Post by John / Admin on May 5, 2022 20:07:34 GMT
Hi all
Vehicle relocation seems to be the hot topic at the moment.
When we refer to vehicle relocation, we are not talking about moving a vehicle with no one in it, although this is in itself 'vehicle relocation' we are referring to moving a vehicle either on its wheels to moving a vehicle from its side onto its wheels using winches etc with the casualty and clinician still in the vehicle, this creates a better and more effective working environment with 360 access to the vehicle in most cases, it also allows more effective casualty treatment and assessment. The list of vehicle movements 'is' limited to a degree based on the skill of the team and OIC/team leader and the realistic options available. Effective early decision making needs to be clear and fully thought out, but not to the length that it starts to delay the rescue phase.
A subject that has always been around but very little is taught or mentioned about it. Historically it was geared around the information that was current at the time around C-spine management and the concerns around moving a vehicle with a casualty/s in situ. So the decision was in most cases to not carry out such an evolution or it was not service practise to carry out or train for this type of situation or action.
Over the last few years a lot of research has and is being continued into the clinical side of casualty management and the various changes in relation to the management of spinal concerns and casualty movement and extrication pathways following a vehicle related incident. This research has been invaluable in the development of extrication planning and evolution development, or indeed breeding a mindset that we need to simplify what we currently carry out to enable a more effective urgent casualty centred multi agency rescue.
I have been teaching vehicle relocation for a few years now with some excellent results and feedback from operational crews and clinicians whilst using live casualties and casualty carers within the vehicle.
What are your current procedures for these evolutions, do you have a policy, training package or the option to carry out these techniques to improve the rescue, casualty care and reduce obscene times? It might not always be the case of reducing on scene times, in some situations it may greatly improve the clinicians on scene assessment and treatment that might not have be achievable with the vehicle being left in its original position.
Let us know your thoughts and send in some pictures if you have any.
Jon
Vehicle relocation seems to be the hot topic at the moment.
When we refer to vehicle relocation, we are not talking about moving a vehicle with no one in it, although this is in itself 'vehicle relocation' we are referring to moving a vehicle either on its wheels to moving a vehicle from its side onto its wheels using winches etc with the casualty and clinician still in the vehicle, this creates a better and more effective working environment with 360 access to the vehicle in most cases, it also allows more effective casualty treatment and assessment. The list of vehicle movements 'is' limited to a degree based on the skill of the team and OIC/team leader and the realistic options available. Effective early decision making needs to be clear and fully thought out, but not to the length that it starts to delay the rescue phase.
A subject that has always been around but very little is taught or mentioned about it. Historically it was geared around the information that was current at the time around C-spine management and the concerns around moving a vehicle with a casualty/s in situ. So the decision was in most cases to not carry out such an evolution or it was not service practise to carry out or train for this type of situation or action.
Over the last few years a lot of research has and is being continued into the clinical side of casualty management and the various changes in relation to the management of spinal concerns and casualty movement and extrication pathways following a vehicle related incident. This research has been invaluable in the development of extrication planning and evolution development, or indeed breeding a mindset that we need to simplify what we currently carry out to enable a more effective urgent casualty centred multi agency rescue.
I have been teaching vehicle relocation for a few years now with some excellent results and feedback from operational crews and clinicians whilst using live casualties and casualty carers within the vehicle.
What are your current procedures for these evolutions, do you have a policy, training package or the option to carry out these techniques to improve the rescue, casualty care and reduce obscene times? It might not always be the case of reducing on scene times, in some situations it may greatly improve the clinicians on scene assessment and treatment that might not have be achievable with the vehicle being left in its original position.
Let us know your thoughts and send in some pictures if you have any.
Jon