The EMS personnel in the inner circle must provide medical care, but avoid getting in the way and slowing things down. Medic 7, Rescue 1, Engine 45, respond to an accident with entrapment. Medic 7 arrives, establishes command and sizes up the scene. Place the lower palm (heel) of your hand over the center of the person's chest, between the nipples. sabbath school superintendent opening remarks P.O. To start the dash lift (or any extrication procedure, for that matter) first stabilize the vehicle. The patient is positioned and fully secured to the transferring stretcher. Urgent Moves (2 of 2) Rapid extrication technique is an urgent move and should only be used if urgency exists. Lorazepam and diazepam are also used in EMS, but because of their long half-life and more significant hemodymanic effects, theyre rarely indicated in extrication or disentanglement. The most valuable part of patient removal is the planning prior to any movement. Write us: go to the form mail. EMT Chapter 35 Lifting and Moving Patients, Ch. There are some critical questions providers must answer about the patient: Is their airway open? Compare the primary dimensions of each of the following properties in the mass-based primary dimension system (m, L, t, T, I, C, N) to those in the force-based primary; dimension system (F, L, t, T, I, C, N): (a) pressure or stress; (b) moment or torque; (c) work or energy. Piazzale Badalocchio 9/b, 43126 Parma (PR) Italy *Q$* Clipboard, Search History, and several other advanced features are temporarily unavailable. The second and the third providers slide the patient along the backboard in coordinated 8-to-12-inch (20-to-30-cm) moves until the patient's hips rest on the backboard. Belts are characteristically coloured to help the rescuer remember the sequence and not to confuse the various attacks during the excitement of the moment: If the KED is a recent radiolucent model, the KED can be kept in place by placing the patient on the spine board; otherwise the classic KED should be removed as soon as the patient is placed on the spine board. If you need to utilize HEMS resources, call them early on rather than waiting for the resource to arrive. -Place arms under the patients shoulders and through the armpits while grasping your opposite wrist and drag the patient backwards, If You're Alone and Must Remove an Unresponsive Patient from a Vehicle, 1. 3.Put your arms through their armpits and support their head against your body Show more Show less Education Rapid Extrication (2 of 3) Rotate patient as a unit. Authors To save time a new technique based on reversing the forces of the original crash by anchoring the rear of the vehicle and pulling the steering wheel and the front window pillars forward with chains is developed. Rapidly describes sequence of steps to perform before lifting C. Preparatory commands and countdowns . Thanks to the KED, these three segments are locked in a semi-rigid position, allowing the spinal column to be immobilised. Other times, perfect extrication tactics can mean costly delays and poor medical outcomes. The following are the main steps for using the Kendrick extrication device to extract a casualty from a vehicle: IMPORTANT There are debates and controversies about the exact order of application of the brace straps, with some arguing that the order does not matter, as long as the brace is secured in front of the head. blue butterfly emoji in whatsapp; dr greenberg podiatrist dartmouth, ma Abrir menu. Make sure you find your balance. . 2023 - Emergency Live. Emergency Live is the only multilingual magazine dedicated to people involved in rescue and emergency. -Carry the stretcher over any terrain (use 4 person carry) by | Jun 30, 2022 | do julie and felicity become friends again | what happened to jackie and shadow's second egg? -Stretcher should be firm against the bed % Natural disasters 2. Its not a controlled substance and successfully achieves sedation, but frequently causes apnea at low doses. 2022 Jan 15;30 (1):7. doi: 10.1186/s13049-022-00996-5. The third provider moves to an effective position for sliding the patient. Follow these steps for performing CPR compressions: Put the person on his or her back on a firm surface. Place a cervical collar of the correct size on the neck of the casualty BEFORE applying the KED; The person is slowly slid forward, allowing the folded KED to be introduced behind the back (the KED is then placed between the back of the casualty and the back of the vehicle); The sides of the KED are unfolded under the armpits; The straps securing the KED are attached in a specific order: lastly, the upper straps (which can be annoying when breathing). Instruct him to don the PDF and hold the rope . >> Its easy to manage the ABCs of an arrest. rapid extrication technique 8 steps. VAT Number: IT02277610347 Keene (NH) Firefighters Raise Concern about Competition from Cheshire EMS. It