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What should I do? A Rider’s Been Injured In an Accident…

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Presentation on theme: "What should I do? A Rider’s Been Injured In an Accident…"— Presentation transcript:

1 What should I do? A Rider’s Been Injured In an Accident…
Don Arthur, MD Emergency Medicine Physician Rider

2 Keeping Things in Perspective
No, you are not Superman. You will not miraculously fix injuries and be included in the next edition of the Bible. But… You can save a life or a limb! You can lessen suffering. You can bring calm to a stressful situation

3 Good Samaritan Laws Laws protect the general public when assisting a victim during a medical emergency. Assume no medically trained person is available to assist the victim. Protect a layperson if (s)he has good intentions to aid the victim. Some laws protect medically trained responders who follow normal procedures. Victim may sue if a responder acts with malice or recklessness. Some states have penalties for those who do NOT assist.

4 Good Samaritan Laws Four key elements:
Care rendered is performed as the result of the emergency The initial emergency was not caused by the person invoking the law The emergency care is not delivered in a grossly negligent or reckless manner Aid is given with permission whenever possible to obtain it State laws vary widely… check them out at:

5 Mechanisms of Injury Blunt force trauma Penetrating injuries Abrasions
Head and neck injuries Chest and abdominal injuries Musculo-skeletal injuries Penetrating injuries Impacted objects Road debris Rider possessions Abrasions

Speed and Energy Kinetic Energy = ½ MV2 At 80 MPH FORCE OF IMPACT At 40 MPH SPEED 10 20 30 40 50 60 70 80 90 100 THE FASTER YOU GO, THE BIGGER THE MESS

7 Scene Management Remain calm and others will join you!
Assess the scene for continuing hazards – traffic, fire risk Safety Circle – protect yourself and others at the scene. Control traffic and bystanders. Best trained responder should attend to victim. Approach victim and introduce yourself: Offer assistance to victim(s) and get a response. Don’t argue with the victim. Don’t move the victim. Be careful what you say… “You’ve been in a motorcycle accident and it’s important that you don’t move. An ambulance is on its way. My name is Don and I’d like to help you.”

Are there any obstructions to breathing? Do not change head position unless necessary. BREATHING Is the victim spontaneously breathing? Are breaths regular and unlabored? CIRCULATION Check for pulse on the side of the victim’s neck or at the wrist. Assess pulse quality (use your own as a reference). Count the number of pulses/minute. Don’t use your thumb. IF RIDER IS INJURED DO NOT REMOVE HELMET CAUTION

9 Airway Must have an open and unobstructed airway
Open the victim’s mouth without moving head Clear the airway of any foreign material Move jaw forward to move tongue forward

10 ABCC-911 Tell the operator: CERVICAL (NECK) SPINE
Assume there is a neck injury. Anything you do can and will make it worse! And the Good Samaritan Law may not apply if you do. HELMET REMOVAL Only if necessary to establish an airway Should only be performed by two trained people Requires constant head support and immobilization Tell the operator: Motorcycle accident with injuries Number of injured Severity of injuries Location (use your GPS) You hang up last I see a trauma center in your future…

11 Gather Essential Information
IF VICTIM IS CONSCIOUS Get as much pertinent information as possible and write it down to give to ambulance crew Name, address, phone number, age Emergency information card? Medical problems, medications, and allergies Who should be contacted? Vehicle insurance and towing preference Helps emergency personnel Victim may not be able to respond if medical condition worsens Establishes rapport with the victim

12 Accident Scene Facts Ask victim what (s)he remembers about the accident Speed, weather, road conditions Minutes leading up to accident Traffic patterns as accident evolved Position of other vehicles and objects Draw the scene Note vehicle positions and directions of travel Photograph scene Don’t photograph victim without permission This will assist medical personnel in assessing mechanisms of injuries and possible extent of unseen injuries Victim may not later remember details essential for insurance claims

13 Don’s Simple Categories
First, Do No Harm! Injuries you can’t do anything about (but can always make worse) Head injury Neck injury Internal chest and abdominal injuries Open fractures (bone has broken through the skin) Penetrating injuries Injuries you can do something about… and should Open chest wound External bleeding Eye injury Closed fractures Injuries you can do something about… but probably shouldn’t Positioning for comfort Abrasions

14 Injuries You Can’t Do Anything About But Could Make a Whole Lot Worse
Head injury – usually caused by striking a fixed object Neck injury – can result in paralysis and death Internal chest and abdominal injuries Open fractures (bone has broken through the skin) Penetrating injuries FIXED OBJECT COUP INJURY CONTRA-COUP INJURY

15 Injuries You Can Do Something About
And Should Open chest wound Air entering chest cavity will collapse lung Apply occlusive dressing over wound Tape in place only on three sides External bleeding Apply direct pressure at the site of bleeding If severe, apply pressure at pulse point No pressure to skull if fracture is suspected Eye injury Protect the eye from further injury Closed fractures Splint in place to avoid further injury

16 Injuries You Can Do Something About But Probably Shouldn’t
Positioning for comfort Victim may ask you to move him to ease pain from injuries Movement may make the injury worse and do nothing for the pain You may not be covered by Good Samaritan Law for non-emergency or unnecessary treatment Let the professionals perform all victim movement Abrasions Field treatment won’t improve eventual healing May further contaminate the wound Protect from further contamination Do not put anything directly onto the wounds except to stop significant bleeding

17 Most Common Injuries ATGATT Bone Fractures – Open or Closed
Legs and feet Arms and shoulders Hands Pelvis and hips Back and neck Road Rash Head Injury Internal Abdominal Injuries Internal Chest Injuries Bleeding from Injuries Nerve Damage

18 ATGATT Because walking away in disgust
beats riding away in an ambulance.

19 5½ hour First Aid/CPR/AED classroom course
How Can You Prepare? 5½ hour First Aid/CPR/AED classroom course 23.4mB Smart Phone App Contains videos and instructions Carry it with you in your Smart Phone!

