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Lesson 4 of the Alcohol, Drugs, Fatigue, Penalties, Emergencies and Responsible Driving unit

Turkish B Licence Theory: Emergency Situations and First Aid

This lesson covers the vital legal and practical steps to take during road emergencies and accidents. It is a critical part of your Category B licence training, ensuring you know how to protect yourself, other drivers, and victims while adhering to Turkish traffic legislation.

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Turkish B Licence Theory: Emergency Situations and First Aid

Lesson content overview

Turkish B Licence Theory

Emergency Situations and First Aid in Turkish Traffic

Every driver on Turkish roads must be prepared to handle emergencies. Whether you are directly involved in a collision or are the first to arrive at the scene of an accident, your actions within the first few minutes can mean the difference between life and death. Turkish Highway Traffic Law (Karayolları Trafik Kanunu) mandates specific legal responsibilities for drivers during these critical moments.

This lesson covers the essential protocols for securing an accident scene, communicating with emergency services, administering basic life-saving first aid, and understanding your legal obligations under Turkish traffic regulations. Mastering these procedures is not only required to pass the official MTSK (Motorlu Taşıt Sürücü Kursları) theory e-exam for a Category B license but is also a fundamental duty of a responsible driver.


Securing the Accident Scene: Preventing Secondary Collisions (Olay Yeri Güvenliği)

When an accident occurs, the immediate area becomes a high-risk zone. Secondary collisions—where oncoming vehicles crash into the stationary, damaged vehicles or hit pedestrians at the scene—are often more severe than the initial accident. Securing the scene immediately is your absolute first priority before attempting any first aid or vehicle assessment.

Step-by-Step Procedure for Scene Safety

To protect yourself, the victims, and oncoming traffic, you must systematically secure the environment. Follow this sequence of safety measures immediately:

How to Secure an Accident Scene

  1. Activate Hazard Lights: Instantly turn on your vehicle's hazard warning lights (commonly known as dörtlüler or dörtlü ikaz lambaları) to alert drivers behind you.

  2. Park Safely: If your vehicle is still mobile, pull over to the hard shoulder (emniyet şeridi) or the far right side of the road. Switch off the ignition, engage the handbrake, and put on a high-visibility reflective vest before exiting.

  3. Position Warning Reflectors: Place warning triangle reflectors (reflektör) on the road to give oncoming traffic sufficient distance to react and slow down.

  4. Eliminate Ignition Sources: Turn off the ignitions of all crashed vehicles to prevent electrical sparks. Ensure no one is smoking near the scene, as spilled fuel (petrol or diesel) and highly flammable LPG (Liquefied Petroleum Gas) present a high risk of explosion.

  5. Manage Bystanders: Keep onlookers away from the roadway and direct them to safe areas behind guardrails or off the shoulder.

Correct Placement of Warning Triangle Reflectors

Turkish traffic regulations specify strict rules for placing warning triangle reflectors. Simply placing a reflector a few meters behind a vehicle is illegal and highly dangerous, especially on fast-moving roads.

  • Urban Roads (Şehir İçi Yollar): Place the reflector at least 30 metres behind the stationary vehicle. It must be positioned in a way that allows oncoming drivers to see it from at least 150 metres away.
  • Intercity Highways and Expressways (Şehirlerarası Yollar ve Otoyollar): On high-speed roads, you must place one reflector 150 metres behind the vehicle. If the accident occurs near a bend, hill crest, or low-visibility curve, place an additional reflector before the start of the curve to warn drivers before they enter the blind spot.
  • Dual-Carriageway/Two-Way Roads: If the road has oncoming traffic without a central barrier, place one reflector 30 to 150 metres in front of the accident scene, and another 30 to 150 metres behind it, securing both directions of travel.

Warning

Never assume oncoming traffic can see you. At night, in heavy rain, thick fog, or snow, visibility is severely compromised. In these conditions, use additional portable warning lights or flares if available, and ensure you remain behind safety barriers whenever possible.


Activating Emergency Services: How to Correctly Call 112

Once the scene is physically secured from immediate secondary hazards, your next step is to summon professional medical and rescue teams. In Turkey, all emergency services are consolidated under a single, toll-free national emergency number.

Note

The National Emergency Number in Turkey is 112. Dialing 112 connects you to the Emergency Call Center (112 Acil Çağrı Merkezi), which dispatches ambulances (ambulans), police (trafik polisi / jandarma), and fire rescue (itfaiye) services.

