Regardless of transport context environment in which the incident has occurred, it will be necessary to assess the hazards present before dealing with the casualties involved. This will inform decision-making and determine the safe systems of work that will be required. It will be necessary to define the hazard area and establish appropriate cordon controls.
If a casualty is trapped, medically or physically, in a mode of transport, it is important to gather the relevant information that will assist personnel in applying the most appropriate techniques and speed of response, while maintaining the safety of the casualty and all emergency responders.
Casualty information
The information gathered about casualties should be included in decision-making about the time available in terms of their condition, and the time required to achieve the method of rescue. This information should also inform tactical plans when considering the stabilisation of and access to the mode of transport.
Information should include:
- The need for immediate extrication for medical or safety reasons, for example:
- Cardiac arrest
- Vehicle fire
- Time dependent approach – safe and appropriate
- The number of casualties, including:
- Their location in the mode of transport
- Whether they are sitting or prone
- The level and type of entrapment:
- Medically, for example, due to severe pain or an open or closed fracture
- Physically, for example, due to a leg entrapment
- The initial and ongoing condition of the casualty, as assessed by a medical responder or personnel
Mode of transport information
Information should be gathered about the mode of transport, to determine safe systems of work and provide a safer working environment for the casualty and all emergency responders.
The type, construction and technology of the mode of transport should be considered when rescuing a casualty; poor management of some features could impact on safety and the condition of the casualty.
Information can be accessed through the visual assessment of the scene, through specialist advisers or hazard identification software.
The Transport guidance provides further information on topics including:
- Road vehicle safety systems
- Roadways: Alternative fuel vehicles
- Mode of transport design and construction
- Construction and systems of rail vehicles
The presence of the mode of transport hazards should be communicated to emergency responders working in the hazard area following the JESIP doctrine. It may also be beneficial to make the casualty aware of the presence of potential hazards, especially if rescuers are relying on their compliance with instructions.
The design of the mode of transport is likely to determine access arrangements. For example, in a road vehicle:
- How many doors
- Whether it has a boot or a rear hatch
- Whether it has a sunroof or panoramic roof
- The seating arrangement