Training Tips:                      50 Questions: How well do you rate your knowledge as an Extrication Trainer?

 

Training Officers are very much like General Practitioners or Family Physicians.  They are required to have a through understanding of all aspects of Fire and Rescue. In this issue, we will ask a series of questions to provoke the thought process and test your general Extrication Knowledge.

 

1)            Power Units can have 1, 2, 3 or more pumps within the Power Unit assembly. How many stages are generated by each pump?

            Each Pump has 2 Stages.     

 

2)            From a volumetric point of view, relate flow to each stage.

            First Stage:  High Volume - Faster speed when opening/closing tools with no resistance.

            Second Stage:  Low Volume - Slower speed when opening/closing tools with resistance.

 

3)            From a pressure point of view, relate pressure to each stage.

            First Stage:   Low Pressure - Faster speed when opening/closing tools with no resistance.

            Second Stage:  High Pressure - Slower speed when opening/closing tools with resistance.

 

4)            What defines High Pressure Tools as being High Pressure?

       Interior Maximum Line Pressure:       High Pressure: 10,000 – 11,000 psi

 

5)            What defines Low Pressure Tools as being Low Pressure?

       Interior Maximum Line Pressure:       High Pressure:   5,000 – 5,500 psi

 

6)            Are High Pressure Tools more Powerful than Low Pressure Tools?

            NO:

       Examples:      Holmatro High Pressure 28 Inch Spreader**:    33,625 lbs 

                                    TNT High Pressure 28 Inch Spreader**:             32,150 lbs

 

                                    Hurst LOW PRESSURE 28 Inch Spreader**:  44,000 lbs

            ** from manufacturers’ literature

 

7)            Describe 5 Elements of Scene Stabilization

1) Traffic Control – Parking Vehicles in a Fend-Off Defensive Position:
2) Neutralizing Down Power Lines (with proper Hydro authority)  

3) Neutralizing Oil/Gas Leaks with foam or extinguishers or stay-dry

4) Charged Pumper with minimum 1-1/2” Hand Line

5) Neutralize Crowd Control, and utilize individuals possessing medical expertise and any others who are able to assist in other ways if depleted manpower is a concern;
 6) Neutralize Haz-Mat calls with proper authority;

 7) Weather – this may dictate notifying on-coming traffic further in advance; Wind direction may require setting a command post in the appropriate location if toxic emissions create immediate or long term danger to life and health. Weather may dictate laying sand to prevent slippage when rescuers are working around the scene.

                                               

8)            What parameters determine a “Hot Zone?”

            A HOT ZONE is typically a 50 foot area around the vehicle where the patients are trapped and extrication tools are being used. However, a HOT ZONE can be much larger when we have patients that have been ejected from the vehicle and we have patient care activity being performed. Initially when we arrive on scene the HOT ZONE is quite large until determined otherwise. It is at that time when we can make the HOT ZONE smaller and then work within the ACTION CIRCLE.

 

9)            In conducting proximity searches during a Scene Stabilization search, should we conduct an inner search or outer search first, or does it really matter?

            Theoretically, when we respond from a fire or rescue vehicle, to get to the final resting position of a vehicle or vehicles, we are coming from the outside to the inside [the final resting place of the vehicle(s)]. Therefore we must make sure the outside is safe first (free of all scene hazards like power lines, etc.) before we look for these hazards immediately adjacent to the vehicle(s).

 

10)          Disconnecting the battery is one way to de-energize a non-hybrid vehicle. What is a second way?

            In model years approximately 2000 and newer for virtually all makes and models, turning the key off and removing it from the ignition disarms the airbags from inflating when we use the Spreader. This is most important when spreading the door. Taking the key out of the ignition eliminates the opportunity for inadvertent air bag (door mounted, seat mounted and roof curtain mounted) deployment in models 2000 and newer.

 

11)          Is it possible (without having a fault, short, or defect in workmanship) to have both frontal air bags deploy without a collision occurring?

            Yes. Sensors in vehicles that are post 2000 models activate frontal air bag deployment by reaching a threshold rate of deceleration.  In other words, the closer to instantaneous the rate of deceleration occurs, the greater the likelihood that frontal air bag deployment will occur.

            This effect was noted in one specific incidence where a driver was pulling large cedar trees from his front garden with a Brand New 2008 Pick-up. A chain was connected from the truck’s Tow Hitch to the bottom of the Cedar Trees. The driver inadvertently activated the Driver Side Frontal Airbag when the truck’s forward momentum was stopped “dead” by the resistance of one particularly large Cedar Tree.  This activated the Driver’s frontal air bag even though there was no metal deformation to any part of the vehicle.

            We have also observed where side intrusions that stopped the forward momentum of the side-impacted vehicle have resulted in the deployment of the frontal air bags within that side-impacted vehicle.

