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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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slide2

RTA (4)

Team Approach.

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
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
Problematic incidents
  • Absence of liaison
  • Absence of clearly identifiable incident commander
  • Absence of simultaneous activity.
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
Pre planning
  • Vehicle(s) will require stabilising
  • Equipment pool set up
  • Personnel detailed as ‘tool operatives’
  • Tool operator will have ‘hard’ protection provider
pre planning8
Pre planning
  • An extraction method will have to be contrived
  • A secondary extrication plan to be considered.
individual roles
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 approach10
Team approach
  • Scene assessment and safety
  • Stabilisation and initial access
  • Glass management
  • Space creation
  • Full access
  • Extrication.
zones
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.
zones12
Zones

2m Zone

5m Zone.

general points
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.