Each rotation emphasizes situational awareness; response readiness; equipment knowledge and training; global 360 initial and ongoing size-up; creating a safe scene; identifying and mitigating hazards; deploying/managing available resources and determining resources needed; determining the number of patients, their locations, and triage needs; the options the situation allows; and the development and execution of multiple extrication plans. Student assignments include arriving safely at the scene; positioning apparatus to provide a safe working zone; completing a windshield size-up; establishing incident command; and assigning personnel, if applicable, for scene evaluation. After a scene survey establishes that the scene is cleared of hazards, fire/EMS personnel are assigned to monitor/evaluate the patient within the situation and also assume the role of interior stabilizer with whom the extrication leader is intimately in contact with relative to monitoring the patient’s condition and determining whether the set plans will work or need to be revised based on the interior stabilizer’s findings. If necessary, in consultation with personnel at the scene, an extrication plan will be formulated according to the options the situation permits, and the plan will then be clearly communicated to all with common terminology as determined by the extrication leader. All plans are preceded with a rapid plan should the patient be in or go into a life-threatening condition. Basic and advanced stabilization are applied to the incident to support the plans. Resources report to the extrication leader for initial or ongoing assignments. The extrication leader monitors the plans, stabilization, designates debris piles, anticipates the extrication of the patient, and readies transitioning into transporting the patient to definitive care.
