P5: Post Crash Activities
Absence of a single nationwide emergency number and uncoordinated action by rescue services can cause delays in getting urgent treatment to critically injured crash victims. Each 10 minutes of delay in extracting a severely injured person from a crashed vehicle reduces survival chances by 10%. Thus, many people may be dying needlessly because of poor quality first aid available at the scene, slow extraction of injured persons from damaged vehicles, slow transport to a hospital and, in some cases, poor quality medical care on arrival at the hospital.
The key principle in this Pillar is stabilisation of the injured party during the golden hour i.e. the first hour after injury. Thus, one approach for consideration by LMICs is expansion of the numbers of persons trained in first-aid, in particular, people who most frequently travel on the road network. For example, increasing the first-aid capabilities of commercial drivers and first-responders such as traffic police or community volunteers can make a significant impact on deaths by applying basic first-aid until more skilled help arrives.
A particularly important initiative is joint training of ambulance, police and rescue crews. In this way the emergency services understand the importance of minimising extrication times for injured victims such that life saving treatments can begin as soon as possible or even whilst extrication is still underway.
The training and services that IRSC can provide in this Pillar includes:
- Planning of Emergency Medical Systems (EMS): in order to meet WНO and international best practice i.e. single emergency number, control centre coordination of communications between key emergency services and setting target response times and monitoring of performance;
- Treatment of victims in hospital and rehabilitation: reducing the duration of absence from work and hastening the recovery times of injured persons;
- Basic first-aid training of Police, rescue services and commercial truck, bus and taxi drivers: in particular, the groups who are likely to be on the road most often and may be able to apply basic first-aid until specialist medical assistance arrives;
- Joint training of ambulance crews police and rescue services: minimisation of extrication times for trapped victims and the possibility of applying life-saving first-aid assistance whilst victims are still trapped in the vehicle.
Courses offered under this pillar are:
First aid on site from others and transporting injured
Первая помощь и транспортировка раненых