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Tag: traffic collision

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 […]

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 […]