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9/8/12 3 keys to preventing ambulance rollover 1/3 www.ems1.com/safety/articles/1284719-3-keys-to-preventing-ambulance-rollover/ David Bradley of VFIS played this video during the FireRescue Med presentation to show the effects of a rollover on occupants in the cab. Trouble viewing the video? Download Flash player here Related Article: Seat Belt Use in the Patient Care Compartment Related Feature: NIOSH report details Ga. firefightermedic rollover LODD Investigation inconclusive Hold a world of simulation in your palm... Set as Home Page My Profile Register Help Welcome EMS1PTV Safety Sponsors Globe LifeLine Sign up for FREE Email Newsletters Enter your email below [email protected] EMS1 Member eNews EMS1 Product eNews EMS1 Member Updates EMS1 Product Alerts Find the Right School Zip Code: Subject: EMT Emergency Medical T Degree: Select One Online Campus Both Safety Resources Free Grant Assistance for Driving Simulators from FAAC OSHA Personal Protective Equipment Fact Sheet (PDF) All Resources Safety Links EMS Close Calls Firefighters Bookstore: Books, Videos and Software Globe NFPA 1851 Training The Center for Wilderness Safety Safety Article May 10, 2012 Recommend 17 people recommend this. Be the first of your friends. 3 keys to preventing ambulance rollover Knowledge of roads, vehicles, drivers are critical to safe arrival at emergency By Sarah M. Smart EMS1 Editor News flash: Roads are not designed for large emergency vehicles. And rollovers, although preventable in many cases, are still a major cause of onduty injuries and deaths. While only 3 percent of emergency vehicle crashes are rollovers (singlevehicle accident where the rollover is the first harmful event), 33 percent of fatal crashes are. So what are the factors in rollovers, and how can we mitigate them so we arrive at every emergency safely? The issues came under the spotlight during a session at FireRescue Med , held by the IAFC's EMS section. David Bradley, education specialist at VFIS , outlined how studies show the most common rollover circumstances: Relative speed: Vehicle speed measured at any mph considered to be unsafe relative to the operating environment Soft shoulder dropoff Uneven surface dropoff with improper recovery Following are three keys to ambulance safety. The road Most lane widths hover around 12 feet, giving typical 7 to 8footwide fire apparatus and ambulances only about 2 feet of wiggle room on each side. That's not very much when you consider the challenges of driving large, heavy, boxy trucks to an emergency. Also of note are shoulder conditions on the road. These have a significant impact on the driver's ability to recover from losing control. In order of best to worst for recovery, here are shoulder conditions to train for: Paved shoulder Unpaved hard shoulder with uneven dropoff Unpaved soft shoulder No shoulder The vehicle Thousands of pounds of EMS gear, water, ladders and other supplies are packed into emergency vehicles, placing a heavy load on each tire. So when a driver loses control, starts to run off the road (to the right, for example) and follows the natural instinct to jerk the wheel to the left, the already unsteady vehicle often tips to the right and rolls over. The more topheavy the vehicle, the more likely it is to 3 keys to preventing ambulance rollover Share Share 0

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Page 1: 3 keys to preventing ambulance rollover

9/8/12 3 keys to preventing ambulance rollover

1/3www.ems1.com/safety/articles/1284719-3-keys-to-preventing-ambulance-rollover/

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DavidBradleyofVFISplayedthisvideoduringtheFire­RescueMedpresentationtoshowtheeffectsofarolloveronoccupantsinthecab.Troubleviewingthevideo?DownloadFlashplayerhere

RelatedArticle:

SeatBeltUseinthePatientCareCompartment

RelatedFeature:NIOSHreportdetailsGa.firefighter­medicrolloverLODDInvestigationinconclusive

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3keystopreventingambulancerolloverKnowledgeofroads,vehicles,driversarecriticaltosafearrivalatemergency

BySarahM.SmartEMS1Editor

Newsflash:Roadsarenotdesignedforlargeemergencyvehicles.Androllovers,althoughpreventableinmanycases,arestillamajorcauseofon­dutyinjuriesanddeaths.

Whileonly3percentofemergencyvehiclecrashesarerollovers(single­vehicleaccidentwheretherolloveristhefirstharmfulevent),33percentoffatalcrashesare.Sowhatarethefactorsinrollovers,andhowcanwemitigatethemsowearriveateveryemergencysafely?

TheissuescameunderthespotlightduringasessionatFire­RescueMed,heldbytheIAFC'sEMSsection.

DavidBradley,educationspecialistatVFIS,outlinedhowstudiesshowthemostcommonrollovercircumstances:

Relativespeed:Vehiclespeedmeasuredatanymphconsideredtobeunsaferelativetotheoperatingenvironment

Softshoulderdrop­off

Unevensurfacedrop­offwithimproperrecovery

Followingarethreekeystoambulancesafety.

