that are a combination of Fire/EMS, Police/EMS or Rescue/EMS, but the concept is that most organizations that run Rescue have some sort of EMS division or EMT training. As such, there are many different ways extrications are handled. Some are by run completely by one organization, such as strictly by an EMS department. Some are a run by a combination department that runs ambulances and fire trucks. Some are run as an inter-agency joint effort. Some are backups to others. And some departments run just a heavy rescue truck. Some departments also might only handle light rescue and door pops, leaving the more complicated rescue and heavy rescue dedicated to a heavy rescue unit.
Extrication includes patient assessment, treatment and removal of patient from vehicle. Some departments only carry with them minimal tools such as one set of jaws of life and are only capable of simply "popping" a door off and then must step away to allow the medical rescuers in or to allow a more dedicated heavy rescue team in who has more equipment. Extrication units are supposed to not only have many different kinds of extrication tools, but medical equipment, oxygen, and backboards as well. Extrication is the entire process from fire protection, power unit disengagement, vehicle stabilation, patient stabilization and treatment, removal of vehicle from patient, removal of patient, and transfer to ambulance. Extrication is not just simply popping a door off.
Additional risks with new technologies
Active systems such as
airbags make the operations more complicated: when they did not explode (e.g. shock from the rear or vehicle on the roof), the activation can occur any time during the operation, and cause additional trauma to the victim or to the rescuers. This is one of the reasons rescuers disconnect the battery and wait the correct airbag deactivation times before cutting the vehicle. These deactivation times can take anywhere from 5 seconds to 20 minutes to deactivate, even after the power source has been disabled.
New Hybrid car technologies also include additional high voltage batteries, or batteries located in unusual places. These can expose occupants and rescuers to shock, acid or fire hazards if not dealt with correctly. Some references to the actual nature of the
Hazards : Honda Toyota Ford News Summary More.
Some vehicles have an additional Autogas tank. As the system was not built in, there is a risk of damaging the pipe which is often under the car, releasing the pressurised fuel. The risk of this is minimised by locating the line in a protected position during installation. Modern installations also have a shutoff solenoid at the tank so that rupture will only release the fuel in the line rather than allowing fuel to come out of the tank.
See also
- Hydraulic Rescue Tools
- Heavy rescue vehicle
- Rescue Squad
- Tram accident
External links
- Vehicle extraction technics (PDF file, 70p, 4.9 Mb)
- Hydraulic Tool Manufacturers
- Phoenix Rescue
- Holmatro
- TNT
- Amkus
- Hurst
- Weber
- Genesis
Vehicle extrication is the process of removing a person from a vehicle that has been involved in a motor vehicle accident when conventional means of exit are impossible or unadvisable. This is typically accomplished by utilizing hydraulic tools, including the
Jaws of Life. Standards and regulations can be found in
NFPA 1670 and 1006.
It is sometimes referred to as "removing the vehicle from the person" in reference to the often delicate touch needed to avoid disturbing the victim as much as possible during the extrication.
Operations
,
France, September 2001
,
France, September 2001
The basic extrication process consists of, but not limited to, six steps:
- the protection of the zone, to avoid a risk of collision (marking out the zone, lighting) and of fire (switching off the ignition, disconnecting the battery, absorbing powder on oil and gasoline pools, fire extinguisher and fire hose ready to use) ;
- patient triage and initial medical assessment of the patient by qualified medical rescuer;
- the stabilisation of the vehicle (see cribbing (rescue)), to avoid the movements of the vehicle itself (e.g. falling in a ditch), and the movements of the suspension (risk of worsening of an unstable physical trauma) ;
- the opening of the vehicle and the deformation of the structure (such as removing a window) to allow the intervention of a first responder, of a paramedic or of a physician inside the vehicle to better assess the patient and begin care and also to release a possible pressure on the casualty;
- removal of the section of the cabin (usually removal of the roof or door) to allow an extrication in good conditions, especially respecting the head (anatomy)-neck-back axis (rectitude of the vertebral column).
- removal of the patient from the vehicle
In less complicated cases, it is possible to extricate the casualty without actually "cutting" the car, such as removing a patient from the side door or another part other vehicle.
