Lesson 1Cervical spine control and criteria for immobilisation vs selective clearanceCovers neck spine protection in boda boda crashes, including risky crash types, clinical signs for full immobilisation versus targeted clearance, collar fitting, and safe handling moves to avoid further spinal harm.
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 indicationsLooks at fluid revival plans for boda boda injuries, stressing controlled low blood pressure in ongoing bleeding, proper crystalloid amounts, when to use blood products prehospital, and watching 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 prioritiesDeals with safe entry to boda boda crash sites, spotting traffic and weather dangers, crash force analysis, rider body movements, and quick scene scan to count patients, spot needed help, and flag urgent threats.
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 boda boda trauma, stressing early spot of life, limb, and eye dangers, with orderly checks of head, spine, chest, belly, pelvis, and limbs right there 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)Goes over airway handling in trauma, covering when to do quick intubation sequence, drug picks based on blood flow and head wounds, and using throat-top devices or basic moves if intubation isn't safe.
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 main check to multi-body-part boda boda trauma, putting first airway, breathing, blood flow, brain check, and full exposure, with fast fixes and ongoing checks in busy field care.
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 move choices for boda boda trauma, field sorting rules, picking trauma centre level, chopper versus road transport, and clear pre-alert calls to ready the receiving 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 monitoringSets out pain relief and calming drugs for hurt riders, when and how much ketamine, fentanyl, morphine, ways to give them, warnings, and steady checks 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 traumaHandles bleeding stop in boda boda trauma, spotting deadly bleeds, tourniquet picks and spots, clotting dressings, pressure wraps, tied into full 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 boda boda smashes, splint types needed, pelvis belts, realignment basics, and moves to cut pain, bleeding, and nerve-blood 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
