 So let's rewind that there goes a passing car and let's watch it all over again In this video I'm going to share with you the proven and defined process that you can implement if you see your mate or somebody go down While road cycling now I'm aware that the title and the footage in this video is extreme But I didn't make that footage up these things actually do happen on our roads and that man that you saw go down Tumbling across the side of the road. He was very fortunate. There was no oncoming traffic He picked his bike up got up He had a few scratches on himself on the bike that was able to ride off and I hate to say it But if that actually happened six point eight seconds prior that could have been fatal for that man Or he could have been left on the side of the road in a very critical Condition now the facts are here in Australia based on an Australian Institute of Health and Welfare report that was released in May this year Found that 12,000 cyclists were admitted to hospital in the year to June 2016 and that hospitalization number that I just shared with you is actually up 60 percent from the year 2000 Which does make a bit of sense when I think about the population boom that we've had in a number of our major cities here in Australia A lot of people driving cars a lot of people road cycling the probability of something unfortunate Happening has been heightened. Now, there will be a lot of people out there that are familiar with the first aid Process, but I truly believe there will be even more people out there that are either hazy or don't have a true Understanding of what to do if somebody goes down next year and the reason why I believe that is even myself I'll put my hand up. I recently updated my first aid as part of becoming a cycling coach And I hadn't done my first aid for perhaps 12 years So if somebody had gone down next to me say two three months ago I would have been a little bit hazy on what to do And if that's you I really challenge you to watch this video to the very end So I'm about to introduce you to a lady called Vicki Kelly and her dog Who was my first aid teacher and Vicki has been in emergency services for over 15 years both in the field of Instructing basic life support to all the advanced and pre-hospital care courses She's a qualified medic and passionate about teaching life-saving skills The scenario that I paint for Vicki is that I'm out riding on the road in a bunch I'm next to my good mate John. John hits something on the road. He goes over his handlebars He's on the ground. It doesn't look good. What should I do? Now before we get into the video with Vicki Just be aware there's something at the end of the first aid process, which is called defibrillation We don't go into that topic in detail in this video because the fact is if you're at road cycling the likelihood of having access To one of those machines is minimal However, if you want more information on that topic, I'll link to it below and let's get into the video Okay, what do I do? Alright, so there's an acronym that we use for first aid and emergency response and it's DRSA BCD So your first priority is to check for data first. So check where you surround So he's on the road? Yeah No, you're not dragging off the road at the moment. We're going to get the other cyclists to secure the area So that you can do an assessment on John and at least sustain his airway if needed So check if it's dangerous. The other cyclists have secured all the area for you And then we're going to check for response on John. So here's John So we're just going to have a visual look and make sure there's no major bleeds And you'll give you just a general appearance of what he looks like as well So your next step is response. So we do a verbal response first So we call out to John John. Can you hear me open your eyes? What's your name? And then we can ask John to squeeze a squeeze my hands See if we can get any response and you can also do another pain stimulus as well So we go in there. What does that look like? We just go in above the collar bones and we squeeze both shoulders Just see if we can get some sort of pain stimuli going on the patient I'm also going to tell you if there's no response to pain Could mean that he's profoundly unconscious. So he will lose his airway fairly quickly Yeah, so John's kind of given me a bit of a groan and made a few noises So we still need to check airways and breathing first But before we do that, we send for help So we've got triple zero that we phone And we also have one one two on a mobile Right, that's what we mentioned as well, which we've gone to below Yeah, so emergency plus up. That's a very good app. It's a free download for everyone to access Yeah, so that will give you your exactly where you are if you're not sure where you are All right, so to check an airway, we're going to support John's head We're going to grab his chin and just pull his chin down and just check there's nothing in that airway Once we've done that we've checked it's clear Taking hand off the chin and then we're going to bring John's head back And we're going to check for breathing so we can feel for breath on our cheek Hand on the belly, then we're going to check for movement John so John has indicated that he's breathing adequately We're going to place John in recovery position So we put a hand underneath John's shoulder, his leg is bent up and we go for