Management of the Scene

Every emergency situation is unique and there is no ‘one size fits all’ approach that can be applied when responding to calls for help as a healthcare professional. However, taking a structured approach can support you and maximise patient outcome and as ever, good communication on the ground with other services and agencies and via radio to control centres is key in order to get the right help at the right time.

In this section we look at some challenging scenes and talk to some experts about what we can do to manage them and make them safe.


Alastair Beer – Aircraft crashes and the Royal Air Force Mountain Rescue Team

Alastair Beer

In this week’s podcast Alastair Beer talks about the role of the RAF Mountain Rescue; how it differs from the civilian Mountain Rescue and what capabilities it has. He highlights the dangers of air crash sites and the hazards that face responders who are tasked to air accidents.


Key points from this podcast:
  • If it is a military aircraft always assume it is armed and with a civilian aircraft consider the ballistic recovery systems therefore always assume you are working under a high level of risk at any aircraft crash site.
  • Only enter the crash sites if you have to save life or for recognition of life extinct for anything else stay out of the crash site.  If you have to go into the site consider preservation of evidence while working on scene
  • A crash site will be a really confusing, hazardous and unpleasant place and if first on scene you could be dealing with multiple casualties which is a very difficult situation to find yourself in. Take a moment, take a deep breath and have a think about the scene and make sure you are safe before approaching. Quickly declare a Major incidence and accurately report a METHANE report about the incident back to ambulance control before you start to treat patients, especially if you are first on scene.
Resources related to this podcast:

Guidance publication for Aircraft Post Crash Management –

Listen to Alastair’s podcast below.

Alastair Beer - Aircraft crashes and the Royal Air Force Mountain Rescue Team

Coming Soon – Scottish Fire and Rescue Services