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A Simple Rollover


Jack was driving home from work that night on I-287 when he saw a deer leap in front of his car – that was his first piece of bad luck for the evening.  He quickly swerved to the right to avoid it, and he was successful – sort of.  He missed the deer, but the left rear end of his car (not an SUV) started to come up to the front while the car kept going straight.  A moment later the wheels caught and Jack had his second piece of bad luck for the evening: his car started to roll over.  During that roll, the lucky horseshoe in his car must have changed directions, because Jack’s luck was all good from that moment on.

He was lucky that the roof of the car didn’t collapse during the roll (he would later be grateful to the car’s designers, too).  He was lucky that his car rolled just once, and then stopped upright on its tires.  He was lucky that when the car finally stopped, it was in the median, and the traffic behind him moved gracefully around him.  He was especially lucky that a passerby quickly called 911 on a cell phone, and the Basking Ridge Fire Company and Rescue Squad was quickly dispatched to the scene.

Before the Fire Trucks Arrive

About 60 seconds after the accident, a volunteer firefighter from Clinton drove by the scene, ascertained that 911 had been called, surveyed the vehicle to ensure that there was no imminent risk of fire, and then spoke to Jack, who was still stunned by recent events.  At that point, the volunteer’s training kicked in, and she entered the back seat of the car, reached around, and held Jack’s head in a stable position, facing forward, pretty much as she had found him.  The big threat at the moment is that during the rollover, Jack might have broken his neck.  Some cervical fractures are extremely painful.  Others can go unnoticed until the patient turns his head, only to severe the enclosed spinal cord and cause paralysis and perhaps death.

A few minutes later, a State Trooper arrives at the accident, and positions his car to block the leftmost lane of traffic.  He ensures that all needed help is on the way, including a wrecker to remove the damaged car to restore traffic flow as soon as possible.

Fire Trucks on Scene

The first fire truck to arrive is prepared to fight a vehicle fire.  The fire fighters hurry to the scene to inspect the vehicle, and determine that there is now little chance of fire.  They reach inside to remove the keys and open the hood to reduce as many threats as possible.  If necessary, these experts can peel off the roof of Jack’s car to remove him.  But not today – Jack’s luck continues, and the driver’s door opens.

The second fire truck on scene is a Rescue Truck that contains the tools necessary to extract hurt people from crumpled cars. The first fire fighters have determined that this vehicle’s capabilities will not be needed, so this unit is parked in the leftmost lane to protect the rescuers.  And all the while, the volunteer fire fighter sits behind Jack, her hands stabilizing his head, and her voice talking him through some of the most horrible minutes in his life.

Ambulance on Scene

The ambulance parks in front of the accident, so it has some protection from the other vehicles.  Three EMTs emerge.  The first walks quickly to the vehicle, circles it once to help understand the mechanism of the injury that Jack sustained, then thanks the volunteer for holding stabilization, and speaks briefly to Jack.  Jack’s luck continues to hold: he has no apparent injuries, but the rollover gives a high index of suspicion for potential spinal injury.  The Basking Ridge EMT therefore relieves the volunteer fire fighter and starts asking questions: What’s your name?  How do you feel?  What exactly happened?  Do you have any medical conditions?  And so on and so on.

As the first EMT talks to Jack and stabilizes his spine, two other EMTs are pushing a cot full of gear to the car.  When they get there, the fire fighters brief them about the scene and the first EMT updates them on Jack’s condition – he continues to be as lucky as possible.  The two additional EMTs first put a vest-like “Exrication Device” on Jack that is essentially a splint for his spine.  The three EMTs now begin a delicate dance: with the help of several firefighters, they will maneuver Jack out of the car and onto a 2-foot by 6-foot “long board” to which he will be secured with Velcro straps, all without moving his spine.  When this is accomplished, Jack and the long board are secured to a cot, the cot is wheeled to the ambulance, and the whole package is delivered to the Emergency room at Morristown Memorial Hospital.

Jack is lucky – he walks out of the hospital a couple hours later, only a little worse for the wear.  Had Jack not been so lucky, and had trained volunteers not been there to take care of him, Jack might have left the hospital in a wheel chair, or not at all.  But that didn’t happen today – Jack is lucky, and this was just a little rollover.

Rapid response can save lives and property only if enough volunteers can take the time to help people in need.  The Basking Ridge First Aid Squad needs more Fire Fighters and EMTs.  For more information on becoming an EMT, click here.  And if you don’t have time to become an EMT yourself, you can still contribute through your financial support here.

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