From the way we discuss it, you would think that the only way an individual involved in a MVA can be freed is by cutting their seat belt. In real life, how often must the intrepid rescuer whip out his seat belt cutter and go to work? I would be interested in feedback from those who have responded to a significant number of scenes. How often is a dedicated seat belt cutter employed?

Remember that freeing the victim from the seat belt is not the first priority. Barring active flames or something similar, you should assess and give first aid to the victim right where they are. Moving the victim without proper assessment and immobilization can aggravate existing problems and cause consequences worse than the original injury.

A significant number of accident victims do not require release from their seat belts because they weren't wearing them in the first place. They all too often will never require any more first aid.

My Leatherman can definitely cut a seat belt with ease, although I agree a dedicated tool would be best in the interests of safety and speed.