{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T02:08:39Z","timestamp":1771466919630,"version":"3.50.1"},"reference-count":43,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T00:00:00Z","timestamp":1663632000000},"content-version":"unspecified","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Road Safety Trust","award":["No grant number applicable."],"award-info":[{"award-number":["No grant number applicable."]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2022,8,31]]},"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To explore patient\u2019s experience of entrapment and subsequent extrication following a motor vehicle collision and identify their priorities in optimising this experience.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>Semistructured interviews exploring the experience of entrapment and extrication conducted at least 6\u2009weeks following the event. Thematic analysis of interviews.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting<\/jats:title>\n                  <jats:p>Single air ambulance and spinal cord injury charity in the UK.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Participants<\/jats:title>\n                  <jats:p>10 patients were recruited and consented; six air ambulance patients and two spinal cord injury charity patients attended the interview. 2 air ambulance patients declined to participate following consent due to the perceived potential for psychological sequelae.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The main theme across all participants was that of the importance of communication; successful communication to the trapped patient resulted in a sense of well-being and where communication failures occurred this led to distress. The data generated three key subthemes: \u2018on-scene communication\u2019, \u2018physical needs\u2019 and \u2018emotional needs\u2019. Specific practices were identified that were of use to patients during entrapment and extrication.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Extrication experience was improved by positive communication, companionship, explanations and planned postincident follow-up. Extrication experience was negatively affected by failures in communication, loss of autonomy, unmanaged pain, delayed communication with remote family and onlooker use of social media. Recommendations which will support a positive patient-centred extrication experience are the presence of an \u2018extrication buddy\u2019, the use of clear and accessible language, appropriate reassurance in relation to co-occupants, a supportive approach to communication with family and friends, the minimisation of onlooker photo\/videography and the provision of planned (non-clinical) follow-up.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjopen-2022-063798","type":"journal-article","created":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T12:13:35Z","timestamp":1663676015000},"page":"e063798","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Understanding people\u2019s experiences of extrication while being trapped in motor vehicles: a qualitative interview study"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0814-9240","authenticated-orcid":false,"given":"Tim","family":"Nutbeam","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, University Hospitals Plymouth NHS Trust, Plymouth, UK"},{"name":"Division of Emergency Medicine, University of Cape Town, Rondebosch, South Africa"},{"name":"Devon Air Ambulance, Exeter, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janet","family":"Brandling","sequence":"additional","affiliation":[{"name":"Qualitative Researcher and Psychotherapist, Unaffiliated, Bristol, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2711-3139","authenticated-orcid":false,"given":"Lee A","family":"Wallis","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, University of Cape Town, Rondebosch, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1486-4446","authenticated-orcid":false,"given":"Willem","family":"Stassen","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, University of Cape Town, Rondebosch, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,9,20]]},"reference":[{"key":"2025101813192682000_12.9.e063798.1","unstructured":"WHO . 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