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Here's a fairly common call for most of us, but there's a multitude of ways to extricate, so let's hear it!

What hazards are present?

What's your department's response?

How do you extricate? LEt's assume that the driver is pinned by the steering wheel, from the roll over and impact....

Tags: accident, extrication, injured, injuries, mva, rescue, rollover, spinal

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Ric,
You can take advantage of purchase points already built into the vehicle, Like the gas cap port which is normally strong enough to support a universal strut head, I thought I showed you that already...lol!
See you in June.....

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lol......yes you did, thanks for reminding me :-) How ya been? We're getting geared up for the pile-up the off to NY for nationals...... TCSS, Ric

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Been real busy, organising the Calgary Challenge, which is a week before the pile up.
I have a few new tricks I want to show you guys, or you can read it in Fire Engineering Mag which I think it will becoming out shortly.
I'll keep you updated....
By the way say hello to Jeff C for me, he is doing an awsome job with the website and instucting with the PTX.
All you guys have come a long way in a short time!
Take care.

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Will do, TCSS....Ric

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Yup,SWEEEEET!

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That's a modern upgrade to the complete roof removals we used to teach 20 or 30 years ago. We did cribbing/step chock stabilization with a planned gap between the car and the top layers of cribbing. We filled the void with a rescue air bag inflated to contact (no lifting!), severed all of the roof posts, and then deflated the air bags to lower the roof in a controlled manner. Typically we'd support and c-collar the patient, cut the seat belt, and do an inline move to a long spineboard if there was space available or just to the roof if we couldn't fit the longboard inside.

As long as you plan the cribbing spots to leave enough room to slide the roof out to either one side of the rear, the old school way still works, especially if you have plenty of cribbing and air bags but no struts.

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Stacey,You got that much cribbing on your rig? Going to take quite a bit to crib that rear section.We don't but I probably got enough to cheat it. Struts are a good plan.Couple more things I can suggest but I'm gonna let this one run a bit and see what pops up.

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Sorry I'm a little late jumping in on the comments here but everyone makes good points. I agree the EMT (Paramedic) determines the condition of the patient which will set the tone of the extrication. I agree with Stacy as far as crib first then go after the doors. A car is a car weather its on its roof or its wheels. If the roof is intact and you have room to play go after the doors and the B-Post. If the roof is crushed down then you will have to use the struts as in the latest photos. Both work equally well. The second is a lot more work but if thats what the call dictates....

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here's an article on inverted dash displacement. using good lifting struts and the lifting/stabilization techniques, an inverted dash displacement and full roof removal can be extremely quick and simple.

here's an article:

http://www.res-q-jack.com/images/stories/pdf/inverted-dash-displace...

there's a lot more like it at:

http://www.res-q-jack.com/Education-Applications/

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Try this one,
You can find my article in the October 2008 Issue of Fire Engineering

Firedog7
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stabalize the car with chocks and use rams to suport the car where needed. do the glass management if there is any and then work from there with cutting gear to remove patient

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ok, i am only an explorer, so i know the first two, but the last one is kinda hard for me, altho i should be starting my USAR/Physical Rescue training with in the next few weeks.
#1) Airbags, fluids, glass, sharp peice of metal, other cars on the road.
#2) this is known in Los Angeles as a "phyisical rescue: roll over". the first responding companies would be, a Task-Force (1 truck, 1 Pump, 1Engine) 2 Ambulance Rescues (1 ALS 1BLS), Battlion Cheif, EMS Captian, and Heavy Rescue 56.

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