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