emergency driving emt 170 cars & radios. hippocratic oath first, do no further harm
DESCRIPTION
The Problem 6,500 reported crashes per year 60,000 “Wake affect” crashes 10 serious injuries a day 3 dozen deaths a year 9.6 per 100,000 fatalities –6.3 for police –4.5 for fire fighters –2.0 for average citizenTRANSCRIPT
EMERGENCY DRIVING
EMT 170Cars & Radios
Hippocratic OathFirst, do no further harm.
The Problem
• 6,500 reported crashes per year• 60,000 “Wake affect” crashes• 10 serious injuries a day• 3 dozen deaths a year• 9.6 per 100,000 fatalities
– 6.3 for police– 4.5 for fire fighters– 2.0 for average citizen
The Problem
• NHTSA– No ambulance safety standards– No crash testing
• Code 3– Only saves 43.5 seconds average– Only 5% of EMS calls are emergencies– 30-45% end in no transport
• How well is your cardiac patient doing?
The Solution?
• New standards?– Driver training/monitoring– Company policies
•Seat belts, speed, equipment secured– Dispatch prioritization– Ambulance design
•Safety, color, lights & sirens– Ambulance maintenance
Ambulance Driver
• Yes, we are still one• The other side of patient care• Keep the whole transport safe• “Offensively Defensive”
Buckle Up
• Fatality risk for restrained ambulance occupants nearly four times lower
• Risk of incapacitating injury for restrained ambulance occupants was nearly 6.5 times lower
• Risk of a fatality vs. no injury for rear occupants of an ambulance was more than five times greater
Response Time
•“Running” to the Ambulance–Adrenalin
•Lights and sirens
•Speed
Lights
• Too many lights– Uncoordinated
• Glare– Sun– Spot
• When not to use
Siren
• Field of Invincibility??• Speech• Sound projection• Different modes
– PA– Silent– Different tones
Speed
• Code 3 – Save 40 seconds• Passing
– Positioning (Telegraphing)– On the left
• Following others– Distance– Emergency vehicles
Intersections
• Lights– Opticoms
•20mph max thru intersections (Wilson Heirgood Associates)
• “Clear”• Eye contact• Visibility• Passing the “turner”
Ambulance and patrol car run into in intersection!
Passing
• Always on the left• Never (Almost Never) on the
right• Using the side of the road
Turning
•U-turn
•Three point
Slowing/Stopping
• Braking– How hard
– Steering
• Avoid head on!!!
Parking at the Scene
• Pre-plan– What kind of scene
• Safety• Blocking traffic• Access• Egress (Get’n out o’ there)
Be Smart, Be Safe