Extrication; Roadside to Resus

The Resus Room

Simon Laing

Science, Emergencymedicine, Medicine, Health & Fitness, Em, Ae

4.8 • 678 Ratings

🗓️ 15 September 2022

⏱️ 67 minutes

🔗️ Recording | iTunes | RSS

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Summary

Despite all the improvements that we have seen in trauma care over the past 20 or more years RTCs are still, sadly, a really common cause of both death and disability, with the number of deaths annually in the UK sitting somewhere between 1500-1900 per annum.

Survivors, who have serious injuries and are left with ongoing disabilities, total 22,000 people per year.

So anything we can do to improve care to these patients is definitely worth looking at and learning about!

Extrication is the process of injured (or potentially injured) patients being removed from vehicles involved in road traffic collisions. The fundamentals behind extrication have been based upon protecting the spine and not worsening an injury of it, but at the potential cost of other time critical injuries and with limited to no sound evidence base.

The EXIT project brings evidence to the practice of extrication and in this podcast we discuss the findings and implications for practice with the lead author Tim Nutbeam, Clare Bosanko (an EM & PHEM consultant) along with the three of us.

We also get the opportunity to hear from Freddie, a patient extricated from a high energy RTC and hear his perspective on Extrication.

Enjoy!

Simon, Rob & James

Transcript

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0:00.0	Welcome to the recess room podcast.
0:03.5	Five, four, three, two, one, fire.
0:12.2	So hi, and welcome back to a joint recess room podcast with Femcast. I'm Simon Lang.
0:19.0	I'm Rob Fenwick. I'm James Yates. I'm Tim Dupbeam. I'm Claire Bousanke.
0:23.9	Excellent. And the amount of organisation that's led to all five of us being here has been absolutely
0:29.1	seamless with no hitches. What further. So let's hope it's been worth it. So today we're going to
0:36.4	cover and the reason we're all together is we're
0:38.5	going to be looking at extrication. Yeah, we certainly are and this is a mega topic to be covering
0:43.8	because I'm sure this is something that we've all been involved with in the past, but probably
0:47.9	with very little evidence or guidance to support our practice. And hopefully this episode is all
0:53.7	going to be about discussing a brand new
0:56.1	evidence base that's going to hopefully help us with our decision making and our practice going
1:00.9	forward. Yeah, I think that's a fair summary, James. I think we're hopefully going to put a little
1:05.3	bit of evidence behind what has been a historically pretty evidence light area of our practice
1:10.5	with regard to pre-hospital care.
1:12.2	So yeah, extrication coming at you.
1:14.3	It's going to be a big episode.
1:15.6	So, yeah, buckle up, I guess.
1:18.6	That is awful.
1:20.1	I know.
1:21.1	So before we get into it, a big thanks to S.J. Trem, the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine for partnering
1:28.4	with us on the podcast and making this all free and open access. So if you like the sorts of topics
	...

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