Key Information to Provide to the Dispatcher

When you call 112, you must remain calm, speak clearly, and deliver precise details. The dispatcher will use this information to determine the level of response required. Prepare to provide the following details:

  • Precise Location: State the road name, direction of travel (e.g., "TEM Highway, Ankara to Istanbul direction"), nearest junction, landmark, or kilometer marker. If you are in a rural area, note coordinate data from your smartphone if possible.
  • Nature of the Accident: Describe what happened (e.g., "A head-on collision between a passenger car and a medium truck," or "A roll-over accident involving a single vehicle").
  • Number and Condition of Victims: Inform the operator how many people are injured, whether anyone is unconscious, trapped in a vehicle, bleeding heavily, or showing no signs of breathing. This determines how many ambulances and specialized extraction teams are sent.
  • Hazards and Environmental Risks: Note if there is a fire, spilled hazardous cargo, downed power lines, or an active gas leak (especially if LPG vehicles are involved).
  • Your Contact Information: Give your name and phone number. Never hang up until the operator explicitly instructs you to do so, as they may need to provide you with step-by-step first aid instructions.

Basic First Aid Procedures for Road Accidents (Temel İlk Yardım Kuralları)

First aid is the immediate, non-professional medical assistance provided to an injured person before professional emergency responders arrive. Under Turkish law, drivers are expected to provide basic first aid if they are capable and have received training.

The primary rule of first aid is "Do No Harm" (Önce Zarar Verme). Improperly moving an injured person or applying unapproved medical techniques can cause permanent paralysis or death.

Evaluating the Victim: The A-B-C of First Aid

Before performing any physical intervention, quickly assess the consciousness and vital signs of the victims using the standard A-B-C methodology:

  1. Airway (Hava Yolu Açıklığı): Check if the victim’s airway is open. If they are unconscious, their tongue can slip backward and block the throat. Gently clear any visible foreign objects (such as broken teeth, blood, or vomit) from the mouth. Use the Head Tilt-Chin Lift maneuver (Baş-Çene Pozisyonu) to open the airway, unless you suspect a neck or spinal injury.
  2. Breathing (Solunum Kontrolü): Assess breathing using the Look-Listen-Feel method (Bak-Dinle-Hisset) for up to 10 seconds. Put your ear close to the victim's mouth: look to see if the chest rises and falls, listen for breathing sounds, and feel for air on your cheek. If the victim is unconscious but breathing normally, place them in the Recovery Position (Koma Pozisyonu) to keep the airway clear. If they are not breathing, immediate CPR (Cardiopulmonary Resuscitation) is required.
  3. Circulation (Dolaşım Kontrolü): Look for signs of active, life-threatening external bleeding. Severe bleeding must be controlled immediately to prevent circulatory collapse and shock.

Severe Bleeding Control and Shock Management

A victim can bleed to death in minutes if a major artery is severed. Controlling severe external bleeding is one of the most critical life-saving skills a driver must master.

  • Direct Pressure: Apply firm, continuous pressure directly over the wound using a clean, sterile dressing or cloth from your vehicle's first aid kit (ilk yardım çantası).
  • Elevation: If possible and if it does not cause pain or worsen fractures, elevate the bleeding limb above the level of the heart to reduce blood flow to the wound.
  • Pressure Points: If direct pressure does not stop the bleeding, apply digital pressure to the nearest arterial pressure point (e.g., the femoral artery in the groin for leg bleeding, or the brachial artery in the inner upper arm for arm bleeding).
  • Tourniquet (Turnike): Use a tourniquet only as a last resort in cases of limb amputation or catastrophic bleeding where direct pressure fails. Write the exact time the tourniquet was applied on the victim's forehead or on a tag to inform medical personnel.

Managing and Preventing Shock

Shock occurs when the circulatory system fails to provide enough oxygen-rich blood to vital organs. It is a life-threatening condition that often follows severe bleeding, major trauma, or extreme pain.

  • Symptoms of Shock: Pale, cold, and clammy skin; rapid, weak pulse; shallow, rapid breathing; dizziness, anxiety, or altered mental state.
  • The Shock Position (Şok Pozisyonu): Lay the victim flat on their back. Elevate their legs approximately 30 centimetres using a folded jacket, cushion, or box. This encourages blood flow back to the vital organs in the torso and head. Keep the victim warm by covering them with a blanket or coat, and keep them calm. Do not give them anything to eat or drink.

