Hot topics in Vehicle Rescue for today's rescuer

2. Me?Me?
 David DalrympleDavid Dalrymple
 24 years in emergency services24 years in emergency services
 Career- RWJUH EMSCareer- RWJUH EMS
 Volunteer- Clinton EMS/RescueVolunteer- Clinton EMS/Rescue
 Rescue Instructor for 14 years-Rescue Instructor for 14 years-
Vehicle Rescue is my specialtyVehicle Rescue is my specialty
 TERC US – Education ChairTERC US – Education Chair
 International certified ExtricationInternational certified Extrication
judge-judged & lectured in US,judge-judged & lectured in US,
Canada, UK, Europe & SACanada, UK, Europe & SA
 Member of iETRI, serves as theMember of iETRI, serves as the
RTA guru on their ETABRTA guru on their ETAB
 International registered SAVERInternational registered SAVER
instructor by ICETinstructor by ICET
 Extrication Tactics columnist FireExtrication Tactics columnist Fire
Engineering MagazineEngineering Magazine
 Team Captain-World ChampionTeam Captain-World Champion
Vehicle Rescue Team 1998Vehicle Rescue Team 1998
 Educator- RoadwayRescueEducator- RoadwayRescue

3. What are we going to talkWhat are we going to talk
about?about?
•TechnologyTechnology
•OperationsOperations
•TrendsTrends
•SummarySummary
•Q & AQ & A

5. NVTNVT
NNewew VVehicleehicle TTechnologyechnology
 Vehicle materials, components,Vehicle materials, components,
construction and concerns that willconstruction and concerns that will
directly impact emergency respondersdirectly impact emergency responders
while providing emergency services andwhile providing emergency services and
pre hospital care.pre hospital care.
 Vehicle materials, components,Vehicle materials, components,
construction and concerns that willconstruction and concerns that will
directly impact emergency respondersdirectly impact emergency responders
while providing emergency services andwhile providing emergency services and
pre hospital care.pre hospital care.

6. SRSSRS
SSupplementalupplemental RRestraintestraint SSystemsystems
 Occupant protection devicesOccupant protection devices
– AirbagsAirbags
– Seat belt pretensionersSeat belt pretensioners
– Roll over protection devicesRoll over protection devices
– GlazingGlazing
 Occupant protection devicesOccupant protection devices
– AirbagsAirbags
– Seat belt pretensionersSeat belt pretensioners
– Roll over protection devicesRoll over protection devices
– GlazingGlazing

7.  What do you feel is the biggest concern withWhat do you feel is the biggest concern with
vehicles of today?vehicles of today?
 Is an airbag “spent” if it has been deployed?Is an airbag “spent” if it has been deployed?
 What methods, if any, can be used to ensure yourWhat methods, if any, can be used to ensure your
safety at a vehicle related incident and orsafety at a vehicle related incident and or
emergency?emergency?
 Are there vehicles on the street today that do notAre there vehicles on the street today that do not
make any noise when running?make any noise when running?
 Do the tool evolutions we’ve learned in the pastDo the tool evolutions we’ve learned in the past
work on today’s vehicles?work on today’s vehicles?
A Question for you ……A Question for you ……

22. Pedestrian protection SRS

36. Take a look!Take a look!

37. Fuel AdditivesFuel Additives
 NOS for gasolineNOS for gasoline
 Propane for dieselsPropane for diesels
 Towing/performance additiveTowing/performance additive
 Fire/Crash related issuesFire/Crash related issues

40. Shut downShut down
 Each vehicle has unique emergencyEach vehicle has unique emergency
procedures-however-if you do theprocedures-however-if you do the
following 2 actions they will disable thefollowing 2 actions they will disable the HVHV
circuitcircuit && disarm/discharge the SRSdisarm/discharge the SRS
system(s):system(s):
– Turn the key to the OFF position and removeTurn the key to the OFF position and remove
the key and keep itthe key and keep it AWAYAWAY from the vehiclefrom the vehicle
– Disconnect the 12V battery (both + & -)Disconnect the 12V battery (both + & -)

49. A Stabilization thought…A Stabilization thought…
Ever thought about “run flat” tires..Ever thought about “run flat” tires..
Two thought processesTwo thought processes
Solid insertSolid insert
Stiffened sidewallStiffened sidewall
How low will the tire deflate now?How low will the tire deflate now?

