What should be the highest priority during extrication?

The highest priority during extrication is ensuring personal safety. This is foundational in any emergency response situation, as the safety of both the responders and the victims must be maintained to prevent further injuries or accidents. If the environment poses any risk – such as traffic hazards, unstable structures, or the presence of hazardous materials – responders must first address these dangers before attending to the victims. Only when it is safe will responders be able to effectively assist individuals in need.

While controlling major bleeding, maintaining the patient's airway, and gaining access to the patient are crucial elements in the care provided after safety is ensured, they all come after the responder's safety has been established. Prioritizing personal safety allows for a more effective and secure response to the situation, ensuring that rescuers can perform their duties without becoming casualties themselves.