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Instructions for helping someone else

Person trapped or crushed by machinery

What to do

  1. Call an ambulance now. For machine entrapment or a load, also request rescue.
  2. If possible without exposure, use the identified emergency stop. Request trained staff to isolate the energy.
  3. Relieve pressure promptly only if safe and possible. For machinery or unstable loads, do not improvise. Request rescue.
  4. Heavy bleeding: firm clean-cloth pressure, except eye, skull depression or protruding organs. Object/bone: around, not on it. Open chest or uncontrolled bleeding: bleeding guide now.
  5. After a major fall or crush, minimise neck/back movement. Airway, breathing and CPR take priority.
  6. If unresponsive: call emergency services. If breathing is abnormal, start CPR with dispatcher guidance.
  7. Stay with them if safe. Monitor response and breathing. Prevent chilling without overheating.
  8. Immediate hospital assessment is needed, even without pain or visible injury.
  9. If there is no immediate danger, help the person stay still and comfortable. Do not force their body straight. Tell the dispatcher if they vomit, struggle to breathe, become weak or get worse. Stay with them. If safe, ask someone else to call or meet the rescue team.
  10. Release may cause heavy bleeding: prepare pressure help. Tourniquet only for actual/anticipated life-threatening limb bleeding, guided/competent. Not crush alone or delaying safe release.
  11. Unresponsive/abnormal breathing: age CPR if chest accessible and access safe. Trapped/inaccessible chest: tell dispatcher, urgent rescue. Do not crawl under load.

What to avoid

  1. Do not restart the machine or insert hands/tools. Even switched off, it can move or drop a load.
  2. Do not apply a tourniquet merely because of crushing. It is for life-threatening bleeding under the bleeding protocol.
Unresponsive child/baby: age CPRHeavy bleeding: exceptions/tourniquetHead impact: warning signsNeck/back: airway firstUnresponsive, abnormal breathing: adult CPR