also frequently causes nausea. The rapid extrication technique is designed to move a patient in a series of coordinated movements from the sitting position to the supine position on a long backboard while always maintaining . What did the Nazis begin using gas chambers instead of mobile killing units and shooting squads after a while? Essentially, the steps for vertical extrication are as follows: 1. -Use when you have to carry a patient some distance to be placed on a stretcher, Line up with one provider at the head, waist, and knees. A long board is gently placed between the seat and. 10 tips for EMS crews working at extrication scenes. -Lean forward and keep your back straight Created by shaun_fraser-mines Terms in this set (8) 1. rapid extrication technique 8 steps. -Have wider patient surface area for increased comfort All the information in the following pages are focused on the health sector, medical devices, pharmaceutical products or products inside these categories, and they request the use of a professional of the health sector. 4. A teacher walks into the Classroom and says If only Yesterday was Tomorrow Today would have been a Saturday Which Day did the Teacher make this Statement? ,5RK:.94-J-\>7O0!u*"2'$@U@u`l5@*Rn,KaI P\37MG#0/HSUXi[W]^_I1`^jp=}if}P*R{2BA7}|5-? #kK:a:]^61zU;|,5nW8uw^6 .d3Iva#.bAeMQ$R#x@6t1cgCp:3PRKuF,x)j/:`6v,OR''+>hv6P!x8@:B6.sHq{=rnr3CEn[MH!Kr2 s>$IRI*@D"@8`tT@HHK(@Ia|& 6WU%)/*X:Yk Today, both medical and mechanical rescuers must work harder to maintain proficiency in extrication. Take your places at the head and foot of the chair, Lower the chair to roll on landings and for transfer to the stretcher, Moving a Patient on Stairs With a Stretcher: Breakdown, -Patient is unresponsive and in spine (back) position, must be immobilized and secure to backboard -Position feet so that the force is balanced between both arms The use of multimodal systems has increased the biometric system's overall recognition rate. rapid extrication technique Which of the following is the most common type of rescue across the United States? One, etomidate (Amidate), is a sedative hypnotic with very little hemodynamic effect. The Rapid Extrication chain method is widely in use in Norwegian Fire Departments. What is error code E01-5 on Toyota forklift. Often, this area becomes so crowded that it can be difficult to get anything done. Theres heavy damage to both vehicles, but most of the vehicle doors open and their side-curtain and front-end air bags have deployed. -Push from between your waist and shoulders Extrication of entrapped patients from car accidents takes time. and transmitted securely. << Get an instant email of our full program list, prices, and steps to get started. The driver of the other vehicle is walking around and appears uninjured. The inner circle is the area of the crashed vehicle and its immediate surroundings. There are also basic extrication trends and operations that we execute. It can also cause hypotension, but much less so than morphine. How can an aspiration reference group influence behavior? National Library of Medicine -Secure the stretcher to prevent movement Perform the rapid extrication technique to move a patient from a vehicle. Financial Statements and Supplementary Data, or the context otherwise requires, references in this Annual Report to: . The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). -Place the patients arms on his or her chest if possible, On command, lift the patient to knee level, One command, roll the patient toward your chest, and then stand and carry the patient to the stretcher, Helpful when the patient is in a very narrow space/theres not enough room for the patient and several EMTs to stand side by side Total movement (travel), maximal movement, mean, standard deviation and condence intervals are reported for each extrication type. The Kendrick extrication device has many advantages: Although the Kendrick extrication device can also be used to immobilise infants and children, it is obviously preferable to use specially designed paediatric immobilisation devices whenever possible. EMS personnel should wear the same level of PPE as other workers at an incident. While most of our students are not competitive, some go on to excellence in equestrian sport. Review Answer: D Rationale: With the rapid extrication technique, a seriously injured patient can be moved from a sitting position in a vehicle to a supine position on a backboard while protecting the spine at the same time. Indications for the use of rapid extrication: The scene is unsafe The second provider supports the torso. C. provide specialized rescue such as patient extrication. Routing number of commercial bank of Ethiopia? Abstract Extrication of entrapped patients from car accidents takes time. This timely book analyzes the political events in Iraq that gave rise to one of the most brutal and sophisticated regimes of