On August 23, 2003 the Glasgow First Aid and Lifesaving Crew responded to a call at the Natural Bridge Speedway for a driver involved in an MVA. The driver was a 36 year old male patient who was hit in the drivers side at speed.   EMT-B Wilcox was first to the patient and found him unconscious.  Another EMT on scene took control of C-Spine, and EMT Wilcox placed the patient on 15 liters by NRB.  After a moment, the patient started to come around.  Upon squad arrival, the patient was conscious but confused.  The squad applied a C-Collar, and an EMT/Firefighter from Company 11 continued to maintain C-Cpine stabilization.  Due to the overwhelming number of bystanders from both the crowd and the various pit crews, NREMT-B Havens called for the Rockbridge County Sheriff’s office to send a deputy to assist with crowd control.   Company 11 assisted with containing any possible fire hazards, as there were numerous fluids leaking from the vehicle.   The drivers chief complaint was of left sided rib pain, left sided neck pain, as well as continuing to be confused but was now also drowsy.  The patient was wearing a safety helmet in addition to having a five point safety harness.  The seat broke loose from its mounts, allowing the driver to strike the steering wheel, bending it in the process.  Based on the altered LOC, and the mechanism of injury, it was decided to request the assistance of LifeGuard 10. 

EMT-E Ellington and EMT-Watts began the extrication process.  They were able to remove the roof of the car, but due to the enhanced safety features they also had to contend with the roll bar.  They used a port-a-band saw to cut through the roll bar, and allow the patient to be lifted using the KED onto a backboard.  Due to the fact that the driver’s side door was reinforced with safety bars, normal extrication procedures were complicated.  After removing the roof of the vehicle, squad members were able to apply the KED, and place the patient on a backboard.  He was then carried to the waiting ambulance, where EMT-ST Cochrane was able to perform a more thorough survey.  PMS was checked both before and after the application of the KED, with good results on both.  All of the patients vital signs were within normal parameters.  As the patient was being extricated, LifeGuard was on its initial approach.  By the time the patient was placed in the ambulance and being assessed, the LifeGuard crew was arriving.  They continued the assessment, and the decision was made for LifeGuard to transport the driver to Roanoke Memorial Hospital. 

It was later discovered that while the patient had a concussion and was extremely bruised and sore, there were no other injuries.