The Rentek Maneuver: Safe Extraction from a Vehicle

One of the most common causes of permanent disability (such as paraplegia or quadriplegia) in road accidents is the improper extraction of victims from damaged vehicles. The spinal cord is highly vulnerable to secondary injury during movement.

Definition

Rentek Maneuver (Rentek Manevrası)

A specialized first aid extraction technique used to safely remove an unconscious victim from a vehicle without twisting or bending their spine, neck, or head. This is only performed when there is an immediate, life-threatening danger at the scene.

You must never move or extract a victim from a vehicle unless one of the following extreme conditions is met:

  • The vehicle is on fire or there is an imminent risk of fire/explosion.
  • The vehicle is sinking in water.
  • The victim is not breathing, and you cannot perform CPR inside the vehicle.

How to Perform the Rentek Maneuver

  1. Ensure the vehicle's ignition is turned off and the handbrake is engaged. Clear any debris trapping the victim's legs.

  2. Approach the victim from the side. Slip one arm under the victim's armpit from behind and support their chin firmly with your hand to immobilize their neck.

  3. Pass your other arm under the victim's other armpit and grip their wrist or forearm.

  4. Press your cheek against the victim's cheek, holding their head tightly against your shoulder to ensure the head, neck, and torso remain perfectly aligned.

  5. Gently slide the victim out of the seat and onto your thigh, keeping their spine straight, and move them to a safe distance from the vehicle.


The Turkish Highway Traffic Law (Karayolları Trafik Kanunu) establishes strict legal obligations for all drivers involved in or witnessing a traffic accident. Violating these duties is a criminal offense and carries severe penalties, including heavy fines, driver's license suspension, and imprisonment.

Hit-and-Run Penalties and Staying at the Scene

If you are involved in a traffic accident, you are legally required to stop immediately. Failing to do so is classified as leaving the scene of an accident (commonly referred to as a "hit-and-run").

  • Duty to Stop and Assist: You must stop, secure the scene, and assist any injured persons. If you cause an accident resulting in injury or death and flee the scene, you face severe prosecution under the Turkish Penal Code (Türk Ceza Kanunu) for "endangering life" and "negligent injury/homicide."
  • Witness Obligations: Even if you are not directly involved in the crash, if you are the first witness to an accident where there are no emergency responders yet, you are legally obligated to stop, call 112, and provide whatever basic assistance you can.

Material Damage Accidents and the Accident Report (Kaza Tespit Tutanağı)

If the accident results only in material damage (no injuries, deaths, or public property damage), drivers do not need to wait for the traffic police to arrive. In Turkey, this is managed via the Material Damage Traffic Accident Report (Maddi Hasarlı Trafik Kazası Tespit Tutanağı).

  • Mutual Agreement: Both parties must agree on how the accident occurred and fill out the form together.
  • Documentation: Before moving the vehicles, you must take clear photos of the accident scene from multiple angles, showing the positions of the vehicles on the road, lane markings, and the license plates of all involved cars.
  • Moving the Vehicles: Once photos are taken and the form is signed, you must move the vehicles to a safe spot (such as the shoulder or a side street) to prevent obstructing traffic.
  • When Police Presence is Mandatory: You cannot use the self-reported Kaza Tespit Tutanağı and must call the traffic police (154 or 112) if:
    • Any participant does not have a valid driver's license or has an inappropriate license category.
    • There is a suspicion of alcohol or drug consumption by any of the drivers.
    • One of the vehicles belongs to a government agency or public body.
    • Public property (such as traffic lights, barriers, or road signs) or third-party property is damaged.
    • One of the vehicles does not have valid compulsory third-party traffic insurance (Zorunlu Mali Sorumluluk Sigortası).
    • The accident resulted in bodily injury or death.

Environmental and Situational Variations in Emergencies

Emergency responses must be adapted dynamically depending on the environment, the weather, and the types of vehicles involved.

1. Highway (Otoyol) Emergencies

High-speed environments leave zero margin for error.

  • Never walk onto active highway lanes.
  • Always walk behind the metal guardrails (bariyer) when moving to place reflectors.
  • If your car breaks down, try to reach an emergency bay (acil cep) or the hard shoulder. Turn on your hazard lights immediately.

