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FIRST BIKE ON SCENE (FBoS)
A 1 day course by Lancashire Ambulance Service
The Fist Bike on Scene course (FBoS) was designed by Lancashire Ambulance Service NHS Trust (LAS) in response to enquiries from rider groups/organisations who did not feel that traditional first aid courses addressed the specific issues encountered at the scene of a road traffic accident (RTA).
It was written by a State Registered Paramedic and biker with the rational of ……what can we reasonably expect a layperson to do at an accident scene whilst awaiting the arrival of an ambulance. The end result is designed to give bikers the practical skills, theoretical knowledge and confidence to deal with the accident scene and casualties in the precious minutes prior to the arrival of a paramedic.
The theory session deals with the following issues:-
- Trauma and the Mechanism of injury- what is trauma, how does it affect the body and how can we recognise or predict the injuries sustained by a casualty by looking at the scene of an incident
- Compensatory mechanism- the bodies response to traumatic injury and blood loss, and how the body can sometimes appear less injured than it actually is
- Scene management- protecting the scene, making an appropriate 999 call giving relevant and important information, looking at safety factors of the accident scene
The practical elements of the course involve a great deal of student interaction and includes:-
- Snatch rescue- sometimes we have to move a casualty, there is a safe way of doing this
- Removal of the crash helmet- when, how and why we remove it and the implications (This skill can also be used to assist an ambulance crew)
- Spinal care- positioning of a casualty to protect airway and spine (This skill can also be used to assist an ambulance crew)
- Resuscitation skills- including airway management with consideration for spinal injury (This skill can also be used to assist an ambulance crew)
- Major haemorrhage- direct and indirect pressure to deal with severe bleeding
The whole ethos of the course is about dealing with the significant life threatening issues. Its not about teaching people how to put on plasters or frozen peas on twisted ankles, it’s about being proactive, recognising significant injury and giving help immediately.
The course lasts for approximately six hours and is competency based, with lots of hands-on practice on all practical elements of the course.
This particular (Lancashire Ambulance Service) course has recently been approved by The Faculty of Pre Hospital medicine of the Royal College of Surgeons Edinburgh (RCS). They are also working closely with the Motorcycle Industry Association (MCIA) in rolling out this course out on a national basis to make it more easily accessible to all bikers with minimal travel. It runs regularly in Preston (£45 inc lunch), or wherever they can get twelve bikers together at a suitable venue (plus travel and accomodation).
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