the modern era. content you are seeking by clicking here. -Pull patient by flexing arms -Rotate the patients arms s that they are extended straight on the ground beyond his or her head 2 ago. Fentanyl offers another interesting benefit, because it can be given intranasally. Before applying the KED, if possible, all the procedures preceding this phase should be completed, therefore: The ABC rule is more important than the extrication device: in the event of a road accident with an injured person in the vehicle, the first thing to do is to check for airway patency, breathing and circulation and only then can the casualty be fitted with a neck brace and KED (unless the situation requires rapid extraction, e.g. Define aspiration reference group. What is the labour of cable stayed bridges? Note that the volume of medication needed for intranasal administration precludes this as a useful adjunct in adults over 50 kg. This Is An H2 Tag Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed Continue Reading, Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. In most cases it is preferable to use the KED, but there are some situations in which the patient needs rapid extrication, in which case he/she may not be restrained by a KED and instead be taken directly out of the car, without losing time in applying the KED. Extrication may be simple, such as releasing a stuck door, or complex, with specifically designed tools and techniques being used to alter the internal and external structures of the vehicle [ 3 ]. -Carried down short stairs retract the undercarriage A successful extrication can be measured by minimal scene time, ABCs and packaging, as well as by the humane management of pain and absence of injury to rescuers. -Provides high mobilization and comfort 112. Review (1 of 2) 10. -Other arm is extended in front to the side of the patients torso, the patients belt Interdisciplinary and regular training of the method can lead to extrication of a critically injured patient in less than 20 minutes. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators . Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Continue Reading, Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Introductory Beginner Lessons are private riding lessons for $95 each (30 minutes). -Position your arms under the patients neck and shoulders official website and that any information you provide is encrypted If the head is too far forward, the head is brought back to meet the KED unless there is pain or resistance. In our community of more than 80,000 residents, there are roughly: >> 4,000 accident reports taken by police; >> 800900 reported personal injury crashes; >> Two thirds of the patients require a simple door pop for release; and, >> One-third require multiple maneuvers for release.(1). A connector can be a short section chain, heavy 2-inch webbing, or a ratchet strap. The long board straps and head blocks are applied; and. Due to the patient condition, the inside medic communicates with the rescue officer that immediate extrication is required as soon as the door is open. Develop specific skill in emergency stabilization of vehicles and access procedures and an awareness of specific extrication strategies. We couldn't find the page you were looking for. -Alternate between pulling patient and repositioning self so that your arms stay in the 15-20 inch range, -Use sheet or blanket The use of extrication devices in crevasse accidents: official statement of the International Commission for Mountain Emergency Medicine and the Terrestrial Rescue Commission of the International Commission for Alpine Rescue intended for physicians, paramedics, and mountain rescuers. z0DXg]P2! The vertical method is valuable in many situations because the roof is removed and the patient can be rapidly extricated, however, most providers arent familiar with this method. Main outcome measures were time to patient free and to patient on a stretcher. Sudden onset disasters 2. Wear the right gear. Good extrication care is an excellent illustration of your EMS systems level of sophistication. Opiates are the key to EMS pain management. Rescue and Extrication: Principles and Practice, Revised Second Edition Basic Hand Tools Problems in Personnel Management Maintenance and Care of Hand Tools The Management and the Worker Working Wood 1&2 Assessment of the Ergonomic Quality of Hand-held Tools and Computer Input Devices Hand Tools Factory Social Software and the Evolution of User Federal government websites often end in .gov or .mil. HHS Vulnerability Disclosure, Help -Place on backboard case of vomiting C. grasp the patient by the clothing and drag him or her from the car. *Primary concern is aggravating an existing spinal injury. Rapid extrication of entrapped victims in motor vehicle wreckage using a Norwegian chain method - cross-sectional and feasibility study. Proper care of the entrapped patient. It can also increase blood pressure and heart rate, relieve bronchospasm and offer pain relief and anesthesia for significantly painful procedures. Julie S Snyder, Linda Lilley, Shelly Collins, Winningham's Critical Thinking Cases in Nursing. Perform the direct ground lift to lift a patient. Established pursuant to the Ambulance Services Act, 1976 (NSW) and operating within the Health Services Act, 1997 (NSW), the service provides clinical care and health related transport . 