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Published on: October 15, 2021
The stages of extrication: a prospective study.
Tim Nutbeam1, Rob Fenwick2, Charles Hobson3
1Department of Emergency Medicine, Derriford Hospital, Plymouth, Devon, UK.
Emergency Medicine Journal : EMJ
|September 6, 2013
Summary
Extrication from motor vehicle collisions (MVCs) takes a median of 30 minutes. Initial patient assessment occurs within 8 minutes, with full extrication completed in 30 minutes for trapped individuals.
Area of Science:
- Emergency Medicine
- Trauma Care
- Pre-hospital Care
Background:
- Motor vehicle collisions (MVCs) frequently necessitate patient extrication.
- Limited data exists on the temporal aspects of extrication procedures.
Purpose of the Study:
- To quantify the time required for distinct stages of extrication following MVCs.
Main Methods:
- Prospective observational study in a metropolitan fire service area.
- Real-time data collection via two-way radio, with follow-up for missing information.
- Analysis of data collected over one year (2011-2012).
Main Results:
- 158 extrications were analyzed from 228 identified incidents.
- Median total extrication time was 30 minutes (IQR 24-38 minutes).
- Initial limited patient assessment averaged 8 minutes.
Conclusions:
- Pre-hospital emergency personnel require approximately 8 minutes for initial assessment and 30 minutes for full extrication.
- Awareness of these timeframes is crucial for effective pre-hospital management of trapped patients.
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