Friday, December 18, 2009

Medical Emergency Requires Multiple-Unit Response

December 6, 2009

A seemingly "routine" call for help turned out to be a serious medical emergency that required advanced medical care and a multiple-unit response. Ambulance 726 was called to the 10200 block of Old Georgetown Road in Bethesda by bystanders who noticed a gentleman who appeared to have fallen in a shopping center parking lot. After performing an initial assessment, the ambulance crew determined that the individual was experiencing a medical emergency requiring advanced care.

They summoned additional resources for assistance. Within minues, Bethesda Fire Department Engine 726, staffed by a Department of Fire and Rescue Services crew, arrived to assist with care. By the time Medic 741 rolled up a few minutes later, the engine and ambulance crews had transferred the patient onto the ambulance's cot and prepared him for transport. The crews transferred the patient to the medic unit, and, with a Paramedic administering care, the patient was transported expeditiously to an area hospital.

Prompt action by bystanders who recognized an emergency resulted in a swift response from the Rescue Squad and Fire Department crews. If you witness someone who appears to require emergency medical care--whether from an injury or a medical problem--you should not hesitate to request Rescue Squad services (call 9-1-1 in Maryland or 301-652-1000 in Upper Northwest Washington).

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Monday, November 30, 2009

Early Morning Beltway Extrication on "Black Friday"

November 27, 2009


Rescue Squad units extricated and transported a collision victim from a car after it was struck by a truck early on the morning after Thanksgiving, the traditional “Black Friday” beginning to the Christmas shopping season.

Rescue Squad 741 and Medic 741 responded at 0525 hours on Friday, November 27 to the Inner Loop of the Beltway between Connecticut and Georgia Avenues for a personal injury collision with a report of one trapped, along with Engine 707 from Chevy Chase and Ambulance 705 from Kensington. Units arrived on scene to find that an automobile had spun out and been struck in the rear by a large truck, collapsing the rear of the car. After stabilizing the vehicle, Rescue Squad 741’s crew popped open the driver’s side door using hydraulic spreaders and cut the B-post using the cutters, in spite of the significant damage that had been done to the driver’s side of the vehicle.

Medic 741 assessed the driver of the car and transported to the Regional Trauma Center at Suburban Hospital. The driver of the truck was unhurt.


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Friday, November 27, 2009

Garden Apartment Fire in Bethesda

November 16, 2009

A total of 7 Rescue Squad units staffed by 20 volunteers – 2 heavy rescue squads, 2 medic units, one basic ambulance, and 2 chief officers – responded with multiple MCFRS units to a garden apartment fire on the evening of November 16.

Rescue Squad 741, Ambulance 726 and Chief 741C were dispatched at 1929 hours to a report of smoke in a 4th floor apartment at 10220 Westlake Drive. Although the first arriving units did not report seeing any smoke, they did find it when they got to the 4th floor hallway. The Rescue Squad crew, along with crews from the first due engine and truck made entry at the apartment to find it fully charged with smoke. While conducting its primary search, the Squad crew found the source of the fire in a heating unit.

After the Squad pulled the heating unit’s cover, the crew from Engine 726 quickly extinguished the fire. However, the fire had extended into the walls between apartment units and into the unit below, requiring extensive overhaul. Finding no one in that apartment, the Squad crew searched all of the adjoining units, again finding them to be charged with smoke but unoccupied.

Unfortunately, the driver from the first-due Engine 726 was injured when she was struck by an automobile shortly after arriving on scene, as she was working to establish a supply line. Ambulance 726 conducted an initial assessment and stabilized her injured leg. Medic 741 took over treatment upon arriving, and transported to Suburban Hospital. The members of the Bethesda-Chevy Chase Rescue Squad wish her a speedy recovery.

Rescue Squad 741B and Medic 741F were subsequently dispatched on the Rapid Intervention Dispatch, and remained on scene for the duration of the incident. Following release from its rapid intervention team responsibilities, Rescue Squad 741B assisted with utility control.

More of the Squad in Action: http://bccrs.org/Action.html

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One Trapped on Beltway

November 2, 2009

The Rescue Squad quickly extricated a woman trapped in her car after a personal injury collision on Tuesday night.

Rescue Squad 741, Medic 726, Montgomery County unit EMS 702, Truck 710, and Engine 710 from Cabin John were dispatched at about 8:15 p.m. for the collision on the outer loop of the Capital Beltway with a report of one trapped. Chief 741D also responded to take command of the operation.

Engine 726 reported on the scene with one person trapped in her auto after colliding with a large truck. The impact ripped off the driver’s front corner, exposing the door hinges, which simplified the extrication. The crew cut the hinges and used spreaders to spread the door from the door jam, providing access to the patient.

After removing the patient, Medic 726 quickly assessed the patient and transported her to the trauma center at Suburban Hospital.