3. Identity management describes a problem by providing the authorized owners with safe and simple access to information and solutions for specific identification processes. Emergency Live Even MoreLive: Download The New Free App Of Your Newspaper For IOS And Android, What Should Be In A Paediatric First Aid Kit. Is there occult bleeding? -Uncomfortable unless there's padding Holmatro makes no warranty, express, Acura RLX Sport Hybrid ERG Extrication Vehicle Rescue, 25 Vehicle Rescue and Extrication. Show that the set is infinite by placing it in a one-to-one correspondence with a proper subset of itself. *Maybe place them on their side Who is Jason crabb mother and where is she? Avoiding uncontrolled movements in the wreck was not more difficult with the new than the standard technique. -Cant be used on patients exceeding 350lbs, Carry a patient across uneven terrain from a remote location that is inaccessible by ambulance Its much harder to deal with multi-agency cooperation and the dynamics of incident management of a difficult extrication. Why do molecular clocks use mutations that have no effect on phenotype? Requires 3 lifters; used when a patient is sitting in a vehicle and must be urgently moved: The vehicle or scene is unsafe. Consistent approach! heavily illustrated, step-by-step format. pelvis. Medic 2 has arrived and is caring for the green patient. Tasks involve some combination of reaching, bending, kneeling, carrying, pushing, pulling and lifting (20- 50 lbs.) For example, if a car is on fire and could explode at any time, the patient may be pulled from the vehicle without a KED, because its use could result in a loss of time that could be fatal to him or the rescuer. They may also use a technique called . If these symptoms are present, the head is immobilised in the position found. Is there obvious external bleeding? (pp 283- 287, Skill Drill 8-7) 11 the direct ground lift to lift a patient. Full Body Harness 3. Based on your results, explain when and why some authors prefer to use; force as a primary dimension in place of mass. Unlike a long spinal board or litter, a Kendrick extrication device consists of a series of bars made of wood or other rigid material covered with a nylon jacket, which is placed behind the head, neck and trunk of the subject. does the dollar sign have one or two lines; madden girl waterproof boots; journal of physics: conference series quartile; colombian roasted potatoes **A command of execution (should be louder), -Minimize the number of total body lifts you have to preform PDF filebook in understanding certain basic vehicle rescue extrication techniques and rescue tools available. We make it easy. FOIA Etomidate also requires a very high level of monitoring to ensure patient safety. Emergency Live - Pre-Hospital Care, Ambulance Services, Fire Safety and Civil Protection Magazine. JEMS. The unresponsive driver is triaged red and the walking driver is triaged green.. The second provider gives commands, applies a cervical collar, and performs the primary assessment. But be careful with midazolam because the combined effect of an opiate and a benzodiazepine can cause apnea. what is the first step of an extrication operationsmith and wesson 340pd review. 3.Use long axis body drag to move patient a safe distance, A technique to move a patient from a sitting position inside a vehicle to supine on a backboard in less than 1 minute when conditions do not allow for standard immobilization, First provider provides in-line manual support of the head and cervical spine, Second provider gives commands, applies a C collar, and performs the primary assessment, Second provider supports the torso. B. apply a cervical collar and immobilize the patient on a short backboard. All Rights Reserved. 