Car accident

05022011Echo
Car accident
LFA
RA-1
ALS-1

See EAT

*I pull up tot eh scene, where who I assume is the caller is waving at us. I shut off the siren, pull around the accident and park in front of it. I put on my helmet, and step out.*

"RA-1's out. Have a single car accident, smoke and small flames visible from the engine area, nearby brush is catching fire. One victim still in the vehicle."

*I go to the passenger side and get the jumpbag out of the cabinet*

'Hey Cory! I'll check on the victim outside if you don't to extinguish the brush or see what you can do with the guy still inside. Let me know if you need assistance.'

"What's the condition of the rescued victim?"

"Standby COPA."

*I kneel down next to the victim, laying on the ground about 10 yards from the accident. I open up the jumpbag*

Me: 'Hey man, I'm Doug with ERT-Fire/EMS. How are you feeling?'

Vic: 'My neck really hurts. I wasn't wearing my seat belt, I went forward, then the airbag came out and just shot me back into my seat, and that really hurt my neck.'

'Alright, one second please.'

((COPA))
"RA-1 to COPA, victim is conscious and alert, reporting neck pain."

'Alright, now is this a sharp pain or an aching pain.'

'It aches, but it's a really sharp pain when I try to move.'

'Alright, try not to move it, you might injure yourself more.'

*I turn to the bystander who was giving assistance*

'Sir, are you first aid certified?'

'Yeah I am, I got this guy out.'

'Alright, could you do me a favor and hold his neck and immobilize it will I go get a backboard and collar?'

'Sure.'

*The man kneels down and hold the victims head and neck. I observe for a moment to make sure he is doing it correctly, then I stand up, and go get a backboard and collar from RA-1*

1 Victim Accounted For
1 Victim trapped
(I remembered the victim count rule!)

'Alright Jack, when you get out I want you to grab a crosslay and start on the engine. Jess, I want you to pull another crosslay and start on the brush. You guys got it? Alright then.'
*We pull up in front of RA-1 and I jump out. I then get a supply line on the floor and wait for P-11 to come back.*
"Ladder one on scene. We have two trees on fire spreading toward the an electricity pole. That's being taken care at the moment. The engine is also being extinguished. Do you copy COPA?"

( and me....?)

*I take the supply line off of the truck and put it on the ground next to the pump panel.*
'Tim, I want you to help Jack ok? Take some irons to the hood of that car. Pop it open.'

'Hannahan what do you want me to do?'

"got it"
* i grab the set of irons under my seat and leave the axe propped against the bumper and take thaa halligan and sit at a 45 degree angle of the back driver side of the car while jack is pulling the crosslay, i sit on my knees and click my mask on and air starts flowing, i then help jack finish pulling the line and when he signals, i charge the line for him and join him*

( im going to bed, just got back from multi veh. mva, feel free to god mod)

*I get my gear on and head over to the car. I reach the car and reach my hand in to check for a pulse on the carotid. Nothing. I watch his chest he's not breathing, and the fire is getting closer.

"RA-1 to Command, we have one DOA in the vehicle, well need the coroners."

*I grab the ALS gear and a backboard. I walk over to the patient.*
'Doug, here's your board and collars, guy in the car is Code 1.
Hello sir my names Cory, im the Paramedic who'll be riding with you in the ambulance.'
*I walk behind him and grab C-spine.*
'Sir, Im going to hold your neck while Doug puts a collar on you and we lay you down on this board.'

(Vic count 1 rescued, 1 DOA.)

"Copy that, has resucitation been attempted?"

*As Cory holds his neck, the bystander back away, and i put on one of the collar under his neck, then secure the other end around his neck with the straps*

'Alright, we're going to put you on the backboard now, we have to secure your legs and feet with tape first.'

*I fish a roll of tape out of my pocket, and tie his legs. I get the back board, and move it next to the victim.*

'Alright, on 3 we are going to roll you about halfway on your side, slide the board under you, then let you down on the board, and then we'll secure you with straps.'

((Cory, you can god-mod me helping putting him on the backboard. It's just easier and quicker. After he's on the backboard, I'll do stuff on my own))

'F*ck, where's the squad?' I say to myself.*
"Ladder 1 to Squad 1, what's your ETA? Ladder 1 to COPA, we have one DOA in the car. The fire is starting to spread to the interior. We are getting the brush fire under control. Pumper 11, what's your ETA?"

