First, fully open the rescue channel

Once you have removed any card body obstacles in your phase of vacating you, and the immediate and rapid plan is ready, you should create a fully open rescue channel and a final rescue channel.

The level of full open rescue channels depends on:

1. The time allowed for the condition of the wounded.

2 , the location and direction of the vehicle. This determines the maximum space that can be vacated.

3 , the location and direction of the injured. This determines the ultimate rescue channel.

Full access to vehicles not only makes the rescue process more conducive to the injured, but also ensures that rescuers have more work space and make the rescue process safer and easier. Even the lightest injured person can hardly be rescued in a harmonious manner. Therefore, a larger space can allow more rescue workers to carry out rescue work, thus alleviating the burden of rescue.

Rescue path

If possible, the final rescue plan should allow the wounded person's head to withdraw from the car first. This will ensure the safety of the cervical spine. Things that need to be remembered, although not every time this requirement is met, the accident leader (having obtained medical information) decides on the best rescue route to ensure that the injured can get the maximum protection.

Fully open on the choice of the rescue channel - a vehicle rollover incident on the ground

Second, fixed / rescue

When to be rescued and how to save depends on the medical condition, location, orientation and free space of the wounded and the level of full access to the vehicle.

Rescue channel

If possible, the ultimate rescue route should allow the wounded to get out of the front of the vehicle first. This is more convenient for cervical management. It is important to remember that although this requirement is not met every time, the accident controller (having obtained medical information) decides on the best rescue route to ensure that the injured can get the maximum protection.

! Remember - Before the wounded person is rescued, the medical staff must convey the brief condition of the injured person to all the team members, detailing the medical condition of the injured person.

Rescue considerations

1 , out (help rescue)

If it is determined that the passenger is not injured and the body is not in the vehicle, consider evacuating it from the vehicle. This action can only be considered on the advice of a qualified medical professional.

2. Dangerous area

If the injured person's body is trapped in a deformed structure of the vehicle, such as the dashboard and the steering wheel, they cannot be moved in an emergency (such as cardiac arrest or vehicle fire), and the objects that trap the injured person must be removed preferentially.

3 , instantly

If the injured person is in urgent need of treatment, for example, cardiac arrest or respiratory arrest, the injured person should be rescued from the vehicle immediately for medical treatment. In the event that the injured cannot be rescued from the vehicle, the highest priority is medical treatment, such as chest compressions or intubation.

4 , fast

If the medical condition of the wounded person is found to be worse during the medical evaluation process, it is necessary to perform rapid rescue, such as: fast detoxification within 5 minutes. This will allow medical treatment to continue, but it must be completed as soon as possible. Rescue must prioritize the clinical needs of the wounded based on rescue procedures based on gold withdrawal criteria.

5 , emergency

If the medical condition of the injured is relatively stable, we can use our preferred "gold standard" method for rescue. Where possible, the injured person should be kept in a straight (straight) state, thereby reducing the rotation of the spine / pelvis. Ideally rescue should be completed in 20 minutes or less.

This article belongs to holmatro and edited by China Rescue Equipment Network.