|ISSUE ( 18 )|
|Newsletters - [ Archive ] - If you are unable to view this News Letter - Click [ HERE ]|
Register and get this Rescue News Letter for free - just click and send [ Add my e-mail address to your list ]
Dear Reader - In this issue we continue with our serialisation of 'Working With Live SRS' and 'Hydrogen On-Board Vehicles'. We have had very positive feedback on these subjects and it has helped greatly in our research. We intend to incorporate some of the information into future articles. Also in this issue we take a look at the UK's new laws on Corporate Manslaughter and Corporate Homicide and how it may affect the UK fire service. It would be very interesting to know how world fire services measure their MVC/RTC performance and the 'duty of care' they afford their public. I have been to many fire services and from my experience, audit plays no part in service delivery particularly in MVC/RTC extrication rescue. Perhaps this is an area we should look into in future issues - let me know if you would like the news letter to move in this direction. l - Len Watson editor - [ FEEDBACK ] -
|Working with Live SRS .../..||...||
Hydrogen On Board .../..
|Corporate Killing ../..|
In Last month's issue we discussed 'inverted side removal' on a 4dr car that has come to rest on its roof, where the vehicle has intact undeployed SIPS, which included head protection systems (air curtains). In this issue we continue and look at the critical risk issues that can be associated with vehicle extrication rescue.
As always we would advise all new readers that this article is one in a series and, to gain a complete understanding, it is necessary to begin by reading ISSUE 10 – 17 ‘Rescue with live undeployed SRS systems’ before continuing to read this issue – Click [HERE] to begin.
Before we move on to the critical risks involved in this extrication, to refresh your memory I would ask you to read the history of the incident again -
History - Single vehicle crash - front 1/4 oblique impact - The 4dr car has had a 40% front off centre pointed impact with a tree and has ended up on its roof, nose down on roadway. The front road wheel and suspension have been shoved backwards into the front footwell restricting the available space where the casualty's lower limbs and feet are located. The casualty is suspended up-side-down held by the seatbelt.
The steering wheel airbag and the driver's pretensioner have deployed - The front passenger airbag and all SIPS (front seat mounted airbags, air curtains) and all the remaining pretensioners remain undeployed - The vehicle's battery is under the bonnet/hood and cannot be accessed - The driver is trapped in situ.
In the extrication detail in ISSUE17 we discussed the variations in inverted side removal dependant on the positioning of the SIP modules. We are now going to discuss the likely risk critical areas that may arise and the reasons why certain risk control measures are adopted.
a pre-note to this study I would draw your attention to the relevance of
'Duty of Care' and its bearing on other members of the rescue team. This
is particularly prevalent in the
UK. For more information read: UK
- Corporate Manslaughter & Corporate Homicide Act 2007
INVERTED SIDE REMOVAL - Working with live SIPSCritical Risk Information: Where undeployed seat airbags, HPS/IC are identified, when disconnecting, cutting, spreading or crushing in the area of SIPS components or wiring; enforce fully all risk control measures:-
- It should be taken as a matter of fact that all post 1993 vehicles will have seatbelt pretensioners, and a large proportion of 4 door vehicles will incorporate them in the centre posts. Other cars will have their pretensioners fixed to seat-bases both on front and rear seats. Some vehicles may have their pretensioners fitted to the front seatback. The center pretensioner on rear seating ca have the unit installed in the roof structure.
- Some vehicles have pretensioners which also deploy on the SIP system.
- Completely remove the seatbelt from the casualty. Cut away and remove any loose seatbelt webbing and metal tongue and retain for the AIO (Accident Investigating Officer).
Cutting through all seatbelts is a pre-requisite to lifting away the cut away roof structure- Always observe the 20 and 6 inch rule (500 and 150 mm rule). Where and when appropriate, move casualty's arm away from the electronic seat-bag's deployment path. This is only ever required when dealing with undeployed systems when disconnecting or cutting SRS wiring, or cutting, spreading and ramming that may have SRS wring running through the structure.
- To prevent adverse metal movement, the cut to the base of the centre post must be performed before the centre pillar is cut close to the roof's side channel. This procedure will prevent the post turning in on the casualty as the cut is made.
- DO NOT allow hydraulic tools, an air chisel or reciprocating saw to impact with a sensor or undeployed module.
- DO NOT place any objects or dismantled parts in front of the doors in the path of airbag deployment. Considerations should also be given as to the door incorporating a window deploying thoracic airbag.