53. Hybrid 101Hybrid 101
 All hybrids start on electric power aloneAll hybrids start on electric power alone
 Some travel on electric power alone up toSome travel on electric power alone up to
certain speedscertain speeds
 HV power is direct current DCHV power is direct current DC
 Some hybrids also generate 110 ACSome hybrids also generate 110 AC
 HV circuit is self contained – does not groundHV circuit is self contained – does not ground
out to the vehicle chassisout to the vehicle chassis
 Drivetrain power is computer controlled andDrivetrain power is computer controlled and
managedmanaged
 A crash and/or a change in voltage in the HVA crash and/or a change in voltage in the HV
results in a shutdown of the HV systemresults in a shutdown of the HV system

54. Hybrid 101Hybrid 101
 All Hybrids have a HV drivetrain circuit asAll Hybrids have a HV drivetrain circuit as
well as a normal 12v automotive electricwell as a normal 12v automotive electric
systemsystem
 Gas/Diesel side of drivetrain is loadGas/Diesel side of drivetrain is load
dependantdependant
 Even when the hybrid is shut down andEven when the hybrid is shut down and
secured there will ALWAYS be power in thesecured there will ALWAYS be power in the
HV batteryHV battery
 As emergency responders there is NO NEEDAs emergency responders there is NO NEED
to interact with the HV battery – leave itto interact with the HV battery – leave it
alone!alone!


56. Stay away fromStay away from
BRIGHT ORANGEBRIGHT ORANGE

65. Use aUse a
goodgood
cuttingcutting
shieldshield

67. Side impact barsSide impact bars
more spreading & cutting may be neededmore spreading & cutting may be needed

73.  All HybridAll Hybrid
models have amodels have a
guide forguide for
emergencyemergency
responders toresponders to
deal with variousdeal with various
emergenciesemergencies
 How to shutHow to shut
down, extricationdown, extrication
concerns,concerns,
firematic &firematic &
towing concernstowing concerns

74. Training ….Training ….

75.  What are we training on?What are we training on?

76.  How are you training?How are you training?

77.  Do you use live patients as part ofDo you use live patients as part of
your training?your training?

81. Material & ConstructionMaterial & Construction
 Construction advances don’t preventConstruction advances don’t prevent
entrapmententrapment
 Entrapped patients require aggressiveEntrapped patients require aggressive
managementmanagement Sanson G, et al. Italy, 1999 ; Reines H D, et al. USA, 1988Sanson G, et al. Italy, 1999 ; Reines H D, et al. USA, 1988
 Construction advanced do effect majorConstruction advanced do effect major
injuryinjury Lie A, et al. Sweden, 2000 ; Segui-Gomez M, et al. Baltimore, 2002Lie A, et al. Sweden, 2000 ; Segui-Gomez M, et al. Baltimore, 2002

85. B-Post reinforcementB-Post reinforcement

86. B-Post reinforcementB-Post reinforcement

87.  CuttingCutting
hinges/latches is ahinges/latches is a
good tactic todaygood tactic today
 Less “stress” onLess “stress” on
patientspatients
 Can be easier toCan be easier to
facilitate thanfacilitate than
spreading apartspreading apart
 Need to get bladesNeed to get blades
around devicearound device
 Can the tool do theCan the tool do the
job?job?
““Cutting” Hinges/LatchesCutting” Hinges/Latches

91. ““WHY WE EXTRICATE”WHY WE EXTRICATE”
– Physical EntrapmentPhysical Entrapment
 Encasement in metalEncasement in metal
 Pinned VS TrappedPinned VS Trapped
– Nature of Injuries and RestrictedNature of Injuries and Restricted
SpaceSpace “Medically Entrapped”“Medically Entrapped”
 Making space in order to preventMaking space in order to prevent
further injury by manipulating thefurther injury by manipulating the
patient during removalpatient during removal

92. Interior Considerations
• Cockpit
• Seats?
• Seating
positions
• Vehicle
concerns
• Injury
patterns
/considerations
• Packaging
concerns

95. Let’s summarize….Let’s summarize….
 Safety systems are becoming more wideSafety systems are becoming more wide
spread & comprehensivespread & comprehensive
 Construction, materials & components willConstruction, materials & components will
effect rescue efforts more & moreeffect rescue efforts more & more
 Rescue teams will need to “think & workRescue teams will need to “think & work
smart”smart”
 More background information will be neededMore background information will be needed
about vehicles & their componentsabout vehicles & their components
 Training issues & concernsTraining issues & concerns