This presentation will provide students with the knowledge of who does what, where, when, and why at school bus emergencies. Imagine yourself being involved in or arriving on scene to find an overturned school bus with students trapped, injured and screaming for help. Whether you arrive on scene in a personal vehicle, school vehicle, ambulance, or fire engine, the first priorities will be numerous. Initiating scene control, determining hazards, determining the number of patients, determining the number of serious patients, determining entrapments, and dealing with walking wounded scattering around the scene are all immediate tasks. Now, literally the nuts and bolts of school bus extrication. Students will be instructed on school bus characteristics, how to gain access, and how to systematically remove injured patients from the bus. The types of buses, construction, and their weaknesses will be addressed. Stabilization of buses in an upright, side, and roof presentation will be explained. Initial access can be problematic depending on the damage to the bus. Entry through the front and rear doors may be impossible. Getting inside can be made by using window, door, sidewall, floor and roof breaching techniques. Once inside, organized flow of patient removal needs to be established.