Therefore it should be considered one’s first choice to disconnect a module at its connector plug. - Most connection plugs have a fail-safe device to prevent static discharge.
- Disconnection will only disarm the module in question and not the system.
- Disconnection from the module itself is more likely to lead to static discharge.
This connection is invariably micro sized and prone to uncontrolled movement as disconnection is made. - Be aware, to cut SIPS wiring at the same time as other live wiring could possibly short-circuit the system.
- DO NOT cut through the SIPS connector plug as it could create static or short-circuit with other wiring being cut.
- To accidentally short circuit one module or activate a sensor will deploy all other modules on the same system.
- It may be impractical to physically identify where SIPS sensors are located. Sensors can be located at the base of the centre post or strategically sited in the sill/rocker panel and a concentrated effort should be made to avoid them.
Consider, sensors can be compromised in the impact and be left in an unstable condition.
- DO NOT cut, crush or spread SIPS sensors Sensors are easily damaged and can deploy the energised system.
- Even where the battery has been disconnected and the capacitor given sufficient time to drain, to cut through or crush the undeployed pretensioner cartridge could deploy the module or liberate propellant - see Rescuer Beware, Sodium Azide can kill [ CLICK ]. - Carry the centre post and rear door with bag deployment path facing away from you
- DO NOT throw or drop the removed door
- DO NOT place the removed door trim face down
- DO NOT place any objects or dismantled parts on top of the removed door in the path of airbag deployment. Also consider that the door may incorporate a window bag.
Liberation of propellant: The most likely incident of propellant leak will be experienced where the seatbelt pretensioner is cut through. Sodium Nitrate may detonate whereas Sodium Azide will present a serious chemical hazard. Instigate and observe safety procedures in force within your department.Before you leave scene - Commitment to care
- Prevent/reduce cross-contamination - with blood and body fluids - use a super absorbent and a high integrity biocide
- Prevent needle stick injury - clear the vehicle of sharps
PAD - Post Accident Deployment -
PAD and any subsequent injury will need to be investigated and made the subject of a report. Where PAD results in serious injury or death, you will be required to give evidence at a court of law. Ensure that all details are recorded, timed and dated. Pictographic evidence will also be required. Artwork: free download - click image On completion of the extrication - preserve the accident scene, place warning signs or pass 'DUTY OF CARE' on to the Police/Recovery agent.
the known areas of severe entrapment in the overturned vehicle, that often
ends in casualty demise, can be identified where the roof pillars suffer
partial or complete collapse. In witnessing the many extrication
competitions, this is one area I see the participating teams, when given
this scenario, fall down. Here I see teams performing side removal and
ramming between the sill and the roof’s side channel or burrowing in via
the hatchback to gain sufficient space to release and remove the casualty.
Hardly conducive to spinal care and immobilisation.
Due to their keenness to take part in competition in the first place, it seems reasonable to presume that these teams represent the best within their service. My operational and training experiences have led me to the same understanding. It must be stated here that the value of making space has long been seen as the best way to perform a controlled release, enabling the team to stabilise and remove the casualty with the minimum of unwanted spinal movement. This is particularly relevant in overturned vehicles as spinal injury can be seen to be more prevalent. It is from this perspective I advocate the following life saving procedure, as it is easy to learn, safe to perform and can with practice be performed in around 15 minutes.
The CLAM evolution entails the side of the car being removed, rams being placed strategically in position, a strategic cut made to the roof's 1/4 post and the rams extended to open the interior of the vehicle up. This evolution has been around for a long time. It can be performed with one ram, but in the interest of convincing sceptics, it is advisable to incorporate two rams until the evolution gains acceptance.
The whole evolution, including vehicle assessment, stabilisation and risk control measures can be realistically performed in under 15 minutes. Of course this requires practice, both to gain the skill level and the confidence to perform it for real when it matters.
firefighter or paramedic without sufficient medical know how or understanding, there is no easy way
to evaluate the importance this evolution holds for the entrapped casualty.
Suffice it to say that experience will eventually guide you this way.
Suffice it to say that experience will eventually guide you this way.
In the next issue I will detail the various scenarios, the procedure, include all the risk control measures and SIPS safety information so that the reader can appreciate what is involved, and the real value that the CLAM holds.
