[siren]
All right.
Hey, when we get there on this accident, let's get, uh--
let's get the good tactical spots so we can deploy.
Get to the point to put all our stabilization
stuff, get this tool dropped down on the ground,
so we can start the work we gotta do.
Deployment hadn't really said what's--
what appears to be the problem with the vehicle,
but we'll figure it out when we get there.
31 on scene, reporting.
What we got right now is a two vehicle accident.
Our ladder truck's on scene.
They're advising there's heavy damage to one of them, with a--
with a confirmed patient entrapped on the inside.
We got a rescue, and a second rescue responding.
A DC responding with us, also.
It's in a pretty--
we get a pretty significant amount of accidents
here from time to time, so we're gonna
get our truck as close as we can,
because we're the heavy rescue.
We're going to drop our tools on the ground.
We're going to start--
a little joke around our department
is we're gonna start cutting and strutting.
So we're gonna stabilize the vehicle,
get our tools out, extricate the patient as best
we can from the vehicle.
Try to-- to limit any further injury, or any type of hazard
from there.
And hopefully, everything works out well.
123, spot-- we got a good spot to bring the truck in?
Pull over right behind that deputy vehicle in front
of the dump truck.
Copy.
[interposing voices]
We've got heavy damage to the driver's side.
Confirmed entrapment.
[inaudible] extrication mode.
This is up right to it, bro.
[radio chatter]
Man.
Like we were advised, heavy damage to the driver's side.
Drop the tarp, get the tools out.
Roof needs to come off.
Don't worry about this.
Roof needs to come off.
Let's go from here.
You've got a full reset.
No further hazards.
Closing off [inaudible].
Hey, bud.
Hey.
Roof completely off.
Let's take everything off this car.
All right.
Plus, you've got pretty good intrusion.
Once we get it--
We'll get this door out of the way.
Let's see if we can cross ram it from here to here,
and push that off of her.
And then go from there, once you push this door off--
Want me to just go ahead and do a side out from the back?
Let's get this off-- let's go ahead and get this off first,
if we can.
Cutters down?
Cutters right behind you.
Copy.
Hey, they already call trauma alert?
Oh, yeah.
Call it.
Just one?
Just one right now.
We need a couple of sheets, so we can cover the person up.
Hey, [inaudible].
Yeah?
Give me a couple of rams out here.
We're gonna have to cross ram it.
All right.
Hey-- hey, oh--
get the saws off, starting taking those posts off
on the far side.
Get the whole roof off.
OK.
My name's Greg.
I'm a paramedic.
I got cutters coming right above you here.
Spread-- can you spread this up?
Hit the-- hit the hinge in the bottom of that,
and that'll open it up where we get [inaudible]..
We get right to it.
[creaking]
[radio chatter]
Thank you.
We got it.
Hey, make a debris pile over here, between the--
dump truck and the ASO car.
You got your blades open?
That's good.
There you go.
Perfect.
[crunching]
Want me to just cut that thin?
Yeah.
Take that out of the way, right there.
It was digging into it.
It's the tools--
this is coming off.
We're taking the whole roof off.
OK, ma'am, drop [inaudible] out of the way.
OK.
Go towards you, actually.
Take off that side.
Cut-- hey.
Cut--
Help me.
Cut all this off.
Oh, god.
We gotta watch this glass.
Flap it over.
Hey, who's got a knife?
It'll flap over.
It's OK.
Hey, spreader-- hey, bring that spreader back around.
Nice and flat.
Help me.
We are, ma'am.
Spreader.
OK.
Stop real quick. Yeah.
Put it deeper in.
Let's scoot up the board.
[beeping]
Watch your arm.
Yeah.
We gotta get another in.
Yeah.
[radio chatter]
Go ahead.
[radio chatter]
Hey, buddy, grab the board.
Right here.
OK.
Get her in the truck.
You guys are gonna be doing a lot more to her.
Hey.
[radio chatter]
We're right in?
Yes.
[inaudible]
Come up.
- You know who he is? - 30.
30?
All right.
Where's your truck?
31?
OK.
All right.
[beeping]
Take that, the headset.
What's going on, LT?
All right.
So this is a pretty major damage extrication.
Watch these.
Go that way, guys.
Go that way.
It's a pretty major damage extrication.
We have one patient that we had a trauma alert at the trauma
facility, meaning that they were going
to get their trauma surgeons, and their extra staff
online, ready to receive.
Possibly multiple fractures everywhere.
She was pinned by the dash.
We had to use a technique called a modified
dash lift to get it off of her.
And then we were stopped suddenly by the seat back,
because we couldn't get it down to bring her out on a linear
access, or a flat plane without manipulating
her to cause more c-spine--
cervical spinal injury.
We got her out now.
She's still conscious, we got her on O2.
They're going to do a further assessment
in the back of the truck.
All in all, hard extrication, but a good one.
We got-- we got her out in a pretty quick amount of time.
Come on back out of there.
Got it.
Hey, bro, drop all your stuff.
We'll get it.
Hey, watch your arm.
Boss?
Boss man?
Squad 23, one rider, riding in.
How many does he need?
He need two?
He needs two.