Extrication Drill

Peeling the roof back

It’s not “Extraction”, it’s “Extrication.”

If you extracted someone from a car crash you would simply remove the patient from the car. Because of the injuries patients suffer in vehicle collisions, it is necessary to extricate them, or remove the car from around the patient. This past month we drilled on extrication.

The basic extrication process consists of, but is not limited to, six steps:

  • the protection of the accident scene, to avoid a risk of another collision (marking out the scene with cones or flares (not advisable if gasoline is leaking), lighting) and of fire (e.g. switching off the ignition, putting vehicle in park, disconnecting the battery, placing absorbing powder on oil and gasoline pools, fire extinguisher and fire hose ready to use) ;
  • patient triage and initial medical assessment of the patient by qualified medical rescuer;
  • securing the vehicle, to prevent the unexpected movement, and the movements of the suspension, either of which could cause an unstable trauma wound or cause injury to the rescuers);
  • the opening of the vehicle and the deformation of the structure (such as removing a window) to allow the intervention of a first responder, of a paramedic or of a physician inside the vehicle to better assess the patient and begin care and also to release a possible pressure on the casualty;
  • removal of a section of the vehicle (usually the roof or door) to allow for safe removal of the accident victim, especially respecting the head-neck-back axis;
  • removal of the person from the vehicle
Thank you to the Tamaqua and our car donor.