December 19 All photos of the simulation of Pineto
Yesterday I had the authority from chiefs to publish all photos, high-resolution simulation held by the civil protection in a pine forest that tell you briefly my previous article.
Eye, as in the previous article, here too there are pictures of simulated injuries of course, being very realistic, may not be suitable for highly sensitive people.
I managed to download nearly three hundred pictures, all at high resolution, you can see, zoom and download individually from my site on Flickr.
If you prefer you can instead view them all in full screen, in sequence as a presentation machine.
The same sequence automatically, in miniature, is available below.
December 14 Simulation of fire in the town of Pineto (TE)
First, a premise. All photographs of wounds in this article are obviously being very realistic simulated but may be not suitable for highly sensitive people. In case of illness the number to call is 118.
The simulation provides for the intervention at the town hall where there was a fire in place and involved principally the top field of civil protection with regard to the coordination of rescue operations and the management and eventual removal of the fire itself. The emergence then proceeded, in health, with the identification, management and transfer of the wounded event. A second event also included an incident in which he was involved a van full of boys.
But, as we usually go with order.
The appointment, for men and women of the Green Cross of Villa Rosa Martinsicuro is at 06.30 am for the preparation of resources and facilities and the scheduled departure Pineto at 07:00.
It starts with a Jeep and a half later. Here's our exit a14 at Pineto right on time at 07.57.
Unfortunately the other 16 groups are not well-off and then get a little 'piece-meal in the next two hours including the white cross of Alba Adriatica, the white cross of Teramo, the prose of pine forest, the Angolan Montesilvano and so on in addition to a small representation of the City of Castle.
Almost the last to arrive in large civil protection Mosciano Sant'Angelo with their powerful pieces including un'autoscala of over 30 meters wide.
Just enough time for a quick briefing and a group photo (you can enlarge by clicking on the picture below)
and we are ready to go. Obviously leaving before the civil protection assets delegates to check the situation on the ground, secure the scene and then alerted the emergency vehicles.
Unfortunately, early communication is a bit 'confused you too discreet distance from the location of ambulances than the event location and the lack of a radio link up hill, but when the ambulance approached everything becomes clearer. From the operations center there is a general demand for all ambulances sent to the area for the management of the wounded.
Your captain with the other brown Green Cross (now nicknamed "The twins are different") were placed in a health club with friends from the cross Angolana
We then slingshot sirens on the fire: the town hall of Pineto. We are the first or perhaps the second ambulance on the scene and then when we enter the scene is still quite a virgin. In turn people wounded and bruised. We travel, coordinated by the officer-in-chief of civil protection to the most seriously wounded and immediately treated in particular on the landing of the second floor, a young man unconscious with a deep wound on his left cheek and, in particular, an amputation of a phalanx of left index finger. Note, in the photo below, the index on the cloth, and note also my first mistake was not put your finger in the ice. On the right, your captain in the act of placing the Saturimetri for the evaluation of the patient's vital signs.
We continue however the treatment of the patient
immobilization until the spoon stretcher and ambulance transport to the ground and advanced medical posts (PMA) prepared by the civil protection
Sbarelliamo and, leaving the patient with advanced treatment, back again on the scene. This time we expect the third floor, a girl polytraumatized
with various head injuries and head trauma with probable probable fracture to the radius / ulna and tibia sinist right.
Here, the treatment of wounded is a bit 'longer. The longer it would have been anyway because the patient is then brought ashore through the hoist mounted sull'autoscala and then the procedure of transport is already perceived as slower, but the devil takes his own.
We climb it with a handbag in three emergency oxygen but omit the splint indispensable in this case. Also the nurse on the scene explicitly require spinal board although, personally, we could put a spoon quietly on the stretcher. The driver arrived shortly after us must get back three flights of stairs to get to and to bring cord spider and steccobbende.
Pending the driver is also the time to provide emergency assistance to a rescuer who has felt ill and fainted before my eyes.
Then leave the rescuer in the hands of a new rescue team and, with the arrival of the driver, place your steccobbende and we are preparing to place the spinal procedure with the log-roll. First, I should have much to say on a log-roll without it there is someone in the head to stabilize the cervical spine but do not. Then I'm going to position the spider or the better we feel. Apparently, in fact, the nurse does not agree on the positioning of the spider because, according to her, I'm putting it in reverse. A little 'indulge in the flask. Final result: a beautiful cord with spider backwards and photos and sfottò appendages. Oh, and what about a patient on a cord that was NOT put any cervical collar?
