Extrication following a motor vehicle collision: a consensus statement on behalf of The Faculty of Pre-hospital Care, Royal College of Surgeons of Edinburgh
Abstract Background Road traffic injury is the leading cause of death among young people globally, with motor vehicle collisions often resulting in severe injuries and entrapment. Traditional extrication techniques focus on limiting movement to prevent spinal cord injuries, but recent findings from...
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BMC
2025-01-01
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| Series: | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
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| Online Access: | https://doi.org/10.1186/s13049-024-01312-z |
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| author | Tim Nutbeam Rob Fenwick Charlotte Haldane Caroline Leech Emily Foote Simon Todd David Lockey |
| author_facet | Tim Nutbeam Rob Fenwick Charlotte Haldane Caroline Leech Emily Foote Simon Todd David Lockey |
| author_sort | Tim Nutbeam |
| collection | DOAJ |
| description | Abstract Background Road traffic injury is the leading cause of death among young people globally, with motor vehicle collisions often resulting in severe injuries and entrapment. Traditional extrication techniques focus on limiting movement to prevent spinal cord injuries, but recent findings from the EXIT project challenge this approach. This paper presents updated recommendations from the Faculty of Pre-Hospital Care (FPHC) that reflect the latest evidence on extrication practices. Methods A systematic scoping review identified 170 relevant articles from 7083 records. Findings, together with EXIT project data, informed the development of 12 core and supplemental statements on extrication. In April 2024, 43 subject matter experts from diverse backgrounds participated in a consensus process. Statements were discussed, voted on, and synthesised into the updated statement, ratified by FPHC. Results Consensus was achieved for all 12 statements, emphasising self-extrication as a preferred, primary approach, reducing extrication time, and moving away from absolute movement minimisation. The U-STEP OUT algorithm was endorsed as a decision-making tool. Key themes included interdisciplinary collaboration, use of operational and clinical decision aids, and enhanced training. Conclusions This consensus statement marks a paradigm shift in extrication practice, moving away from traditional movement minimisation to a focus on time-sensitive, patient-centred care. The findings advocate for empowering both clinical and non-clinical responders and improving interdisciplinary training and communication. Further research is needed to assess the broader implementation of this statement and to explore the psychological impacts of entrapment and extrication on patients. |
| format | Article |
| id | doaj-art-c86a2b3c83d64293b9af2a5ab57540f0 |
| institution | Kabale University |
| issn | 1757-7241 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
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| series | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
| spelling | doaj-art-c86a2b3c83d64293b9af2a5ab57540f02025-01-12T12:37:25ZengBMCScandinavian Journal of Trauma, Resuscitation and Emergency Medicine1757-72412025-01-013311710.1186/s13049-024-01312-zExtrication following a motor vehicle collision: a consensus statement on behalf of The Faculty of Pre-hospital Care, Royal College of Surgeons of EdinburghTim Nutbeam0Rob Fenwick1Charlotte Haldane2Caroline Leech3Emily Foote4Simon Todd5David Lockey6IMPACT, Centre for Post-Collision Research Innovation and TranslationIMPACT, Centre for Post-Collision Research Innovation and TranslationFaculty of Pre-Hospital Care, Royal College of Surgeons EdinburghUniversity Hospitals Coventry and Warwickshire NHS TrustUniversity Hospitals Plymouth NHS TrustDorset and Wiltshire Fire and Rescue Service/South Western Ambulance Service Trust (SWAST)Faculty of Pre-Hospital Care, Royal College of Surgeons EdinburghAbstract Background Road traffic injury is the leading cause of death among young people globally, with motor vehicle collisions often resulting in severe injuries and entrapment. Traditional extrication techniques focus on limiting movement to prevent spinal cord injuries, but recent findings from the EXIT project challenge this approach. This paper presents updated recommendations from the Faculty of Pre-Hospital Care (FPHC) that reflect the latest evidence on extrication practices. Methods A systematic scoping review identified 170 relevant articles from 7083 records. Findings, together with EXIT project data, informed the development of 12 core and supplemental statements on extrication. In April 2024, 43 subject matter experts from diverse backgrounds participated in a consensus process. Statements were discussed, voted on, and synthesised into the updated statement, ratified by FPHC. Results Consensus was achieved for all 12 statements, emphasising self-extrication as a preferred, primary approach, reducing extrication time, and moving away from absolute movement minimisation. The U-STEP OUT algorithm was endorsed as a decision-making tool. Key themes included interdisciplinary collaboration, use of operational and clinical decision aids, and enhanced training. Conclusions This consensus statement marks a paradigm shift in extrication practice, moving away from traditional movement minimisation to a focus on time-sensitive, patient-centred care. The findings advocate for empowering both clinical and non-clinical responders and improving interdisciplinary training and communication. Further research is needed to assess the broader implementation of this statement and to explore the psychological impacts of entrapment and extrication on patients.https://doi.org/10.1186/s13049-024-01312-zRoad traffic injuryExtricationPost-collisionTrauma |
| spellingShingle | Tim Nutbeam Rob Fenwick Charlotte Haldane Caroline Leech Emily Foote Simon Todd David Lockey Extrication following a motor vehicle collision: a consensus statement on behalf of The Faculty of Pre-hospital Care, Royal College of Surgeons of Edinburgh Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Road traffic injury Extrication Post-collision Trauma |
| title | Extrication following a motor vehicle collision: a consensus statement on behalf of The Faculty of Pre-hospital Care, Royal College of Surgeons of Edinburgh |
| title_full | Extrication following a motor vehicle collision: a consensus statement on behalf of The Faculty of Pre-hospital Care, Royal College of Surgeons of Edinburgh |
| title_fullStr | Extrication following a motor vehicle collision: a consensus statement on behalf of The Faculty of Pre-hospital Care, Royal College of Surgeons of Edinburgh |
| title_full_unstemmed | Extrication following a motor vehicle collision: a consensus statement on behalf of The Faculty of Pre-hospital Care, Royal College of Surgeons of Edinburgh |
| title_short | Extrication following a motor vehicle collision: a consensus statement on behalf of The Faculty of Pre-hospital Care, Royal College of Surgeons of Edinburgh |
| title_sort | extrication following a motor vehicle collision a consensus statement on behalf of the faculty of pre hospital care royal college of surgeons of edinburgh |
| topic | Road traffic injury Extrication Post-collision Trauma |
| url | https://doi.org/10.1186/s13049-024-01312-z |
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