Good evening, and welcome back to another instalment of our Blog. We felt we should address the UK news today regarding basic First Aid, CPR and AED training to be introduced into schools by 2020. Albeit a little late compared to other countries we think this is a fantastic move from the education secretary.
Out of hospital cardiac arrest survival rates in this country are as low as 10%, whereas is countries that teach basic first aid , CPR and AED training in schools this percentage has been doubled. The key concept to basic first aid is confidence, training must be adequate to ensure learners are confident when faced with a situation. Practical, hands on experience is the only real way to build on a learners confidence when teaching first aid, and unfortunately for first aid that means equipment that is not cheap. Therefore our first question is how the government plan to implement this? Will each school be issued a first aid training budget? How will that ensure adequate first aid training for 30 students with the right ratio to equipment. The HSE issues guidelines of 12 delegates per training session for a first aid qualification, one of the key reasons for this is the one to one time each delegate can have giving CPR to a manikin and the amount of practise time with an AED. The same standards need to be rolled out into schools and instructors need to be aware of the learning needs within a class of thirty 11-16 year olds.
We thought in light of the news today we should give a step by step guide of DR ABC and why an AED is so important in the whole process.
DR ABC is a key acronym used within First Aid Training, it refers to your primary assessment of a casualty.
D- is for DANGER
R-is for RESPONSE
A-is for AIRWAY
B-is for BREATHING
C-is for COMPRESSIONS
This acronym with the right amount of training triggers a step by step process the first aider needs to go through when completing a primary survey on a casualty.
Step 1- Firstly it is important to check for danger to yourself, the casualty and bystanders before approaching the casualty. Try to remove this danger e.g. turn off electrics.
Step 2- Check for response, gently shake the adult/child casualties shoulders and shout in each of their ears to see if they are responsive.
Step 3- Open the casualties airway by the ‘head tilt, chin lift’ method. fingers on forehead and two fingers on the hard part of their chin, push their head back and open their airway.
Step 4- Check for breathing for 10 seconds by looking down their chest, feeling for breath on your cheek and listening for breathing. You are looking for the chest to rise at least twice within those 10 seconds. If they take one gasp of breath or none at all this means they are not breathing normally and you need to commence CPR and call an ambulance, your bystander can also be sent to get an AED, and first aid kit.
Step 5- CPR, start with 30 chest compressions at a depth of 5-6 cm and a rate of 100-120bpm. Once you have completed chest compressions give 2 rescue breaths by opening the airway with a head tilt chin lift, pinch their nose to ensure all air goes into their lungs. You should see their chest rise. Continue with this process until help arrives or the casualty shows signs of life.
We hope this a jogged a few first aiders memories, as the standard 3 years between training is quite a while. However as an experienced first aid instructor whilst I was writing this there are so many tips, explanations and answers to questions that I could have included I would have been writing for hours. This is why practical training and your place on a First Aid course is so important to ensure your give the correct CPR to someone, and more importantly that you are confident in giving it a go if the situation arose.
We will be going into more depth in our next blog on the importance of an AED (defibrillator) and how to use one, where to find them and how to access them.
We hope you enjoyed our blog, be sure to browse our website to see what course we offer and how we could help you not only meet you training needs, but also save money on your training costs.
Managing Director RH Training Service Limited