Apart from anything else the patient is sent down with the litter and we, in waiting for the girl you get there, the sky, on the stretcher
At this point we carry "the package" to the PMA and completed the first part of the simulation.
In the second part, a van full of kids had an accident and inside is a hell.
We arrive on site and carry a patient on polytraumatized cord. Time collar and spider are the right place. Once past but two would be ridiculous.
Also, before you go away, because I'm in a splint idle hands, seized the opportunity to block the right leg of the poor Letizia, she also involved in the incident on
This time the simulation is truly over. Happily collect our things before having tasted a hearty dish of tortellini cooked in the form prepared for the occurrence of an association of the Marche.
and to have complimented the chef of an encore.
Ultimately we go home happy and with the knowledge they have learned and thorough procedures in the field and putting them into practice is assimilated only live with the hope that this will remain always and only just a simulation.
A special mention to the municipality of Pineto, all'ANPAS regional and especially the talented makeup artists who were able to make truly effective the wounds of patients. Here's a rundown of wounds in art, starting with a right hand with a severe burn of II degree
to proceed with a "beautiful" fracture
and always in the arms issue, fue pretty bloody wounds
gladness and the poor disfigured by an injury to his left temple lacerocontuso
and, finally, a photo "positive", but glad wounds.
Now I ask you: "do not seem real?
On November 20, 2009 I attended, along with colleagues from the Green Cross of Villa Rosa, a local civil defense exercise on the search for missing people. The simulation took place at the border between Alba Adriatica and Martinsicuro and, specifically, at the mouth of the river Vibrata.
Participating in the simulation, in addition to the mentioned Green Cross of Villa Rosa is within the area "civil protection" is within the area "health", including the protection of civil Mosciano Sant'Angelo, the White Cross in Alba Adriatica and a detachment of the army Italian.
I am part of the fourth course, the research team called "Team Delta". With me, who plays the role of rescuer of the group and then fitted with the backpack of emergency
is the foreman and another "veteran" of the Green Cross. Completing the group two new elements which have just completed the course of civil protection.
Here is the account of the operation as experienced by myself and my team.
[20:30 Zulu Time]
At the initial briefing we receive instructions from one of the elements of the Joint Operations Center (COM) set up at the rotunda in Villa Rosa.
The instructions are to go to the first round of the promenade of Villa Rosa, to reach the shore and continue towards the mouth of the river Vibrata searching for two missing, a man and a woman were seen, the last time, on a river boat.
Once you reach the river, the instructions are to divide the team into two and then go up the river on both sides of the two and looking for any traces left by their clothes or what else.
[21.00 Zulu Time]
We reach the roundabout and look, by radio, the positioning of the other teams and the way of operations
[21:10 Zulu Time]
Got the green light, we begin the reconnaissance of the beach equidistanziandoci with each other and began research on the ground to comb. We begin to find various clothing possibly belonging to two missing; sweaters, men's pants, a hat and then a bag lady. Indeed, in a real situation I would almost think that played to nine and a half weeks along the beach. COM Comuque communicating continuously with the various findings and points where the garments were found.
[21:30 Zulu Time]
Reach the mouth of Vibrio and divide us. Team Delta / B formed by the foreman and the other member of the Green Cross over the river and begin to scan the river south and the two novices as I'm going to form the Delta Squad / A and we begin to fathom the north side.
The fact that we divided it seems strange because first of all having a single radio we have to scream from one bank to another and also, being myself, rescuer of the team, on the north side, in case of discovery of the missing or health problems the other half of the team could not help it. Moreover, being the first simulation in which many of us involved, it seems strange that they sent half the team composed of experts not just in jeopardy. However, these were the guidelines and we standardized.
[21:45 Zulu Time]
We have now risen more than halfway river before the bridge of Via Roma. On the way is the Delta / A that the Delta / B have found several traces refer to the two missing. The fact of the COM that we are finding stuff is on the north side than on the south bank became suspicious the operator. Oh yes, it is now clear. The information received in the initial briefing was not accurate. The Delta team was not in fact divide. Directives are therefore of COM is obviously impossible to meet before reaching the bridge in Via Roma. Then continue along the river to rejoin the team.
