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<p>Traffic accidents involving motor vehicles are one of the most common causes of death worldwide. Despite advances in emergency medicine and fire and rescue service equipment, the process of extricating trauma patients from their vehicles has remained largely unchanged in recent decades. However, the rescue procedure based on the principle of ‘absolute minimisation of spinal movement’ is increasingly being called into question. The benefit of potentially delaying time-critical interventions in favor of avoiding secondary spinal cord injuries has not yet been proven. This paper presents the recommendations of the Consensus Statement on ‘Extrication Following a&#xa0;Motor Vehicle Collision’ published in November 2024 by the Faculty of Pre-Hospital Care (FPHC) of the Royal College of Surgeons of Edinburgh and compares them with the current guidelines from Germany and Denmark. In this context, relevant and practice-changing statements are emphasized. These include the implementation of (assisted) self-extrication, appropriate communication with patients and the use of aids to support first responders and emergency services in selecting the most appropriate rescue method.</p>

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Die neue britische Leitlinie zur Rettung von Personen nach Verkehrsunfällen – Vorstellung und Diskussion

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年6月20日

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  • Maximilian Laun,
  • Lukas Breimeir,
  • Stefan Foerch,
  • Felix Girrbach

摘要

Traffic accidents involving motor vehicles are one of the most common causes of death worldwide. Despite advances in emergency medicine and fire and rescue service equipment, the process of extricating trauma patients from their vehicles has remained largely unchanged in recent decades. However, the rescue procedure based on the principle of ‘absolute minimisation of spinal movement’ is increasingly being called into question. The benefit of potentially delaying time-critical interventions in favor of avoiding secondary spinal cord injuries has not yet been proven. This paper presents the recommendations of the Consensus Statement on ‘Extrication Following a Motor Vehicle Collision’ published in November 2024 by the Faculty of Pre-Hospital Care (FPHC) of the Royal College of Surgeons of Edinburgh and compares them with the current guidelines from Germany and Denmark. In this context, relevant and practice-changing statements are emphasized. These include the implementation of (assisted) self-extrication, appropriate communication with patients and the use of aids to support first responders and emergency services in selecting the most appropriate rescue method.