Continued from previous ISSUE
far in this series on hydrogen on board vehicles and fuel cel vehicles
(FCV's) we have discussed the following:
3.) Physical properties
4.) Transferring liquid hydrogen
5.) Safety Considerations
7.) Fire Fighting
8.) Personal Protective Equipment (PPE)
9.) Identifying Potential Hazardous Situations –
hopefully has opened the mind of the reader and given some idea of the
hazards and risks that firefighters / rescuers may have to face in the not
too distant future. To offer a more in-depth insight we will attempt to
capture the imagination by offering up some likely operational scenarios
and invite, you the reader, to consider what actions you would take to
combat the situation.
In this issue, in the name of discussion and learning, we are going to speculate on some hypothetical situations that no doubt will arise. In an effort to prepare for this eventuality we are asking you the reader to become actively involved. Hopefully with our collective minds we will enter a new learning curve to share with all rescuers.
The Road Traffic
investigation you rule out the vehicle’s tyres and radiator as the
source of the noise. There is
no abnormal smell and any give-away indication, and motif or badge has
been obscured by the impact damage.
Now taking account of the information imparted in this series so far what else can we now consider?. I would like to ask you the reader how would you risk assess this situation and how would you control the risk and manage the extrication?
To submit your thesis click on the following link – [ RTC ]
Garage – Hydrogen release
To submit your thesis click on the following link – [ H release 1 ]
To submit your thesis click on the following link – [ H fire ]
in underground car park
What actions must now be taken –1.) To fully extinguish the fire
2.) To safely manage the hydrogen leak
3.) To ensure the safety of firefighters
4.) To prevent an explosion
5.) To purge the basement
To submit your thesis click on the following link – [ H Fire/release ]
release in an underground car park
us through the likely risk assessment and your immediate actions to –
2.) Evacuate the car park
3.) To evacuate the department store
4.) To ensure the safety of firefighters
5.) To prevent an explosion
6.) To purge the car park
To submit your thesis click on the following link – [ H release underground ]
One more area I would like you to consider from the fire angle is the significance that the batteries play, particularly when they contain Potassium Hydroxide (You may access information at [ CLICK ]. On familiarising yourself you will begin to see the significance that the run off can have as the fire is extinguished, especially as FCV’s have a sizeable bank of batteries. We will discuss this in a later issue of the news letter.
am sure you will agree that the hypothetical situations outlined here are
not far fetched and realistically simulate real situations that are likely
to arise in the future as fuel cell vehicles become common place. Managing the risks that these vehicles will undoubtedly bring
with them must be given early recognition and, to be prudent, to speculate
on what can possibly go wrong opens the mind of not only firefighters but
designers and planners. That cannot be a bad thing!
submitting your ideas on this subject we would appreciate ‘right of
reply’ and your permission to discuss your input on an open platform so
all readers can benefit and partake in the forum. We would appreciate an
early response so that we can begin discussing further these scenarios in
the next issue of the news letter.
brief introductory article on the Corporate Manslaughter & Corporate
Homicide Act 2007 can be read at www.resqmed.com/Corporate.htm
Home Secretary has made it clear that he intends to enforce the law to
make it easier to identify and convict those responsible for corporate
killing but what does this new Act mean for the Fire Service?
The Act can be accessed at this site - The Corporate Manslaughter and Corporate Homicide Act 2007. The Act in prescribing relevant 'Duty of Care’ makes, amongst others, managers personably responsible for their actions and/or lack of action. Within the Act the relevance of ‘Duty of care’ plays a crucial part in understanding the Act.
of relevant 'duty
(2) a duty owed to its employees or to other persons working for the organisation or performing services for it; a duty owed as occupier of premises;
‘Duty of Care’ is further defined in section 8 of the Act where it is broken down into bite sized sections so that a jury can consider blame pinpointing relevant areas.
for the jury
1 (b) it falls to the jury to decide whether there was a gross breach of that duty.
- The jury must consider whether the evidence shows that the organisation
failed to comply with any health and safety legislation that relates to
the alleged breach, and if so—
2 (b) how much of a risk of death it posed.
jury may also—
3 (b) have regard to any health and safety guidance that relates to the alleged breach. (4) This section does not prevent the jury from having regard to any other matters they consider relevant.
