Dangerous Landscape

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Webbing straps fixing to stretcher edge and pulled crosswise over rescuer shoulders to free hand can reduce load ... Feeds stretcher must be appropriately belayed to snorkel wicker container ...

Presentation Transcript

Slide 1

Dangerous Terrain

Slide 2

EMS Skills Rescue mindfulness Types of specific groups Effective coordination with experts Hazardous landscape litter departures

Slide 3

Hazardous Terrain Types High point Low edge Flat territory with deterrents

Slide 4

Surfaces slanted >40 o Gorges Cliffs Buildings Very smooth surfaces <40 o Require utilization of hands in grappling Ropes, aeronautical device required for get to, expulsion Errors can bring about existence undermining harm, demise High Angle

Slide 5

Surfaces slanted <40 o Accessed by strolling, scrambling Difficulty can be influenced by nearness of: Water Ice Boulders Brush, down trees Ropes used to neutralize gravity, go about as hand lines Errors can bring about falls, tumbles Presence of obstacles can bring about genuine damage Low Angle

Slide 6

Examples: Trails Paths Creek beds Difficulty might be expanded by: Downed trees Rocks Slippery leaves Scree (shake flotsam and jetsam) Patients can be moved via conveying Least unsafe type of tough territory Slips, falls can bring about damage Flat Terrain with Obstructions

Slide 7

Patient Access

Slide 8

High Angle Access/expulsion for the most part completed by specialized groups Additional assets expected to adjust specialized/restorative parts of save

Slide 9

High Angle Rescuer aptitudes Knot tying Ascending, diving abilities Rigging of pulling frameworks Packaging of patients for departure

Slide 10

High Angle Specialized Terms "Supported"— utilizing implies other than hands, feet, body "Stay"— procedure for securing rescuers to vertical face "Belay"— defending climber by utilization of a rope secured to a grapple "Rappel"— dive by sliding down an altered twofold rope

Slide 11

Low Angle Access/evacuation directed by EMS work force in numerous frameworks Still requires suitable preparing/gear

Slide 12

Low Angle Skills Assembly/utilization of bridles Setting up hurried rope slides Rappelling, rising by rope Patient bundling Rigging basic pulling frameworks

Slide 13

Patient Packaging

Slide 14

Stokes Basket Stretcher Standard litter for unpleasant territory clearings Provides unbending edge for patient assurance Easy to convey

Slide 15

Stokes Basket Stretcher Come in plastic and wire/tubular (military) styles Wire/tubular style won't acknowledge long spine loads up Plastic styles weaker, however give better protecting to patients All require extra strapping, utilization of plastic litter shields

Slide 16

Apply tackle to quiet Apply leg stirrups to persistent Secure patient to litter Tie tail of one litter line to outfit Use cap, litter shield Give liquids Allow availability for evaluation, administration Ensure sufficient cushioning Consider warming/cooling framework utilize Provide gravity "tip line" to clear aviation route if important Stokes Basket Stretcher During high/low edge clearings:

Slide 17

Patient Removal

Slide 18

Flat Terrain When conceivable, walk understanding out! Continuing level ground is strenuous under perfect conditions

Slide 19

Flat Terrain Two to three groups of 6 litter-bearers All roughly same stature "Jump" ahead to spare time Webbing straps attached to stretcher casing and pulled crosswise over rescuer shoulders to free hand can decrease stack Litter wheel may help on level ground

Slide 20

Low/High Angle Anchors, faculty wellbeing hardware, quiet bundling, and pulling frameworks must be checked numerous times for security Hauling frameworks may require various staff to move weight of patient, crate, and ropes

Slide 21

Low/High Angle Fire office snorkels can be utilized for patient clearing Stokes stretcher must be legitimately belayed to snorkel wicker container Aerial mechanical assembly is NEVER utilized as a crane to move a litter

Slide 22

Helicopters Capabilities, strategies differ generally Understand arrangements with respect to: Loading and emptying hones Restrictions on conveying non-team Use of winches for salvages Weight limitations Restrictions on drifting salvages Use, routine of one-slides and toe-ins Use of short pulls and rappel salvages

Slide 23

Extended Care Issues

Slide 24

Long-term hydration Dislocation repositioning Wound cleaning/mind Impaled question expulsion Non-pharmacologic agony administration Pharmacologic torment administration Assessment/care of head/spinal wounds Hypothermia/hyperthermia administration CPR end Crush/compartment disorder administration Protocols

Slide 25

Environmental Considerations Weather/Temperature Extremes Risk of hypo/hyperthermia Difficulty in uncovering persistent for appraisal Use of particular bundling

Slide 26

Environmental Considerations Limited Patient Access Inaccessible parts of patient Cramped space Low lighting conditions

Slide 27

Environmental Considerations Difficulty Moving Equipment Identify least key gear Carry in rucksack

Slide 28

Environmental Considerations Cumbersome PPE Restricted rescuer portability Temporary evacuation of PPE to perform systems

Slide 29

Environmental Considerations Patient Exposure Covering for warm assurance Hard insurance from sharp protests, flotsam and jetsam

Slide 30

Environmental Considerations ALS Skills Wires, tubing confuse removal Limit to total necessities Oxygen may must be given at slower stream rates to drag out chamber life

Slide 31

Environmental Considerations Patient Monitoring Modification of techniques (palpated BP) Modification of gear (smaller heartbeat oximeters) Non-utilization of hardware (ECG screens)

Slide 32

Environmental Considerations Improvisation Splinting utilizing patient's uninjured body parts Light-weight props Downsized or ad libbed therapeutic apparatus

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