Car Crash
First on the scene?
Here’s what to do
#1: Pull over and dial 911
- Park past the crash scene, at least 100 feet away
- Stay well off the road; turn on flashers/hazard lights and keep your seatbelt on
- Call 911 and give the location and a description of the accident
- NEVER assume someone else already called 911
#2: Decide whether to approach
- Calling 911 is the single most important thing you can do; you are under no obligation to do more
- If you do decide to approach, make sure you can get to the crash scene safely
- Keep the guardrail (if there is one) and the vehicle between you and traffic
- Stay alert to broken glass, fire risk, and downed wires if a utility pole was struck
- Be sensible: Getting out of your car on a busy multilane highway at night may be just too dangerous
#3: Gather supplies & get ready
- Carry your cellphone with you
- Bring a roadside emergency kit too, if you have one
- Take a few deep breaths to help settle your nerves
- You want to maintain a calm and reassuring manner with the victim
#4. Secure the scene
- Warn off other drivers by setting out reflective triangles or flares from your roadside emergency kit
- If the accident is relatively minor, tell the driver to put the vehicle in ‘park’ and turn off the engine to protect against fire
#5: Calm and comfort
- Advise the driver that you have called 911 and ask about (or observe) any injuries
- Ask how many people were in the car to make sure no one was thrown out of the vehicle or wandered off
- Inquire about serious preexisting conditions (e.g., cardiac, respiratory, diabetes, etc.) as well as use of blood thinners or mobility problems
- Call 911 back to provide additional detail, as needed, on number of victims, types of injuries, preexisting conditions, and fire risk; follow guidance from the 911 dispatcher
- Provide steady, comforting reassurance but do NOT move an injured person unless there is immediate danger of fire
#6: Stay until EMS/police arrive
- Keep talking to the victim even if he or she is in great pain; hold their hand and let them focus on your calm, reassuring voice
- If there are multiple victims, try to make sure everyone stays where they are; head injuries can cause confusion and victims have been known to wander into traffic
- Make sure you are OK before leaving (once professional help has arrived). Being on the scene of a motor vehicle accident with injuries can be very traumatic. Give yourself sufficient time to recover before driving off.
See also: Controlling Bleeding and Hypovolemic Shock