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Developed and maintained
by the NFCC

Control measure

Release of impaled or trapped casualty

TRAINING SPECIFICATION

Knowledge and understanding

Control measure element Learning outcome

Methods of rescue

Understand:

  • The need to use tools and equipment that can release the casualty with the least amount of intrusion or injury to them
  • The rescue methods that may be appropriate for various causes and levels of entrapment

Stabilisation of objects

Understand:

  • The need to prevent the object that is trapping the casualty from moving
  • That there may be resultant movement in the object when it is cut
  • That released stored energy can harm the casualty or emergency responders

Casualty care

Understand:

  • The need for medical assistance if the casualty is losing blood or has crush injuries
  • That the casualty may have to be moved to carry out life-saving treatment
  • That uncontrolled removal may result in further injury and deterioration of the casualty’s condition

Release from impalement

Understand:

  • The need to immobilise the injured area and stop or control bleeding
  • That release of an impaled casualty will need to prevent further deterioration and trauma
  • The need for immediate medical assistance

Working in hospitals

Understand:

  • That personnel may need to work in a hospital to assist with the removal of objects from casualties
  • The need to receive a full briefing from medical staff to inform what equipment is required
  • The need to provide medical staff with an explanation about fire and rescue service activities
  • That there may be restrictions on what items can be taken into a sterile area of the hospital
  • The benefits of joint training and exercises

Practical application

Control measure element Learning outcome

Use an appropriate method to stabilise the object or casualty, to prevent further injury from impalement or entrapment

Demonstrate the ability to:

  • Select the tools and equipment that can release the casualty with the least amount of intrusion or injury to them
  • Use the appropriate rescue method for the cause and level of entrapment

Select the most appropriate and capable tool that is suitable for the working environment

Demonstrate the ability to:

  • Select the most appropriate tools and equipment, especially if working in a hospital or a sterile area within a hospital

Request appropriate medical assistance for a casualty who is impaled or trapped by an object

Demonstrate the ability to:

  • Request immediate and appropriate medical assistance for the impaled or trapped casualty

Only consider moving an impaled or trapped casualty if life-saving treatment needs to be carried out

Demonstrate the ability to:

  • Move the casualty only if life-saving treatment, such as resuscitation, cannot otherwise be carried out

Protect the impaled or trapped casualty from the movement of the object when it is being cut

Demonstrate the ability to:

  • Use appropriate PPE to protect the casualty during their rescue

Take advice from medical staff when selecting equipment and methods when working in a hospital to release an impaled or trapped casualty

Demonstrate the ability to:

  • Liaise with medical staff to gain a mutual understanding of:
    • Their requirements
    • What activities the fire and rescue service will be carrying out

Wear clean PPE when entering a hospital

Demonstrate the ability to:

  • Ensure clean PPE is worn when entering a hospital