(remember, if this call is done before tomorrow lunch time, I'm going to beat all of you personally, then send you the bill for my air travel, and the therapist to deal with the inairport rapings.. erm security checks.. Also, P-11 will be godmodded mostly by Raven as the TO since Garcia is workin)

(10-4 haha)
*The fire begins to spread to a different tree now and gets ever closer to the electric pole.*
"Ladder 1 to COPA, can we get power cut to pole #0238175?"

( i say we call it night, let jack pull the line when he gets on tomorrow and start putting it out slowly)

"RA-1 to COPA, that is a negative, scene is not safe, and we have no access at this time."
*I start feeling down the patients neck while holding C-spine.*
'Doug we have a C2-C3 stair step fracture. Got to be extra careful on the ride in. Let's get the collar and board on ASAP.'
*Doug helps me slide the patient down on to the back board on 3 and we get him completely secured to the board. With my hands cleared up, I start looking for an IV sit while I let Doug finish his exam.*

(yeah, I'm going bye bye now. Goodnight)

"P-11 to scene command advise of the nearest hydrant so we can get you water when you arrive on scene. P-11 Enroute"

(Raven is in the Squad)
"Ladder one to Pumper eleven, We have a hydrant about 500 feet away from us so that's all of your rear LDH. Do you copy?"

(You've got to have 1000ft. of LDH supply.)

*pulls up to the mess of a scene, shuts off sirens, and pulls up and parks behind the accident. I turn on my directional. I hop out of my truck and throw on my turnout coat and grab my radio and run over to RA1*

"You guys need some help?"

"Scene command Pumper 11 copys ETA 2 Minutes upon arrival will hook up to hydrant and stand by for orders once were hooked up connect to us."
*We arrive on scene I slow down to let the hydrant man hop out grab his hydrant bag and pull the LDH as he does this I flip off the siren. He gives me the signal and I slowly pull forward till i'm close but not to close due to possible explosion from car fire.*
"Pumper 11 to copa on scene"
BREAK
"Pumper to command connected to hydrant standing by for directions.d"

*grabs my radio and look back to see Pumper 11 coming down the interpass.*

"Pumper 11 you are to come into the scene and park up with the ladder and supply them with water for the fire. Then await orders from Lt. Hannahan or Raven."

*As the pumper approaches I point them down to the ladder. I look back to see the ladder crew attacking the fire and the medics working on the patient. I also see the car starting to burn up more and a huge cloud of black smoke roars across the interpass*

(is state police or one of the other agency police onscene?)

"Rodger"
*I throw it into park and hop out grabbing my jacket on the way out. I grab the the wheel chuck and throw it under the wheel, I go around back and grab and extra stretch of LDH and start pulling an end to the Ladder. I hook it up to the intake there and jog back to the truck to hook it up to our LDH output.*
"Ladder 1 your hooked up water flowing"
*It's pretty much pitch black so I grab the two flood lights off the truck and set them up towards the scene. Step into the cab and flip the switch. The lights flicker to life.*
"Pumper to command water flowing standing by. Advise do you want us to set up for foam operations?"

(No, I can call someone over if you want, trulit interpass is a low traffic area after midnight, but if you guys request it, I'll send it)
(Each truck has floodlights that run off of the truck's power, as well as some trucks carry mobile scene lighting that is battery operated)

"Copy that P-11, that's a negative on the foam, standby pumping water for now, we'll need that for the trees. If we can rescue the passenger and attempt resuccesitation, that would be ideal."(though the fire needs to go down first, so he'll probably be a well done corpse)

*I retrieve a BP cuff and stethoscope, I wrap the cuff around is arm and take his blood pressure*

'Blood pressure 110/70. Heart rate 125'

*I listen to his breathing, he is breathing kind of fast*

'You seem o be breathing a little fast, are you having any difficulty or is it just from the shock of being in an accident.'

'Yeah, I can breath alright. It's just being in an accident.'

'Alright, well we are going to take you to the ERT hospital, have you been there before?'

'Never been to a hospital in my life.'

'Alright, well I'm going to grab the stretcher so my partner and I can load you up and be on our way. My partner will be riding in the back with you. The facility is not too far from here.'

*I stand up, open the back doors, twist the knob to release the stretcher, pull it out as far is it will go, then pull the black handle and the wheels drop. I twist the red knob to release the small back wheels from the truck,and roll it next to the victim. I lower the stretcher*

'Alright Cory, pick him up and put him on on 3?'

((Again, to make it easier and quicker, you can god mod me putting him on the stretcher, but then I'll roll him in the truck and drive back on my own))

Little Brother hacked my acccount, changing passsword will not happen again

"Hannahan Where am i needed?"