(5) In this section “health and safety guidance” means any code, guidance, manual or similar publication that is concerned with health and safety matters and is made or issued (under a statutory provision or otherwise) by an authority responsible for the enforcement of any health and safety legislation.
section 3 the jury has been unleashed to examine procedures and accepted
practises and today this is more and more going to be influenced by expert
witnesses. Existing standard operating procedures that have been tolerated
for years will be scrutinised and the Act does
not prevent the jury from having regard to any other matters they consider
In lieu of outmoded SOP’s it would appear that the fire service as a whole is under ‘starter’s orders’ and leaves no illusion that fire service management personally hold a degree of responsibility for firefighters while at the workplace and in pursuance of their duties. Many examples where the fire service could be found wanton immediately spring to mind.
Guide lines - have been in use in the UK fire service for as long as I can remember (over 50 Years) and in that time they have remained virtually unused. Except for drills I can recall only three fire in my service career where they were used and then at one of these fires (Gallender Street, East London), they were primarily responsible for two firefighter deaths. At the Coroners court the London Fire Brigade received an ‘improvement’ notice which necessitated a rewrite of their Operational Procedure 91 note. Certain points were raised during the proceedings but were never realistically acted on. The OP was rehashed and accepted but the warts still remain. Why, because nobody knows any better and still no review and audit is in place to measure performance.
SCBA Duration times - What a nonsense this has been over the years. The principle of having a stage procedure for booking firefighters into a smoke logged building where the duration time of their air set is estimated, the equivalent of an adult walking at 4mph (6kph), is ludicrous as in reality it can be as much as 50% out of kilter. The equation takes no account of hard working, severe stress and differential in personal air consumption. Moreover, emergency procedures for colleagues in trouble is based on this flawed concept and there is no realistic awareness training in place to address this very significant finding. Consider - firefighters can be low or out of air before entry control sends in the emergency team.
Fire fighting techniques - A London firefighter, Paul Grimwood, wrote ‘Fog Attack’, a well researched manual offering, amoungst other things, a safe means of firefighting that has been adopted by many fire departments all over the world; but not all.
it because it’s flawed or not everyone agrees with the principle? Since
the launch of this book most firefighter I know and many firefighter I
meet, know about and make use of pulse water spray firefighting (The act
of pulsing water spray overhead to lower ceiling temperature and to ascertain
whether it is boiled off or it returns as droplets indicating that it is
safe to proceed). Does it prevent flashovers?
Has your fire department trialled the technique in the flash-over
simulator? Surely, one would
think, common sense must prevail and, after evaluating this technique, it
would have been embraced and adopted on a wider scale.
The use of high pressure atomised water and chemical suppression additives is held back in the same way positive pressure ventilation was. Wonderful claims are made by manufacturers and distributors of these systems. Have you ever looked at how these systems are trialled by the fire service and by whom?
What’s new in the fire service? Thermal imaging, new radios (Shame about radio procedures and the ability to work underground), new fire gear, new fire appliances; all of these have been there for a long time and upgrades do much of the same thing. Think new ideas and trialling new procedures – now ask what’s new!
techniques – We still have the same old search techniques written
into the fire service manuals which were in place before I joined the
service way, way back. Still
relevant today? I hardly
think so! There are many building types - domestic, high rise, offices,
factories; warehouses etc that far supersede building designs of the past.
It’s almost laughable to read except it’s a criminal shame. Why?
Because nobody takes responsibility and the knowledge has not been
researched and improved upon.
After the Fire Precautions Act 1974 premises inspection were initiated and the rank and file where sent out, inspections were carried out and1(1)d plans drawn up for each building. Where are they now and what use were they ever put to? Today there is a new initiative, Operational Recognisance Index Cards (ORIC), not only designed to familiarise firefighters with premises but to be made available operationally. But why cards and not electronic storage? How do they intend to share this information? All of this is going to take a very long time unless someone comes up with a practical solution. Perhaps it should have been written into Fire Order 2005 making owners and tenants responsible for this. I presume that the fire information box is meant to be the answer.
and elements of training – All fire services and managers hold a
‘duty of care’ to their employees. This is enforced both in civil and
criminal law and today a civil action can impose unlimited fines and
corporate homicide can carry life imprisonment.
Training must reflect the real issues encountered in the
firefighters field of operations. The vast majority of a firefighter’s
duties are a known quantity that can be broken down into their various
elements. The mystique, or should I say myth, that ‘no two jobs are
alike’ is unveiling fast. The role of the expert witness will see to
that and also open up the cans of worms that will eat away the complacency
and cover up of incompetent managers.
at what point we are at. Who does what in training?
