1) First and most importantly don't add yourself to the casualty list!

2) Stay out of the road and call the medics. Give them as much info as possible

3) Establish a safe scene! If you can put some sign or indicator 'round the bend in the direction from which traffic is comming it would be extremely helpful. Yes do all of this before approaching the victim. The location of the victim is very dangerious - that is why they got hit in the first place. If possible, flag down another vehicle and have it stopped with it's flashers on round the other side of the bend.

4) If all of this is done and your are certain that you can approach the victim and be safe from approaching traffic and the medics or police still haven't arrived then treat things in this order - Airway, Breathing, Bleading. Ignore broken bones! Don't move the victim. Alone, there is no way to adequately protect the spine from further damage. two with inadequate training is even more dangerous. two with adequate training may be able to immobilize the spine without damaging things further.

5) If you must treat for airway or breathing issues then use the jaw-thrust manuveur. If you don't know this or can't manage it alone (it is not that easy to do alone) then pray. What good to get breath into them if you snap their neck while trying?

6) If they are breathing and conscious then encourage them to stay put and stay still look to their bleeding issues. Direct pressure on large flows but otherwise don't worry about it.

7) If they have stood up and are moving about then encourage them to lay down and stay put. The shock that will soon engulf them could cause them to pass-out unexpectedly and fall backward and crack their head on the pavement - further injuring themselves. (have them lay down somewhere safe - not in the middle of the road.)

8) Don't bother trying to set and splint broken bones. If you are within reach of an ambulance service they will be much better equipped to handle this issue and will appreciat that they don't have to remove your splint to inspect the wound.



IFF and only if this happens where someone is going to have to carry them out or they are going to have to walk out then you should continue beyond these efforts. The side of the road doesn't qualify for this but the side of a hiking trail may.