Ok thanks for explaining. Saying it twice must make you right. The very, very part did it for me though.
No need to be nasty about it. I'd been trying to hold off, but I'll explain a bit.
In the fire service industry there's a standard (at least in the US, but it probably doesn't vary much) of 20 minutes 'on scene time' by which we want to have a patient extricated from a vehicle in which they are entrapped. This has to do with 'mechanism of injury' being so great in such a collision that it's very likely to result in critical injuries. Statistics show that in such situations, if we exceed that 20 minute elapsed time, the chances of survival for the patient decrease dramatically ... because after just getting them free of the vehicle, they still need to be 'packaged' (spinal immobilization, O2, etc) and then transported to the nearest, best ER so that they can begin true proper treatment. As long as they're stuck in the vehicle, the best you can really do for the patient is try to keep them stable while you get them out. Keeping such patients stable is almost always very difficult to do. We almost always get patients out well before the 20 minute mark, but sometimes things are difficult. Whenever I've been on scene at a pin-in longer than 20 minutes, we've always felt we were way behind schedule, things take on an even more urgent nature, and EMS Commanders and Fire Chiefs who are also there begin to talk on the radio with ER docs about taking some rather extraordinary measures to get the patient out. An extended extrication of this length frankly doesn't point to anything good. That said, hopefully he was indeed stable throughout the process and hopefully Billy's injuries aren't life-threatening and he makes a full recovery.
Edited by AustinF1, 16 April 2017 - 19:52.