November 14 , 2010
Rescue Squad Extricates Two After Head-On Collision
The Rescue Squad extricated patients from two vehicles following an early-morning collision on Sunday, November 14. Rescue Squad 741B and Ambulance 741B were dispatched at about 1:45 a.m. for a personal injury collision with rollover on Jones Bridge Rd. at Lynnbrook Drive, adjacent to the Walter Reed Medical Center. As the units were arriving on the scene, Montgomery County dispatchers updated responding units with information that there was one pinned.
RS741B arrived first to find a Cadillac sedan on its roof abutting the Medical Center's fenceline. The Cadillac's driver was partially ejected through the sunroof with the roof of the car resting on his torso. The other car was a compact vehicle, with significant front-end and driver’s side damage. It was located in the middle of the roadway, some distance from the SUV. An initial survey found that its driver was trapped and possibly pinned in the vehicle.
The Rescue Squad was positioned to enable sequential extrications. Given the state of the victim who was partially ejected through the sunroof with his torso pinned under the Cadillac, the Squad crew chose to conduct a rapid extrication. They used the hydraulic spreaders to lift the vehicle while throwing step chalks under the vehicle. Once the vehicle was off of the victim, he was rapidly extricated and promptly pronounced by the medic on Engine 707, from Chevy Chase.
The squad crew then stabilized and began extrication of the driver in the other vehicle. The crew began by popping the driver’s side door with the hydraulic spreaders, and then used a combination of the spreaders and the cutters to remove the door’s hinges. Once the victim's legs were exposed, it was discovered that she narrowly avoided being pinned and was extricated without further cutting.
Because the Rescue Squad’s medic unit was tied up on another call, Medic 701 from Silver Spring was dispatched. After removal from the vehicle, the driver was assessed by medics, and quickly transported by Ambulance 741B to the Trauma Center at nearby Suburban Hospital, with the paramedic from Medic 701 upgrading the unit to an advanced life support unit.
The total extrication time for both victims was approximately 17 minutes.
The Rescue Squad’s Chief 741 took command of the incident, assisted by Montgomery County Battalion Chief 702.
Sunday, November 28, 2010
Sunday, November 7, 2010
Rescue Squad Extricates One From Overturned Vehicle
November 5
Rescue Squad units worked with crews from Bethesda and Glen Echo Fire Departments to quickly stabilize and remove the driver from a large SUV that had flipped on its side in an early morning collision on Little Falls Parkway in Bethesda.
Rescue Squad 741 Bravo and Medic 741 were dispatched at 6:00 a.m. on November 5, along with units from Bethesda and Glen Echo for a personal injury collision with a report of a vehicle overturned. The initial dispatch reported the incident to be at Little Falls Parkway and River Road.
Glen Echo Engine 711 found the vehicle on Little Falls to the south of River Road, with the vehicle on its side with one person trapped. Rescue Squad 741 Bravo’s crew arrived and began to stabilize the vehicle using Paratech struts and comealongs on the bottom of the vehicle, and step chocks on the top.
Once stabilized, the Squad crew worked with the crew from Bethesda’s Truck 706 to cut the SUV’s A and B post and flapped the vehicle’s roof, using hydraulic O-cutters. This provided access to the driver, who was assisted from the vehicle onto a backboard. The patient was then transferred to the crew of Medic 741, which conducted a trauma assessment and transported to Suburban Hospital.
Rescue Squad units worked with crews from Bethesda and Glen Echo Fire Departments to quickly stabilize and remove the driver from a large SUV that had flipped on its side in an early morning collision on Little Falls Parkway in Bethesda.
Rescue Squad 741 Bravo and Medic 741 were dispatched at 6:00 a.m. on November 5, along with units from Bethesda and Glen Echo for a personal injury collision with a report of a vehicle overturned. The initial dispatch reported the incident to be at Little Falls Parkway and River Road.
Glen Echo Engine 711 found the vehicle on Little Falls to the south of River Road, with the vehicle on its side with one person trapped. Rescue Squad 741 Bravo’s crew arrived and began to stabilize the vehicle using Paratech struts and comealongs on the bottom of the vehicle, and step chocks on the top.
Once stabilized, the Squad crew worked with the crew from Bethesda’s Truck 706 to cut the SUV’s A and B post and flapped the vehicle’s roof, using hydraulic O-cutters. This provided access to the driver, who was assisted from the vehicle onto a backboard. The patient was then transferred to the crew of Medic 741, which conducted a trauma assessment and transported to Suburban Hospital.
Medic and Engine Crews Save Patient Experiencing Allergic Reaction
October 22, 2010
A man awoke in the early hours of October 22, 2010 experiencing chest pain and struggling to breathe. He had been suffering from trouble breathing the previous day, but it became worse during the night. When he woke, he also found his skin flushed and the presence of hives on his face, neck and shoulders.
He called 911, and Bethesda-Chevy Chase Rescue Squad Medic 741 and Bethesda Fire Department Engine 706 (the latter staffed by a Department of Fire and Rescue Services crew) were dispatched to render aid for “a male patient experiencing an allergic reaction.”
The crews arrived on the scene simultaneously and found the patient standing in his living room leaning against a sofa trying to catch his breath, wheezing and displaying all the signs and symptoms of a moderate allergic reaction. The patient wasn’t aware that he had any allergies, but he had started taking approximately six new medications several days earlier and thought he might be allergic to one or more of them.
Working with the paramedic assigned to the engine company, the Rescue Squad medic assumed control of patient care and began quickly assessing the patient. He directed the crews to take vital signs and administer high-flow oxygen to the patient. Upon placing the patient on a cot in the back of the medic unit, the crew connected the patient to an ECG monitor to assess the patient’s cardiac rhythm and vital signs.