8600 Rockville Pike Never underestimate the value of talking to a patient (verbal distraction) as a pain-management tool, along with basic splinting. Rapid Extrication Technique | Step by Step Demonstration#PHTLS #TwareatMedicalCenter #KimmermanStudioThe rapid extrication technique is designed to move a pa. Lincoln (NE) Police Sergeant Saved Woman from Pond after Crash, Heat Waves Are Killing More LA Homeless People. The current standard approach to extrication prioritises absolute movement minimisation which contributes to prolonged extrication times [ 4, 5, 6 ]. Weigh the risk/benefit ratio for each medication prior to use. The rapid extrication technique is designed to transfer a affected person in a sequence of coordinated actions from the sitting position to the supine position on a long backboard whilst always keeping up stabilization and strengthen for the pinnacle/neck, torso, and pelvis. -Your partner should position his hands under the patients knees, -Lift the patient from the bed in a smooth coordinated fashion, Slowly carry the patient to the stretcher, Gently lower the patient onto the stretcher and secure with straps, -Transferring patient from the bed to the stretcher The first provider provides in-line manual support of the head and cervical spine. Travel light, gain rapid access, accomplish the task and get out quickly. /Filter /LZWDecode -Make sure stretcher is secure The blood sugar is measured at 40 mg/dL, and 25 grams of 50% dextrose is administered. The extrica- tion types examined were: roof removal, b-post rip, rapid removal and self-extrication. Does The Recovery Position In First Aid Actually Work? This critical step ensures the vehicle will not move and places it into a position that is. His Wife Gave Him CPR. ySDLUZYJ,9j4Fh. what is the first step of an extrication operationkerala express highway project. Transfer Patient from the stretcher to a bed in the ED: -Stretcher at the same height or slightly higher than the bed \end{aligned} stream As a long-standing equestrian facility in Metro Vancouver, Riverside has provided access to classical equestrian riding for over 40 years. Excepteur sint occaecat Continue Reading, Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. (Use of a backboard may depend on local protocols.). -WEight of the stretcher is increased, -Strong rectangular, tubular metal frame and rigid fabric stretched across All information, content, and material is for information and educational purposes and are not intended to serve as a substitute for the consultation, diagnosis, and/or medical treatment of a qualified physician or healthcare provider. -Roll bedding under the patient until it's about 6 inches wider than the patient Carabiner/ Shoulder Strap Technique 2. Regularly coordinated the extrication of injured victims in caves, high angle environments, complex auto collisions, and other large multi-agency incidents. Are they ventilating adequately? -Max weight of 850-900lbs, Pneumatic and electronic powered wheeled stretchers, -Battery operated The site is secure. Exterior Spreading First Responder Jack (FRJ) First Responder Jack Extrication Tips: October 2012 First Responder Jack Extrication Tips: January 2013 However, for patients with severe injuries or entrapment, distraction and basic splinting wont be enough. -Isolette is placed directly on top of the wheeled stretcher Please check the URL and try again. CPR and defibrillation Fire units are often a crucial part of the EMS system because they: A. always arrive at the scene before EMTs or paramedics. The patient regains consciousness. Rapid extrication technique. Rapid Extrication Technique | Step by Step Demonstration#PHTLS #TwareatMedicalCenter #KimmermanStudioThe rapid extrication technique is designed to move a patient in a series of coordinated movements from the sitting position to the supine position on a long backboard while always maintaining stabilization and support for the head/neck, torso, and pelvis.When would you use the rapid extrication technique?Rapid extrication is indicated when the scene is unsafe, a patient is unstable, or a critical patient is blocked by another less critical patient. A long board is gently placed between the seat and the patient; 3. Some information for citizens, Ukraine, MSF teams treating patients after missile attack on residential, OCHA (UN Humanitarian Agency): 7 reasons why the world must keep supporting, Train collision in Greece, 36 dead and 85 injured: rescuers at work, Nearly 400,000 victims of the Ukrainian crisis received humanitarian aid from, Ukraine, the Italian Red Cross documentary one year after the start of the, Denmark, Falck launches its first electric ambulance: debut in Copenhagen, Vacuum splint: Explaining the Spencer Res-Q-Splint Kit And How To Use It, Coulson Aviation provides aerial firefighting support to Argentina through, Madrid Selects Allison-Equipped Renault Trucks to Renew Fire Department Fleet, Fast and effective dialogue between the ambulance and the Operations Centre: the. Because we can do medical procedures, we often do them more frequently than indicated. Paramedics Rescue Man from UK Apartment Fire, Documents Detail EMTs Failure to Aid Tyre Nichols, New Course Lets Bystanders Be the Help Until Help Arrives, International Prehospital Medicine Institute Literature Review, March 2023. Is Applying Or Removing A Cervical Collar Dangerous? As an EMS provider, what is your primary safety concern? KED extrication device for trauma extraction: what it is and how to use it. Two anesthetic agents have reportedly been