Description

Nutbeam et al developed a simple tool for predicting the time to extricate victims at a road accident. The authors are from Demiford Hospital Plymouth, Shresbury  and Telford Hospitals, West Midlands Fire Service and Keele University.


Patient selection: occupant of a car involved in a road accident

 

arbitrary base extrication time: 8 minutes

 

Conditions increasing the extrication time

 

Factor

Time

physical obstruction

+10 minutes

any patient physically trapped

+ 7 minutes

each patient medically trapped

(+10 minutes) * (number trapped)

 

 

Conditions reducing the extrication time

 

Factor

Time

rapid access

-7 minutes

car on roof

-12 minutes

 

where:

• Rapid access probably implies that there was no physical obstruction.

 

total time to extricate in minutes =

= 8 + SUM(positive factors) - SUM(negative factors)

 

Limitations:

• The numbers might change by factors such as number of responders, number of vehicles involved and the weather.


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