Smart Forfour 454-7

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Overview

Proper casualty rescue

Whereas formerly priority was given to quickly


rescuing the trapped casualty from his predicament, i The main priority is to render medical and
the primary concern nowadays is medical and psychological aid to the casualty!
psychological assistance. The aim of this is to
prepare the casualty as well as possible for the i The safety of the medical and rescue crews
rescue work. themselves should not be neglected:
The medical and rescue personnel can then work in • Wear protective clothing
concert to free the casualty from the vehicle. • Wear eye protection
• Wear protective mouth mask
The most urgent immediate measures at the • Secure the accident vehicle
scene of the accident are:

• Maintaining or restoring the vital functions


(respiration/circulation)
• Keeping the respiratory passages clear and
rectifying any breathing difficulties
• Assessing shock and initiating measures to
stabilize the casualty
• Rendering psychological support to the casualty
• Treating lifethreatening injuries
• Stopping major bleeding
• Immobilizing certain body parts

Immobilizing the neck

As the head often experiences extreme movements


in traffic accidents, there is an increased risk of i The head restraints should only be cut away
spinal injury in the neck region. To prevent further in exceptional cases!
damage to the cervical vertebrae, it is essential to • Cutting the head restraints away exposes the
immobilize the neck before any further rescue casualty to additional movements
action is undertaken. The most common method of • The head restraint can no longer be used to
immobilization is to use a cervical collar ("Stifnek"). stabilize the casualty's head
This is a plastic collar which is placed around the • Cutting away the head restraints produces
neck and closed with a velcro fastener. sharp edges
If access to the casualty is difficult, the head
restraint can be removed first before fitting the
cervical collar.

Page 6 Guidelines for Rescue Services, smart, 2006

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