In response to my post Helicopter Crash vs. Ambulance Crash , there is a comment by Greg Friese . Rollover crashes can be catastrophic if seatbelts are not being used. The fact that four people emerged from a rollover crash with only minor injuries likely (and I am speculating) means they were all wearing seatbelts and their minor injuries were caused by being hit by unsecured equipment (more speculation). We do not know whether they were all restrained, whether some were restrained and others were not, or whether none were restrained. The way to determine appropriate care is to perform a skillful assessment of the actual patient, not by assessment of the mechanism. Some EMS systems choose to avoid education in assessment. This is wrong. Let’s get silly, here. What if I do not hear the mechanism half a dozen times, or more, before I meet the patient? Am I be able to assess that patient appropriately? No, that is not, in any way, an unfair question. How many times do we arrive and find everyone out of the vehicle? How many times are these self-extricated people actually seriously injured? How accurate is the description of what happened, compared to an accurate accident reconstruction?

Original Source of Rollover – Mechanism