Extrication Consensus Statement FPHC


Motor vehicle collisions or road traffic collisions are a massive problem worldwide. Data from the World Health Organisation reports that there are around 1.2 million deaths every year and this is the leading cause of death internationally for children and young adults aged 5-29 years. 

In the UK there are around 1,500 deaths annually and also around 60,000 patients with significant and life changing injuries, which is 7 patients every hour!! So anything we can do to improve patient care following an MVC is definitely a worthwhile venture.

We’ve looked at Extrication here on the podcast before but we’re back on it again because today the Faculty of Pre Hospital Care have released their Consensus Statement on Extrication Following a Motor Vehicle Collision. 

The statement builds on the work from the EXIT project and the research that has helped inform our understanding of multiple factors of extrication. The statement will inform a change of practice for both clinicians and non-medical responders and in this episode we run through the statement with two of it’s authors and discuss the practical applications.

Make sure you take a look at the new Consensus Statement itself and the background evidence which is all linked to on the website.

Once again we’d love to hear any thoughts or feedback either on the website or via X @TheResusRoom!

Simon, Rob & James

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References

FPHC; Extrication following a Motor Vehicle Collision

The Resus Room; Extrication Roadside to Resus

IMPACT; The Centre For Post Collision Care

A comparison of the demographics, injury patterns and outcome data for patients injured in motor vehicle collisions who are trapped compared to those patients who are not trapped. Nutbeam. SJTREM. 2021

Do entrapment, injuries, outcomes and potential for self-extrication vary with age? A pre-specified analysis of the UK trauma registry (TARN). Nutbeam. SJTREM. 2022

Sex-disaggregated analysis of the injury patterns, outcome data and trapped status of major trauma patients injured in motor vehicle collisions: a prespecified analysis of the UK trauma registry (TARN). Nutbeam. BMJ Open. 2022

The role of cervical collars and verbal instructions in minimising spinal movement during self-extrication following a motor vehicle collision – a biomechanical study using healthy volunteers. Nutbeam. SJTREM. 2021

Maximum movement and cumulative movement (travel) to inform our understanding of secondary spinal cord injury and its application to collar use in self-extrication. Nutbeam. SJTREM. 2022

Assessing spinal movement during four extrication methods: a biomechanical study using healthy volunteers. Nutbeam. SJTREM. 2022

Understanding people’s experiences of extrication whilst being trapped in motor vehicles: a qualitative interview study. Nutbeam. BMJ Open. 2022

A Delphi Study of Rescue and Clinical Subject Matter Experts on the Extrication of Patients Following a Motor Vehicle Collision. Nutbeam. SJTREM. 2022

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