As soon as possible, best before beginning the mechanical operation, a medically trained person enters the cabin to perform the first aid to the casualty: mid-level assessment, stopping the bleeding, putting a cervical collar (these operation are likely to provoke
oscillations), providing
oxygen first aid. In France, this rescuer is called the "
squirrel" (
écureuil). NFPA regulation 1006 and 1670 state that all "rescuers" must have medical training to perform any technical rescue operation, including cutting the vehicle itself. Therefore, in almost all rescue environments, whether it is an EMS Department or Fire Department that runs the rescue, the actual rescuers who cut the vehicle and run the extrication scene are Medical First Responders, Emergency Medical Technicians, or Paramedics, as a motor vehicle accident has a patient involved.
After the vehicle has been stabilized and access gained to the patient, the EMS team then enters to perform more detailed medical care.
The deformation of the structure and the section of the roof take several minutes; this de-extrication time can be used for medical or paramedical acts such as intubation or placing an intravenous drip. When the casualty is in cardiac arrest,
cardiopulmonary resuscitation can be performed during the freeing, the casualty being seated. The use of this incompressible duration is sometimes called
play and run, as a compromise between
scoop and run (fast evacuation to a trauma center) and
stay and play (maximum medical care onsite).
The last step is usually performed with a
long spine board: the casualty is pulled up on it. An
extrication splint (
Kendrick Extrication Device) can help immobilising the spine during this operation.
Extrication, as defined by NFPA must be done by medically certified individuals, and as such, many Rescue teams are run by standalone Emergency medical services departments. In major cities, where fire departments have FF/
Emergency medical technicians, fire departments can run rescue. In NYC, the police department handles some aspects of rescue. In many rural areas, and specifically in
New Jersey, usually volunteer First Aid Squads handle rescue. In the midwest, there are dedicated Rescue Departments that run neither fire trucks nor ambulances and focus strictly in rescue. There are some departments that are a combination of Fire/EMS, Police/EMS or Rescue/EMS, but the concept is that most organizations that run Rescue have some sort of EMS division or EMT training. As such, there are many different ways extrications are handled. Some are by run completely by one organization, such as strictly by an EMS department. Some are a run by a combination department that runs ambulances and fire trucks. Some are run as an inter-agency joint effort. Some are backups to others. And some departments run just a heavy rescue truck. Some departments also might only handle light rescue and door pops, leaving the more complicated rescue and heavy rescue dedicated to a heavy rescue unit.
Extrication includes patient assessment, treatment and removal of patient from vehicle. Some departments only carry with them minimal tools such as one set of jaws of life and are only capable of simply "popping" a door off and then must step away to allow the medical rescuers in or to allow a more dedicated heavy rescue team in who has more equipment. Extrication units are supposed to not only have many different kinds of extrication tools, but medical equipment, oxygen, and backboards as well. Extrication is the entire process from fire protection, power unit disengagement, vehicle stabilation, patient stabilization and treatment, removal of vehicle from patient, removal of patient, and transfer to ambulance. Extrication is not just simply popping a door off.
Additional risks with new technologies
Active systems such as airbags make the operations more complicated: when they did not explode (e.g. shock from the rear or vehicle on the roof), the activation can occur any time during the operation, and cause additional trauma to the victim or to the rescuers. This is one of the reasons rescuers disconnect the battery and wait the correct airbag deactivation times before cutting the vehicle. These deactivation times can take anywhere from 5 seconds to 20 minutes to deactivate, even after the power source has been disabled.
New
Hybrid car technologies also include additional high voltage batteries, or batteries located in unusual places. These can expose occupants and rescuers to shock, acid or fire hazards if not dealt with correctly. Some references to the actual nature of the
Hazards : Honda Toyota Ford News Summary More.
Some vehicles have an additional
Autogas tank. As the system was not built in, there is a risk of damaging the pipe which is often under the car, releasing the pressurised fuel. The risk of this is minimised by locating the line in a protected position during installation. Modern installations also have a shutoff solenoid at the tank so that rupture will only release the fuel in the line rather than allowing fuel to come out of the tank.
See also
External links
- Vehicle extraction technics (PDF file, 70p, 4.9 Mb)
- Hydraulic Tool Manufacturers
- Phoenix Rescue
- Holmatro
- TNT
- Amkus
- Hurst
- Weber
- Genesis
