Dwars Door Vlaanderen 2013.Jack Bauer (NZL) stays down after crashing on the Ladeuze descent
  • Arfy

    Great article, for some reason I’d never thought of carrying a medical kit. I will now!

    The iPhone Health App feature was unknown to me, I guess paramedics aware of the feature through their training? I think I’ll add an ID card to my medical kit anyway, after all it’s only a piece of paper. And thank-you for your proactive “Cycling Karma” kits, I hope everyone spreads the message but doesn’t have the need to use it.

    • Winky

      With repect to ICE stuff, paramedics aren’t really bothered who you are or who your next of kin is. They are only concerned with keeping you alive. Having information about medical conditions might seem useful, I guess – but my understanding is that they never look at this stuff.

      • Superpilot

        Correct, that is their priority. But if you get to hospital unconscious, or have confusion from a concussion, the people trying to figure out where your home is might find it helpful :)

        I always think, even though I may have ridden with a bunch for years, most of them don’t know where I live or how to contact my wife if something were to happen. I leave one of my business cards in my spares kit, as well as having ICE info on my phone screensaver.

        Plus you could always be riding on your own, have a crash and be confused or worse as well.

        I hope no one ever needs to use that info though :)

        • Winky

          Yep, once you’re in hospital, they will probably be interested in next of kin. Short of a tattoo, the Road I.D. bracelets might be the thing most likely to be still attached. And yes, it’s a good point that others in the bunch (or even a random cyclist/bystander) would be inclined to make that call, should they have the information.

      • inopinatus

        They may also (speaking from direct experience) ask if you have insurance. Carry your PHI fund card folks!

      • Xavier David

        ICE numbers written with permanent marker on the side of my helmet, as well as my blood type and organ donor status.

        • Winky

          Your helmet is almost certainly not going to make it to the hospital with you. The Paramedics are unlikely to look at it. A Road I.D. or similar would perhaps be preferable.

          • Actually, keeping a helmet something that happens, as a guide to injuries sustained

            • winkybiker

              Makes sense now I think about it. Thanks.

  • Kevin Wells

    Just like to add, cling wrap can make a great first aid kit, a roll cut in half works well. Food grade for cuts abrasions etc without sticking, can make a sling with it, even some compression if needed. Simple and easy to carry your pump in the center of it.

  • Abe

    Wow. Them Rapha-clad cyclists always looking on point – even unconscious they look sweet as.

  • inopinatus

    Strange – the most important element was inadvertently committed from this list.

    Suffice to say, it is tremendously important -essential even- for the injured rider’s peace of mind and subsequent return to form, that you communicate to them, as early as possible in the proceedings, that their bike is fine.

    • Dave

      Yes – tell them that even if it is not!

    • brucegray

      yep, you are obviously talking from experience. The three times I’ve first aided riders who have gone down hard (one with a fractured neck and Grade3 concussion, another with several broken ribs and pneumothorax), the question they repeat over and over is how’s the bike. You just learn to say the same reassuring thing over and over. Also let em know you’ve contacted their partner/ICE contact. Once the ambos tell you which hospital they are taking the rider to, let the partner know….though this can change en route. Also a good idea to get photos of any vehicles involved, damage to the bike, riders down; and get any drivers involved license and contact details, and witness contact details. If a rider is injured and a motorist is involved, you should also call the police who should question and alcohol test the driver, and take statements from witnesses.

  • Sean

    Notice how nobody is helping the guy wearing the Rapha kit. Whereas the smartly dressed dude wearing castelli is being assisted. I’m guessing the fallen rider being loaded into the ambos is also wearing proper italian kit, hence not being left on the roadside.

    • jules

      that’s because the Rapha dude is feigning fatigue, telling potential first aid providers that he hasn’t fallen, just that the barrista definitely did not serve up his short black ‘strong’, as requested and he’ll be alright in a few minutes.

  • si618

    If you use Android O/S, an easy way to add I.C.E contact is through “Owner Info”, which shows up when the phone is turned on, even if the screen is locked. Settings > Security > Owner Info.

  • ed

    i am amazed when i see people either fixing a mechanical or waiting for mates in the middle of the road or at the top of a hill and not in safe place – more often than not this is and accident waiting to happen. a road is not a place for standing around especially when you’re standing over your bike.

  • Jessy Vee

    I carry around an old expired drivers license in my jersey pocket. Its got my name and address on it, and relevant phone numbers, blood type and allergies taped to the back. I was going to get a Road I.D. (because those things are really awesome), but figured the license was free and just as good. Plus, it works better than the Health App because it’s still there if my phone gets smashed/runs out of battery.

    For longer rides and mountain bike rides, I’ve got a little first aid kit (for road rash, really) put together for me by a friend who is a trauma nurse. I’ll update this post with a pic of it’s contents when I get home. :) Would love your opinion, Carl.

    I live near the 1 in 20 and never noticed the cycling karma stickers (though, have heard about them before!). I must stop by with some donations of tubes when I next ride up the hill. :)

  • Solo

    Great article and refresher of DR ABC. I never knew about the white cross and first aid kits behind signs in the “Nongs”, “Boulie” or Authurs. Thanks Dr Carl.

