My philosophy on Safety Management

Safety is its own reward!

B safe now! …… and live to feel good.

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A 2 Man Portable Cary System for Rapid Extrication Response to Confined Space Trauma Calls

2 man portable package will go most places a man can go

The concept is<< RAPID EXTRICATION>>from confined space by Scoop N S.K.E.D.

components of package are,

02 kit, small red above right

ems kit, large red orange below right with spo2, blood sugar, A.E.D. blood pressure bandaging and splinting iv support airway support (not management)

S.K.E.D., tubular orange  middle left.

Head blocks and C collar, and silver EMS restraint tape(quack, quack) center above.

Scoop Stretcher, yellow backbone of the system, behind everything else.

You can lift it from either end  carry it horizontal flip it over horizontal  and end to end.

all components remain in their locations. 2 man portable. haul able by ropes

(you do have a buddy system for your first responders/rescuers don’t you?)

system on exam table

system on end after slipping off table

The concept is a small light portable system to enable 2 man portability into tanks holds void and confined  spaces and other areas  where human occupation was not a thought or concern. Many of these places have minimal access and rudimentary ladders and walkways uneven floors structural members and piping restricting mobility and  generally creating a huge barrier to extrication. Having all these obstacles to contend with  a rapid extrication plan of action just makes good sense when you can hear the golden hour ticking in the background.

THE  PLAN

1 C spine rapid initial observation evaluation of patient condition. conscious, breathing, bleed, processing information, and following directions, rapid hands on body for impaled objects, or obvious fractures.

move on

2 airway support, if needed. quick ears on chest 3 second listen.

move on

3 control major bleeding, if needed. assess all pulses you can get to

move on

4 1st person c spine 2 nd person scoop and secure with straps.

!st person holds patient c spine for quick 360 deg wrap of  silver immobilization tape.

move on

5 Re evaluate above interventions 1-3 for deterioration as this will be your last fully accessible look at the patient due to sked coverage of all but the mid line body.

move on

6 deploy sked scoop to sked

move on

7 secure sked

move on

8 1st person move equipment  forward  to the entry point,while 2nd person monitors patient>>>then<<< 1 st and 2nd person move patient to entry point (if patient conditions worsen you can ALWAYS find motivation to rapidly move patient to equipment and entry point, constantly moving forward) Don’t allow yourself to be torn between 2 points……

move on

9  Extrication of patient by haul line rope rescue using sked  or pass through manhole or other entry point to exterior.

move on

10 Team buddy count and assessment of their conditions, equipment roundup and team extraction out of confined space.

All this is usually done in the dark with contaminants in a less than ideal atmosphere slippery footing and every imaginable obstacle to progress right there after the last one has been conquered. Add to this tangled or caught air lines,or extra weight of scba air pacs, banged up shins rolled ankles and skinned elbows and pinched fingers. Just the chance to give someone a few more breaths and it suddenly  makes it worth it.

With some, repetitious training this can be accomplished  in under 20 min,  leaving 2/3 of the golden hour for transfer to ambulance services full assessment and transport to a trauma facility.

Of course the above assumes a trauma injury, instead of a medical condition. Imagine a fall from height. It doesn’t have to be very high anywhere above six feet really. Working under the old protocols for the agency I was involved in, a fall from 12 feet had a automatic response from life flight  helicopter transport to UTMB. Galveston, Tx.

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