IMPACT in association with the Road Safety Trust has launched a series of studies aimed at understanding and empowering the role of bystanders at the scene of road injury. This research is crucial as it explores how those first on the scene, can play a pivotal role in reducing both physical harm and psychological trauma, while identifying the limitations they may face.
Systematic Scoping Reviews: Laying the Foundation for Knowledge
The foundation of this initiative are the systematic scoping reviews. These reviews aggregate global research on the subject; including both classical scientific studies and often overlooked grey literature such as government reports and field guides. One of the primary goals is to consolidate scattered information on bystander intervention to better understand what actions have been effective in various settings.
By synthesising this information, we aim to uncover successful interventions and key factors that influence bystander behaviour. The reviews also highlight areas needing further research, ensuring our future efforts are targeted for maximum impact. This comprehensive review process, guided by international standards like the PRISMA methodology, is expected to produce peer-reviewed papers and accessible summaries that will inform future guidelines and educational resources.
Reducing Morbidity and Mortality through Bystander Intervention
One key area of focus is the role of bystanders in reducing morbidity and mortality. While there have been successful interventions in countries like Norway and some lower- and middle-income countries, such findings have been inconsistent. By systematically collecting and evaluating this data, the Centre aims to identify effective practices and develop strategies to better understand the role of bystanders.
These findings will help clarify the most critical actions that bystanders can take before emergency medical services (EMS) arrive. This could include early triage, basic first aid, and even assisting in psychological support, which is often overlooked.
Addressing Psychological Harm: A Neglected Area
Beyond physical injuries, psychological harm resulting from road collisions is often a severe consequence. Bystanders, whether professional or lay individuals, may play a role in minimising this harm. Our work will evaluate the importance of early psychological intervention to prevent long-term conditions like post-traumatic stress disorder (PTSD). By understanding what bystanders can do to reduce psychological harm, such as providing comfort and reassurance, the Centre aims to guide the development of interventions that optimise mental health outcomes for those involved in collisions.
Empowering Bystanders through Research and Guidance
The research bundle doesn’t just seek to understand what bystanders are capable of—it also explores the barriers they face. The studies will assess the readiness and willingness of bystanders to provide care, the legal and psychological obstacles they may encounter, and the most effective ways to overcome these challenges. Understanding these barriers will be crucial in designing training that prepares bystanders not only with the skills but also the confidence to step in during an emergency.
A Vision for the Future: Decreasing Morbidity and Mortality
This bundle of work represents a significant step forward in post-collision care. By bringing together global knowledge, identifying gaps, and pushing for new research, the Centre aims to enable bystanders to contribute meaningfully to reducing the morbidity and mortality associated with road accidents.
The work will culminate in the development of new guidelines and educational materials that will be shared through various channels, including peer-reviewed journals and social media, The ultimate goal is to integrate these insights into a holistic system where bystanders are seen not as passive witnesses but as vital first responders in the chain of survival.
Through this research, the Centre for Post-Collision Care is paving the way for a future where bystanders are empowered to act, helping to reduce the impact of accidents and save lives.
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