For many professional rescuers, the primary focus is on disentanglement of the victims that are within the vehicles at an extrication scene. For the efficient and capable rescuer, they realize that while disentanglement is critical, getting to a point where victim access and removal is possible can take considerable time and varying skills to reach. Coordinated efforts focused on stabilization, patient care, patient path of travel along with disentanglement will aid in bringing problematic extrication scenes to a successful conclusion. This program will utilize both demonstration and hands-on skills stations to demonstrate and perform techniques and skills for successful scene mitigation. Class scenarios will include vehicles on their sides, roofs, and being compromised by other objects that will compromise victim accessibility. Topics to be covered in this program include: Stabilization of vehicles resting on their sides, roofs and under objects; vehicle power systems, such as electrical, fuel, pneumatic and hydraulic; logistical needs of the incident; patient accessibility and path of travel; and advanced stabilization and disentanglement methods for compromised patient access.