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
Reference: Nutbeam T, Fenwick R, Smith JE, Bouamra O, Wallis L, Stassen W. 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. Scand J Trauma Resusc Emerg Medicine 29, 17 (2021). What we did: We considered […]
Do Entrapment, Injuries, Outcomes and Potential for Self-Extrication Vary with Age? A Pre-Specified Analysis of the UK Trauma Registry (TARN)
Motor vehicle collisions (MVCs), particularly those associated with entrapment, are a common cause of major trauma. Current extrication methods are focused on spinal movement minimisation and mitigation, but for many patients self-extrication may be an appropriate alternative. Older drivers and passengers are increasingly injured in MVCs and may be at an increased risk of entrapment […]
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)
Motor vehicle collisions (MVCs) are a significant cause of morbidity and mortality throughout the world accounting for 1.35 million deaths and between 20 and 50 million injuries worldwide per annum. To our knowledge, no studies have considered the differences in injury patterns, entrapment status and morbidity and mortality outcomes between female and male patients. Failure […]
Understanding People’s Experiences of Extrication Whilst Being Trapped in Motor Vehicles: a Qualitative Interview Study
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 each of the participants. Themes from the interviews […]
Comparison of ‘Chain Cabling’ and ‘Roof Off’ Extrication Types, a Biomechanical Study in Healthy Volunteers
Following a motor vehicle collision some patients will remain trapped. Traditional extrication methods are time consuming and focus on movement minimisation and mitigation. ‘Chain cabling’ is an alternative method of extrication used in some Scandinavian countries. The optimal extrication strategy and the effect of extrication methods on spinal movement is unknown. This study compares ‘chain […]
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
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 new metric to describe these movements “travel” is presented: Maximal movement and travel Authors Tim […]
The Role of Cervical Collars and Verbal Instructions in Minimising Spinal Movement During Self-Extrication Following a Motor Vehicle Collision
The majority of people involved in motor vehicle collisions are uninjured or have injuries which do not prevent them exiting the vehicle. Self-extrication is the process by which a casualty is instructed to leave their vehicle and completes this with minimal or no assistance. Self-extrication may offer a number of patient and system-wide benefits. The […]
A Delphi Study of Rescue and Clinical Subject Matter Experts on the Extrication of Patients Following a Motor Vehicle Collision
Following an MVC some patients will remain trapped in their vehicle; these patients have worse outcomes and may require extrication. Following new evidence, updated multidisciplinary guidance for extrication is needed. What We Did This is a Delphi study of experts nominated by key stakeholders in clinical and operational extrication practice. A Delphi study iterative multi-stage […]
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 […]