               

12)          Why do we disconnect a battery other than possible sparking?

           To ensure that the capacitor in the air bag module has powered down.

13)          What concerns do we have, other than those of the patient(s) when cutting a roof off?

            The potential for cutting through an inflatable air curtain cylinder, and deploying the IC (inflatable curtain) system.

14)          How are roof curtains, seat mounted air bags and door mounted air bags activated?

                Roof curtains are activated one of two ways, either from side impact or during rollover accidents.

               Seat mounted airbags and door mounted airbags are also deployed one of two ways. Either through side impact or depending on the make and model year, they will automatically deploy upon frontal airbag deployment.

15)          What procedure(s) prevents their activation?

               Either take the key out of the ignition or disconnect the low voltage (12 Volt) battery.

16)          What is the most common location for Air Bag Inflation Cylinders for Roof Curtains?

                The most common location for an air bag cylinder is in the C Pillar.

17)          Second Most Common Location?

               The second most common location would be the A Pillar

18)          Name 2 Other Possible Locations?

              The third most common location would be in the Roof line above the rear window and low on the A Pillar, and if there are two inflators for a vehicle with 3rd row seating you will find one just behind the C Pillar and the Second one located in the D pillar.

19)          How do we readily identify their locations?

              By stripping the trim from the interior of the A and C Pillars.

20)          Are there Inflation Air Bag Cylinders in Seats?

               Yes, it is actually part of the Air Bag assembly

21)          Can a vehicle have only laminated glass in all windows?

             Yes. An example would be Mercedes Benz (as a deterrent for theft).

22)          In making access into a vehicle, which unbroken glass do we typically break and remove first?

             The furthest piece of unbroken glass from the patient.

23)          What are the best devices for breaking tempered glass?

              A Center Punch or similar device.

24)          What are the worst devices for breaking tempered glass?

               Halogan Tool, Pry Axe, Axe, Straight Screw Drivers, Windshield wiper arms.

25)          What are the best devices for removing laminated glass?

              Glass Master Tool, Reciprocating Saw.

26)          What are the recognized methods of creating a purchase point?

              Using Hand Tools, such as halogen tool, Pry Axe, Hydraulic Spreaders

27)          What technique works 100% of the time?

               Using a Hydraulic Spreader and placing it between the door line and the roof line at approximately a 60 Degree angle, using the roof line (including upper A Pillar) as your strength and the door line as your weakness to draw the door open and out of the way to expose the Nader bolt and/or Hinge, both of which can then be cut or further spread  (remember, if you are spreading off the upper A Pillar, strip the Trim to ensure you are not spreading against a pressurized IC Cylinder).

 

28)          What are the 3 Typical Types of Displacement evolutions we employ when extricating trapped patients?

              1) Roof Displacement (remove roof); 2) Side Displacement (remove 1 Door, 2 Doors or 2 Doors and B Pillar). 3) Dash Displacement.

29)          Why is roof peeling less beneficial than full roof removal?

              When peeling a roof back on a vehicle you may need to dedicate 1 rescuer to holding the roof and this removes one rescuer from assisting in extrication or patient care. If you choose to tie the roof off you may now require 2 rescuers to perform this time-consuming evolution. Ultimately performing a total roof removal is not only safer, it also frees the rescuers to assist in patient care. It also creates more space to provide medical assistance for the patient.

30)          When is roof peeling more beneficial than full roof removal?

               When it is not practical to complete a total roof removal (as an example if manpower is very limited).

31)          What are 2 Tools than can be used to displace a dash?

                1) A HURST Hydraulic Spreader. 2)  A Hurst Hydraulic Ram (or a combination of both)..

32)          What Tool is the most effective for Dash Displacements?

               A Hydraulic Ram.

33)          Why is this tool more effective?

              Because you can actually move the dash farther away from the patient with a Ram than you can while lifting it with a Spreader. This is  because a Ram has a Horizontal Component (direction) of Force as well as vertical component (direction) while a Spreader almost entirely has only a vertical component (direction) of force.

34)          A Cutter with 236,000 pounds of Cutting Force is always better than a Cutter possessing only 85,000 pounds of Cutting Force?

                False:  At the deepest part of all cutters is the “notch.” This is the most powerful part of the Cutter. If a cutter that possesses 236,000 pounds of cutting force has long blades and is only able to cut an object at the tips of the cutter Blades, the less powerful cutter may actually be more effective in this application. Blade Geometry and Blade Linkages (resulting in more effective blade overlapping) often compensate in cutters that have less Raw cutting forces.

35)          Apart from the actual Cutting Force, what variables determine the likelihood for completing a successful cut?

