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When we went to the rescue and extrication familiarization, we saw the wide range of tools that the fire department had to carefully open and access areas of cars. Though all of the methods were powerful and, as a result, violent for short periods, they weren't overdone or unnecessary given the context. In contrast, in this photo, someone is just hard-sending it and smashing an axe through a window to gain access, which seems far from necessary in most, if not all, contexts as it allows further chances for injury for all involved parties.

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Make sure when doing a "proper" extrication definitely make sure to cut the entire T frames and roof off. Then, after taking the entire top off carefully, painfully slow, RIP the patient from the vehicle. No spinal precautions, just rip as fast as you can. No backboard, no stretcher. Physically throw the patient into the back of the ambulance. No straps, no buckles. Then full lights and sirens. Fast as physically possible. Dump stretcher at ED doors. Case closed.

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One of the things I noticed from the vehicle extrication class was how careful you have to be with using hydraulic tools to gain access to a patient. I looked at the spreader tool that we used that day and it says it has a maximum spreading force of 147,924 lbs. You must be extremely careful using that level of power around your patients and providers. Whether it's from the debris that comes off the car or the sharp edges of a cut section, scene safety takes priority always.

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We learned in extrication class that there is a certain way to cut the windshield and if you don’t follow that line then it can cause the window to shatter and fall in onto the patient which can cause cuts on their body or even cause them to get glass in their eyes. It can also cause Danger to your other team members that might be in there giving care to the patient such as c-spine

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There are plenty of things that could go wrong when it comes to extrication. Just a few safety things that I've learned would be communication or stabilizing the vehicle. Just something as simple as telling the patient you need to break the window and to expect some loud noises is key. Always make sure the scene is safe, and make sure that everyone knows what to do.

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When we are performing an extrication, we want to ensure that we have the correct protective gear on. There are two firefighters that have the correct gear on but then there is the guy in the blue shirt that is putting himself in danger because he is right next to the guys using the jaws and doesn't even have eye protection at the very least. We learned in extrication that safety for ourselves and the patient is the top priority, there is a lot of potential for flying pieces and sharp edges so we want to make sure we pay attention to what we are doing and wear the correct protective equipment.

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Failure to ensure the safety of the vehicle and the victim is important. As you can see here they are attempting to pull up while the driver is still inside. While we don't know all details from a picture I would want to get the driver out of the car before attempting to pull the vehicle up because if the chain snaps or something else.