Much has been written by today’s vehicles and their hazards and our concerns to mitigate them. We all know about hybrids and changes in motive power. Also, safety systems are present in ever great numbers and locations. I have written much about various concerns and issues revolving around changes in vehicle construction and materials. Many of you have encountered vehicles that might bewilder or downright frustrated you. You think, “Gee this isn’t like the vehicles we have drilled on.” Much has changed, but there is a common thread throughout these changes–we need to provide access and a disentanglement pathway for the patients in the vehicle.
All rescues skill is patient care driven. Although tool operations are indeed a skill, there is an “art†to creating or making space. How do we graduate from simple tool application to this advanced stage? We know we need to provide a safe and rapid pathway to disentangle our patient. Many times our pathway for access becomes the pathway to extrication, as well. But is this still appropriate given the changes in vehicles today? Maybe cutting isn’t as effective as pushing components apart? Is the pathway staring at us and we just haven’t realized it?
In this Webcast, Dave Dalrymple puts forth some changes in our current mindset in what rescuers do on scene; the tools they choose and use; how they prepare for the incidents they respond to; and even some of their education and training





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