Harm minimisation for victims of road trauma at the pre-ambulance attendance phase

Abstract

In light of the introduction of compulsory seat belt use, random alcohol breath testing and speed reduction strategies, harm minimisation for victims of road trauma may be an appropriate strategy for a further reduction in the road toll. Research publications were sought to identify studies of the number of fatalities that may have been avoided by early intervention, research on legislation regarding "Good Samaritan" protection and a legal requirement to assist injured crash victims, and research either discussing strategies or making recommendations for reducing roadside death by early intervention. This review attempts to highlight the most pertinent issues and draws out the major arguments from the research currently available. Recommendations are put forward to develop and implement a first aid strategy to reduce the number of deaths that may have been avoided had basic life-saving first aid been applied at the crash scene.