Theroad

Mostlanewidthshoveraround12feet,givingtypical7­to8­foot­widefireapparatusandambulancesonlyabout2feetofwiggleroomoneachside.That'snotverymuchwhenyouconsiderthechallengesofdrivinglarge,heavy,boxytruckstoanemergency.

Alsoofnoteareshoulderconditionsontheroad.Thesehaveasignificantimpactonthedriver'sabilitytorecoverfromlosingcontrol.Inorderofbesttoworstforrecovery,hereareshoulderconditionstotrainfor:

Pavedshoulder

Unpavedhardshoulderwithunevendrop­off

Unpavedsoftshoulder

Noshoulder

ThevehicleThousandsofpoundsofEMSgear,water,laddersandothersuppliesarepackedintoemergencyvehicles,placingaheavyloadoneachtire.Sowhenadriverlosescontrol,startstorunofftheroad(totheright,forexample)andfollowsthenaturalinstincttojerkthewheeltotheleft,thealreadyunsteadyvehicleoftentipstotherightandrollsover.

Themoretop­heavythevehicle,themorelikelyitisto

3keystopreventingambulancerollover

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Page 2: 3 keys to preventing ambulance rollover

9/8/12 3 keys to preventing ambulance rollover

2/3www.ems1.com/safety/articles/1284719-3-keys-to-preventing-ambulance-rollover/

Investigationinconclusiveifseatbeltwaswornduring'09ambulancecollision

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Themoretop­heavythevehicle,themorelikelyitistorollover.SUVs,oftenusedasQRVs,havethehighestnumberofrolloverincidentsamongemergencyvehicles.Ambulancesplacesecond,andtankerscomeinthird.

ThedriverTheoperatorofthefiretruckorambulanceisthemostimportantpieceoftherolloverpuzzle.Drivererror,oftenasaresultofinexperienceand/orlackoftraining,isthesinglemostsignificantfactorinrollovercrashes.

Humanaspects,suchasmaturity,physicalconditionandeventheabilitytocontrolone'semotionsareascriticaltosafedrivingasacquiredabilities,likedrivingrecordandspecificemergencyvehicledrivertraining.

Trainingandexperienceareofcriticalimportancetoovercomeinstinct,Bradleysaid.

"We'vegottogetthosementalseedsplantedofwhatweshoulddo,"hesaid.

ThetakeawayIfyouaredrivinganambulanceorafiretruckandfindyourselfonthebrinkofarollover:

Donotapplyfullbraking:Takeyourfootoffthegasordownshiftwhenappropriatetoallowthevehicletoslowdowngradually.Ifyoumustbrake,dososoftly

Stoporslowdownbeforecorrecting:Thengentlysteerthevehiclebackontotheroadsurfaceinalowgearwithfeatheredaccelerationifyoumustovercomeadrop­off

Don'tjerkthewheel:Tryingtoreturntotheroadsurfacequicklyincreasestheriskofrollover

Sometipstodrivemoresafelyandreducerollover:

Slowdown:Payattentiontospeedlimitsigns,andkeepthevehicleatorbelowspeed,especiallyduringinclementweather.Whileresponsetimesareaconcern,largervehiclesneedmoretimetoslowdownintheeventofasuddenobstacle,andyoudefinitelycan'tdoyourjobifyounevermakeitto

thecall

Buckleup:Alwaysuseyourseatbelt.Mostrolloverfatalitiesarefromejections."Theseatbeltkeepstheoperatorintheseatandincontactwiththebrake,acceleratorandsteeringwheel,"Bradleysaid.

"Puttherightpersonintheleftseat":Whileyouthfuldriversmayhavequickerreactions,theycouldlackdrivingexperienceandtherightamountofemotionalcontrol.Middle­ageddriversmayhavegoodexperiencebutmightnotbetooconcernedwithskillmaintenance.Finally,maturedriversmaybecautiousandexperiencedbutmayhaveillnessesordecliningphysicalabilitiesthatcouldkeepthemfromdrivingsafelyandeffectively.TheidealdriverwillhavenoClassAdrivingviolationsandfewerthantwoClassBviolationsinthepastthreeyears

Train:Wetrainforsomanyothersafetyconcerns,sowhyshoulddrivingemergencyvehiclesbeanydifferent?SOPsshouldaddressintersectionapproach,backingguidelines,driverresponsibilitiesandmore.Alldriversneedtobetrainedtounderstandtherelevantlawsandlegalliabilities,andtheyneedcontinuingandongoingrefreshertraining,bothintheclassroomandbehindthewheel

MoreinformationonemergencyvehiclerolloversanddrivertrainingcanbefoundthroughVFIS.

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