used in extrication with great success. (pp 281-287) 10 the rapid extrication technique to move a patient from a vehicle. -Extend arms no more than 15-20 inches Handcuff Method We use the "Quik Step" ladder to access the trapped firefighter, but only when. Before -Face the patient while standing between the bed and the stretcher -IV pole can be extended/folded above the main frame, Loading a Wheeled Stretcher Into an Ambulance: Step 1, Tilt the head of the stretcher upward and place it into the patient compartment with the wheels on the floor and the safety bar latched on the hook, Loading a Wheeled Stretcher Into an Ambulance: Step 2, The second EMT on the side of the stretcher releases the undercarriage lock and lifts the undercarriage, Loading a Wheeled Stretcher Into an Ambulance: Step 3, Roll the stretcher into the back of the ambulance, Loading a Wheeled Stretcher Into an Ambulance: Step 4, Secure the stretcher to the clamps mounted in the ambulance, -Leader indicates where each member should be and describes the sequence of steps I think too many people are getting hung up on trying to define rapid extrication as one specific removal technique. In order to fully participate in a rescue effort, EMS personnel should have such equipment as a helmet, protective eye wear, gloves, safety shoes/boots, ANSI Class II safety vests and turnout coats, and pants or extrication coveralls. VISIT THE EMS RADIO BOOTH AT EMERGENCY EXPO. Before we dive into the strategy of extrication, lets discuss five simple tips every provider should know. Accessibility Would you like email updates of new search results? 1 Min Read. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. -Extend one arm across to grasp the armpit The page you are looking for has been moved or deleted. Remember, rescue must be driven by the medical needs of the patient. However, modern EMS care has always been about bringing good care to bad places. The shortcomings of the unimodal systems have been addressed by the introduction of multimodal biometric systems. yellow or orange for those of the middle trunk; the scene is unsafe for the casualty and/or rescuers; the patients condition is unstable and resuscitation maneuvers should be initiated as soon as possible; the patient is blocking access to another visibly more serious victim. Explosives or other hazards are on scene There is fire or a danger of fire Pt can't be assessed unless removed from vehicle Pt needs to be supine for immediate intervention An oropharyngeal airway is inserted and oxygen is administered. Box 4666, Ventura, CA 93007 CERVICAL COLLARS, KEDS AND PATIENT IMMOBILISATION DEVICES? If it seems like it will be a short extrication, avoid adding ECG, NIBP, SpO2 and other monitoring devices because unnecessary wires and tubes will only impede patient removal. -Dont pinch yourself or the patient, -Keeps the neonatal warm with moistened air in a clean environment and helps to protect the infant from boise, drafts, infection, and excess handling All the contents inside this website are addressed to EMS, Rescue and Medical professionals. -Made of plastic with alumni frame Are you up for the challenge? Extrication time for the red patient must be kept to an absolute minimum. Provider at the foot end turns to face forward, One provider is positioned at each corner of the stretcher, Turn in the direction you will walk and switch using one hand, -Make sure its in the fully elected position The first provider (relieved by the fourth provider as needed) supports the patient's head and neck during rotation (and later steps). Extrication fundamentals. Sometimes really good medical care means using different tactics, resulting in a slower extrication. -Many patients can't lie supine on a backboard or stretcher without causing additional injury {30,31,32,33,34}\{30, 31, 32, 33, 34\ldots \}{30,31,32,33,34}. Explain non-technical high angle rescue procedures using aerial apparatus. Perform a timed rapid extrication within 1 minute and 40 seconds. Its simply a humane thing to do. & P_1=350 \text { torr, } V_1=200 \mathrm{~mL}, P_2=700 \text { torr, } \\ The extrication goal for entrapped patients is 10 minutes or less on scene. (pp 1300-1306) 9. stabilization and support for the head/neck, torso, and The device is used in patients who have to be extracted from vehicles, in order to avoid orthopaedic-neurological injuries, mainly to the spinal column and thus the spinal cord. Chapter pedagogy includes: objectives, opening case In an experimental randomised trial of extrication of volunteers from car wrecks after frontal/oblique impacts we wanted to evaluate the time spent with a new extrication technique (n=6) compared to standard (n=6). NSW Ambulance, previously the Ambulance Service of NSW, is an agency of NSW Health and the statutory provider of pre-hospital emergency care and ambulance services in the state of New South Wales, Australia..