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Extrication rescue operation

Webster’s definition of rescue is "to free or save from danger." This definition aptly describes the core mission of the fire service. To fulfill our goals, we may be called on to save lives in many different ways. For saving lives, rescue situations are the most dramatic, and varied. Scenarios may range from a burning building to swift water. An extrication call in the fall of 1995 was the most dramatic call I have yet responded to. Prior to this call I had responded to more than 100 car accidents and never been faced with such a difficult task. This extrication involved two cars and a minivan on a bridge.

The van was severely damaged and partially over the bridge. Although the van was not ready to go over the edge, this location did cause problems by increasing time involved with stabilization efforts. The patient was in serious condition with injuries to the head, arms, legs, ankles, and feet. The driver door, the engine, and the dash were intruding into the passenger compartment. These problems were bad enough, but in addition the patient’s right foot was pinned by the brake pedal and literally stamped into the sheet metal of the floorboard.

The damage to the van required an extensive amount of work just to gain access to the patient. We removed the passenger side of the van, the door, and the top completely. We resorted to many tools to free the patient’s foot. Only one person could work from the inside at a time. Progress was painstakingly slow due to the lack of room and the metal literally being wrapped around the patient’s foot. We experienced difficulty removing the metal while ensuring our patient’s safety. EMS provided care from the onset and fortunately the patient remained stable throughout the extrication and later during surgery. Ultimately we used a spreader, cutter, sawzall, rams, air chisel, razor blade, knife, and other tools for the extrication.

On this call we had three fire departments, two ground ambulances, and a medical helicopter assisting us. Despite all of these resources and expertise we did not complete our objectives within the time that we should have. This call impressed on me the importance of knowing a wide variety of techniques and the limits and abilities of your tools. The basics cannot be stressed or mastered well enough. We must be dedicated to constantly improving our knowledge, skills, and abilities to meet the challenges that lie ahead.

Street Story by Michael Ramsey, Fire Chief

core mission – ключевая, основная задача

extrication call – выезд на высвобождение жертв, попавших в беду

dash – щиток, приборная панель

brake – педаль тормоза

EMS – экстренная медицинская помощь

spreader – расширитель, распора

sawzall – пила

ram – домкрат

air chisel – пневматическое зубило

techniques – технические приемы

Дата добавления: 2015-08-13