The development of evidence-based guidelines to inform the extrication of casualties trapped in motor vehicles following a collision
| dc.contributor.advisor | Stassen, Willem | |
| dc.contributor.advisor | Smith, Jason | |
| dc.contributor.advisor | Wallis Lee | |
| dc.contributor.author | Nutbeam, Tim | |
| dc.date.accessioned | 2023-04-04T09:18:08Z | |
| dc.date.available | 2023-04-04T09:18:08Z | |
| dc.date.issued | 2022 | |
| dc.date.updated | 2023-04-04T09:15:38Z | |
| dc.description.abstract | Background Motor vehicle collisions (MVCs) are a common cause of injury and death throughout the world. Following an MVC some patients will remain in their vehicles due to injury, the potential for injury or physical obstruction. Extrication is the process of removing injured or potentially injured patients from vehicles following a motor-vehicle collision. Current extrication practices are based on the principles of 'movement minimisation' with the purpose of minimising the incidence of avoidable secondary spinal injury. Movement minimisation adds time to the process of extrication and may result in an excess morbidity and mortality for patients with time dependent injuries. The current extrication approach has evolved without the application of evidence-based medicine (EBM) principles. The principles of EBM; consideration of the relevant scientific evidence, patient values and preferences and expert clinical judgement are used as a framework for this thesis. Aims and Objectives To develop evidence-based guidance for the extrication of patients trapped in motor vehicles by applying EBM principles to this area of practice. This will be achieved through: - Describing the injury patterns, morbidity and mortality of patients involved in MVCs (trapped and not trapped). - To analyse the movement associated with and the time taken to deliver across a variety of extrication methods. - Determining the perceptions of patients who have undergone vehicle extrication and describe their experiences of extrication. - Developing consensus-based guidelines for extrication. | |
| dc.identifier.apacitation | Nutbeam, T. (2022). <i>The development of evidence-based guidelines to inform the extrication of casualties trapped in motor vehicles following a collision</i>. (). ,Faculty of Health Sciences ,Division of General Surgery. Retrieved from http://hdl.handle.net/11427/37659 | en_ZA |
| dc.identifier.chicagocitation | Nutbeam, Tim. <i>"The development of evidence-based guidelines to inform the extrication of casualties trapped in motor vehicles following a collision."</i> ., ,Faculty of Health Sciences ,Division of General Surgery, 2022. http://hdl.handle.net/11427/37659 | en_ZA |
| dc.identifier.citation | Nutbeam, T. 2022. The development of evidence-based guidelines to inform the extrication of casualties trapped in motor vehicles following a collision. . ,Faculty of Health Sciences ,Division of General Surgery. http://hdl.handle.net/11427/37659 | en_ZA |
| dc.identifier.ris | TY - Doctoral Thesis AU - Nutbeam, Tim AB - Background Motor vehicle collisions (MVCs) are a common cause of injury and death throughout the world. Following an MVC some patients will remain in their vehicles due to injury, the potential for injury or physical obstruction. Extrication is the process of removing injured or potentially injured patients from vehicles following a motor-vehicle collision. Current extrication practices are based on the principles of 'movement minimisation' with the purpose of minimising the incidence of avoidable secondary spinal injury. Movement minimisation adds time to the process of extrication and may result in an excess morbidity and mortality for patients with time dependent injuries. The current extrication approach has evolved without the application of evidence-based medicine (EBM) principles. The principles of EBM; consideration of the relevant scientific evidence, patient values and preferences and expert clinical judgement are used as a framework for this thesis. Aims and Objectives To develop evidence-based guidance for the extrication of patients trapped in motor vehicles by applying EBM principles to this area of practice. This will be achieved through: - Describing the injury patterns, morbidity and mortality of patients involved in MVCs (trapped and not trapped). - To analyse the movement associated with and the time taken to deliver across a variety of extrication methods. - Determining the perceptions of patients who have undergone vehicle extrication and describe their experiences of extrication. - Developing consensus-based guidelines for extrication. DA - 2022 DB - OpenUCT DP - University of Cape Town KW - Motor vehicle collisions LK - https://open.uct.ac.za PY - 2022 T1 - The development of evidence-based guidelines to inform the extrication of casualties trapped in motor vehicles following a collision TI - The development of evidence-based guidelines to inform the extrication of casualties trapped in motor vehicles following a collision UR - http://hdl.handle.net/11427/37659 ER - | en_ZA |
| dc.identifier.uri | http://hdl.handle.net/11427/37659 | |
| dc.identifier.vancouvercitation | Nutbeam T. The development of evidence-based guidelines to inform the extrication of casualties trapped in motor vehicles following a collision. []. ,Faculty of Health Sciences ,Division of General Surgery, 2022 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/37659 | en_ZA |
| dc.language.rfc3066 | eng | |
| dc.publisher.department | Division of General Surgery | |
| dc.publisher.faculty | Faculty of Health Sciences | |
| dc.subject | Motor vehicle collisions | |
| dc.title | The development of evidence-based guidelines to inform the extrication of casualties trapped in motor vehicles following a collision | |
| dc.type | Doctoral Thesis | |
| dc.type.qualificationlevel | Doctoral | |
| dc.type.qualificationlevel | PhD |