The current method of extricating a driver after a collision in motorsport remains controversial. The current setup and deployment of both vehicles and personnel are outdated and in certain circumstances potentially dangerous to drivers. This analysis, based on current literature and the specialist expertise of the authors, endeavours to address the issues and make evidence-based recommendations.
SnookR. Extrication of trapped casualties. Br Med J1969; 4: 478–480.
2.
PasquierMSpichigerTRuffinenGZ. Stabilization of the kendrick extrication device during winching. Air Med J2013; 32: 350–351.
3.
DixonMO'HalloranJCumminsNM. Biomechanical analysis of spinal immobilisation during prehospital extrication: a proof of concept study. Emerg Med J2014; 31: 745–749.
ShaferJSNaunheimRS. Cervical spine motion during extrication: a pilot study. West J Emerg Med2009; 10: 74–78.
6.
Ben-GalimPDreiangelNMattoxKL. Extrication collars can result in abnormal separation between vertebrae in the presence of a dissociative injury. J Trauma2010; 69: 447–450.
7.
KarbiOACaspariDATatorCH. Extrication, immobilization and radiologic investigation of patients with cervical spine injuries. CMAJ1988; 139: 617–621.
8.
ClineJRScheidelEBigsbyEF. A comparison of methods of cervical immobilization used in patient extrication and transport. J Trauma1985; 25: 649–653.
9.
FattahSJohnsenASAndersenJE. Rapid extrication of entrapped victims in motor vehicle wreckage using a Norwegian chain method – cross-sectional and feasibility study. BMC Emerg Med2014; 14: 14–14.
10.
WikLHansenTBKjensliK. Rapid extrication from a car wreck. Injury2004; 35: 739–745.
11.
CallandV. Extrication of the seriously injured road crash victim. Emerg Med J2005; 22: 817–821.