Proper casualty rescue
10
Overview
b
Guidelines for Rescue Services • Passenger Cars 2008 • Issue Date: July 2008
Whereas formerly priority was given to quickly
rescuing the trapped accident victims from their
predicament, the primary concern nowadays is
medical and psychological assistance. The aim of this
is to prepare the casualty as well as possible for the
rescue work.
The medical and rescue personnel can then work in
concert to free the casualty from the vehicle.
The most important immediate measures at
the scene of accident are:
• Maintaining or restoring the vital functions
(respiration/circulation)
• Keeping the respiratory passages clear and
rectifying any breathing difficulties
• Assessing shock and initiating measures to
stabilize the casualty
• Rendering psychological support to the casualty
• Treating life-threatening injuries
• Stopping major bleeding
• Immobilizing certain body parts
Immobilizing the neck
As the head often experiences extreme movements in
traffic accidents, there is an increased risk of spinal
injury in the neck region. To prevent further damage to
the cervical vertebrae, it is essential to immobilize the
neck before any further rescue action is undertaken. A
cervical collar ("Stifnek") is usually used for this
purpose. It consists of a piece of plastic which is
placed around the neck and fastened in place with a
Velcro fastener.
If access to the casualty is difficult, the head restraint
can be removed first before fitting the cervical collar.
i The main priority is to render medical and
psychological aid to the casualty!
i However, the safety of the medical and
rescue crews themselves should not be
neglected!
• Wear protective clothing
• Wear eye protection
• Wear protective mouth mask
• Secure the accident vehicle
i Head restraints should only be removed
by cutting them off in exceptional cases and in
consultation with the emergency physician.
• Cutting off the head restraints exposes the
casualty to additional movements
• The head restraint can no longer be used to
stabilize the casualty's head
• Cutting off the head restraints can cause sharp
edges
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