Unknown

Dataset Information

0

Understanding people's experiences of extrication while being trapped in motor vehicles: a qualitative interview study.


ABSTRACT:

Objective

To explore patient's experience of entrapment and subsequent extrication following a motor vehicle collision and identify their priorities in optimising this experience.

Design

Semistructured interviews exploring the experience of entrapment and extrication conducted at least 6 weeks following the event. Thematic analysis of interviews.

Setting

Single air ambulance and spinal cord injury charity in the UK.

Participants

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.

Results

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: 'on-scene communication', 'physical needs' and 'emotional needs'. Specific practices were identified that were of use to patients during entrapment and extrication.

Conclusions

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 'extrication buddy', 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.

SUBMITTER: Nutbeam T 

PROVIDER: S-EPMC9490624 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature

altmetric image

Publications

Understanding people's experiences of extrication while being trapped in motor vehicles: a qualitative interview study.

Nutbeam Tim T   Brandling Janet J   Wallis Lee A LA   Stassen Willem W  

BMJ open 20220920 9


<h4>Objective</h4>To explore patient's experience of entrapment and subsequent extrication following a motor vehicle collision and identify their priorities in optimising this experience.<h4>Design</h4>Semistructured interviews exploring the experience of entrapment and extrication conducted at least 6 weeks following the event. Thematic analysis of interviews.<h4>Setting</h4>Single air ambulance and spinal cord injury charity in the UK.<h4>Participants</h4>10 patients were recruited and consent  ...[more]

Similar Datasets

| S-EPMC11378695 | biostudies-literature
| S-EPMC7391487 | biostudies-literature
| S-EPMC8387890 | biostudies-literature
| S-EPMC10849216 | biostudies-literature
| S-EPMC10024892 | biostudies-literature
| S-EPMC8372816 | biostudies-literature
| S-EPMC11835783 | biostudies-literature
| S-EPMC10046705 | biostudies-literature
| S-EPMC9196159 | biostudies-literature
| S-EPMC7496424 | biostudies-literature