Evidence map›Paper›PMID 40475326›Full record

ArticleAfrican journal of emergency medicine : Revue africaine de la medecine d'urgence2025

Vehicle extrication in road traffic crashes: a descriptive analysis of an advanced medical rescue service in South Africa.

Naseef Abdullah, Jaydon Rose, Egnall Brown, Heike Geduld

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In one paragraph

Article in African journal of emergency medicine : Revue africaine de la medecine d'urgence, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Naseef AbdullahWestern Cape Government Health and Wellness, Emergency Medical Services, Cape Town, South Africa.
Jaydon RoseFaculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Egnall BrownWestern Cape Government Health and Wellness, Emergency Medical Services, Cape Town, South Africa.
Heike GeduldFaculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Road Traffic Crashes (RTCs) represent a significant global health challenge, with a disproportionate burden on low- and middle-income countries. Vehicle extrication is a critical Emergency Medical Service (EMS) intervention enabling early assessment and treatment of entrapped patients but remains understudied in resource-limited settings despite its potential impact on patient outcomes. This study describes the RTC extrication burden managed by a public sector EMS in the Western Cape, South Africa. Methods: We conducted a retrospective review of Computer-Aided-Dispatch (CAD) and a paper-based rescue case record data related to the extrication practises of 97 Advanced Medical Rescuers stationed across 25 rescue stations throughout the Western Cape of South Africa. Standard descriptive statistical procedures were applied to all variables. Results: Of 2,587,979 EMS activations during the study period, 23,899 (0.9 %) required specialised medical rescue activations, and 11,699 (0.5 %) were for transport-related emergencies. Of these, 719 (6.1 %) cases necessitated vehicle extrication. Light motor vehicles accounted for most extrications (78.2 %, Conclusion: This first comprehensive analysis of the RTC extrication burden in a South African province reveals significant spatial and temporal variations in rescue needs and techniques. Our findings provide valuable extrication-related data to inform targeted training programs, standardised extrication protocols, and strategic resource allocation to enhance EMS capabilities in resource-limited settings. These insights provide a foundation for workforce planning and specialised training to improve outcomes for entrapped RTC patients in similar contexts.

Indexed as

Advanced Medical RescuersEmergency medical servicesPrehospital careRoad traffic crashesSouth AfricaVehicle extrication

Identifiers

PMID40475326
PMCPMC12138419

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.