Extrication in the fire service most often means vehicle extrication. This is the means of removing a vehicle or part of a vehicle from around a person when conventional means of exiting are impossible or inadvisable. Or, rather, getting a person out of a vehicle when they can’t or shouldn’t open the door and step out.
After an accident scene has been marked off and protected from a potential fire situation(shutting off the ignition and such to keep from igniting any possible spilled fuel), the patient will need to be assessed to determine how to get them out. The vehicle needs to be secured as any movement could cause more trauma to a victim, not to mention posing a danger to the rescue workers. A window may be removed to allow a first responder to get inside to better assess the victim and also ease any pressure on the victim. Then, usually, a door or the roof will be cut or pulled away to safely remove the victim, and be able to protect the head, neck, and back.The main extrication tool used is the Hurst tool, or Jaws of Life. Some departments may only have this on hand, and after popping the door off, the rescue workers can get the patient out. Or they may have a more dedicated heavy rescue team who can come in with more equipment when it is needed. Extrication isn’t just the action of getting the door out, though. It starts with fire protection and isn’t finished until the patient is transferred to an ambulance, or at least away from the scene if they were merely trapped and not injured.