Accident Scene Management (ASM) - Introduction
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This document provides information about Accident Scene Management (ASM), a program that trains bystanders to assist injured motorcyclists. It began in 1996 and has trained over 25,000 students. The goals are to reduce injuries and fatalities, increase EMS effectiveness, and focus on trauma. The agenda teaches preventing further injury, contacting EMS, and treating injuries following the ABCSS priorities of airway, breathing, circulation, shock, and spinal immobilization. It provides details on performing a jaw thrust for airway control and safely removing a full-faced helmet when necessary. The presentation emphasizes the importance of bystander assistance in improving outcomes as part of the chain of survival.
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Accident Scene Management (ASM) - Introduction
- 1. ““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
- 2. 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
- 3. 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
- 4. 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!
- 5. Bystander AgendaBystander Agenda • Prevent Further Injury • Assess the Situation • Contact the EMS • Treat the Injured with Life Sustaining Care – ABCSS of trauma
- 6. 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
- 7. 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
- 8. Hand PositionHand Position Thumb is used to hold the head down Use index finger near where the ear attaches to lift the jaw
- 9. Jaw Joint slidesJaw Joint slides Press here to slide the jaw forward
- 10. Jaw opens and closes like anyJaw opens and closes like any hinged joint when we chewhinged joint when we chew Hinged and sliding joint
- 11. 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
- 12. Full Face HelmetFull Face Helmet
- 13. 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
- 14. 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
- 15. Fill Space If PossibleFill Space If Possible
- 16. 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
- 17. 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
- 18. 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
- 19. 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 vicki@accidentscene.org www.accidentscene.org
Notas do Editor
- Introduce instructors and assistants
- This is what sets our program apart from others. Take opportunity to explain that helmet removal without rescue breathing is not taught by ASMI because they go hand in hand. They should not go back to their groups and teach helmet removal.
- The program will address each of these areas in an acronym called PACT
- Tricky to open airway without bending head back
- Tongue must be lifted from back of throat without bending neck
- Mandible is on hinge which should be pushed forward.
- Mandible is on hinge which should be pushed forward.
- Mandible is on hinge which should be pushed forward.
- Helmets come in many styles depending on the activity for which they are used Most helmets don’t interfere with the ability to assess or provide care but some do The helmet we are most concerned with is the Full Face Helmet
- Two conditions that must be met according to the Academy of Surgeons who wrote a protocol for helmet removal.
- Procedure for two person removal
- Fill space but do not waste time looking Never lift the head
- Patches must be earned and can not be purchased by those who have not taken ASMI classes. One is given with the class (if the instructor has ordered them), more may be purchased. Completion Cards are given at class, color, frameable certificates may be ordered through ASMI for $3.00 each.
- Cat Hammes is a real life example of how this training works. After a drunk driver hit her exiting a liquor store she lost her leg, had a head injury, disks out in her neck & fractures ribs. An ASMI student stopped to assist and kept people from moving Cat while controlling her bleeding. To this day Cat credits this hero with saving her life and better yet allowing her to ride again. The crash took her leg but not her spirit. While her mind and body were healing her friends were rebuilding her bike. Today she rides that same bike though it is now a pink and chrome Fatboy names Pheonix because they “Rose from the ashes” Her seat is embroidered with “Riding above the Tombstone”. Are you ready to help your friends? Are they ready to help you?