20 You don’t need a lot… just the basics.
First Aid Kit Suggested Contents Triple antibiotic ointment packet Antiseptic cleansing wipes Plastic adhesive bandages (Band Aids) Instant cold compress Triangular sling/bandage Gauze dressing pads First aid tape Gauze roll bandage Latex-free exam-quality vinyl gloves Hand sanitizer Scissors Plastic tweezers You don’t need a lot… just the basics.

21 Common Medical Problems Nothing gets better during a ride!
General thoughts Dehydration Cardiovascular conditions Deep vein thrombosis (DVT) Respiratory conditions Urinary conditions Skin conditions Other riding effects Surgeon General’s warning… Nothing gets better during a ride!

22 “Dad went on a little ride this morning… to Ohio.”
Warning THE SURGEON GENERAL HAS DETERMINED THAT MOTORCYCLE RIDING IS HABIT-FORMING! Courtesy: Donna Fousek, 2004 “Dad went on a little ride this morning… to Ohio.”

23 Preparing for the Ride Carefully consider potential riding impact
Chronic illnesses Predisposing conditions Family history Carry a card with emergency information Name, address, phone numbers Next of kin and how to contact Significant health history Medications and allergies Health insurance information Vehicle insurance and towing information Make an ICE entry in your cell phone contacts Put a sticker on the back of your driver’s license Take extra medication (in safe and dry place) Prevention is better than treatment When in doubt, talk with your primary care provider

24 Dehydration Water loss from heat exposure – primarily sweating
Normal vapor loss from lungs Normal ‘insensible’ water loss from skin Increased water loss during heat exposure Keep skin covered Use cooling methods Significantly affects mental and physical functions Can accelerate development of fatigue Accentuates fatigue effects Many symptoms mimic fatigue Dry mouth, headache  nausea, muscle weakness Increases risk for heart and circulation problems Especially when taking some medications

25 Rehydration Stay ahead… DRINK before you need to
Water AND electrolyte (salt) solution Sweating causes loss of water and electrolytes Need to replenish BOTH Low salt levels can be harmful Read the labels Amounts of electrolytes vary May contain carbohydrates (sugar) Avoid caffeine or alcohol for hydration Both cause water loss by increasing urination And this can accelerate dehydration

26 For Diabetics Carbohydrate (sugar) in solutions can be dangerous for diabetics Can raise blood sugar level acutely May result in rebound decreased blood sugar May increase water output through urine Most athlete supplements contain sugar + Sugar No Sugar Contains necessary electrolytes No carbohydrates/sugars Add to your water bottle

27 Cardiovascular History of heart disease Deep vein thrombosis
Medications Physician consultation Deep vein thrombosis ‘Sludging’ effect Pain Swelling Redness Numbness in feet Pulmonary embolism Anticoagulants (‘thinners’) Treatment: Leg exercises Support socks


29 Respiratory System Allergies – especially seasonal
Upper respiratory infections Effects of smoking Nicotine effects on blood vessels Nicotine effects on night vision Nicotine withdrawal effects Physical conditioning Medication effects Increased fatigue & sleepiness Dryness of mucous membranes

30 Urinary System Kidney disorders can hasten dehydration
Kidney stones can be caused by dehydration Bladder infections and prevention Risks associated with ‘endurance extenders’ Bladder infection External skin irritation and infection Loss of friends

31 Skin Conditions Heat rashes and “Monkey butt” Infections
Worsening of chronic conditions Eczema Psoriasis Foot care Sunburn Preventive strategies Clothing fit Clothing changes (especially socks) Skull cap Shaving Lotions and lip balms Powders Treatments

32 Vibration and Overuse Causes and effects Prevention
NERVE COMPRESSION SWOLLEN TENDONS Causes and effects Excessive handlebar vibration Causes increased fatigue Causes swelling around nerves in wrist and elbow Prevention Use grips with increased padding Gel inserts for handlebars Gel inserts in gloves Relax your grip Skier’s Thumb

33 Other Hazards Stings and bites Eye protection External ear infections
Be careful where you rest! Examine your boots and helmet Eye protection Flying objects Ultraviolet effects Dryness External ear infections Extended ear plug use Swimmer’s ear solution

34 Environmental Protection
Helmet – proper fit, full face, liner Windshield – laminar flow Eye protection UV filtering sunglasses Prescription lenses/bifocal inserts Hearing protection Skin and lip protection Powder to prevent chaffing Sun Wind Dryness Moisture Temperature Vibration Noise ENVIRONMENATL EFFECTS Courtesy: Paige Ortiz

35 Be On The Lookout… Distracted drivers …are out to kill you!
You’re four times It’s hard to more likely to have concentrate on a road accident two things when you’re on at the same time. a mobile phone.

36 Be alert for subtle hazards…
Road Hazards Be alert for subtle hazards…

37 THE END Enjoy the Road!

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