Smart Technologies fortwo 450 User's Manual | Page 7

Smart Technologies Automobile Accessories User's Manual - fortwo 450.
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Proper casualty rescue



Guidelines for Rescue Services, smart, 2006


Whereas formerly priority was given to quickly 

rescuing the trapped casualty from his predicament, 

the primary concern nowadays is medical and 

psychological assistance. The aim of this is to 

prepare the casualty as well as possible for the 

rescue work.

The medical and rescue personnel can then work in 

concert to free the casualty from the vehicle.

The most urgent immediate measures at the 
scene of the accident are:

• Maintaining or restoring the vital functions 


• Keeping the respiratory passages clear and 

rectifying any breathing difficulties

• Assessing shock and initiating measures to 

stabilize the casualty

• Rendering psychological support to the casualty

• Treating lifethreatening injuries

• Stopping major bleeding

• Immobilizing certain body parts

Immobilizing the neck

As the head often experiences extreme movements 

in traffic accidents, there is an increased risk of 

spinal injury in the neck region. To prevent further 

damage to the cervical vertebrae, it is essential to 

immobilize the neck before any further rescue 

action is undertaken. The most common method of 

immobilization is to use a cervical collar ("Stifnek"). 

This is a plastic collar which is placed around the 

neck and closed with a velcro fastener.

If access to the casualty is difficult, the head 

restraint can be removed first before fitting the 

cervical collar.

The main priority is to render medical and 
psychological aid to the casualty!

The safety of the medical and rescue crews 
themselves should not be neglected:

• Wear protective clothing

• Wear eye protection

• Wear protective mouth mask

• Secure the accident vehicle

The head restraints should only be cut away 
in exceptional cases!

• Cutting the head restraints away exposes the 

casualty to additional movements

• The head restraint can no longer be used to 

stabilize the casualty's head

• Cutting away the head restraints produces 

sharp edges

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