[22:00 Zulu Time]
Reached the bridge of Via Roma. The slope of the bank on the south side is difficult and the team Delta / B asks for our help. Fortunately, from the north side, on the embankment of concrete, there is placed an iron ladder that allows you to easily lift. But they are hampered by having to wait for the two "novices" and my sense of responsibility obliges me to remain there until the two are not on the roadway. Meanwhile, the team Delta / B, after a long climb has reached the roadway.
We reunited and we head on Via Magenta, corner Via Roma, where there is a rest for reconnaissance teams. We communicate with the COM informing them of our position. The COM tells us to wait there.
[22:10 Zulu Time]
While we're refreshed, we listen to the situation on the radio. It seems that a team has collected the testimony of a person who says he saw climb the bank by a couple. Maybe you are not missing much more dispersed.
But in the meantime, the question evolves into another direction. A team needs urgent medical intervention as one of the rescuers has been done to a bad ankle. Another team announced they had found a car crashed into two people on board with. Then leave immediately but two autombulanze communication problems leading either with us since the COM announced that the person with pain in the ankle and the team Delta.
The confusion increases because actually one of our team complained about pain in the ankle from the start, a situation that has worsened with the route, but not so much from seeking medical support and also do not understand those who have requested this support.
[22:20 Zulu Time]
Subsequent requests to the COM to understand that the ankle problem is in the Mail Beta team embankment south of vibrato. The ambulance team to reach this part.
[22:30 Zulu Time]
Bored by the fact that things are happening elsewhere and we are still catering to ask the COM guidelines about what to do. Apparently, once again, someone has misunderstood or someone has explained badly. Did not have to stop. The control unit then communicates to return. Then take Via Magenta to return to base camp.
[22:35 Zulu Time]
At the intersection of Via Balbi and Via del Pineto, we meet a civil defense volunteer who asks us if we saw several ambulances because, just along the country road before they crashed a car with two people on board who have applied for assistance but still nothing has arrived. We understand at this point that both ambulances went to help the volunteer with the ankle and that none has arrived here. Decide to continue as health care, along with Team Delta, along the country road to help relief efforts.
[22:45 Zulu Time]
As you approach the car crashed with the ambulance. There is then requested from the central return to base camp. Inclined to believe that the road we are traveling to reach the promenade continue.
[22:50 Zulu Time]
The road continues to deteriorate to a close, less than thirty meters from the seafront Italy. For those who are watching the map on Google Maps. The last stretch of road that on Google joins the promenade on "La Villa Srl" simply does not exist. We decide to continue along the campaign by making its way through weeds and shrubs.
[22:55 Zulu Time]
We are now about five meters from the road. A separation, a deep ditch about five feet and a hedge. We reach a point where the hedge is sparse, we descend into the ditch and not easily able to reach the road and return to the car.
[23:20 Zulu Time]
The simulation is over. We expect the mezzemaniche with seafood, ham, cheese, bread, hot tea, water, tiramisu offered by the Green Cross of Villa Rosa and the legendary chef of the restaurant Nicola La Palma.
What can I say to conclude and sum up the record of this experience. Surely something very beautiful and educational. I never imagined that one day I went up the creek at night Vibrata and still be left with no problems is already perceived as a victory marked by the fact that for over half an hour, I was still in charge of a mini -team with two novices, and even then nothing happened irreparable.
A little 'disappointed rethinking the work done by other clubs compared with the marginal operated by us. Surely the problems of communication during the briefing and during the entire event have weighed on this, but on the other hand, practice does just that. Also if you really wanted to criticize the COM communication during the briefing, we can not forget that if at the time of the division's team had informed the COM our intention to divide us as instructed, surely would have been immediately corrected the misunderstanding and we would then continued exercise by following the correct guidelines of the COM and maybe things would have unfolded differently.
But as said, practice does just that, to improve and reduce the error margins entire operation.
Ultimately it is therefore an experience to repeat as soon as possible and in fact I will be Sunday, December 13th, all day, a new civil defense exercise, this time seems on the hydrogeological instability. Expect then tumbler, any direct live and, of course, a new report.
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