1. Interior Rescuer Duties

2. Interior Duties Unlock all doors/open all windows Shut off ignition/remove keys Assess the patient Cut seatbelts if necessary Cover the patient Assume c-spine and airway control Monitor the patient Communicate with outside crew

3. Protect the patient Patient covers Short backboard Long backboard Bag buster

4. Tools & Equipment

5. Hand Tools –Screwdrivers (straight/phillips) –Pliers –Linemans side cutters –Center punch –Wrenches –Socket set –Pry-axe –Pry bar –Hacksaws –others

6. Tools & Equipment Hydraulics –Power unit –Spreader –Cutter –Rams –Accessories

7. Tools & Equipment Other –Sawsall –Air-bags –Bull bags –Struts –Cribbing –Post covers –Chains

8. “Jaws of Life” Hurst tool invented by George Hurst in 1971 For freeing racecar drivers It “snatched” people from the “Jaws of Death”, thereby calling it the “Jaws of Life”

9. Hand Signals Communications between operator of tool and operator of the power unit is critical.

10. Hand Signals By-pass valve ON (pressurize the system) –Arm extended, fingers closed, thumb pointing upward

11. Hand Signals By-pass valve OFF (depressurize the system) –Arm extended, fingers closed, thumb pointing downward.

12. Hand Signals SHUT-DOWN the system –Hand in front of the neck, with fingers extended, moving hand back and forth.

13. Operational Safety Issues Do not place hands or body parts between the tool arms, blades etc. Do not use tool if missing or broken parts Do not lift or drag tools by the hoses Do not use the tool as a battering ram Always stabilize and crib when lifting

14. Operational Safety Issues Keep body parts out from under the object being lifted Do not cut hard metals with cutting tools; seat belt bolts, nader pins, steering column Never store spreaders with tips touching and rams completely closed

15. Roof Flap/Removal

16. Quick access/egress for patient(s) Remove windshield Only three cuts on each side Multiple tools make a quick job

17. Roof Flap/Removal Cover the patient and remove all glass Cut A-post Cut B-post Cut a relief cut in front of C-post Lift roof while creasing the crown with board/pike pole Secure the roof Cover posts with hose sections

18. Roof Flap/Removal Avoid hatchbacks –Closed hatch means compressed pistons –Secure with duct tape –Avoid cutting pistons Cut the rear posts while supporting roof Remove section out of action area

20. Roof Flap/Removal Hand tools –Remove plastic, rubber and aluminum trim –Use hacksaw parallel to post –Keep lubricated while cutting

21. Roof Flap/Removal Hydraulic cutters –Make cut in lower middle of post –Avoid seat belt areas –Avoid beefed up intersections of roof

23. Door opening/removal

24. Assess the door “Try before you pry” Protect the patient with a cover and board Make a purchase point Open enough for access and egress

25. Door opening/removal Type of vehicle Door material Strongest points are inner skin Hinges –Welded, glued, bolted

26. Door opening/removal Hinge side first or latch side first? –Determine the side with the easiest access –Proper body positioning –Start high on the door and pry until you reach the inner skin –Roll the door down off latch or hinge –Completely remove or displace enough for access and egress

31. Power tools Do not use as a battering ram Do not manhandle tool while spreading Keep hands clear of obstructions Stand away from door, do not lean against Know the capabilities of your tool

32. Door Removal Video

33. Relocating the Dashboard

34. Relocating the Dash Steering wheels break free if impacted by driver –Energy absorbing Minimal support from A-post to A-post Lots of plastic

36. Dash lift Good alternative to steering wheel pull Open both doors when possible Make a relief cut at base of “A” post Place ram in door opening Apply pressure while monitoring both ends of the ram May need to crib as you lift

42. Alternate Dash Lift Make a relief cut at base of A-post Cut out section just below dash Crib under A-post Use spreader to lift dashboard

43. Third Door Conversin Hydraulic spreader/cutter –Make a wide relief cut at base of rear panel –Crease the side of car with the spreader –Place tips in relief cut, and spread out, creating a third door Saws-all –Cut out section to be removed

44. Odds & Ends Cutting/moving pedals Cutting plastic Moving seats