““A Crash Course for the A Crash Course for the Motorcyclist Motorcyclist””

Vicki Sanfelipo, RN/EMTVicki Sanfelipo, RN/EMTAuthor – Founder-Program DirectorAuthor – Founder-Program Director

History of Accident Scene History 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 TraumaPriorities 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 tongue Typically 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 any Jaw 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 Helmet2.) 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 rescuers indicate trained rescuers

Three Classes available:

Basic – 7 hours

Advanced - 7 hours

Professional Rescuer – 3 hours

Note: this PowerPoint is informational only

Road GuardiansRoad GuardiansRoad 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 informationVicki 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