b'ChapterControl the Accident SceneRemove or control any hazards if safe to do so.Turn off ignition of a crashed vehicle. Prevent smoking near the accident site.Stop the vehicle from moving by engaging handbrake, placing vehicle in gear, or placing blocksagainst wheels.Warn approaching vehicles e.g. engage hazard lights of nearby vehicles.Light up a night accident scene with headlights of nearby vehicles if practical to do so.Engage suitable bystanders to assist.Assisting the injured Attend to any unconscious patient first. Place the patient into the recovery position, check and clear the airway. If resuscitation is needed, commence CPR. Check patients for severe bleeding and treat immediately using firm, sustained direct pressureto the bleeding area. Pad and bandage if possible.Moving an injured accident patientrefer page 238. mmobilise / stabilise any obvious fractures or suspected spinal injuriesrefer page 94. Do not Iuse a spinal immobilisation device, unless you are trained to do so.Continually re-check and monitor the patients response, airway and breathing. Check for anydeterioration.Rest, reassure, comfort patients and ensure they are kept warm.Assisting patients in a vehicleCheck patients for consciousness and a clear airway. If an unconscious breathing patient can be managed inside the vehicle, DO NOT remove unless there are life threatening injuries or it is unsafe. Ensure gentle heat tilt is maintained with a clear / open airway. Monitor airway and normal breathing.Carefully help to remove patients from vehicle if necessary. Extremely painful injuries to lower limbs may inhibit removal of a patient from the vehicle. Ifsafe to do so, it may be best to leave the patient in the vehicle.Harsh weather conditions may influence leaving conscious and stable patients in the vehicle, ifit is safe to do so. If the patient is unconscious and not breathing normally, remove from the vehicle and immediately commence CPR.Motorcycle accidentsThe incidence of spinal injuries, multiple fractures and loss of skin are much higher formotorcyclists than those in motor vehicle accidents.Patients lying on a road where there is traffic should be moved to a safer location. Check for suspected spinal injuriesrefer page 94. Assess consciousness. If the patient is unconscious manage as per the Basic Life Support Flow Chart - refer page 58. Remove the detachable visor if fitted to the helmet.236 Road Accidents'