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¹ Department of Accident and Emergency, Royal Cornwall Hospital, Treliske, Truro, Cornwall TR1 3LJ, UK
² Emergency Department, Royal United Hospital, Bath, UK

Correspondence to:
Correspondence to:
Mr J P Wyatt;
jonathan.wyatt@rcht.cornwall.nhs.uk

Edited by Jonathan Wyatt; this scan coordinated by Fiona Beech

The first 150 words of the full text of this article appear below.

Rapid extrication from car wreckage
Prehospital emergency services are constantly striving to remove injured patients from car crash wreckage as quickly as possible. This Norwegian study focused upon extrication from frontal/oblique impact collisions. Standard extrication techniques are based upon cutting the pillars around the windows, removing the roof, and spreading the wreckage. The authors propose a new extrication technique that is based on attempting to reverse the forces of the original crash: the rear of the car is anchored and the steering wheel and the front of the car are pulled forwards in a controlled fashion. Car crashes were simulated in a range of vehicles and rescue teams were randomised to use standard procedures or the new proposed procedure. The time to extrication was significantly shorter with the new method and no additional uncontrolled movements were encountered. The authors do acknowledge some practical problems, such as the need for a certain amount of space around . . . [Full text of this article]

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