The stages of extrication: a prospective study.
Emerg Med J
; 31(12): 1006-8, 2014 Dec.
Article
em En
| MEDLINE
| ID: mdl-24005643
ABSTRACT
BACKGROUND:
Many patients will require extrication following a motor vehicle collision (MVC). Little information exists on the time taken for the various stages of extrication.OBJECTIVE:
To report the time taken for the various stages of extrication.METHODS:
A prospective, observational study carried out in the West Midland Fire Service's metropolitan area. Time points related to extrication were collected 'live' by two-way radio broadcast. Any missing data were actively gathered by fire control within 1â h of completion of extrication. This paper reports an interim analysis conducted after 1â year of data collection following a 3-month run-in and training period data were analysed from 1 January 2011 to 31 December 2011 inclusive.RESULTS:
During the study period 228 incidents were identified. Seventy-nine were excluded as they met the predetermined exclusion criteria or had incomplete data collection. This left 158 extrications that were suitable for analysis. The median time for extrication was 30â min, IQR 24-38â min.CONCLUSIONS:
In patients requiring extrication following an MVC a median time of 8â min is typically required before initial limited patient assessment and intervention. A further 22â min is typically required before full extrication. Prehospital personnel should be aware of these times when planning their approach to a trapped patient.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Automóveis
/
Acidentes de Trânsito
/
Gerenciamento do Tempo
/
Serviços Médicos de Emergência
/
Primeiros Socorros
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Male
País como assunto:
Europa
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article