The individual firefighter is only ever monitored and assessed in
basic training. When it becomes a team activity, it is the team that is
assessed. This is prevalent in fire house training where it is difficult
to monitor individual action during fire-house exercises in cosmetic
smoke. It becomes even more prevalent when training in ‘confined
space’ techniques and very obvious indeed in RTC training where training
in the use of individual tools, employing the various techniques to
perform all the different evolutions are not mastered.
And who keeps exact records of the relevant elements of training?
It appears that superficial tick box training is all anybody ever does.
only broached upon the subject here but it takes on a new dimension when
firefighters are called upon to do their duty. In the field of operations
the fire service has introduced another mystique called ‘continuous
dynamic risk assessment’. Sounds
wonderful, a life saver built on the fabrication that we all know what we
are doing. Knowledge is a wonderful thing but we must also appreciate
that it highlights the flaws and all the cracks that have been papered
real risk assessment that can be undertaken at present is built on what we
know. You have got to recognise a hazard before the risk can be assessed.
Straight forward – well no, the hazard may be hidden. Moreover it may be
unknown as we are ignorant of it. Consider here that ignorance is no
excuse if the information is available, especially if it is in your face,
in text books and manuals.
Risk control measures and critical risk information has grown up with Health and Safety. A good example is the chemical industry where all elements and processes are risk assessed; where exacting assessments have lessened the incidence of catastrophe and injury. Using this as an example how does the fire service measure up.
training has become the fire services’ answer.
However this falls flat on its face as there is no operational
audit. There is no realistic operational collection of information, audit
and review in place within the UK fire service. The only saving grace in
all of this is hindsight, where past history can be measured by those with
a good memory. Even so this can escape managerial minds which leaves
firefighters, that is only the ones who care, to persistently harass
senior officers for improvements. When this relates to employee safety,
management can no longer afford to sweep it under the carpet or act upon
it at a later date. If they
do, it becomes their personal responsibility and as such accountable in a
civil and/or criminal court of law.
But by what ‘Duty of Care’ do managers or firefighters, individually or as a whole, now hold for the people that are in need of their services? In section 6 of the Act we find certain opt out clauses relevant to the emergency services.
(2) The organisations within this subsection are—
(2a) a fire and rescue authority in England and Wales;
(3) For the purposes of subsection (1), the way in which an organisation responds to emergency circumstances does not include the way in which—
(3a) medical treatment is carried out, or
(3b) decisions within subsection (4) are made.
(4) The decisions within this subsection are decisions as to the carrying out of medical treatment, other than decisions as to the order in which persons are to be given such treatment.
Does this then mean that fire services’ obligation to the public is thrown to the wind: that in the pursuance of their statutory duty, managers and firefighters cannot be held accountable? Certainly as far as ‘Duty of Care’ to the public is concerned it would appear to be the case. Within the fraternity of the fire and rescue service it has long been known that fire service commitment is far from perfect. But what can one expect, when there is no breakdown or audit in place, other than the watchful eye of senior management and the Inspectorate of Fire Services all working within the constraints of last centaury thinking and tight budgets.
NEWS & VIEWS
Len, having read the news letters on working in and around un-deployed
safety systems, what are your views on this scenario?
Following a road traffic collision (RTC) the most common initial access to the casualty to secure c-spine and airway is to reach in through the door window opening. Now if the vehicle has a door mounted airbag and head protection system HPS, we are putting ourselves at some risk by reaching in through the door window. One technique that our trauma trainer has taught us is, if the casualty is slumped forward, it involves leaning through the window opening (both head and torso) to move the casualty (torso, neck and head in-line) into the upright sitting position. This could lead to some major injuries if SIPS were to deploy
As this is the most common method to initially manage the casualty's airway, I can only assume that once all other safety measures have been put in place, then this is a risk we must take. Is there a better solution to stabilise the casualty without leaning in through the window opening? If this is the only way, then I would carry it out as long we are aware of the potential risks.
Len I would appreciate you views as always - John Curley - Firefighter
A.) Leaning through side windows of a car equipped with door or seat mounted airbags should be evaluated where -1.) the casualty is not critical (Maintaining all vital signs i.e. conscious and responsive) 2.) the casualty can be termed 'critical' (failing vital signs i.e. incoherent/unconscious)
In relation to 1.) above, the extrication can be handled over a longer time period and the medic/s given longer access through window openings before respective cutting and spreading is carried out.
of 2.) above, where a rapid extrication is necessary the medic will have
to be more flexible. Where the battery/ies can be disconnected the
problems will not arise and the extrication can be managed safely without
fear of deploying SIPS. However with undeployed energised SIPS,
extrication must be performed with enforced risk control measures.
