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Entrapment / extrication decision — DIPIMC MCQ

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HardPre-Hospital TraumaEntrapment / extrication decisionDIPIMCDipIMC

During controlled vehicle extrication, a trapped patient’s GCS falls and shock worsens. Continuing the planned technique would delay access to resuscitation and transport by at least twenty minutes. What should the team do?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: CUse emergency extrication with manual spinal protection as feasible

The best answer is “Use emergency extrication with manual spinal protection as feasible”. NICE permits immediate extrication when the patient needs time-critical treatment that cannot be delivered in the vehicle or when rapid transport is required. Coordinate the emergency move, maintain manual in-line protection as far as feasible and address life threats without avoidable delay. The theoretical benefit of a slower technique does not outweigh worsening hypoxia, shock or reduced consciousness.

Reference: NICE NG41, Spinal injury: https://www.nice.org.uk/guidance/ng41/chapter/recommendations