Understanding people’s experiences of extrication whilst being trapped in motor vehicles: a qualitative interview study.
Nutbeam T, Brandling J, Wallis L, Stassen W. What we did: We recruited patients via the Devon Air Ambulance and the spinal injury charity Aspire. All of the patients had been extricated following a motor vehicle collision. The patients who were recruited by Aspire had spinal cord injuries. An expert qualitative interviewer and psychotherapist interviewed […]
Comparison of ‘chain cabling’ and ‘roof off’ extrication types, a biomechanical study in healthy volunteers. Under peer review; Injury
Biomechanical study 4: Nutbeam, T. Fenwick R, May B, Stassen W, Smith JE, Bowdler J, Wallis L, Shippen J. Extrication studied: Chain cabling v’s roof off Chain cabling involves attaching anchored chains or strops to the front and rear posts of the damaged vehicle and using a winch to apply traction to the vehicle, therefore reversing […]
Assessing spinal movement during four extrication methods: a biomechanical study using healthy volunteers
Biomechanical study 3: Nutbeam, T. Fenwick R, May B, Stassen W, Smith JE, Bowdler J, Wallis L, Shippen J. https://sjtrem.biomedcentral.com/articles/10.1186/s13049-022- 00996-5 Extrication studied: Roof removal The most commonly delivered extrication type in the UK. The A, B and C posts and the roof removed facilitating a vertical extrication technique.Technique: The participant was provided with manual […]
Maximum movement and cumulative movement (travel) to inform our understanding of secondary spinal cord injury and its application to collar use in self-extrication
Biomechanical study 2: Nutbeam, T. Fenwick R, May B, Stassen W, Smith JE, Shippen J. https://sjtrem.biomedcentral.com/articles/10.1186/s13049-022-00992-9 Extrication studied: Self-extrication and collar applicationIn this study total movement as well as maximal movements are considered. Representation of maximal movements which are captured and reported in current biomechanical models of spinal movement vs non-maximal movememts that are not […]
The role of cervical collars and verbal instructions in minimising spinal movement during self-extrication following a motor vehicle collision
Nutbeam, T. Fenwick R, May B, Stassen W, Smith JE, Wallis L, Dayson M, Shippen J.https://sjtrem.biomedcentral.com/articles/10.1186/s13049-021- 00919-w Extrication studied: Self-extrication. Self-extrication is the process by which a patient is instructed to leave their vehicle and completes this with minimal or no assistance from the rescue services This study considers the roles of cervical spine collars […]
A Delphi study of rescue and clinical subject matter experts on the extrication of patients following a motor vehicle collision
Tim Nutbeam, Rob Fenwick, Jason E. Smith, Mike Dayson, Brian Carlin, Mark Wilson, Lee Wallis & Willem Stassen Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine volume 30, Article number: 41 (2022) What we did: This is a Delphi study of experts nominated by key stakeholders in clinical and operational extrication practice. A Delphi study […]
Hitchens’ Razor: Evaluating the Unproven
Introduction In the realm of scientific inquiry and clinical practice, the importance of evidence-based decision-making cannot be overstated. One philosophical tool that underscores this principle is Hitchens’ Razor, famously articulated by journalist and author Christopher Hitchens: “What can be asserted without evidence can also be dismissed without evidence.” This maxim challenges us to scrutinise unproven […]
Understanding Evidence-Based Medicine: Transforming Post-Collision Care
Introduction In the evolving landscape of medical science, evidence-based medicine (EBM) has emerged as a cornerstone of clinical practice and research. It offers a systematic approach to medical decision-making that integrates the best available evidence, clinical expertise, and patient values. This methodology has profoundly impacted various fields of medicine, where rigorous scientific inquiry is essential […]
Enhancing Road Safety: Understanding the Five Pillars for Action
Road safety is a critical global issue, impacting millions of lives each year. The World Health Organization (WHO) and the United Nations have developed a comprehensive framework to tackle this challenge, known as the “Five Pillars for Action” in road safety. These pillars form the backbone of a safe system approach, aiming to minimise road […]
Celebrating Excellence: The EXIT Project Wins the 2022 Prince Michael Premier Award – International Road Safety Awards
We are delighted to announce that one of our flagship initiatives, “The EXIT Project,” has been honoured with the prestigious 2022 Prince Michael Premier Award