Rescue Squad Responds to One Shot in Bethesda

October 8, 2009

Medic 741 treated a 53-year-old man who was shot at his home in a residential neighborhood of Bethesda.

Medic 741 responded with units from the Bethesda and Glen Echo Fire Departments at about 7:30 p.m. to a report of a shooting to the 6800 block of Millwood Road. Units arrived on scene to find a middle-aged male who had been shot with a handgun while in a car inside his garage. Recognizing the severity of the situation, crews conducted a rapid trauma assessment and quickly transferred the victim to the medic unit. Once enroute to the hospital, they started an IV to counter the blood loss, administered oxygen, and bandaged the wounds.

Medic 741 transported the victim to a local trauma center. The patient survived and is recovering from his injuries.

Montgomery County Police are investigating the crime. Anyone with information about the shooting is urged to call the Montgomery police's Major Crimes Division at 240-773-5070. In addition, Crime Solvers of Montgomery County is offerring a reward for information leading to an arrest or indictment in the shooting.

For more information, click on the link above or visit http://bccrs.org/Incidentoneshot20091008.html

One Trapped as Car Plows into Beauty Salon

October 6, 2009

Rescue Squad 741 was called to extricate an elderly woman trapped in her car when it crashed through a storefront in downtown Bethesda.

Rescue Squad 741, Ambulance 711 from Glen Echo and Bethesda Engine 706 were dispatched shortly before 15:00 hours on a Tuesday afternoon to 6931 Arlington Road for a report of a car into a building. They arrived on scene to find a vehicle that had accelerated down a driveway, struck a concrete pylon, traveled along a retaining wall, and crashed through a glass storefront before coming to rest in a beauty salon. Reportedly, the vehicle had been gaining speed just before the crash. The front end of the vehicle was significantly compressed and the elderly driver was trapped inside. However, there was no structural damage to the building.

After evaluating the structural integrity of the building, the squad crew used hydraulic spreaders and cutters to open the driver’s side door that had been distorted by the collision sequence. The driver was transported to Suburban Hospital by Ambulance 711 along with two salon employees who received minor injuries.

Thursday, November 19, 2009

Choking Victim Saved by Medic Crew and Engine Crew

September 24, 2009


A woman eating dinner in a retirement community began choking on her food and, despite her efforts to clear her airway, went into respiratory distress and became unconscious. The woman’s airway was occluded by food lodged in her trachea (windpipe), which prevented enough air from flowing in and out of her lungs.

Medic 741 and Chevy Chase Engine 707 were dispatched at about 1855 hours on Thursday, September 24 to render aid. Engine 707 arrived first, found the patient unconscious, and began performing chest compressions and suctioning in an attempt to dislodge the food in her trachea and open her airway. Medic 741 arrived shortly thereafter, took control of the incident, assessed the patient, and continued life saving interventions.

While the engine crew continued chest compressions, the Medic 741 Paramedic and Emergency Medical Technician made attempts to suction the patient’s airway and locate and remove the source of the obstruction. When their suctioning attempts on scene failed to remove the blockage, the crews quickly moved the patient to the medic unit, and continued efforts to open the patient’s airway en route to the hospital. With Engine 707 providing manpower, the Paramedic and crew performed aggressive suctioning, applied oxygen, and used a direct laryngoscopy technique (visualizing the airway using a special instrument that lights the upper airway and magnifies an image of the area) to remove the foreign object. After many attempts, the Paramedic removed several pieces of food from the patient’s trachea. The patient regained consciousness and began breathing normally.

Upon arrival at the hospital, the crews transferred the patient to the emergency department where the patient recovered sufficiently to sit up and speak to the medic and engine crews and hospital staff without assistance.



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Busy Day in Bethesda

October 16, 2009

A cold, rainy day highlighted by an afternoon trap job kept the Rescue Squad units extremely busy on Friday, October 16.

Rescue Squad units ran 29 separate calls in a 12-hour period from approximately 8:00 a.m. to 8:00 p.m. These included 18 vehicle collisions on slippery roads caused by a day-long drizzle and heavy traffic throughout Bethesda. A dozen of the calls were on the Beltway or other high-speed limited access highways.

At about 1315 hours, Rescue Squad 741 responded to a personal injury collision at Jones Mill Road and Gunnell Drive, the south entrance to Bethesda Naval Hospital. Upon arriving on scene, they quickly stabilized the vehicle and popped open the driver’s door using hydraulic spreaders and cutters, allowing access to the victim by the ambulance crew.

In addition to the 19 calls run by the Heavy Rescue Squad truck, BLS and ALS units responded to 10 calls, and Battalion Chief Frank Gaegler, the daytime shift supervisor, responded to 6 calls.


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Friday, June 26, 2009

Rescue Squad Responds to Metro Train Collision in Washington, D.C.

Multiple units from the Bethesda-Chevy Chase Rescue Squad responded June 22 to a Metro train collision that, according to media reports, took nine lives and injured approximately 70 people.

