I-I-03 Vehicle Extrication Procedures 02/27/2020

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Questions and Answers

What should be done before disconnecting the battery in airbag-equipped vehicles?

Ensure the vehicle is turned off.

Move the seats with the occupants away from the front airbags. (correct)

Remove the airbag module from the steering wheel.

Disconnect the positive battery cable first.

Which of the following indicates the presence of an airbag in a vehicle?

Supplemental Inflatable Restraint (correct)

Occupant Restraint System

Active Safety Monitor

Passive Safety Device

What should fire rescue personnel avoid doing in relation to an airbag during an emergency rescue?

Drilling or cutting into the airbag module. (correct)

Assisting the driver first.

Removing all tools from the vehicle.

Creating a barrier between themselves and the airbag.

When stabilizing a patient in a vehicle, which factor should be prioritized?

Calming and reassuring the patient. Signup and view all the answers

Which of the following statements about static electricity and airbag systems is accurate?

Hydraulic tools generate static electricity that could activate the airbag system. Signup and view all the answers

What procedure should be followed when performing extrication on a hybrid vehicle?

Avoid areas near high voltage battery and bright orange wiring. Signup and view all the answers

What is a potential consequence of leaving medical waste at the scene after an extrication?

Increased risk of injury to the patient or rescuer. Signup and view all the answers

During the access and disentanglement process, what is the proper order for using tools?

Use hands, then hand tools, and heavy hydraulic tools last. Signup and view all the answers

What is the minimum assignment for a patient pinned in a vehicle during a vehicle accident response?

One Rescue, one Suppression unit, and one Battalion Chief Signup and view all the answers

Which of the following should be performed during the scene stabilization process?

Assign a Safety Officer as soon as feasible Signup and view all the answers

What must be done to the vehicle before stabilization methods are implemented?

Place the vehicle in 'park' and shut the engine off Signup and view all the answers

Which option is NOT part of the procedures to stabilize a vehicle?

Rotate the vehicle 180 degrees for stabilization Signup and view all the answers

When should battery disconnection be delayed during vehicle stabilization?

When electric seats need to be moved Signup and view all the answers

What is the purpose of performing crowd control at an accident scene?

To guide traffic and expedite rescue personnel entry Signup and view all the answers

What should a unit Officer-in-Charge (OIC) do upon first arrival at an accident scene?

Conduct a size-up of the scene Signup and view all the answers

What should be done if the vehicle is equipped with airbags during extrication?

Exercise caution and identify the presence of undeployed airbags Signup and view all the answers

Study Notes

Standard Operating Procedure for Vehicle Accidents

Aim: Provide a systematic procedure for evaluation, stabilization, and operation during vehicle accidents necessitating patient extrication.
Responsibility: Every unit Officer-in-Charge (OIC) must ensure crew wears complete turnout gear, including eye and hand protection.
Bloodborne pathogens must be addressed to protect all personnel.

Size-Up Phase

First arriving unit OIC to perform a size-up, delegating inner and outer surveys.
Minimum resources for a patient pinned in a vehicle: one Rescue, one Suppression unit, and one Battalion Chief.
Consider the dispatch of additional units like Technical Rescue Team (TRT), Multiple Casualty Incident (MCI) level, Air Rescue, Heavy 1, Florida Power and Light (FPL), and Hazardous Material (Haz Mat) units.

Stabilization of Scene

Implement crowd control with assistance from police and fire rescue personnel.
Assign a Safety Officer promptly.
Ensure personnel in the action area are in full turnout gear.
Deploy a 1-¾" jumpline; use foam if fuels are present.
Mitigate hazards: downed wires, fluid leaks, hazardous cargo, and fire.

Vehicle Stabilization

Chock wheels as rescuers approach; place vehicle in “park” and turn off the engine.
Disconnect the battery with caution, especially when electric seats may need movement.
Stabilize the vehicle using cribbing at a minimum of three points and deflate the tires.
Control breaking of glass using center punch or axe; clear shards with hand tools.
Identify un-deployed airbags based on specific vehicle indicators and treat all vehicles as potentially having airbags.

Airbag Safety Protocol

Disconnect the airbag power system, starting with the negative battery cable.
Avoid placing personnel or equipment between airbags and the patient.
Do not drill or cut into airbag modules to prevent accidental deployment.
Exercise caution with hybrid vehicles; avoid areas near high voltage components, typically marked in bright orange.

Patient Stabilization

Firefighter in protective gear gains access to the vehicle and reassures the patient while assessing and treating them inside.

Access and Disentanglement

Access should be performed progressively, using hands, hand tools, and hydraulic tools.
Establish a Tool Staging Area; include Genesis hydraulic tools for standard setup.
Place the power plant to facilitate easy hose access from both sides of the vehicle.
Disentanglement methods: open/ remove doors, flap/remove the roof, roll/lift the dash, displace seats, perform barn door or third door maneuver, displace the steering column, and pedals as necessary.

Termination

Conduct scene cleanup: secure equipment, prevent medical waste or biological hazards.
Complete MDFR National Fire Incident Reporting System (NFIRS) report, including TRT report, before shift end.

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Description

This quiz covers the standard operating procedures for evaluating and stabilizing scenes of vehicle accidents that require patient extrication. It emphasizes the responsibilities of unit Officers-in-Charge (OIC) regarding personnel safety and bloodborne pathogen precautions. Test your knowledge on necessary gear and operational protocols.