12 Hour Paediatric First Aid update

Screen Shot 2014-04-17 at 11.58.18

12 Hour Paediatric First Aid (UK)

It has recently been brought to our attention that some providers have received misleading information to say they are no longer required to complete the twelve hour paediatric first aid course and instead can access a six hour Emergency Paediatric First Aid Course.

It is a requirement of the Early Years Foundation Stage (EYFS) that at least one person who has a current paediatric first aid certificate must be on the premises at all times when children are present, and must accompany children on outings. First aid training must currently be local authority approved and be relevant for workers caring for young children. Childminders, and any assistant who might be in sole charge of the children for any period of time, must hold a current paediatric first aid certificate.

Ofsted have advised that providers should follow the guidelines outlined in Appendix 1 of the 2008 EYFS Practice Guidance in order to ensure good practice. This states:

Criteria for effective paediatric first aid training

In order to meet the requirements of the EYFS, paediatric first aid courses must be approved by the local authority in whose area the early years provision is located, and must meet the following criteria:

1 Training is designed for workers caring for children in the absence of their parents.

2 The training leading to a certificate or a renewal certificate is a minimum of 12 hours.

3 The first aid certificate should be renewed every three years.

4 Resuscitation and other equipment includes baby and junior models, as appropriate.

5 Training covers appropriate contents of a first aid box for babies and children.

6 Training should include recording accidents and incidents.

7 Training should be appropriate to the age of the children being cared for.

8 The course covers the following areas:

8.1 Planning for first aid emergencies.

8.2 Dealing with emergencies.

8.3 Resuscitation procedures appropriate to the age of children being cared for.

8.4 Recognising and dealing with shock.

8.5 Recognising and responding appropriately to anaphylactic shock.

8.6 Recognising and responding appropriately to electric shock.

8.7 Recognising and responding appropriately to bleeding.

8.8 Responding appropriately to burns and scalds.

8.9 Responding appropriately to choking.

8.10 Responding appropriately to suspected fractures.

8.11 Responding appropriately to head, neck and back injuries.

8.12 Recognising and responding appropriately to cases of poisoning.

8.13 Responding appropriately to foreign bodies in eyes, ears and noses.

8.14 Responding appropriately to eye injuries.

8.15 Responding appropriately to bites and stings.

8.16 Responding appropriately to the effects of extreme heat and cold.

8.17 Responding appropriately to febrile convulsions.

8.18 Recognising and responding appropriately to the emergency needs of children with chronic medical conditions, including epilepsy, asthma, sickle cell anaemia, diabetes.

8.19 Recognising and responding appropriately to meningitis and other serious sudden illnesses.

Practitioners have a duty for the safeguarding and welfare of the children in their care and it is vital that they are able to competently deal with any first aid requirements which may occur to ensure the safety of children. You should be reminded that it is the responsibility of the practitioners attending these courses to ensure they meet their needs both in terms of what the courses cover and the time taken to complete the course, and therefore we would recommend that you take note of the points covered in Appendix 1 above.

First Aid Box Contents Update 15

3d small people - secret

1. There is no mandatory list of items to be included in a first-aid container. The decision on what to provide will be influenced by the findings of the first-aid needs assessment. As a guide, where work activities involve low hazards, a minimum stock of first-aid items might be:

  • a leaflet giving general guidance on first aid (for example, HSE’s leaflet Basic advice on first aid at work);
  • 20 individually wrapped sterile plasters (assorted sizes), appropriate to the type of work (hypoallergenic plasters can be provided if necessary);
  • two sterile eye pads;
  • two individually wrapped triangular bandages, preferably sterile;
  • six safety pins;
  • two large sterile individually wrapped unmedicated wound dressings;
  • six medium-sized sterile individually wrapped unmedicated wound dressings;
  • at least three pairs of disposable gloves (see HSE’s leaflet Latex and you6).

Attached is a Pdf list for the suggested workplace and travel kits.

First Aid Box Contents 15


ambulance shirtv4.011

“Can I shock someone if they are wet or on a metal surface”?

It is safe to defibrillate a patient on either a wet or metal surface as long as the appropriate safety precautions are taken. Specifically, care should be taken to ensure that no one is touching the patient when the shock button is pressed.

The attached document will answer your question.


