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Road Traffic Accident Procedures (4). Service Delivery 2. RTA (4). Team Approach. Team approach. All RTA incidents are dealt with in a structured laid down manner
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Road Traffic Accident Procedures (4) Service Delivery 2
RTA (4) Team Approach.
Team approach • All RTA incidents are dealt with in a structured laid down manner • Provided the correct sequence of events are followed there still exists wide scope for imaginative and innovative approaches to be adopted • A safe, time effective, casualty centred rescue is the aim.
Common factors At all RTA’s where persons are trapped, the following are likely; • The presence of a casualty requiring urgent hospitalisation • Difficulty in gaining access to the casualty • Restricted space in which to work.
Problematic incidents • Absence of liaison • Absence of clearly identifiable incident commander • Absence of simultaneous activity.
Simultaneous activity • Pre planning forms a key element in the reduction of extrication times • Generally at domestic house fires the crews know their respective roles and need little guidance on what to do or when to do it • The same principle can be applied to RTA’s.
Pre planning • Vehicle(s) will require stabilising • Equipment pool set up • Personnel detailed as ‘tool operatives’ • Tool operator will have ‘hard’ protection provider
Pre planning • An extraction method will have to be contrived • A secondary extrication plan to be considered.
Individual roles • Incident Commander – overall command and control • Driver - equipment area, firefighting media • BA crew - stability, glass management and tool operators • Number 5 - casualty carer.
Team approach • Scene assessment and safety • Stabilisation and initial access • Glass management • Space creation • Full access • Extrication.
Zones • The creation of defined 2 and 5 metre zones has distinct advantages for reducing extrication times • It clearly identifies which tools are in use and which personnel are not directly engaged in rescue operations.
Zones 2m Zone 5m Zone.
General points • Have an awareness of ‘plan B’ for use when casualties become ‘time critical’ • Be ready for ‘shut down’ requests from medical staff • Check stability regularly • ‘Walk the scene’ for ejected casualties • Constantly liase and re-evaluate with other rescue services via the incident commander.