Chapter 40: Highway Safety and Vehicle Extrication 🚒
Highway Emergency Operations
- Biggest Hazard: Traffic; Emergency responders often not seen by drivers.
- Key Strategy: Limit personnel on busy highways to reduce risk.
- Use vehicles, especially fire apparatus, as a blocking force to create a safe zone.
- Be alert to ensure traffic patterns are clear and safe.
On the Scene
- Hazards: Traffic, vehicle dangers, extrication process, impatience of blocked drivers.
- Always have someone on lookout for hazards.
Limited Access Highways
- Driving against traffic flow creates hazards; confirm no traffic is coming when doing so.
- Keep road impacts minimal.
- First Arriving Unit: Block traffic, establish Incident Command using green flashing light.
- Ensure safe work areas and exits for transport/rescue units.
Parking and Blocking Traffic
- Park at an angle, wheels turned away from the incident for safety.
- Chock wheels to prevent movement if hit.
- Ensure enough space for entrance and exit.
- Safety Vests: Use approved safety vests (Class 3 for highways over 55mph).
- Use road flares, traffic cones, lights to alert oncoming traffic, with caution about explosion hazards.
- Shut off white lights at night; use red/amber lights.
- Utilize traffic directional boards, highway notification signs, barricades for long-term scenes.
Vehicle Extrication
Phases
- Preparation: Training, equipment checks, PPE readiness.
- Scene Size-Up: Assess needs, manage hazards, stabilize vehicle.
- Access Patient: Gain access and perform rapid assessment.
- Disentanglement: Remove vehicle components, extricate patient.
- Additional Assessment & Transport: Continued care and transport.
- Debrief & Termination: Review and learn from the mission.
Protective Gear
- Fire-resistant gear, helmets, safety glasses, face shields.
- Appropriate fire gear if close to potential fire areas.
- Use proper helmets, eye protection (ANSI certified), cut-resistant gloves, body protection.
- Provide patient with blankets, hearing protection if needed.
Managing Traffic
- Use fire trucks, converted vehicles, Scorpion impact absorbers for protection.
- Flares should be used cautiously.
Supplemental Restraint Systems (Airbags)
- Protects patients if seated correctly but can be hazardous if deployed incorrectly.
- Hazards: Smoke from airbags, non-deployed airbags as potential hazards.
- Bumpers: Be aware of shock absorber energy releases.
Electrical Hazards
- Treat all wires as live; establish danger zones.
- P-Mounted Transformers: Can be hazardous if damaged.
Vehicle Fires
- EMTs Role: Small fires with extinguisher, wait for fire department otherwise.
- Electric Vehicles: Only extricate patient; observe the fire.
Stabilizing and Gaining Access
Stabilizing Vehicles
- Turn off engines, use step chocks or cut tire valve stems for stabilization.
- Step Chocks: Secure vehicle to prevent movement.
- Additional Tools: Ropes, cribbing, stabilizer bars.
Gaining Access
- Try all doors before using extrication tools.
- If needed, break glass away from the patient.
Disentanglement
- Remove vehicle components for easier patient access.
- Create large exit path, remove steering wheel from patient, move seats back.
- Avoid cutting columns with wiring and airbags.
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