Glenrothes couple Mark and Felicity Brown sat with Fiona Martin during her final moments.
Ms Martin’s car collided with a stationary articulated lorry in a layby north of Dunkeld.
The Browns, who both volunteer for St Andrews First Aid, were recognised at the charity’s First Aid Awards in Glasgow on Thursday night.
”We were just following our training,” said Mrs Brown (25).
”There has been research and it’s believed hearing is the last thing to go.
”You should always talk to casualties, no matter how badly injured they are.
”Martin and I are members of the Salvation Army and we’re about to become soldiers.
”We prayed with her and prayed with a witness.
”We hope it was some small comfort to her that she was not alone.
”She was so young.”
Awards host Scott Wilson described to the audience what happened on the afternoon of Saturday October 20.
”The place fell completely silent and afterwards all these people were coming up to us and shaking our hands.
”It was really humbling,” said Mrs Brown.
The couple had been driving home from a day trip with their three-year-old son Daniel when they came across the accident.
It had just happened and the emergency services had not yet arrived.
”We prised the door open to see if she was still alive.
”There was barely a mark on her, but she had obviously taken a hit to the head.”
After the fire service arrived, Mr Brown (41) stayed with Ms Martin (29) while his wife helped look after the shaken lorry driver.
Ms Martin, of Uddingston, near Glasgow, was a financial analyst and a graduate of Strathclyde University.
Family described her as a lovely and kind person.
The Browns met through their work with St Andrews First Aid.
Mr Brown has a long service award, having volunteered for 20 years.
He decided to train as a first aider after he witnessed a serious car accident and realised he did not know what to do.
Mrs Brown got involved after she was helped by volunteers when she broke her ankle as a student.
Their training paid off when little Daniel became seriously ill with a virus and they were able to clear his airway.
”We nearly lost him last year,” said Mrs Brown.
”If we hadn’t had first aid training, I don’t think he would have made it to the hospital.”
Mary McLuskey, managing director of St Andrew’s First Aid, said: ”Both Felicity and Mark showed remarkable presence of mind to put into practice life-saving skills to help a dying woman and others immediately affected by a terrible accident.
”The special commendation is praise for their actions in a really critical situation, and we are really proud to have both Felicity and Mark as volunteer first aiders with St Andrew’s First Aid.”