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Bradford County Fire :: General :: Rescue Discussion :: MVC Stabilization
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Waverly 1381
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MVC Stabilization
« Thread Started on Nov 23, 2005, 7:45pm »
You are dispatched to Motor Vehicle Collision with unknown injuries or entrapment. First medical personnel on scene reports one person still in the vehicle and not entrapped. Do you recall the rescue or do keep them coming to provide stabilization to the vehicle till the patient has been properly extricated from the vehicle? ???
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Joseph F. Morey
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Re: MVC Stabilization
« Reply #1 on Nov 24, 2005, 5:58am »
I have often questioned why we stabilize a vehicle (not blocking the wheels) when the said vehicle is usually overloaded with responders prior to it being stabilized. I don't know how many times I have witnessed responders entering an unstabilized or understabilized vehicle.

My closest rescue usually has a 5-10 minute eta from dispatch. By the time they arrive, extrication of a non-entrapped or confined patient is well underway. At this point, other than blocking the wheels, what is the point of stabilization?

What is the preferred method of stabilization on non-entrapped, non-confinded patients? Box? Step? Handymans? Airshores?

As far as cancelling the rescue, my rescue company carries equipment to support the bls/als unit that my local company does not have. I believe in continuing the response to support that function when necessary.

Just my thoughts and please remember that I am an NFT when it comes to medical protocol.

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Re: MVC Stabilization
« Reply #2 on Nov 25, 2005, 4:19pm »
Scene Safe?
Who can we rescue if someone has to rescue us? ::)
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Lawrence "Larry" D. Frey III, PHRN, BSN


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Re: MVC Stabilization
« Reply #3 on Nov 27, 2005, 6:15am »
Bubba,

I would have to say use your own discretion. In the event of it being a township call, if vehicle stabilization is required, and you wish to keep your rescue available, 24-Squad-1 is stocked with the basic cribbing needed for the typical MVC, and is almost always on the scene of our MVCs. Just another resource available to you.
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Re: MVC Stabilization
« Reply #4 on Nov 27, 2005, 2:30pm »
If the vehicle is failry stable and the rescue could reach the scene and crib the vehicle before the patient has been extricated than keep them coming.

If the vehicle is unstable and needs cribbing.......no brainer!!

If the rescue is 3-5+ minutes out and the EMS unit is already on scene and working to remove the patient, then turn um around. By the time they would get on scene and crib, the patient should already be removed. ;D
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GVEMS11
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Re: MVC Stabilization
« Reply #5 on Dec 14, 2005, 9:04pm »
If there is still a patient in the vehicle and you are going to put personnel into the vehicle to treat that patient, then it absolutely needs to be cribbed. Bottom line. Its safety. If the vehicle shifts, how effective is the c-spine stabilization that you are trying to maintain? I don't think anyone would even question cribbing a vehicle that was resting on anything other than its wheels. And for a vehicle on its wheels, step chocks really wouldn't take up that much room in an exterior compartment of a full-mod ambulance, anyway. Type-II trucks and mini-mods are a different story, though.
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Re: MVC Stabilization
« Reply #6 on Aug 20, 2009, 1:45am »
Hi all,

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Re: MVC Stabilization
« Reply #7 on Aug 20, 2009, 8:10pm »
I am glad this question came to the forefront again. Capt. Morey gives a good example of a regular occurance in our county. He gave no special details or irregular positions of vehicles involved. How is this treated in form of stabilization? I asked what the preferred method of stabilization would be and got not replies. From a rescue company standpoint, if stabilization is done, I would assign a wedge person to regularly beat them due to personnel exiting the vehicle during and incident.

My new question is for EMS personnel that arrive on an MVC prior to stabilization by other responding ( and equipped) resources. Do you do any form of stabilization of an unstabliized vehicle prior to entering and if so, do you limit the amount of additional personnel to enter the vehicle?

Tim
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Re: MVC Stabilization
« Reply #8 on Aug 29, 2009, 1:10pm »

Nov 23, 2005, 7:45pm, Waverly 1381 wrote:
You are dispatched to Motor Vehicle Collision with unknown injuries or entrapment. First medical personnel on scene reports one person still in the vehicle and not entrapped. Do you recall the rescue or do keep them coming to provide stabilization to the vehicle till the patient has been properly extricated from the vehicle? ???


;D So far everyone has jumped right into the "Save Them!" mode with both feet. You're assuming this person needs to be extricated. The "is the scene safe" comment made me chuckle. However, he wasn't far off from my point. If you approach this step by step, before you come out of the phone booth with your cape on, you need to know if this person is injured. Asking them would be a good start. There are a million reasons someone might still be in their vehicle. Got to have more info on the scenerio first.
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