There is no exact procedure for every possible situation there might be.
ABC Airway, Breathing and Circulation.
You call for help. Usually 911. You LOOK and ASK to determine the injuries if possible and any immediate concerns like leaking gas.
Are they breathing .It is a simple yes or no question.
Are the bleeding ? Yes or NO.
Minor or serious? Figure out something to slow the loss of blood.
the person might be held into position by crumpled parts you cannot see. You TALK to them. You keep them as calm as possible and have them keep as still as possible as you assess the situation.
You ASK where are you hurt YOU keep calm they will be confused. You keep TALKING
YOU THINK you use your eyes ears and nose to assess the situation looking for other dangers.
Like the car is on fire.
You have taken a day out of your busy life to learn some basic First aid.
DO NOT attempt to just haul them out immediately you might complicate their injuries. ASSESS the situation. You are not a medical expert, you are not an extraction specialist.
You keep TALKING . WHY so you can hear their breathing, listen to their voice to see if they are going into shock are drunk or whatever.
You stay CALM. YOU take some deep breathes. You THINK.
Sometimes there is nothing you can do other than hold their hand. There could be many injured you keep moving from one to the next. TALKING to them.
They are scared and probably in pain. You calm them down. You keep TALKING.
YOU and no one here knows if help is five minutes away or an hour. You adjust what you do for the situation.
Is it dark? Is it raining? Is it hot ? Is it cold? You offer comfort as you can. A rolled up jacket for a pillow. A shirt sleeve for a tourniquet A jacket to cover and keep them warm. Some water to wash their face and cool them . NOT TO DRINK. You keep TALKING.
As a concerned human you do carry a basic first aid kit with you in your car and actually know what you can do with it? You are not expected to carry an emergency department with you.
In all the excitement you have looked after your safety too protecting the scene and yourself from further catastrophe.
If others stop you get their help.You TALK a lot. You let others help.. You give directions call an ambulance , find a blanket a pry bar or whatever is needed. All cars have a tire bar a jack you might need to use.
You THINK and remain CALM. You keep TALKING to the injured.
Breathing (Airway) is number one.. SHOCK will be an issue it takes time to show up.
What do you TALK about.
Level of Response (LoR)
Someone who is fully ALERT:
Knows where they are
Knows who they are
Knows roughly what time of day it is
Knows the date
Can speak clearly
Can give appropriate answers
Anyone who is not ALERT is unconscious.
If they don't reply to questioning, shout a strong and simple command like "Open your eyes!"
UNCONSCIOUS BUT RESPONSIVE TO VOICE
You are watching for changes in skin colour and temperature. You are Listening for changes in breathing.
YOU KEEP CALM.
A casualty may have horrific injuries but if they are Alert, breathing normally, with normal skin colour and at a normal temperature, they are Little Sick. They are not going to die any time soon. And that is reassuring because while the injuries may be disturbing we know we have plenty of time.
A casualty may have no injuries at all but if they have a reduced level of consciousness, their breathing is not normal, their skin colour has changed or they are not a normal temperature, they are Big Sick. And this is important because it prompts us to act even though there is no obvious injury.
If we monitor the Vital Signs over time we will notice changes. This may reveal if the casualty is improving, deteriorating or stable.
Hopefully you are in voice contact with emergency services. You LISTEN and DO as instructed.
YOU KEEP CALM You do what you can with the resources you have to work with.
Good questioning (TALKING) is, if nothing else, distraction for the casualty. One of the few non-pharmaceutical methods of pain relief we have.