Brought to you by: Captain Edwards

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Brought to you by Captain Edwards
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It should be stressed at this time that this is
not a lecture about inter service co operation at
RTAs. There are other lectures which deal with
this subject. Simultaneous Activity at Road
Traffic Accidents deals with a strategy for
improving the efficiency of what the Fire Service
strives for at RTAs - The Saving of Life.
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Has anyone heard of the Golden Hour? Oh you
have can you Define it for me please The
Golden Hour is a term coined by the Emergency
Services and Medical professions to describe the
Perfect Maximum amount of time that will pass
from impact at a survivable RTA through arrival
of the various agencies initial actions
Extrication in this example by the Fire Service
until the Casualty is in hospital under the care
of a trauma team. In this case survivable
means a person with injuries that will not kill
in this first hour so long as proper immediate
care is applied AND they are satisfactorily
delivered to the Hospital.
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Time Zero The RTA occurs.
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Hopefully within ten minutes the first Emergency
Service personnel attend in this case, like so
many it is the Police and Ambulance. This is
usually because the general public dont think of
the Fire Service when they see an accident. Quite
quickly the Paramedics or Police realize that the
person(s) are seriously entrapped and require the
attendance of specialist extrication - The Fire
Service
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Twenty minutes into the incident the Fire Service
attend and the Extrication proper begins.
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If the casualty (s) are lucky it may well take
only minutes for us to release them.
Unfortunately it sometimes may well take over the
limit of the hour. In the above case the
Extrication is a relatively easy one only 30
minutes.
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To continue with this perfect scenario the
released casualties are evacuated to hospital
within the allocated sixty minutes of the hour.
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Re-Iterate
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Many of you will have heard of or practiced the
team approach. Ask if anyone can define it then
show the definition This is the definition.
(Read out Loud) We pre plan for fire from day
one of recruit training on the drill yard all
positions are numbered all crew members know
their tasks and places. This carries on to the
fire ground where many of the tasks required at
an incident are instinctive. Is it not therefore
possible to pre plan for RTAs in the same way?
RTA Training on a Recruits Course covers a
minimum time on the syllabus.
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For a Fire - Re iterate the crew positions and
tasks, perhaps you could question the audience
about the Title of each crew position e.g.,
what does No 1 do? then flash up the answer
and so on. Show the audience that they all know
what one to fives duties are without thinking.
Stress that this is instinctive.
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For a Fire - Re iterate the crew positions and
tasks, perhaps you could question the audience
about the Title of each crew position e.g.,
what does No 1 do? then flash up the answer
and so on. Show the audience that they all know
what one to fives duties are without thinking.
Stress that this is instinctive.
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For a Fire - Re iterate the crew positions and
tasks, perhaps you could question the audience
about the Title of each crew position e.g.,
what does No 1 do? then flash up the answer
and so on. Show the audience that they all know
what one to fives duties are without thinking.
Stress that this is instinctive.
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For a Fire - Re iterate the crew positions and
tasks, perhaps you could question the audience
about the Title of each crew position e.g.,
what does No 1 do? then flash up the answer
and so on. Show the audience that they all know
what one to fives duties are without thinking.
Stress that this is instinctive.
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For a Fire - Re iterate the crew positions and
tasks, perhaps you could question the audience
about the Title of each crew position e.g.,
what does No 1 do? then flash up the answer
and so on. Show the audience that they all know
what one to fives duties are without thinking.
Stress that this is instinctive.
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• The Officer in Charge
• In many ways the OiC has all the same
  responsibilities as at a Fire.
• Crew Safety.
• Initial Situation Appraisal.
• Command and Control.
• Supervision.
• Tasking.
• Liaison with Police Ambulance Doctors.
• Initiation and Discipline of the Two Metre Zone.

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The Glass Manager / Assistant One of the primary
tasks when gaining access to the Casualty is
Glass Management. This does not mean that all
other Crew Members Ignore this job For
instance the Stabilizer can assist once hes
free. Its not unusual for the whole Crew less
the Medic and OiC to take care of this phase
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The Medic The most important job at an incident
- preserving the life of the Casualty and not
worsening their condition. The Medics only task
is casualty care. This can involve collaring, to
protect the Cervical Spine Survey, to find and
treat external life threatening bleeds and
Airway Management - inclusive of Oxygen
Therapy. Dont forget that the head has to be
supported in the Neutral Position even if a
collar has been fitted. Oxygen Therapy should
consist of at least 15 litres per minute through
a therapy mask, the idea being to flood all
tissues with as much oxygen as possible, given
that the blood supply (the oxygen's transport
system) may be limited due to blood loss through
wounds sustained.
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Tool Operator (1) / Stabilizer As the name
suggests this crew member starts the incident by
providing stabilization to the vehicle. This can
involve stepped chocks, blocks, wedges and even
sections of short extension ladder. No one is to
mount the vehicle until it is stabilized. Once
the vehicle is safe then full casualty care and
extrication can begin. The Stabilizer then
reverts to tool operator. Be aware that other
Emergency services may already be on the vehicle.
Dont be frightened to chase them off be firm,
polite and insistent.
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Tool Operator (2) This crew member can assist in
stabilization initially and once the vehicle is
safe can be preparing and operating separate
tools to the first Tool Operator.
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The Incident must run in set stages Scene
Safety Extinguishing Media to Vehicle (and
tested) Stabilization Casualty Care Battery
Disconnect. The above ensure that the Vehicle is
Made Safe and the situation cannot worsen. The
next phases are Glass Management Equipment
Dump Begin Extrication.
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There is no reason why a well trained Crew cannot
achieve several tasks at once during Extrication
as well as during the first stages of the
incident.
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This is the Scenario The vehicle shown has been
involved in a side impact and there is one
Trapped Casualty The Driver. By this stage the
vehicle has been made safe, the Medic is with the
casualty the Glass has been managed and the
Extrication begins. Slide Build The Assistant
provides the Casualty Shield to protect the
trapped person from the cutting tool Tool
Operator (1) provides the Hydraulic Cutting Tool
to use adjacent to the Casualty. This tool is
easily controllable, safe and quiet enough to use
close to an injured person. Cuts - Driver Side
A and B Posts At the same time Tool
Operator (2) can be getting the Electrical Saw to
work. Though not Casualty Shielded the Saw is far
enough away from the trapped person to allow safe
use. Cuts - Passenger Side A, B,C and
Driver Side C Posts By this stage Tool
Operator (1) will have finished with the
Hydraulic Cutters and can begin Door Removal with
the Hydraulic Spreading tool, again shielded by
the Assistant. A further Crew will have arrived
by now to lend support.
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THANK YOU

• And
• STAY SAFE