‘Continual dynamic risk assessment’ of an RTC vehicle extrication incident is dependant on risk recognition, risk assessment, risk control measures and risk critical information. The procedure becomes pointless if the risk is unknown, cannot be seen or understood. Similarly, risk critical information must be weighed as benefit versus risk as the operation unfolds.
this in mind, in answer to the more specific side of the question you put,
forcing doors at the doorlock have, in the UK to date, no reported incidence
of inadvertent deployment. Therefore a medic leaning through the front door window of a
car subject to a frontal or rear impact, up to this present
point in time, has not been at risk. Cutting and crushing poses an
altogether different risk but one that can be managed safely. Even so, you
should keep in mind that it is only during the brief act of actual
cutting, crushing and disconnection / cutting SRS/SIPS wiring that any
perceivable risk really exist. Therefore in terms of safety, the following
procedure is advisable - make ready the task and position the tool, and
then enforce the safe distance rule until the task is completed.
Other than that the risk of tending to the casualty through the door
window is so far not a problem.
a medic can gain entry into the vast majority of crashed vehicles. This
obviates the need for leaning through open windows for prolonged periods.
But we still have to consider and manage the undeployed SIP system
mounted, not just in doors, but in seats and in the roof of the car -
trust this answers your question – Len Watson
- I trust this answers your question – Len Watson
Euro NCAP’s concerns were justified: both the Nissan Navara and the Isuzu D-MAX/Rodeo received poor scores in Euro NCAP’s adult occupant rating. This confirms Euro NCAP’s belief that car manufacturers need to boost their efforts in safety testing across their ranges before cars reach production. The Navara achieved an extremely poor. Nissan consequently has now announced a service campaign with the intention of improving the airbag software of every Navara on the road since the start of production.
Although Nissan is progressively recalling all Navaras to rectify late airbag deployment, amazingly the recall takes no account, what-so-ever, of the passenger compartment becoming unstable in the impact and unable to withstand greater loading.
EuroNCAP states that "The chassis rail collapsed on the impacted side, allowing a significant level of intrusion into the driver's footwell. As a result, the dummy readings indicated a high risk of injury to the left tibia. Structures in the dashboard presented a hazard to the knees and femurs of both the driver and the front passenger. Protection of the driver's chest was rated as weak owing to the extent to which the chest was compressed, combined with the threat posed by the unstable passenger compartment. The passenger's neck was bent rearwards in the impact, presenting a high risk of life-threatening injury".
This makes Nissan the latest motor manufacturer to leave a prescribed entrapment legacy to its customers and to the emergency services. Think on: this issue has been around since this vehicle was introduced. Go deeper and no doubt we will find that it has led to many cases of morbidity and even death.
Who is going to address this issue and represent the families? Only the emergency services ever see the carnage and only the Police take down the details that can be offered in evidence which, incidentally, never measures vehicle performance. The question begs - who is killing who?
COMING NEXT ISSUE
15 years on: Fire 'Gallender Street, unlawful killing' - The extraordinary story of a fire in a multi rise warehouse that claimed the lives of two fire-fighters and questioned certain procedures that still remain in force within the UK fire service.
|Contact Len Watson - firstname.lastname@example.org or at email@example.com|
|Useful quick Links -||
New eBooks - Crash Rescue - 'Vehicle entrapment rescue and pre-hospital trauma care' is the first book of its kind to interact the disciplines of technical and medical rescue. Know more about 'best practice' for in-vehicle resuscitation and patient management and learn what the paramedic can reasonably expect from their attending fire department. And RTC extrication RESCUE - The most advanced manual available today. An up to the minute technical production for Vehicle Entrapment Extrication that offers risk assessed evolutions, safety measures and alternative options that cater for the very real world of rescue - For more information click on banner image under -
|Not sure what to do with SRS?? - Over 1600 information sheets and risk assessed vehicle extrication evolutions|
|Participate in the development of crash rescue -|
Visit resQmed's Study Program - Its INFORMED and FREE and we are offering its benefits to you in the hope of encouraging you to participate in, what we believe to be, a very worthwhile platform for sharing information and keeping abreast all the new developments in rescue. To access, click this link
|UNSUBSCRIBE: If you do not wish to receive any more News Letters. click unsubscribe here and send.|