Lesson 1Cervical spine control and criteria for immobilisation vs selective clearanceCovers cervical spine protection in bike crash cases, including high-risk injury patterns, clinical signs for full immobilisation versus targeted clearance, collar fitting, and safe handling methods to avoid further spinal damage.
High-risk mechanisms for cervical injuryClinical indicators requiring immobilizationNEXUS and similar clearance principlesCollar sizing, fitting, and complicationsLog roll and manual in-line stabilizationLesson 2Fluid resuscitation strategies: permissive hypotension, crystalloids, blood products, and indicationsDiscusses fluid revival methods for bike trauma, stressing controlled low blood pressure in ongoing bleeding, proper use of salt solutions, field blood transfusion needs, and tracking response without overdoing fluids.
Physiology of hemorrhagic shock in traumaTargets and limits of permissive hypotensionCrystalloid selection, dosing, and timingPrehospital blood product use and logisticsMonitoring response and avoiding overresuscitationLesson 3Scene safety, mechanism of injury, and scene size-up prioritiesHandles safe entry to bike crash sites, covering road and weather risks, crash force analysis, rider motion patterns, and quick site scan to spot patient count, needed help, and urgent dangers.
Traffic, fuel, and environmental hazard controlMotorcycle crash dynamics and energy transferRider kinematics, ejection, and impact pointsRapid scene size-up and resource requestsDetermining number of patients and entrapmentLesson 4Focused secondary exam: identifying life-, limb-, and vision-threatening injuriesOutlines a targeted head-to-toe check for bike trauma, stressing early spotting of critical threats to life, limbs, and sight, with systematic review of head, spine, chest, belly, pelvis, and limbs on-site.
Systematic head and facial injury assessmentThoracic and abdominal trauma red flagsPelvic instability and occult hemorrhage signsExtremity assessment for limb-threatening injuryOcular and orbital trauma, vision threat signsDocumentation and reassessment of key findingsLesson 5Airway management in trauma: rapid sequence intubation (RSI) indications, drug choices, and alternatives (supraglottic devices)Reviews airway handling in trauma, covering needs for quick intubation sequence, drug picks suited to blood flow and head injuries, and supraglottic tools or basic steps when intubation risks failure.
Airway assessment and prediction of difficultyRSI indications in motorcycle traumaSedative and paralytic drug selectionFailed airway and rescue algorithmsSupraglottic device selection and useCervical spine protection during airway careLesson 6Primary survey (Airway, Breathing, Circulation, Disability, Exposure) tailored to multisystem traumaAdapts the initial check to multi-injury bike trauma, prioritising airway, breathing, circulation, brain function, and full exposure, with fast fixes and ongoing checks in changing field conditions.
Airway with cervical spine protectionBreathing assessment and chest interventionsCirculation, pulses, and shock recognitionDisability, GCS, and pupil evaluationExposure, hypothermia, and clothing removalOngoing reassessment during transportLesson 7Transport decisions and triage: destination selection, air vs ground, and pre-alert communication to receiving trauma centreLooks at sorting and transfer choices for bike trauma, including on-site sorting rules, trauma centre grade pick, air or road transport, and clear pre-alert calls to ready the hospital team.
Field triage criteria for motorcycle traumaChoosing trauma center level and capabilitiesAir versus ground transport indicationsTime, distance, and weather considerationsStructured radio report and pre-alert formatLesson 8Analgesia and sedation options in the field: ketamine, fentanyl, morphine—doses, routes, and monitoringDetails field pain relief and calming for hurt riders, covering needs and amounts for ketamine, fentanyl, and morphine, giving methods, risks, and steady watch to balance relief and safety.
Pain assessment scales in trauma patientsKetamine dosing, routes, and precautionsFentanyl use, titration, and adverse effectsMorphine indications and hemodynamic impactMonitoring ventilation and mental statusManaging nausea, vomiting, and emergenceLesson 9Haemorrhage control and tourniquet/pressure dressing use in penetrating and blunt traumaTackles bleeding control in bike trauma, spotting severe bleeds, tourniquet choice and fit, clotting agents, pressure wraps, and linking with overall shock handling.
Identifying life-threatening external bleedingTourniquet indications and placement sitesCommercial versus improvised tourniquetsHemostatic and pressure dressing techniquesMonitoring for rebleeding and complicationsLesson 10Prehospital fracture stabilisation, splinting, and pelvic stabilisation techniquesExplains field fixing of breaks and pelvis in bike crashes, covering splint types, pelvic straps, realignment basics, and methods to cut pain, bleeding, and nerve/blood vessel risks.
Assessment of deformity and neurovascular statusLong bone splinting and traction principlesJoint and hand splinting for motorcycle injuriesPelvic binder indications and applicationPain reduction and movement minimization