2. Low-Visibility and Severe Weather

Rain, fog, and snow increase braking distances significantly. Oncoming drivers will need much more time to stop.

  • In thick fog, place reflectors at a greater distance than the standard 150 meters, and use additional active lighting (such as a flashlight or hazard flare) if safe to do so.
  • Ensure your vehicle's fog lights are activated alongside your hazard lights.

3. Dangerous Goods Vehicles (Tehlikeli Madde Taşıyan Araçlar)

If you are involved in or witness an accident with a truck displaying orange hazard placards, exercise extreme caution.

  • Keep a Safe Distance: Park your vehicle at least 150–200 meters away, preferably upwind, to avoid inhaling toxic fumes.
  • Report Placard Codes: When calling 112, read out the numbers displayed on the orange hazard plates (the UN Number and Hazard Identification Number). This ensures the dispatcher sends specialized chemical response teams (AFAD / specialized fire departments).
  • No Sparks: Do not smoke, use lighters, or switch on electronic devices near the crash site.

Safety and Reasoning Insights

  • Securing the scene first is not selfish; it is logical. If you get hit by an oncoming vehicle while trying to perform CPR in the middle of a lane, you become a second victim, doubling the burden on emergency responders and failing to help the original casualty.
  • The golden hour is the first 60 minutes following a traumatic injury. Prompt emergency notification (112) and basic stabilizing first aid (like stopping bleeding) during this hour significantly increase survival rates.
  • Avoiding unnecessary movements protects the spine. A damaged spinal cord can be severed by even minor twisting of the neck, leading to lifelong paralysis. Unless there is an immediate threat of fire, water, or lack of breathing, keep the victim completely still.

Final Concept Summary

  • Scene Safety First: Always activate hazard lights and place reflectors (30m in urban areas, 150m on intercity roads) to warn oncoming traffic.
  • Call 112 Immediately: Provide precise location, accident details, number of casualties, and hazards.
  • First Aid Duties: Access vitals via the A-B-C system. Control bleeding using direct pressure, apply the shock position (legs up 30cm), and only move victims using the Rentek maneuver in extreme life-and-death scenarios.
  • Legal Responsibility: Staying at the scene and assisting is a legal requirement. For minor, non-injury accidents, document with photos and complete the Kaza Tespit Tutanağı to keep the traffic flowing safely.


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Lesson recap

Quick summary before you move on

Fast revision

This lesson covers the critical legal and practical steps for handling road emergencies in Turkey, starting with scene safety through hazard lights and correctly positioned warning triangles. Learners must master calling 112 with complete information and the A-B-C first aid assessment, including controlling severe bleeding, managing shock with the legs-elevated position, and knowing the precise Rentek maneuver for extracting victims only under life-threatening conditions. Turkish traffic law mandates that drivers stop and assist, with material damage-only accidents handled via the Kaza Tespit Tutanağı when specific conditions are met, while police must be called for any injuries, alcohol involvement, or uninsured vehicles.


Core takeaways

Main ideas from this lesson

A short set of high-value points that capture the most important learning from this lesson.

Activate hazard lights immediately and place warning triangles at least 30 metres on urban roads or 150 metres on intercity highways before attempting any first aid.

When calling 112, provide precise location, accident type, number and condition of victims, any hazards present, and your contact information—never hang up until instructed.

Use the A-B-C method (Airway, Breathing, Circulation) to assess victims, starting by checking and clearing the airway using Head Tilt-Chin Lift if no spinal injury is suspected.

Control severe bleeding with direct pressure, elevation above heart level, and arterial pressure points as needed, while preventing shock by placing victims in the shock position with legs elevated 30 centimetres.

The Rentek maneuver is the only acceptable way to extract an unconscious victim from a vehicle, and it must only be performed when there is imminent fire, water submersion, or the victim cannot receive CPR inside the vehicle.

Remember this

Details worth keeping in mind

Point 1

Reflector placement must be 30–150m in front AND behind on two-way roads without a central barrier, and additional reflectors are needed before bends or curves on high-speed roads.

Point 2

The recovery position (Koma Pozisyonu) keeps an unconscious but breathing victim's airway clear, while the shock position (Şok Pozisyonu) with legs elevated 30cm is for victims with suspected circulatory failure from bleeding or trauma.

Point 3

Never move a victim unless there is immediate danger to their life—improper extraction can cause permanent paralysis by severing the spinal cord.

