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

T Nutbeam; J Brandling; LA Wallis; W Stassen

doi:10.1136/bmjopen-2022-063798

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

T Nutbeam, J Brandling, LA Wallis, W Stassen

School of Health Professions

Research output: Contribution to journal › Article › peer-review

Abstract

ObjectiveTo explore patient’s experience of entrapment and subsequent extrication following a motor vehicle collision and identify their priorities in optimising this experience.DesignSemistructured interviews exploring the experience of entrapment and extrication conducted at least 6 weeks following the event. Thematic analysis of interviews.SettingSingle air ambulance and spinal cord injury charity in the UK.Participants10 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.ResultsThe 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.ConclusionsExtrication 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.

Original language	English
Pages (from-to)	e063798-e063798
Number of pages	0
Journal	BMJ Open
Volume	12
Issue number	9
DOIs	https://doi.org/10.1136/bmjopen-2022-063798
Publication status	Published - Sept 2022

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1136/bmjopen-2022-063798

Cite this

@article{fc99cc0f58c74728a6ce44ac99ca19b5,

title = "Understanding people{\textquoteright}s experiences of extrication while being trapped in motor vehicles: a qualitative interview study",

abstract = "ObjectiveTo explore patient{\textquoteright}s experience of entrapment and subsequent extrication following a motor vehicle collision and identify their priorities in optimising this experience.DesignSemistructured interviews exploring the experience of entrapment and extrication conducted at least 6 weeks following the event. Thematic analysis of interviews.SettingSingle air ambulance and spinal cord injury charity in the UK.Participants10 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.ResultsThe 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: {\textquoteleft}on-scene communication{\textquoteright}, {\textquoteleft}physical needs{\textquoteright} and {\textquoteleft}emotional needs{\textquoteright}. Specific practices were identified that were of use to patients during entrapment and extrication.ConclusionsExtrication 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 {\textquoteleft}extrication buddy{\textquoteright}, 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.",

author = "T Nutbeam and J Brandling and LA Wallis and W Stassen",

year = "2022",

month = sep,

doi = "10.1136/bmjopen-2022-063798",

language = "English",

volume = "12",

pages = "e063798--e063798",

journal = "BMJ Open",

issn = "2044-6055",

publisher = "BMJ Publishing Group",

number = "9",

}

TY - JOUR

T1 - Understanding people’s experiences of extrication while being trapped in motor vehicles: a qualitative interview study

AU - Nutbeam, T

AU - Brandling, J

AU - Wallis, LA

AU - Stassen, W

PY - 2022/9

Y1 - 2022/9

N2 - ObjectiveTo explore patient’s experience of entrapment and subsequent extrication following a motor vehicle collision and identify their priorities in optimising this experience.DesignSemistructured interviews exploring the experience of entrapment and extrication conducted at least 6 weeks following the event. Thematic analysis of interviews.SettingSingle air ambulance and spinal cord injury charity in the UK.Participants10 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.ResultsThe 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.ConclusionsExtrication 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.

AB - ObjectiveTo explore patient’s experience of entrapment and subsequent extrication following a motor vehicle collision and identify their priorities in optimising this experience.DesignSemistructured interviews exploring the experience of entrapment and extrication conducted at least 6 weeks following the event. Thematic analysis of interviews.SettingSingle air ambulance and spinal cord injury charity in the UK.Participants10 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.ResultsThe 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.ConclusionsExtrication 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.

U2 - 10.1136/bmjopen-2022-063798

DO - 10.1136/bmjopen-2022-063798

M3 - Article

SN - 2044-6055

VL - 12

SP - e063798-e063798

JO - BMJ Open

JF - BMJ Open

IS - 9

ER -

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

Abstract

UN SDGs

Access to Document

Fingerprint

Cite this