  • Mike

    Dr Le says I should be prepared because, ” ….. chances are you’ll be first on the scene during a cycling accident at some point ….. “.
    Really? I’m 67 and have never been first on the scene. I’ve just asked my riding buddy, he’s a youngster of 64 so obviously hasn’t been around much, and he’s never been first either.
    On the startlingly small number of occasions when I have arrived on the scene there is invariably a bossy know-all already in action, sometimes attempting to resuscitate an obviously conscious patient. That’s when I make my excuses and leave, after all nobody expects me to know the rudiments of plumbing in case I stumble upon a flood, do they.

    • Liam O’Dea

      Small sample size. I have been able to assist injured riders at the scene on a few occasions. Isn’t it better to know what to do and (hopefully) not need it?

    • jules

      “I know first aid, can I help?” would probably be better than quietly leaving while someone is desperately trying to figure out what to do.

      • Dave

        This is correct. One of the prime purposes of First Aid is to keep people at the scene occupied doing something moderately useful (instead of panicking) until real help arrives.

        This is always best done over the phone with the 000/112 operator.

        • Mike

          I had no idea that high on the list of a first-aider’s responsibilities was keeping people occupied; I always sort of assumed they were supposed to look after the sick and the lame. But you may be right, there is no future in having idle bystanders at a scene of carnage.

          • Sean parker

            keeping people busy stops them interfering, provides useful safety services {slowing traffic, marshalling other bystanders, fetching equipment directing traffic, directing emergency services when they arrive, updating emergency services via phone, removing debris form the road when it is safe to do so, providing light (if it’s dark) shade (if it’s hot)}; protects the dignity of the injured and could foreseeably help prevent psychological distress after an accident (in the bystander).

            But if you had seen any accidents or done emergency training you might know this already.

  • MysportID

    MYsportID has a range of personalised ID bands for Australians.

  • St John (VIC)

    Great advice Dr Carl (!) the only omission in the action plan is S – send for help! So remember DRSABCD and call for medical aid, most likely an Ambulance via triple zero (never triple Oh). Learning First Aid will save lives! http://www.stjohn.org.au/training

    • Dave

      000/112 was in there under D – like the handouts from our SA-based OHSW trainer have it. It’s important to keep acronyms like that short enough to be useful – a good example is the sunburn slogan which was once an easily remembered ‘slip slop slap’ but these days is so long and convoluted that the day is over and the sun setting before you’ve rattled off the whole of the slogan.

      Important also to remember the global standard emergency number 112 as well as 000 – both for readers of this article overseas and here.

      112 will work with all mobile phones in all countries, and even in Australia it is important if using a phone from overseas not programmed for Australia (including dodgy ‘unlocked’ or ‘jailbreak’ phones) or if you cannot get a signal from your network.

      • Anon N + 1

        According to Wikipedia, some sort of 112 emergency telephone system has been implemented in 81 counties.
        https://en.wikipedia.org/wiki/112_(emergency_telephone_number)#Implementation

        Since the United Nations has 193 member “states” and 2 observer “states” (let’s assume for the moment that “state” and “country” are essentially synonyms), there appears that the number of places where dialling 112 is useful is exceeded by the number of places were it is not. In fact, I reside in a country that does not have a 112 implementation, which may explain why I had not heard of it previously. Finally, I observed that, again according to Wikipedia, there are various limitations on the emergency services that can be contacted using 112 in many of the countries that do have an implementation. Therefore, when visiting an unfamiliar location, one would be wise to investigate whether a 112 implementation exists and any limitations it may have.

  • @dr_carl

    Thanks for all the comments!

    Apologies for my choice of cycling gear..

    I’m a soy flat white coffee kind of guy..

    Thought I’d share this funny tweet..

    http://www.bing.com/images/search?q=kittel+selfie+irish&FORM=HDRSC2#!?q=kittel+selfie+irish&view=detailv2&&id=F2B2CECB9EE8050BA7039885C8DC1A2F468A83B5&selectedIndex=0&ccid=QeGhS1VW&simid=608025906485069469&thid=OIP.M41e1a14b555609376037d624db4d46f3o0&mode=overlay

    https://mobile.twitter.com/Spleenless1_/status/640800220826103808?p=v

    I didn’t realise it was real until I read the story!
    http://www.independent.ie/sport/young-irish-cycling-fan-apologises-for-controversial-giro-selfie-with-collapsed-marcel-kittel-30269917.html

  • rabatson

    A variation on this which I’ve encountered (both as the fallen and the first arrival) is the reflex action of someone just fallen off, to jump straight back on and continue. It takes some assertiveness to get a cyclist just fallen off to stop to assess the situation and, most importantly, continue only when they have got over shock or disorientation that may affect them.

  • Allez Rouleur

    Oh now, Rapha has now got its paws on doctors too, not just bearded art school drop outs! Ahhhhhhhhhhhhhhhhhhhhhh!!!!

    • Dave

      Which of those two markets has more money?

  • Allez Rouleur

    Great article though, good to think these things through before it ever actually happens. I prefer dog tags over a wrist identifier. Much cheaper and I can wear them around my neck and feel like a pro when I climb.

  • Chucky Beans

    Cycling Karma idea is an excellent one.

    Reminds me of XC skiing in Norway, where little bags of wax and corks hang at the start of big hills. They seem to magically refill during the season.

    I’d like to leave bags of chocolate around our local rides, but the bears eat it…

    • winkybiker

      Corks? Why?

      • Lyre_bird

        To polish the wax.

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