Abstract:Motor vehicle collision is one leading cause of morbidity and mortality. Victims may be trapped in the deformed vehicles. Emergency medical team may be summoned to help in the extrication process. The principles of resuscitation in the pre-hospital phase are the same as in the in-hospital phase, but clinicians would face greater impediments to success in the former situation. We present a case of motor vehicle collision in which an emergency medical team was called to assist in the extrication of an entrapped … Show more
“…Single case studies were presented which identify pain and the potential for hypothermia as issues that benefit from mitigation whilst the patient remains trapped [94][95][96][97]. A series of four cases supported by a literature review identify that ketamine is well suited for meeting the analgesic needs of a trapped patient [98].…”
BackgroundExtrication is the process of removing injured or potentially injured people from their vehicles. The origin of current extrication techniques and paradigms is largely unknown. An understanding of the historical evidence related to motor vehicle collisions (MVCs), injuries and deaths will provide context for accepted, contemporary, extrication practices.MethodsExtrication related search terms were developed and applied across of range of sources including Clinical and health care data, Trial registries, Grey literature, Academic and specific Transport related sources.Results7089 articles were identified, following review, 170 are included in this qualitative synthesis. Key themes / categories included: Extrication training and principles, Injures, Immobilisation, Care during entrapment, Clinical response type, Vehicle deformity intrusion entrapment, and Extrication.ConclusionThere is a paucity of published evidence to support the current approach to extrication of entrapped patients following an MVC. Focused studies identifying in detail the injures and their sequelae associated with entrapment, the biomechanics of current techniques and ensuring that the patient perspective is captured will enable the development of much needed evidence based multidisciplinary guidance.
“…Single case studies were presented which identify pain and the potential for hypothermia as issues that benefit from mitigation whilst the patient remains trapped [94][95][96][97]. A series of four cases supported by a literature review identify that ketamine is well suited for meeting the analgesic needs of a trapped patient [98].…”
BackgroundExtrication is the process of removing injured or potentially injured people from their vehicles. The origin of current extrication techniques and paradigms is largely unknown. An understanding of the historical evidence related to motor vehicle collisions (MVCs), injuries and deaths will provide context for accepted, contemporary, extrication practices.MethodsExtrication related search terms were developed and applied across of range of sources including Clinical and health care data, Trial registries, Grey literature, Academic and specific Transport related sources.Results7089 articles were identified, following review, 170 are included in this qualitative synthesis. Key themes / categories included: Extrication training and principles, Injures, Immobilisation, Care during entrapment, Clinical response type, Vehicle deformity intrusion entrapment, and Extrication.ConclusionThere is a paucity of published evidence to support the current approach to extrication of entrapped patients following an MVC. Focused studies identifying in detail the injures and their sequelae associated with entrapment, the biomechanics of current techniques and ensuring that the patient perspective is captured will enable the development of much needed evidence based multidisciplinary guidance.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.