They also began administering medications. The medic administered Albuterol and Atrovent medications through a nebulizer in an effort to counteract the effects of the patient’s allergic reaction, open his airway and lung passages, and reduce his work of breathing. Then the medic injected the patient with Benadryl (diphenhydramine) and Epinephrine. Once these medications were administered, the crew turned their attention to establishing an IV, monitoring the patient’s airway, and checking the patient’s response to these interventions provided.
The crew continued supportive patient care on the way to the hospital. The patient began to improve and commented that he felt that it was becoming easier to breathe.
Allergic reactions are not uncommon, but moderate to severe reactions must be treated quickly and aggressively. Rapid recognition of the signs and symptoms of a life-threatening allergic reaction and speedy activation of the Emergency Medical Services system – i.e., calling 911 – can greatly improve a patient’s outcome when he or she is experiencing a life-threatening allergic reaction.
A man awoke in the early hours of October 22, 2010 experiencing chest pain and struggling to breathe. He had been suffering from trouble breathing the previous day, but it became worse during the night. When he woke, he also found his skin flushed and the presence of hives on his face, neck and shoulders.
He called 911, and Bethesda-Chevy Chase Rescue Squad Medic 741 and Bethesda Fire Department Engine 706 (the latter staffed by a Department of Fire and Rescue Services crew) were dispatched to render aid for “a male patient experiencing an allergic reaction.”
The crews arrived on the scene simultaneously and found the patient standing in his living room leaning against a sofa trying to catch his breath, wheezing and displaying all the signs and symptoms of a moderate allergic reaction. The patient wasn’t aware that he had any allergies, but he had started taking approximately six new medications several days earlier and thought he might be allergic to one or more of them.
Working with the paramedic assigned to the engine company, the Rescue Squad medic assumed control of patient care and began quickly assessing the patient. He directed the crews to take vital signs and administer high-flow oxygen to the patient. Upon placing the patient on a cot in the back of the medic unit, the crew connected the patient to an ECG monitor to assess the patient’s cardiac rhythm and vital signs.
They also began administering medications. The medic administered Albuterol and Atrovent medications through a nebulizer in an effort to counteract the effects of the patient’s allergic reaction, open his airway and lung passages, and reduce his work of breathing. Then the medic injected the patient with Benadryl (diphenhydramine) and Epinephrine. Once these medications were administered, the crew turned their attention to establishing an IV, monitoring the patient’s airway, and checking the patient’s response to these interventions provided.
The crew continued supportive patient care on the way to the hospital. The patient began to improve and commented that he felt that it was becoming easier to breathe.
Allergic reactions are not uncommon, but moderate to severe reactions must be treated quickly and aggressively. Rapid recognition of the signs and symptoms of a life-threatening allergic reaction and speedy activation of the Emergency Medical Services system – i.e., calling 911 – can greatly improve a patient’s outcome when he or she is experiencing a life-threatening allergic reaction.
Fatal Early Morning Collision on Beltway
October 18, 2010
Rescue Squad 741 Bravo and Medic 741 responded to an early morning accident on I-495 that left one person dead and another seriously injured.
Shortly before 5 a.m. on Monday, October 18, the units, along with units from Cabin John Park Volunteer Fire Department and Montgomery Battalion Chief 2 were dispatched to the Inner Loop of I-495 between the I-270 Spur and Old Georgetown Road for a personal injury collision with an overturned truck. The Cabin John units arrived on scene first to find a tractor-semitrailer filled with kegs and cases of beer that had departed the roadway, overturned onto its side, and struck a tree. Additionally, a severely damaged personal vehicle sat in the far right middle lane of the roadway.
Crews quickly determined that the driver of the car had suffered multiple traumatic injuries and removed him from his vehicle to begin treatment. Medic 741’s crew, supplemented by crewmembers from Ambulance 726, initiated advanced life support procedures and transported the patient to the Trauma Center at Suburban Hospital.
The fatally-injured truck driver, was trapped in his vehicle, but was not immediately removed so that police could complete their investigation. Rescue 741 Bravo’s crew remained on the scene for several hours to support the police in their accident documentation, and to assist in cleaning up the accident scene.
View the news coverage, including photos, at:
http://www.wtopnews.com/?nid=706&sid=2082956
Rescue Squad 741 Bravo and Medic 741 responded to an early morning accident on I-495 that left one person dead and another seriously injured.
Shortly before 5 a.m. on Monday, October 18, the units, along with units from Cabin John Park Volunteer Fire Department and Montgomery Battalion Chief 2 were dispatched to the Inner Loop of I-495 between the I-270 Spur and Old Georgetown Road for a personal injury collision with an overturned truck. The Cabin John units arrived on scene first to find a tractor-semitrailer filled with kegs and cases of beer that had departed the roadway, overturned onto its side, and struck a tree. Additionally, a severely damaged personal vehicle sat in the far right middle lane of the roadway.
Crews quickly determined that the driver of the car had suffered multiple traumatic injuries and removed him from his vehicle to begin treatment. Medic 741’s crew, supplemented by crewmembers from Ambulance 726, initiated advanced life support procedures and transported the patient to the Trauma Center at Suburban Hospital.
The fatally-injured truck driver, was trapped in his vehicle, but was not immediately removed so that police could complete their investigation. Rescue 741 Bravo’s crew remained on the scene for several hours to support the police in their accident documentation, and to assist in cleaning up the accident scene.
View the news coverage, including photos, at:
http://www.wtopnews.com/?nid=706&sid=2082956
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