Vehicle extrication

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Process of removing a vehicle from around a person who has been involved in a crash


Vehicle extrication is the process of removing a vehicle from around a person who has been involved in a motor vehicle accident, when conventional means of exit are impossible or inadvisable. This process is typically carried out by emergency services such as firefighters, paramedics, and police.

Process[edit | edit source]

Vehicle extrication involves several steps, which may vary depending on the situation and the condition of the vehicle and the patient. The primary goal is to safely remove the patient while minimizing further injury.

Assessment[edit | edit source]

The first step in vehicle extrication is the assessment of the scene. Emergency responders evaluate the stability of the vehicle, the condition of the patient, and any potential hazards such as leaking fuel or electrical risks. This assessment helps determine the best approach for extrication.

Stabilization[edit | edit source]

Stabilization of the vehicle is crucial to prevent any movement that could cause further injury to the patient or responders. This may involve using chocks, cribbing, or other stabilization tools to secure the vehicle in place.

Access[edit | edit source]

Once the vehicle is stabilized, responders gain access to the patient. This may involve breaking windows, removing doors, or cutting through the vehicle's structure using specialized tools such as the Jaws of Life.

Patient Care[edit | edit source]

Throughout the extrication process, patient care is a priority. Paramedics or emergency medical technicians (EMTs) provide medical support, including spinal immobilization and oxygen therapy, to stabilize the patient before and during removal.

Extrication[edit | edit source]

The final step is the actual extrication of the patient from the vehicle. This is done carefully to avoid exacerbating any injuries. Once the patient is free, they are transported to a medical facility for further treatment.

Tools and Equipment[edit | edit source]

Vehicle extrication requires a variety of tools and equipment, including:

  • Hydraulic rescue tools (e.g., spreaders, cutters, and rams)
  • Glass management tools
  • Stabilization devices
  • Personal protective equipment (PPE) for responders

Training[edit | edit source]

Emergency responders undergo extensive training in vehicle extrication techniques. This training includes understanding vehicle construction, using extrication tools, and providing medical care during the extrication process.

Images[edit | edit source]

Related pages[edit | edit source]

References[edit | edit source]

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Contributors: Prab R. Tumpati, MD