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Stages of Extrication The first stage of extrication within each of the rescue phases outlined above is gaining access to the victim. Much will depend on the location of the accident, damage within the accident site, and the position of the victim. The means of gaining access must also take into account the possibility of causing further injury to the victim since force may be needed. Further injury must be minimized. The second stage involves giving lifesaving emergency care. If necessary, establish and maintain an open airway, start artificial respiration, and control hemorrhage. The third stage is disentanglement. The careful removal of debris and other impediments from the victim will prevent further injury to both the victim and the rescuer. The fourth stage is preparing the victim for removal, with special emphasis on the protection of possible fractures. The final stage, removing the victim from the trapped area and transporting to an ambulance or sickbay, may be as simple as helping the victim walk out of the area or as difficult as a blanket dragged out of a burning space. |
 
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