Point 4

The Kaza Tespit Tutanağı can only be used when all parties agree, no injuries or deaths occurred, all drivers have valid licenses and insurance, and no public property was damaged.

Point 5

Leaving the scene of an accident causing injury or death is a criminal offense under Turkish law, and even uninvolved witnesses are legally obligated to stop and assist when no emergency responders are present.

Watch for this

Frequent learner mistakes

Placing warning reflectors too close to the vehicle (a few metres) instead of at the legally required distances, which gives oncoming drivers insufficient time to react.

Assuming a stationary victim without visible external injuries is uninjured and moving them without checking for spinal damage, potentially causing permanent paralysis.

Failing to provide specific information when calling 112 (such as exact location, accident type, or number of casualties), which delays appropriate emergency response.

Using a tourniquet for any bleeding other than catastrophic limb amputation, or failing to note and communicate the exact time of application to medical personnel.

Attempting to move vehicles before documenting the accident scene with photographs, which complicates insurance claims and may violate proper accident reporting procedures.

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Frequently asked questions about Emergency Situations and First Aid

Find clear answers to common questions learners have about Emergency Situations and First Aid. Learn how the lesson is structured, which driving theory objectives it supports, and how it fits into the overall learning path of units and curriculum progression in Turkey. These explanations help you understand key concepts, lesson flow, and exam focused study goals.

What is the first thing I should do after being involved in an accident?

First, ensure your own safety and the safety of the accident scene. Move your vehicle to the side if it is not a major injury case, activate hazard lights, and set up reflective triangles at sufficient distances to warn oncoming traffic before checking for injuries.

Am I legally required to help in an accident?

Yes, under Turkish traffic law, you have a duty to assist in an accident if it is safe to do so. This includes calling 112 for emergency services and providing basic assistance without putting yourself or others in further danger.

When should I move an accident victim?

You should only move an injured person if there is an immediate threat to their life, such as the vehicle catching fire or being in a location where a secondary collision is imminent. Otherwise, keep them still to prevent spinal or internal injuries until professional help arrives.

How far should I place the reflective triangle from the accident?

The triangle must be placed at a distance that gives sufficient warning to approaching drivers. On highways, this distance must be greater than on urban roads to account for higher speeds, typically at least 150 meters behind the vehicle.

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Turkish road signsAM Moped Theory courseTurkish article topicsMotorcycle Theory courseSearch Turkish road signsGoods Vehicle Theory courseTurkish driving theory homeTurkish road sign categoriesTurkish driving theory topicsSearch Turkish theory articlesTurkish driving theory coursesTurkish B Licence Theory courseTurkish D Licence Theory courseTurkish driving theory articlesTurkish driving theory practiceTurkish practice set categoriesTurkish driving licence proceduresSearch Turkish driving theory practiceTurkish driving theory terminology A–ZTurkish driving theory terms and glossaryHelmet, Visibility and Protective Behaviour unit in AM Moped TheoryLicence Basics and Small Vehicle Responsibility unit in AM Moped TheoryProfessional Licence Scope and Responsibility unit in Goods Vehicle TheoryTurkish Traffic Signs and Traffic Signals unit in Turkish B Licence TheoryMotorcycle Licence Basics and Rider Responsibility unit in Motorcycle TheoryVehicle Size, Weight, Dimensions and Road Space unit in Goods Vehicle TheoryProtective Equipment, Visibility and Rider Condition unit in Motorcycle TheoryCategory B Licence Basics and Driver Responsibility unit in Turkish B Licence TheoryPassenger Safety, Comfort, Accessibility and Driver Conduct unit in Turkish D Licence TheoryPassenger Vehicle Licence Scope and Professional Responsibility unit in Turkish D Licence TheoryFatigue Management lesson in Alcohol, Drugs, Fatigue, Penalties, Emergencies and Responsible DrivingEffects of Alcohol and Drugs lesson in Alcohol, Drugs, Fatigue, Penalties, Emergencies and Responsible DrivingLegal Penalties and Consequences lesson in Alcohol, Drugs, Fatigue, Penalties, Emergencies and Responsible DrivingEmergency Situations and First Aid lesson in Alcohol, Drugs, Fatigue, Penalties, Emergencies and Responsible DrivingPromoting Responsible Driving Culture lesson in Alcohol, Drugs, Fatigue, Penalties, Emergencies and Responsible Driving