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Entrapment in an unstable structure

Building collapses may constitute a major incident when there are significant numbers of occupants. Even when there is a single occupant special resources may be required and risks to rescuers can be considerable. This case illustrates the problems of restricted access and the specific additional rescue services available.

The prehospital team were called to a building collapse with a person reported trapped. Before landing, aerial survey revealed a large, partially collapsed three-storey house. On arrival, the team was briefed by the on-scene emergency services. There were several workers renovating the house when the collapse occurred, and all but one had managed to escape uninjured and left the scene before emergency service attendance. In addition to the ambulance and fire service an urban search and rescue (USAR) team was present. It was confirmed that a single male patient was trapped on the first floor, lying under two reinforced steel joists (RSJ), a chimney stack and roofing. The house was described as ‘extremely unstable’ but verbal contact with the patient had been established from a ladder resting against the side of the house. The helicopter emergency medical service (HEMS) doctor was asked to carry out a remote assessment in an attempt to determine the state of the patient and urgency …