Good vehicle extrication demands a unique collaboration between rescue and emergency medical personnel. Incorporating key victim assessment information in the extrication size-up will improve your strategic and tactical plans. To save a patient (not just chop up a vehicle) rescue and EMS must understand each other’s’ jobs and work together effectively. This program uses a real-world approach to incorporate EMS care considerations in the extrication strategy and shows how most critical trauma encountered in vehicle collisions can be managed quickly and effectively by first re-sponders. This program will help you make better strategic extrication decisions and more safely deliver immediate life-saving treatment, reducing time from patient contact to patient removal to pa-tient surgery.

5. ARRIVAL
ACCESS
ACTION
AFTER AHEAD

6. ARRIVAL
ACCESS
ACTION
AFTER AHEAD

14. BrightDrop
Zevo 600
2023 -
D2
Airbag Stored gas inflator
Seat belt
pretensioner
SRS control unit
Pedestrian
protection active
system
Automatic rollover
protection system
Gas strut/
Preloaded spring
High strength
zone
Zone requiring
special attention
Battery low voltage
Ultra capacitor, low
voltage
Fuel tank Gas tank Safety valve
High voltage
battery pack
High voltage power
cable component
High voltage
disconnect
Fuse box disabling
high voltage system
Ultra capacitor,
high voltage
DO NOT CUT ANY ORANGE COLORED HIGH VOLTAGE CABLES.
Identification Number Version Number Page Number
5G5-22101 1 1

19. ARRIVAL
ACCESS
ACTION
AFTER AHEAD

21. Specify workspace
Identify workspace
Identify people
Shield workspace
Keep people in workspace
Divert around workspace

23. Incident Commander
EMT
Rescue Technician
Traffic Control
Paramedic
Driver
Firefighter

24. Unit
Conditions
Actions
Needs

29. Scan scene Scan road Scan seats

30. Police officer grabs medic
“What do you see there?”
“Nothing.”
“Exactly.”
No braking, no steering
Critical clues and cues
No one telling how to do their job

34. Cold
General Scanning for SA
Warm
Specific Scanning for SA+A
Hot
Focused Scanning for SA+A

35. If You See Something,
Say Something
If you are in charge,
LISTEN!

37. ARRIVAL
ACCESS
ACTION
AFTER AHEAD

38. Outer 360
Inner 720
Stabilize / Brake / Ignition
Initial Pt Contact / Make Room / Protect
Hood / Power / Fluids

40. Makes Contact
Communicates
Protects Hard & Soft
Assesses Head to Toe
Identifies Hazards
& Opportunities
Communicates

41. PPE
Light
Airway & Mask
Bleeding Ctrl

42. Extrication buddy
Communication
Clear language
Supportive friends/family
Minimized social media
Pain Management

43. Focal Entrapment
Global Entrapment

45. Disentangle
 Adjust seat
 Adjust steering
 Move leg/ankle
 Push dashboard
Disassemble
 Up through the
roof
 Out through
the side
 Backwards
through the
back window
Dissect
 Impending threat
to life
 No other options
exist
 Coordinated with
medical direction

47. ARRIVAL
ACCESS
ACTION
AFTER AHEAD

50. Detect
Direct Pressure
Devices

51. Tourniquet
Clotting Gauze
Pressure Bandage
Pelvic Binder

52. Pain Mgt/Antiemetic
Sedation
TXA

53. Position / OPA&NPA / Suction
SGA (King, LMA, iGel, etc.)
ETI (First Pass Success)
Cricothyrotomy

54. High WOB / Apnea
Tension Pneumothorax
Sucking Chest Wound
Flail Chest

55. Min. BP or MAP
IV / IO Access
Fluids: LR vs NS
Blood Products

59. Hypothermia
Hypocoagulability
H+ Acidosis

60. Preparation
Harden The Egress
Extended Operations

61. Trauma Center
Pre-Notify
Hand-Over

64. ARRIVAL
ACCESS
ACTION
AFTER AHEAD

65. Pictures
Pain / Pathogens
PTSD
Preview
Practice

67. ARRIVAL
ACCESS
ACTION
AFTER AHEAD