Medics 741, 741D, and 741E; and Ambulances 741B and 741C responded to the scene with many other units from D.C., Montgomery County, and other jurisdictions (including Montgomery County’s 20-patient Ambulance Bus, staffed partly with a B-CC Rescue Squad crew).

In addition, Rescue Squad 741 (one of the B-CC Rescue Squad’s heavy rescue units) was transferred to D.C. Engine 24, to backfill for D.C. units that were committed to the train incident and other calls. Additional B-CC Rescue Squad volunteers staffed EMS units and Rescue Squad 741B, the Squad’s second heavy rescue unit, at the Squad’s Headquarters to respond to calls in the Squad’s service area.

According to media reports, one Metro commuter train collided with another train heading in the same direction on Metro’s Red line, on a section of above-ground track between the Takoma and Fort Totten stations in Northeast Washington during the evening rush hour.

Media reports stated that approximately 70 passengers were transported to various D.C. hospitals, as fire/rescue crews remained on the scene for hours searching for additional patients in the wreckage.

After clearing the Metro train incident, two of the B-CC transport units (Medic 741 and Ambulance 741C) were transferred to D.C. fire stations and remained there into the evening to respond to calls as needed.

To long-time Squad members, the incident evoked memories of the Rescue Squad’s response to a Metro train derailment that took three lives on January 13, 1982. On that day, multiple units from the B-CC Rescue Squad were initially dispatched during a raging snow storm to the crash of an Air Florida passenger plane into the 14th Street Bridge. The units were later re-routed to the Metro train derailment in downtown Washington.

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Rescue Squad Uses New Cutters on Early Morning Auto Extrication

It took B-CC units, along with units from Chevy Chase and Kensington, more than 45 minutes to extricate a seriously pinned patient on Connecticut Avenue in the early Sunday morning hours on June 7.

This was the first major use of the Rescue Squad’s new Amkus Model 22 hydraulic cutters that were placed in service June 3rd, thanks to a grant from Fireman’s Fund Insurance Company and Chevy Chase-based Howard Insurance Agency, Inc. (The cutters replaced an older Amkus model the Squad had been using and are designed to cut the stronger frame components prevalent on newer cars today.

At 0201 hours, Rescue Squad 741 and Medic 741 were dispatched with Chevy Chase Engine 707 to a single vehicle crash with a report of one pinned and one unconscious. Subsequently, Kensington Engine 705 was dispatched to provide additional manpower.
Engine 707 found the accident on Connecticut Avenue, between Manor Road and Jones Bridge Road, where a black 4-door Chevy Tahoe had struck a tree in the median strip at a high rate of speed. The point of impact was the driver’s side (front left) corner of the vehicle, and the impact had pushed the engine block back into the driver, pinning his legs.

After stabilizing the vehicle, RS 741’s crew first removed the driver’s side front and rear doors and then immediately cut the B, C, and D posts on both sides of the vehicle. Simultaneously, the crew of Engine 707 from Chevy Chase cut the windshield and A posts on both sides. After the last cut, the roof was removed. They then had to make a relief cut on the passenger side in order to push the dash away from the patient’s legs. This was complicated by the fact that the door frame on the driver’s side had been distorted to provide no purchase point for inserting a hydraulic ram.

Firefighter Paul Morales, who used the new cutters, remarked afterwards that they made his job of cutting the door posts quicker and easier. “It was like cutting through butter,” he said.

After removing the patient, Medic 741 transported an adult male with compound tib-fib fractures to the Suburban Hospital trauma center.

Bethesda-Chevy Chase Rescue Squad Appreciation Night at Bethesda Big Train Baseball - Saturday, July 11, 7:00 pm

What could be more fun than a summer evening of baseball, rescue trucks, and ambulances? Bring the kids! Bethesda Big Train Baseball will honor the Bethesda-Chevy Chase Rescue Squad for its service to the community on Saturday, July 11.

Rescue Squad ambulances and rescue trucks will be at the game for kids and adults to enjoy. Firefighters and rescuers will hand out giveaways to kids and provide information on how you can help the Rescue Squad to serve the community. Men and women ages 18 and up can also learn about volunteering with the Rescue Squad and becoming Emergency Medical Technicians, Paramedics, Firefighters, and Dispatchers.

Location: Shirley Povich Field, Cabin John Regional Park, 10600 Westlake Drive, Bethesda, Maryland. (near Montgomery Mall).

Join us for this fun-filled event on July 11, at 7:00 pm. Gates open at 6:00 pm. For information on gametime and purchasing tickets, call 301 983-1006 or visit www.bigtrain.org.

Rescue trucks and ambulances will arrive shortly before the game for kids and families to explore. The Bethesda-Chevy Chase Rescue Squad thanks Bethesda Big Train for its generous support. For more information, visit http://www.bccrs.org/news/BethesdaBigTrain2009.html