If you are the first person at a crash, you can assist until trained help arrives.
Make sure someone calls 000 for an ambulance.
(In remote areas, where there is no mobile phone coverage, call 112 for help).
To effectively manage casualties and the accident scene, follow the St John DRABC action plan.
Danger Response Airways Breathing Circulation
DANGER - Check for danger. Make sure it’s safe to approach the injured person.
RESPONSE - Confirm whether the injured person is conscious or unconscious. Shake them lightly, ask them questions or give them simple instructions. If they are unresponsive, they are unconscious.
AIRWAY – Protect the airway by rolling the injured person onto their side. Remember that a neck injury may have been sustained so you’ll need to support their neck whilst they are being rolled.
BREATHING – Once the injured person is lying on their side, clear their mouth of any obstructions (such as blood, vomit or loose teeth). Now make sure they’re breathing. (See section on “Restoring breathing” if they are not)
CIRCULATION – Apply direct pressure with bandages or clothing to stop any bleeding. If possible, elevate areas of bleeding to chest height. Keep the injured person as still as possible. You can prevent movement to the spine or any broken bones by packing clothing and equipment around them.

St John (NSW) conducts motorcycle First Aid training courses. They can also supply you with a specialised first aid kit. Call 1300 360 455 for details.
Additional tips on how to help motorcycle victims
Making the scene safe – if you are at the crash on your own, don’t risk your own life -
- Use your hazard lights to warn others
- Turn off the ignition in crashed vehicles to avoid a petrol fire
- Seek help from others to warn oncoming traffic
- Light the area – with your headlights
- Extinguish lit cigarettes
- Keep away from fallen power poles
- If power lines are touching a vehicle, stay away and call the local electricity provider.
Determine who’s been injured
- Check for victims in all crashed vehicles and look around for dazed or confused people
- Check if anyone is unconscious and make them a priority. Clear their airway and check breathing (DRABC).
- Only remove unconscious victims from their car if they are in danger of further injury and require life-saving first aid. You can cause serious additional injuries when moving an injured person
- Encourage conscious people to remain as still as possible and remain conscious

Assisting the injuredVictims with an open face helmet…
- If conscious, crash victims may remove their own helmet
- If unconscious, roll the victim onto their side, check their airways & check their breathing
- If breathing, leave them on their side
- If not breathing, help to restore it (see section on “Restoring breathing”).
Victims with a full face helmet…
- Raise the visor
- Only remove the helmet if the victim:
- Is unconscious
- Is vomiting
- Has severe head injuries Where possible, use 2 people to remove the helmet (one to remove it & one to support the victim’s neck)
- Hold the victim’s neck as still as possible
- Lift the helmet slowly & carefully to avoid moving the neck. Force the helmet sides apart & tilt the helmet forward to remove.
- Turn the victim onto their side
- Clear the airway & check breathing
- If not breathing, help to restore it (see “Restoring breathing”).
Airways, Breathing & Circulation
Clearing the airway…
- If an injured person is unconscious, you might have to remove them from their vehicle. But handle them gently & minimise movement
- Injured persons on the ground – put them in the Recovery Position
- Kneel beside the victim.
- Place the victim’s arm that is furthest from you at right angles to their body. Fold their other arm across their chest.
- Bend one of the victim’s knees (the knee closet to you) and straighten the other.
- Hold the victim’s hip & shoulder that is closest to you and gently roll them onto their side
- If help is available, steady the head & neck whilst turning & support any broken limbs.
- Loosen clothing at the neck, chest & waist.
- Tilt the head back & point the face slightly toward the ground so that blood & vomit can drain.
- Remove anything that might obstruct the airways (blood, vomit, loose teeth, dirt etc).
- Check for breathing by watching for the chest to rise & fall & listening for air escaping from the nose or mouth.
- If the victim is unconscious & breathing leave them on their side & ensure that their airway remains clear.
- If, after clearing the victim’s airway they are still not breathing, roll them onto their back and start mouth-to-mouth resuscitation
- Tilt head back, support the victim’s jaw & keep your fingers clear of the throat
- Support the jaw of infants & young children but do not tilt the head back
- Seal the victim’s mouth with your lips & their nose with your cheek or pinch their nose
- Blow into the victim’s mouth until their chest rises
- Lift your mouth, watch for their chest to fall, listen & feel for air escaping from the nose & mouth
- If the chest doesn’t rise, check:
- For blocked airway
- Mouth-to-mouth seal
- Blow again – a little harder
- Continue mouth-to-mouth resuscitation until breathing is restored.
- Blow every 4 seconds with adults
- Blow every 3 seconds with children
- For victims trapped in vehicles, clear the airway, tilt the head back, support the jaw and check for breathing.
- Commence mouth-to-mouth if necessary to restore breathing
- Stop bleeding by placing direct pressure on the wound (with whatever’s available). Elevate bleeding limbs.
- Do not use a tourniquet & if the victim complains of numbness, tingling or pain, loosen the bandage – it’s too tight
- Do not remove foreign objects from bleeding wounds. Apply pads & bandage them around the wound.
- Comfort/reassure conscious victims
- Stay calm
- Minimise movement in all victims
- Watch victims, ensuring that they don’t wander off
- Never give victims food or drink of any sort. You can moisten their lips – but only with water.
- Never leave unconscious victims alone
- Dial 000 (or 112 if there’s no mobile service), for emergency services
- Stop a pedestrian or passing motorist if you have no phone & ask them to seek help.
- Provide emergency services with detailed information (the number of victims & the degree of injuries sustained; the crash location – including street names, signs, distance, landmarks; the type/s of emergency vehicles required; & the presence of fallen power lines).




















