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by the NFCC

Control measure

Casualty-centred rescue from a mode of transport: Full access

TRAINING SPECIFICATION

Knowledge and understanding

Control measure element Learning outcome

Glass management

Understand:

  • The need to manage glass to minimise risks to the casualty and emergency responders
  • That glass can protect a casualty from the environment
  • What techniques can be used for glass management

Trim removal for road vehicles

Understand:

  • The benefits of removing trim
  • The complications of removing trim that is close to a trapped casualty

Internal and external space creation

Understand:

  • How to create space using a hierarchical approach
  • The benefits of using some easy or quick methods of space creation

Isolation of power for the mode of transport

Understand:

  • When it is appropriate to isolate power for the mode of transport
  • When immediate isolation of power may be required
  • The impact of isolating power in large goods vehicles

Full access

Understand:

  • That the actions taken to obtain full access to the casualty should be based on their medical needs and the direction from medical responders
  • The environmental factors that will dictate the extent of full access
  • The need to remove any physical entrapment and objects that may impede the rapid removal of the casualty
  • The need to consider and communicate to medical responders any sharp edges created by cuts made, or any movement of the mode of transport due to tool operation
  • The need to protect emergency responders and casualties from sharp metal edges or broken glass

Casualty rescue, stabilisation and handover

Understand:

  • The need for the final rescue phase to be clinically led
  • The need to cause minimum disruption to the casualty and consider their injuries
  • That removal of the casualty should be safe, rapid and controlled
  • The need to provide medical responders with:
    • A progress report on the rescue plan
    • An estimated rescue time
    • Updates on the condition of the casualty

Practical application

Control measure element Learning outcome

Manage glass in the mode of transport appropriately, including the potential benefits for the casualty of it remaining in place

Demonstrate the ability to:

  • Appropriately manage glass in line with the rescue plan
  • Consider leaving glass in place to protect the casualty
  • Consider the benefits and limitations of laminated glass

Consider the extent and location of the required trim removal when developing a rescue plan

Demonstrate the ability to:

  • Appropriate use tools to remove trim to reveal elements of construction and safety systems
  • Recognise that removing trim can be a difficult and time-consuming process that will need to be factored into the rescue plan
  • Consider the need for careful removal of trim that is close to the casualty

Create sufficient space to safely access the casualty

Demonstrate the ability to:

  • Use internal and external space creation in line with the rescue plan
  • Consider using easy or quick methods as a priority

Consider isolating the power for the mode of transport

Demonstrate the ability to:

  • If the situation permits, consider what electronic systems may need to be used prior to isolating power
  • Only consider isolating power following a risk assessment
  • Consider the impacts of isolating power

Communicate rescue times and relevant information to accurately inform medical responders

Demonstrate the ability to:

  • Keep medical responders updated on progress of the rescue plan and an estimated rescue time
  • Provide medical responders with updates on the condition of the casualty

Create full access to release the casualty and remove from the mode of transport

Demonstrate the ability to:

  • Remove any mechanical entrapment
  • Advise medical responders about any sharp edges that have been created by cuts made, or any movement of the mode of transport due to tool operation
  • Consider protecting emergency responders and casualties from sharp metal edges or broken glass
  • Release and remove the casualty in a safe and controlled manner

Consider covering sharp edges of cut or deformed metal or broken glass to protect emergency responders and casualties

Demonstrate the ability to:

  • Protect emergency responders and casualties from sharp metal edges or broken glass