the knee We get John on the left hand side Left hand side is optimal for all patients And because it's a big bone on the right hand side of the body that supplies our heart with blood Right What do you reckon about this down there? Do you want to be John? Okay, stick with this John All right All right, so once we have John in recovery position We can bring his head back and drop his mouth towards the ground We can have our hand in front of his mouth to shoot We can also feel for breathing on the back of our hand on the back of our arm And the other hand goes on the belly and you're you know checking that he's breathing adequately So he has indicated that he's breathing okay So we can just keep John in that position and just monitor Until the professionals are all right That's right So what if he's not breathing properly? Okay, so if we do our assist and we find that John isn't breathing adequately How would we know he's not breathing adequately? You'll see changes of color around his lips Yeah, so the color starts to go away and it's called cyanosis So you can also so you still do your dangers Check for response so you do your verbal you do your pain stimulus He hasn't responded so you still need to check airways and breathing So we grab his chin check his airway Make sure there's nothing in there bring the head back and now we're going to check for breathing And what you may hear if he's not breathing adequately is A few strange noises, right? Yeah, so that means that they're not breathing adequately So it's not consistent at you know, it's called chain strokes And sometimes there's another one called strata so they make all these strange noises Yes, but it's not breathing adequately So in that scenario we need to do CPR So if you can grab one of the cyclists But if good if one can do compressions and the other one do breath Breath is a choice But if you don't have the right personal protective equipment, which is a resource mask there You can carry this on the bike I'm sure they could yes Yeah, it would be good But you're saying if you don't have that and you don't necessarily know that person You would recommend just to stick with just to stick with CPR It's just a CPR Yeah So and because When you're doing CPR on a patient, you're actually building up School of recoil negative pressure in the chest cavity So we're getting the blood supply from the brain to the heart stem from the Sorry the heart to the brain stem And we want to keep that going on the patient. That's the most important thing If you take your hands off the chest and you're trying to fumble around and you know do an airway You're wasting pressure for this person. Yeah, we want to keep that systemic blood flow going as well. Yeah So for your compressions Feel on the base of the ribs on the patient There's a little bone at the base there. We want to stay off that so you know for an adult There's roughly about three finger spaces up off that And we have our hands right there. You can have your hands up whatever's comfortable for you Just make sure that you keep your arms nice and straight Otherwise you'll use your your whole body and you'll get fatigued very quickly Yeah, so 30 compressions Sure, so it's just It's a bit hard on the top It's a bit slow on there, but yeah, it's a nice and rhythmic nice and deep And if you've got one of these if you have one of those 30 of those two of these what does that look like? So we're going to have Two of you working together. We would have the resus mask This part goes over the patient's nose or John's nose Fingers there and your middle fingers underneath that jawline and we're going to bring that head back And that way we can see whether we're getting breath into The chest and make sure that we're not getting into the belly So if you do see the belly Distanding that means that you haven't got the airway open enough. Yeah Um, so two quick sharp breaths. You don't have to put a lot of breath into the patient And breath is a choice. Um, but certainly if there's two of you, you do have the right equipment that would be Optimal for the patient Short little breath So you're doing this 32 32 And John comes to um, what does that typically look like? Um Oh, sometimes it's open their eyes and take a spontaneous breath But you still need to check that they're breathing adequately So, um Then would you roll them over to the side? Yeah, you put them into recovery position if they have responded Um, you know the optimal time to get on that chest is As quick as you can and that way they could there could be a possibility of a good response. Yeah, hopefully Yeah So if there is just one of your chest only if there's someone else around but you don't have a resus mask You're going to actually get the other person just to sit in that position and sustain that airway for John. Yeah Yeah, um, why would you recommend not going mouth to mouth? Um, well, if you don't have the right equipment, um, you don't know the person or they're not family You don't actually know what other people have so you need to keep yourself safe Yeah, you're the priority first. Keep yourself safe and then you can um, you know help somebody If you need to yeah, that's definitely cool All right, thanks for sharing really that's all right John. Yeah, most definitely laugh, you know, it's a laugh saving skill Absolutely. I think everyone needs to learn it. All right. Okay. Thanks Cameron