BY ROMMIE L. DUCKWORTH
Good vehicle extrication demands rescuers' expertise with an ever-changing set of tools and techniques to adapt to constant updates in vehicle materials and design. Great vehicle extrication combines this with collaboration between rescue and emergency medical personnel and integration of rescue strategy and tactics with best practices in trauma care to ensure the best patient outcomes. For the best extrication teams, this collaboration extends to everyone from incident commander (IC), rescue boss, and extrication technician to primary care provider and support personnel.1,2
Although many calls for extrication involve only straightforward tactics and simple emergency medical service (EMS) care, the situation can quickly become challenging when resources are scarce and responders are called to perform many different roles on scene, often splitting rescue efforts from EMS care. For calls that involve subtle or even obvious life threats, it is easy, as personnel shift from one role to another, to become overly focused on "tools and tasks," a form of tunnel vision that may result in perfectly executed cuts, pushes, spreads, and rolls while leaving patient care to whatever way EMS personnel can work around the rescue team.
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