In vehicle extrication, what is the first stabilization step before patient access?

• A. Scene safety and stabilization with cribbing, wheel chocks, and stabilization tools to prevent movement during rescue
• B. Immediately cutting patients without stabilization
• C. Only securing the vehicle doors
• D. Turning off the ignition and leaving the vehicle

Answer: (A)

In vehicle extrication, the first priority is scene safety and stabilizing the vehicle to prevent movement during the rescue. This foundation protects both the patient and the rescuers. By cribbing, wheel chocks, and stabilization devices, you create a solid, immovable platform that stops the car from shifting as tools are used for access, cutting, or lifting. With the vehicle securely stabilized, you can work more precisely and reduce the risk of worsening injuries or causing additional trauma to the patient. While turning off the ignition or securing doors are part of safety, they don’t prevent movement and therefore are not sufficient as the initial step; stabilization must come first to make any subsequent access and treatment safe and effective.