Published on July 21, 2014
““A Crash Course for theA Crash Course for the Motorcyclist”Motorcyclist” Vicki Sanfelipo, RN/EMTVicki Sanfelipo, RN/EMT Author – Founder-Program DirectorAuthor – Founder-Program Director
History of Accident SceneHistory of Accident Scene Management – (ASM)Management – (ASM) • ASM was established in 1996 with classes beginning in 1997 • Currently we have instructors in 30 states and have trained well over 25,000 students • Australia establishes their program in 2010 & New Zealand, South Africa launched in 2013
Goals & ObjectivesGoals & Objectives • Reduce Injuries & Fatalities • Reduce Rescuer Injury • Increase Effectiveness of the Emergency Medical System (EMS) • Focus on Trauma • Address Difficult Subjects • Jaw Thrust Rescue Breathing • Full Faced Helmet Removal • Moving the Injured
Why Bystander Assistance?Why Bystander Assistance? • AHA Chain of survival – Early Access • 911, GPS – Early Intervention • CPR, 1st Aid • – Early Transportation • Improved training & equipment – Early Advanced Life Support • ALS units, Flight MISSING BYSTANDER ASSISTANCE! Best, most effective way that we can improve the EMS!
Bystander AgendaBystander Agenda • Prevent Further Injury • Assess the Situation • Contact the EMS • Treat the Injured with Life Sustaining Care – ABCSS of trauma
ABCSS of TraumaABCSS of Trauma Priorities of Treatment • A = Airway • B = Breathing (jaw thrust) • C = Circulation (obvious external bleeding) • S = Shock (internal bleeding) • S = Spinal Immobilization
Main Airway issue:Main Airway issue: Typically blocked by the tongueTypically blocked by the tongue Head Tilt Chin Lift is done to lift the tongue from the back of the throat in CPR. Problem: Spinal Injury suspected in ALL motorcycle Crashes! Jaw Thrust uses the hinged mandible to lift the tongue from the back of the throat, creating a passage for air to enter the lungs
Hand PositionHand Position Thumb is used to hold the head down Use index finger near where the ear attaches to lift the jaw
Jaw Joint slidesJaw Joint slides Press here to slide the jaw forward
Jaw opens and closes like anyJaw opens and closes like any hinged joint when we chewhinged joint when we chew Hinged and sliding joint
Jaw Slides ForwardJaw Slides Forward When Jaw slides forward it lifts the tongue off the back of the throat allowing air to get into the lungs
Full Face HelmetFull Face Helmet
ConsiderationsConsiderations Two conditions must be present: 1.) Full Face Helmet 2.) Helmet interferes with your ability to control airway According to the American Academy of Orthopedic Surgeons: Two rescuers are needed for SAFE removal
Rescuer One: Takes control of Helmet Rescuer Two: Takes control of neck 1. Assess Breathing 2. Remove chin strap 3. Move head to neutral position 4. Place one hand at base of skull and the other over the chin 5. Pull helmet straight back while pulling out on sides 6. Hand at base of skull moves along with helmet to catch the head
Fill Space If PossibleFill Space If Possible
PATCHESPATCHES indicate trained rescuersindicate trained rescuers Three Classes available: Basic – 7 hours Advanced - 7 hours Professional Rescuer – 3 hours Note: this PowerPoint is informational only
Road GuardiansRoad Guardians Road Guardians is a social program that encourages motorcyclists to participate in all aspects of motorcycle safety. Participation is encouraged through Resources, Rewards and Recognition
Cat Hammes, RNCat Hammes, RN Cat lost her leg in a horrific motorcycle crash. She believes that she is alive and riding again because of the trained ASM student who stopped to assist. Today, Cat teaches ASM classes and has dedicated her life to helping veterans overcome challenges from limb loss
Contact informationContact information Vicki Sanfelipo, RN/EMT – ASMI DirectorVicki Sanfelipo, RN/EMT – ASMI Director Accident Scene Management - USA. S87 W23110 Wynn Dr. Big Bend, WI 530103 (262) 706-3278 firstname.lastname@example.org www.accidentscene.org
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