"Chris, I want you to grab another crosslay and help out with that car fire. Don't let it reach the victim. Bruce help, Cory with the line here."
*I get next to the pump panel to get ready to open up another crosslay for water.*

( what do you want me to do about jack, just wait til he pulls the line?)

(Godmod him pulling the line and help him)

( ok)
* jack pulls the nozzle as i throw the rest of the crosslay on my sholder and flake it out across the lane and he starts on the back driver side corner and starts spraying it down, sweeping around the car as i back him up..i smash out the back windows with my halligan and he sprays inside the car, i then pop the hood with the halligan and leave it propped up as jack sprays it down*

(Cory aint on the ladder any more?)
*i pull a cross lay off the truck and move twards the car fire*
'Hannahan Charge it!'

(Woops haha I meant Chris)
*I charge the line and watch the crosslay fill with water.*
'You got water Bruce.'

*i slowly open the nozzle and start applying water to the car*

*I see an nice vin and I stick a 16 ga in with no dificulty. I see doug bring over the cot, so I put the bag of NS on the back board, and we put the patient on the cot and strap him down.*
'Alright Doug, lets get him in the truck. When he in the truck, we need to fully expose and look for any burns or anything.'

*I role the stretcher over to the back of the ambulance. Open the doors, then push the stretcher so the small wheels hit the floor the the truck. I hold the stretcher up while Cory pushes the wheels up. I push the stretcher in until it locks*

*I put the bumper back down, shut one door, step in and take a seat on the bench, and get scissors out of my pocket.*

*I pull up to the scene and turn off my siren*
"Botfish on scene"
*I look around but do not see Squad-1*
"Botfish to Hannahan, can I have a report to see what we are at? And do you need me to do anything?"

(what'd they do, take a different route lol)
*I walk over to Austin.*
'Help me man the pump here. That's all for now.'

"copy!"

*runs over grabs a line off the truck and starts spraying down the car fire just before it starts getting the victim badly*

( alright im just gonna assume me and jack have extinguished it)
" Lt. me and jack have extinguished the fire, hood is up and car is venting now, you want us to move over towards the brush?"

*Right after the car smokes away, I walk over to it and see some smoke coming up from under the seat and the glove box. I open the glove box and see things burning.*
'Tim, the car is still burning here. I want you to drench it without touching that man. Hurry up so we could get him outta there and start CPR.'
*I look back at the trees and see the brush on the ground starting to light up.*
"Guys, we have fire on the ground now!"
'Tim, go with the ground fire. Bruce, make sure that car fire is completely out. I want that guy out now.'
*I walk over to McGuire and Cory.*
'Hey, you want any of us to pull him out so you could get to him? He might have spinal injury but if we could put a KED on him, we may be able to get him out without hurting him.'

" Got it hannahan"
* I help jack drag the line towards the brush, leaving my halligan in the hood of the car*
" Jack, lets get some more pressure on this line"
" Botfish: lets get some more pressure on the red line"

* I move back to the car hood and grab the irons and bring it to the bumper of the truck. I then walk back to RA-1 awaiting answers.*
'So... what do ya want me to do here?'

'You need ALS-1 Lt., we have to run this guy in and we can't take 2 critical patients.'
*I have the IV est. and I hook him up to the EKG. EKG is SVT at 170.*
'Doug, get me a new set of vitals. Sir, do you have any medical problems that we need to worry about?'
'Yeah, I have some thing called reentry something or other.'-he says
'Doug we need to move, this guy has a reentry phenomenon. Let get those vitals, and I'll see if we'll go with Adenocard, or Cardioversion.'

'Alright man, thanks.'
*I grab my radio and call COPA*
"Ladder 1 to COPA, we have one DOA here. Resuscitation will be started after we are able to extricate the victim. The car fire is being extinguished now and the brush fire is being extinguished also. The fire is moving away from the electrical pole. Disregard my request for power shutdown to the pole."
((ALS-1))
"Ladder 1 to ALS-1, what's your ETA?"

((We lost or something...? Where are we on scene...?))

(...you're not)
*After the fire is put out, I call out to Botfish.*
'Austin, get the KED from the 4th compartment and a C-collar. I need to get this guy out fast.'

'10-4 Hannahan
*I run over t the Ladder and grab the C-collar and KED then run bac over to Hannahan*
'Here you go'
*I hand the KED to Hannahan and set the C-collar on the ground next to him*