FAQ Level 3 Award for First Responders on Scene: Emergency First Responder (RQF) FROS® - Online Blended Part 1

218 videos, 11 hours and 47 minutes

Course Content

Complex Scene safety scenario

Video 13 of 218
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Now in this accident scenario, a car and there was another car over at the side there, crashed off of a road into a building. So what we have got, we have got somebody trapped, but there's lots of other dangers here. So we are going to look at sort of dangers that are around. Now initially, when approaching the scene, we need to make sure that the traffic and any other vehicles or pedestrians away from this immediate scene are kept out of our way. We make sure we approach safely. So you are doing a main dynamic risk assessment before you come anywhere near a site. But as we approach here, we are going to look at some of the dangers. So we are just really going to concentrate here on the casualty on the floor here. For this example, the driver has maybe got out and this is just a pedestrian who has been hit. So the first thing is approach, because we have gone down the bank here, there's lots of rubble and other things here, it's a building where the vehicles have hit and knocked it over, so it is quite a climb to physically get to this point. We have then got slip hazards, there's loose brick work here. If I walk a little bit too close to him, then potentially one of these large rocks here will fall down and hit him on the head or above...

There is also other things here. It is reasonably solid, but we just don't know that. This looks as if it is a solid lump of steel, but we do not quite know what else is there that's likely to come down and potentially hit him. It is slightly enclosed at the bottom, so we cannot actually see what the injuries are at the lower side of his body, but we will be able to see around the top side, but it is really a matter of how do we get there as safely as possible. Other dangers could be his car here, it's been in a serious accident. We could have fuel leaking, we could have water, it could be burns, it could be oil. And also the other vehicle, we are not quite sure what's happened there. Because it was hit in the front, may well have damaged the batteries. We could be looking at acids, we do not quite know what even was in this building to start with, so it could be that there's other dangerous things there, highly likely to be glass from the car accident, but also there could be other damage. There's lots of rubbish around here as well. So when you are looking through, you need to look at the whole scene, not just concentrating on the patient, because sometimes, initially on an accident scene, the first thing we would do is go straight to the patient. Now, if... Here we can see he is breathing.

We do need to assess the entire scene and also communicate well with other responders who are with you, if there is someone else that's with you. But if you were going down and then coming out of eye-shot of the main road, obviously you make sure you got some pedestrians who know where you are. And also, obviously, making sure the emergency service is already on the scene. So if we are approaching from here, if we go straight down this way, it is highly likely I'm going to start dropping gravel, knocking it down on to him. It's probably an easier route to go along here where there is slightly more solid bricks and there's less likely to have any problems. Communication is the main thing as well. He is unconscious, but you still want to talk to him the whole time. We need to try and assess what's wrong. From here, I can see he is breathing, so that's a good start, but there could be multiple injuries. The way his right arm is hit on the concrete there, it could be damage to that arm, fingers, it's highly likely lower leg damage, possibly any injury across any part of his body. 'Cause we do not quite know, he might have been rolled. Is he hit in there? So it could be entrapment. We need to try and stabilise him the best we can, but also keeping him safe. So taking this scenario a little bit further, now for this... To make it safer in doing this demonstration, we have got Ben this way up.

But it could be he is the other way up, in which case we might have his legs at this end and his head right underneath there, so that is going to be extremely hard to gain access to him. We have got to get this balance of how do we get him out safely? Will we leave him where he is until we got further help? If we go down there and get on to this thing, potentially, we could get stuck as well. Is Ben the only person there? So if he is conscious, we might be able to ask him. If not, we are going to need to see, because it may well be he could have been pushing a pram, he could have been there with someone else. So there could be multiple casualties under here. And looking at the picture a little bit wider, we have got another car over that side that could have been involved in the accident as well, well, was involved in the accident as well. There's two vehicles here. If there were people in these, we need to try and stabilise those.

So if you were here on your own, you are going to have to work out who needs help the first. Maybe these people got out okay, but you need to find out. So, use bystanders, use other people, other responders who are with you to try and ascertain exactly how many people have been involved, what injuries there are. Triage them the best you can and make sure that you are concentrating if you've been this now, the main... The focus for our attention, still always make sure that everyone else around is staying close enough that you can monitor them, they can be safe and also get other people watching out for them and flagging down the emergency services when they do arrive.