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Operations at Motor Vehicle Accidents
Posted On: Oct 27, 2009
 

NORWALK FIRE DEPARTMENT
STANDARD OPERATING PROCEDURE
 
SOP:      2.058  
TYPE:    Operations                                                                                                 
TITLE:   Operations at Motor Vehicle Accidents   
DATE:   October 22, 2009 (replaces May 29, 1992 version)   
   
 

 
 
 
 
 
 
 
 
 
 

Purpose:
 
To establish standard procedures for the initial response and operations at motor vehicle accidents the Norwalk Fire Department responds to.
 
Procedure:
 
I. Safety Considerations
 
All members working at the scene of a motor vehicle accident shall wear proper P.P.E., which includes:
  1. Full turnout gear, including helmet
  2. Eye protection when working in or around vehicle during extrications or when otherwise required by Company officer
  3. Gloves with medical gloves underneath (leather gloves are acceptable for extrication)
  4. SCBA if needed when positioned with a hose-line
  5. Reflective vests when required by SOP
 
II. First Due Engine
 
  1. Create a safe working area for all emergency responders. The lane the accident is in, and one additional lane, should be blocked.
  2. Perform a size up of patients and hazards
  3. Request additional fire apparatus or EMS personnel if needed
  4. Identify hazards:
    1. Fluid spills
    2. Hybrid vehicles
    3. LPG or CNG vehicles
    4. Remote or keyless ignition vehicles (move key away from vehicle)
    5. Air bags that have not deployed (look for SRS marking on dash, roofline, seats)
    6. Devices (phones, DVD players, GPS units plugged into 12v. outlets
 
 
 
  1. Start to control hazards
1.      Turn vehicle ignition off
2.      Apply emergency brake and secure transmission (chock wheels if necessary)
3.      Dry chemical extinguisher should be deployed near vehicle
4.      Disconnect battery if access can be gained without moving or shaking vehicle
5.      Speedi-dri on spills for traction
6.      Start BLS care of occupants if entry can be made safely
7.      Light the scene (Use Rescue if needed)
8.      Deploy a charged 1 ¾” line if extrication will be performed. Consider a foam line if there is a large fuel source.
 
III. Rescue Company
 
  1. Stabilize vehicle with assistance of Engine crew
  2. Confirm all hazards have been identified and secured
  3. Gain access to patient/s if needed (attempt to access passenger compartment from furthest point away from patient)
  4. Consult with EMS provider about preferred method of patient removal
  5. Identify a primary extrication plan
  6. Cover the patient and rescuer inside of vehicle
  7. Extricate the patient
  8. Control all glass breakage
  9. Cut all seat belts
  10. Remove plastic trim exposing any hazards
  11. Allow the tools to do the work
  12. Do not attempt to hold a piece that is being spread
  13. Continue to address vehicle stabilization and hazards
 
IV. Car 2
 
  1. Car 2’s primary function at motor vehicle accidents (other than assuming IC) is providing for the safety of personnel on the scene.
    1. Survey scene to ascertain ability of units to work safely
    2. Affect any changes necessary to create safe working area
           3. Call for additional resources if needed to support Operations
  1. Car 2 should be positioned so as to provide additional blocking if needed and to make use of the warning devices on the vehicle to provide protection for personnel operating at the scene
 
 
 
 
 
G:\SOP's\2.0 Operations\2.058_MVA_ops.doc

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