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 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. It is important to remember that since it is not possible to allow every situation, the field commander should (after learning the doctor's information) determine the rescue route that best meets the needs of the wounded.
! 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 step out (help rescue)
If it is determined that the passenger is not injured and the body is trapped in the vehicle, it may be considered to withdraw it from the vehicle. This action can only be considered on the advice of a qualified medical professional.
2 dangerous areas
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 immediate
In the event of an immediate event in the casualty, such as cardiac arrest / breathing, the injured can be immediately removed from the vehicle and medical treatment can continue. The priority given to this situation is the urgent need for medical assistance that cannot be implemented in the patient, such as chest compressions / intubation.
4 fast
If the medical condition of the injured person is found to be worse during the medical evaluation process, it is necessary to perform rapid rescue, such as rapid rescue 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 urgent
If the medical condition of the injured is relatively stable, we can use our preferred "gold standard" method for rescue. When 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.
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