« extrication »

38 passage(s) dans 8 référentiel(s).

• FPHC — Désincarcération après accident de la routeFaculty of Pre-Hospital Care (RCSEd)
  • p. 10perfusion, cannot be meaningfully optimised during the entrapment phase of patient care, especially when concurrent injuries are present. Extrications with a focus on absolute movement minimisation take longer than other extrication types and do not effectively minimise movement ... tool-based extrications cause similar spinal movements, it is appropriate to choose the quickest deliverable method. 8. Collars reduce neck movement. They should be applied prior to extrication when indicated and removal considered when the extrication phase
  • p. 19Self-extrication or minimally assisted extrication should be the standard ‘first line’ extrication for all patients who do not have contraindications. The contraindications are: § An inability to understand or follow instructions, § Injuries or baseline function that prevents standing ... delivered by FRS or clinical services1. o Should be limited to necessary critical interventions to expedite safe extrication3 o Rescuers should be aware that clinical observations may prolong entrapment time and as such should be kept
  • p. 6considered time dependent. Operational and clinical team members should work together to rapidly develop a bespoke patient-centred extrication plan with the primary focus of minimising entrapment time. [IV D] Patients who are trapped following a motor vehicle ... early release. Recent evidence has demonstrated the difficulty of accurate identification of time-dependent /critical injury.[2] Extrication approaches that are focused on absolute movement minimisation, take time, delay release and increase time to intervention and definitive treatment
  • p. 12pelvic binder is indicated, this should be applied after the process of extrication is complete. [IV D] Applying a binder whilst a patient remains in the car is technically challenging, may not result in optimum placement ... contribute to extended entrapment times. Patients with suspected major pelvic injury should be extricated using the quickest appropriate extrication technique (likely a rapid extrication technique) and re-assessed following extrication. If a pelvic binder is indicated, it should

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• Agressions collectives par armes de guerre — conduites à tenirMinistères de l'Intérieur, des Armées et de la Santé
  • p. 217acronyme « THREAT » : « T » : Threat suppression : arrêt de la menace ; « H » : Hemorrhage Control : contrôle des hémorragies ; « RE » : Rapid Extrication to safety : extraction rapide et mise en sécurité ; « A » : Assessment by medical providers : évaluation par un profes- sionnel de santé
• USFA / FEMA — Pompiers et EMS en tuerie de masseU.S. Fire Administration (FEMA)
  • p. 3recommendations include the critical actions contained in the acronym THREAT: T - Threat suppression H - Hemorrhage control RE - Rapid Extrication to safety A - Assessment by medical providers T - Transport to definitive care
  • p. 5personnel and communications center 5 U/C UC/LE establishes goals and overall strategy; Emphasize Rapid Triage, Treatment and Extrication 6 U/C ICS established; command and general staff positions established 7 OPS Establish staging manager and staging areas
  • p. 8treated, and how they will be evacuated from the point of wounding. THREAT principles (hemorrhage control, rapid extrication, assessment by medical, transport to definitive care), to improve survivability, should be an integral part of planning. Determine which agency
  • p. 9containing and eliminating the threat, thus the local fire/EMS resources should emphasize planning for rapid triage, treatment and extrication of the wounded. Tactical EMS support personnel are not a typical resource because they are usually very limited
• ASPR TRACIE — Triage et soins sur les lieux d'un afflux massifASPR TRACIE (HHS)
  • p. 5that victims don’t die from uncontrolled bleeding. It reviews the THREAT acronym: Threat suppression. Hemorrhage control. Rapid Extrication to safety. Assessment by medical providers. Transport to definitive care. Lerner, E.B., Schwartz, R.B., Coule
  • p. 15that victims don’t die from uncontrolled bleeding. It reviews the THREAT acronym: Threat suppression. Hemorrhage control. Rapid Extrication to safety. Assessment by medical providers. Transport to definitive care. Kragh, J.F., O Neill, M.L., Beebe
  • p. 16recommended to apply the actions in the acronym THREAT: 1) Threat suppression, 2) Hemorrhage control, 3) Rapid Extrication to safety, 4) Assessment by medical providers, and 5) Transport to definitive care. *Oregon State Area Trauma Advisory Board
• CIO — Consensus sur les épreuves sportives par forte chaleur (Racinais et al., 2023)CIO · British Journal of Sports Medicine
  • p. 11observed in respective sports ❑ Review of games rule to identify who has the right to access athletes first ❑ Extrication of collapsed athlete from unique environment (eg, water, sand and forest) AMS, Athlete Medical Station; EHS, exertional heat stroke
• JTS — Joint En Route Care GuidelinesJTS
  • p. 18Crush Injury Treatment If the casualty is entrapped, initiate intravenous (IV) or intraosseous (IO) crystalloid administration IMMEDIATELY (before extrication). • Rate and volume: initial bolus, 2 L; initial rate: 1 L/h, adjust to urine output (UOP) goal
  • p. 19intervention to prevent development of crush syndrome is aggressive fluid resuscitation (up to 1.5L/hr.), ideally prior to extrication. Recent literature from earthquake patient treatment suggests achieving ≈300ml/h first 24 hrs can significantly reduce rhabdomyolysis associated with
• JTS — U.S. Army Aeromedical Evacuation Standard Medical Operating GuidelinesJTS
  • p. 26side and proximal to the site of entrapment immediately prior to extraction • Initiate crush injury protocol before extrication if possible and before loosening tourniquets (if tourniquet conversion indicated) • IV / IO Protocol o Initiate aggressive fluid administration
  • p. 50water is a last resort. o Administer 5 rescue breaths only if there is a delay in water extrication • Once on land / in aircraft o Airway  Assess patency of airway, remove sand, seaweed, etc if visible.  Consider early
• NHTSA — National EMS Education Standards 2021NHTSA
  • p. 26intent of this section is to provide an overview of rescue operations including, but not limited to, vehicle extrication, low/high angle, water, trench and confined space to ensure the safety of EMS personnel and patients during these events