TRACTION IN FORWARD AND REVERSE
FOR 1/2 TON TO CLASS 8 VEHICLES
• UTILITY TRUCKS
• FIRE TRUCKS
• SCHOOL BUSES
• PLOW TRUCKS
• TRACTOR TRAILERS
*Approved for use in states with chain control areas
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Louisville, KY 40216
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SAFETY APPLIANCE COMPANY
Stretcher Kits &
The name in Safety, Rescue and Survival.
CASE OF THE MONTH
Rescuers get in touch with the patients via
satellite phone and ask them to burn a fire
which they hope will reveal the accident site.
In a few minutes, the crew sees a cloud of ris-
ing smoke signaling the exact location of the
injured tourists; however, it’s a very difficult
place to land the helicopter.
Captain Thapa finds a place to land as close
as possible—about a mile ( 1. 5 km) away from
the accident site.
Emergency medicine physician Sanjaya Karki,
MD, and staff nurse Saru Shrestha head toward
the accident site. Uninjured members of the
stranded tourist group help carry their lifesaving equipment and drugs to the scene.
As Karki and Shrestha arrive on scene, they
see a 15-year-old boy lying on the ground shivering next to a vehicle that’s overturned. He
complains of back pain. Nearby, a 51-year-old
female reports severe pain over the right scapula and clavicle.
Following protocol, the patient is immobilized, an IV is established, and she’s put on a
Villagers help carry the patient during the
1.5-hour walk back to helicopter. Despite heavy
rain, the crew loads the patient into the helicopter and heads back to Kathmandu.
EMS IN NEPAL
Before 2013, coordinated prehospital care didn’t
exist in Nepal, a landlocked country in South
Asia that boasts a diverse, often harsh geography, including plains, densely forested hills and
The Grande International Hospital ED team, Sanjaya Karki, MD, and Staff Nurse Saru Shrestha, assess the
patient and prepare her for transport.