31)gaining access

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  • 1. Gaining Access

2. Fundamentals of Extrication

  • Role of the EMT
    • Administer care to pt before extrication
    • Assure limitation of damage to pt while extricating
    • Pt care precedes extrication unless delayed movement endangers pt or EMT
    • Cooperate with activities of rescuers

3. Safety

  • Personal Safety
    • NUMNER 1 PRIORITY
    • Utilize protective clothing necessary for call
  • Pt safety
    • Inform pt of aspects of extrication
    • Protect pt from hazards:
      • -Glass Metal Other hazards

4. Types of Extrications

  • Simple access
    • Does not need equipment
      • Try opening each door
      • Roll down windows
      • Have pt unlock doors
  • Complex access
    • Requires tools
      • Separate programs for certification

5. Removing Patient

    • Complete initial assessment
    • Provide critical interventions
    • Immobilize spine securely
      • Short spine board
      • Rapid extrication?
    • Use sufficient personnel
    • Path of least resistance
    • Continue to protect pt

6.

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