First Aid and Incident Scene Management
First aid and incident scene management test the first response after a crash: making the scene safe, calling the right service, and giving basic care without making injuries worse. The exam rewards a calm sequence, not dramatic improvisation.
Scene safety first
- Park safely, apply the handbrake, switch off the engine and turn on hazard lights.
- Place a warning triangle behind the scene; on fast roads put it further back and wear visible clothing.
- Do not smoke near fuel, and keep bystanders back.
- Call the ambulance on 123 and the police on 122; state the location, number of casualties and hazards.
Assessment and care
- Use DR ABC: Danger, Response, Airway, Breathing, Circulation.
- If the casualty is unresponsive but breathing, maintain the airway and place them in the recovery position if there is no suspected spinal injury.
- If not breathing, start CPR: 30 chest compressions to 2 rescue breaths, compressions 5-6 cm deep at 100-120 per minute, if trained.
- Control bleeding with firm direct pressure; do not remove an embedded object.
- Cool burns with clean running water for about 20 minutes; do not burst blisters or apply ice, butter or toothpaste.
- Keep the casualty warm and still; do not give food or drink.
Spinal and helmet care
- Suspect spinal injury after a motorcycle crash or high-speed impact. Support the head in line with the body.
- Do not remove a motorcyclist's helmet unless the airway is blocked and you have trained help.
Worked example
A motorcyclist is unconscious but breathing after a low-speed fall. You do not pull off the helmet. You support the head, check the airway, call 123, monitor breathing and keep the rider still until help arrives. The reasoning is that helmet removal can move the neck and worsen a spinal injury; airway takes priority only if it is obstructed.
Traps
Moving a casualty 'to make them comfortable'; giving water to an unconscious person; removing a helmet as a routine; crowding the casualty; and using ice or ointment on a burn.