                Again, from #34, the Blade Geometry and Linkages are important. In addition, the actual make-up of the blades is important (are the blades made of a Shock-Resistant, Quadruple Forged Tool Steel as is Hurst, or are they made of a Cast or Plate Metal (as found in other manufacturers). In addition, the higher  safety factor of the lines (4:1 of the Hurst Hydraulic Lines) makes for a speedier cut while the lower safety factor (2:1 of the Hydraulic Lines of some manufacturers) makes for a slower cut to completion.

36)          True or False:      Spreaders open linearly?

            False – Spreaders open in an Arc Pattern.                                              

 

37)          True or False:      Rams open linearly?

              True

38)          True or False:      Cutters can lose as much as half their mechanical advantage (or more) when cutting at the tips of the blades versus the inner notch.

              True

39)          True or False:      Once a cutter stops moving and the cut stops, full pressure on the power unit is reached?

              False.  You need to hold the actuator for up to 10 seconds to allow the second stage to engage and allow the pressure to build up and continue cutting the material.

40)          True or False:      When performing a dash displacement, the roof must be either peeled or removed?

                False.  Only the top of the A Pillar needs to be cut. In addition, the A Pillar should be completely cut between the 2 Hinges, and the Upper Fender Rail should be cut between the Shock Tower and the Dash.

41)          Performing a Dual Ram Push (2 rams pushing simultaneously – one on each “A” Post) is more effective than a single Ram Push on one side?

               False: The Transverse Beam is connected from one A Pillar to the other A Pillar and is designed to provide side impact protection. In newer vehicle design, the transverse beam is fastened to the floor at the center console area.  When using 2 Rams you WILL get movement on both sides of the vehicle. However, as the Transverse Beam is tied to the center console area, the second Ram provides no added benefit to the area where the patient is actually trapped (unless there are actually 2 patients trapped). The dash actually bends in a U Shape because of the effect of the Dual Ram Push off both A Pillars.

42)          When Spreading a Door off, regardless of being hinge side or Nader bolt side, the effectiveness of the spread is enhanced if we angle the tips: a) Upwards; b) Downwards; c) Parallel to the ground?

                 Downwards. If working on the driver’s door, nader bolt side, place the right tip slightly higher (against the B Pillar) than the left tip (against the door or door’s window frame so that the plane of the tips is approximately 10 degrees downward (right to left). We also want to be a few inches higher than the nader bolt latch assembly, possibly even into the window frame area. With this downward plane, the Spreader will easily “Roll” the nader Bolt off the latch mechanism as opposed to stretching the assembly apart – a tougher challenge.

43)          What is the advantage of breaking the Valve Stems during Vehicle Stabilization?

              By removing the valve stem you allow the suspension to relax and the vehicle will sit on the cribbing and become part of the ground.  This allows the rescuers to spend quality time extricating and not checking what has already been done. Do it once do it right!

44)          You arrive on scene, and you are facing a MVA involving a Hybrid vehicle. How can we be sure that High Voltage Power is contained at the High Voltage Battery?

              Following the identification of the HV Vehicle, put the vehicle in Park, apply the parking brake and then take the Key out of the ignition. Check to see that the green light has gone off on the dash in the instrument panel.

45)          What is referred to as the “Sleep Mode” of a Hybrid Vehicle?

               The Sleep mode is when the car is powered up in the HV mode and can be driven up to 40km/hr.

46)          Why do we perform a Total Side Removal (both doors and “B” Post are removed)?

               Performing a total side removal allows for the greatest access for EMS and the largest amount of space created for egress. It is also the quickest way of removing both side doors and the B post.

47)          How can a Total Side Removal Hurt us in subsequent evolutions?

             We will remove the B Pillar and this eliminates the use of the base of the “B” Pillar as a possible push point.  

 

48)          What is referred to as the Coefficient of Elasticity in Hydraulic Hose Lines?

               This is the factor of expansion that the hose will allow when the pressure has built up while under pressure.

49)          How does the Coefficient of Elasticity directly affect performance of the Tools?

                 The higher the coefficient of elasticity, or stated differently - the more elastic the hose walls are -the lower the safety factor of the hose.  The more elastic the hydraulic are, longer it will take for a cut to be completed. Hose lengths that are 100 foot long take significantly longer to reach full pressure with a lower safety factor.

50)          In performing a Dash Displacement what are the critical “relief cuts” that we try to make?

1) The top of the A Pillar. 2) The mid portion of the A Pillar between the upper and lower hinges - in both directions. 3) The upper fender rail between the Shock tower and the dash (on cars). When dealing with Vans, the same cuts apply to the A Pillar, however, the upper fender rail can be cut in front of the shock tower due to the location of the tower being so close to the dash.

                                                                                                                                               

If you find these questions beneficial, please, please let us know. We can do a second or third instalment of these, BUT only if there is enough feedback. Questions and Answers presented by Pete Methner and Chris Christie from Code 4 Fire & Rescue’s Train the Trainer Course.

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