In the typical on-scene sequence for a multi-vehicle collision, what comes after triage and patient care?

• A. Extrication begins
• B. Account for patients via check-in
• C. Refill water supply
• D. Scene safety and traffic control

Answer: (A)

In this on-scene sequence, the flow moves from stabilizing triaged patients to getting anyone who is trapped out of the wreckage so they can be evacuated. After triage and delivering immediate patient care, the priority becomes extrication—removing people who are impeded by wreckage so they can be accessed, treated further if needed, and transported to the hospital. This step is critical because delays in freeing trapped patients can worsen injuries or prevent timely transport to definitive care. Extrication is coordinated between EMS and fire/rescue teams, using the right tools and safety protocols to protect both the patients and responders.

Scene safety and traffic control are foundational and typically established early, not the immediate next action after care. Checking in to account for all patients happens as part of the triage and scene size-up process, and refilling a water supply is a logistical support task, not a primary on-scene operation driving patient outcomes.