Looking after Children during heat waves



New guide from Public Health For England. Advice for EYS for children in a Heat wave.


Click the above link to download the pdf document or follow the link below to go to the website. There is also a document available for Adult care.





Study: Amateur CPR in Cardiac Arrest Aids Recovery

People who suffered cardiac arrest and received CPR from a bystander were far more likely to return to work and full function than those who did not get help, according to a new study.

The research underscores the benefit of having bystanders trained in CPR, which these days can entail only chest compressions and be learned in a matter of minutes, said Don Weisman, American Heart Association communications director for Hawaii.

The study, Return to Work in Out-of-Hospital Cardiac Arrest Survivors, was published May 4 in Circulation, the medical journal of the Heart Association. It tracked the progress of 4,354 patients in Denmark who were employed when they suffered cardiac arrest between 2001 and 2011.
Those who received CPR from a bystander had a 38 percent greater chance of returning to work than those who didn’t. While previous research has shown that cardiopulmonary resuscitation boosts survival rates, this study went further in examining whether survivors returned to a normal life.
“When a bystander performs CPR quickly, it helps ensure enough oxygen is getting to the brain, which can help minimize brain damage and lead to that person being able to return to work,” said the study’s lead author, Kristian Kragholm, a physician and clinical assistant at Aalborg University Hospital in Aalborg, Denmark, and a fellow at the Duke Clinical Research Institute in Durham, N.C.
Cardiac arrest is a sudden malfunction in the heart’s electrical system, which can strike otherwise healthy people at any time and is usually fatal. Victims of cardiac arrest collapse, stop breathing and become unresponsive.
A heart attack, on the other hand, involves blockage of blood flow to the heart. Its victims usually are conscious and complain of symptoms such as pain, tightness or weight on their chest.
“A heart attack is a plumbing problem, and cardiac arrest is an electrical problem,” said Weisman. Bystanders should call 911 in either case and perform CPR if the patient is not responsive, he said.
About 420,000 cardiac arrests occur outside hospitals in the United States each year, and 90 percent of victims die, according to the American Heart Association. CPR can double survival rates, but observers often hesitate to intervene because they don’t know how or are afraid of hurting the victim, the association says.
“CPR today is so easy to learn,” Weisman said. “The Heart Association a couple of years ago came out with new science showing that Hands-Only CPR is the most effective for lay people in saving lives.”
“You don’t have to breathe on the victim, which was always a potential roadblock,” he said. “It’s better to just do the chest compressions. The key is to call 911 first so you can get firefighters, police or ambulance on their way, and they’ll bring a defibrillator.”
In Hawaii, rates of bystander intervention and recovery are lower than the U.S. average, according to Dory Clisham, training manager for American Medical Response in Hawaii. Nationally the survival rate for cardiac arrest is 10.8 percent and rises to 32.5 percent if witnessed by a bystander who calls 911 and provides CPR. The Hawaii rates are 9 percent and 26.4 percent, respectively, she said.
“If somebody just does something, they could save a life,” Clisham said. “If everyone was trained, they could buy time for that individual. When our first responders arrive with the defibrillator, it will make a huge difference on the save rates.”
When a teen or an adult suddenly collapses and stops breathing or moving, observers should call 911 and push hard and fast in the center of the victim’s chest, to the beat of the classic disco song, “Stayin’ Alive,” or at least 100 compressions per minute, Clisham said. For infants and children, the heart association still recommends CPR with compressions and breaths.
The heart association is working with the Hawaii Department of Education in the hope of adding CPR to the Hawaii high school health curriculum. It also offers free training to the community, with the next event scheduled for Wednesday in Kakaako. (See box.)
Most cardiac arrests occur at home, so the first person you are likely to save is going to be a loved one or a friend, Weisman said.
Denmark has pushed hard to boost knowledge of CPR. Since 2006 it has required people getting their driver’s licenses to be certified in basic life support. The decade-long Danish study found that outcomes improved after that.
Altogether, although just 18 percent of cardiac arrest victims in the study survived, 3 out of 4 of those survivors were able to return to work at full pay.
“The interesting thing about this study is that they are able to go back into the community and live normal lives,” Clisham said. “They are neurologically intact.”


What Is Measles?

Measles is caused by an RNA virus with only one serotype. Humans are the only known host for this virus. This illness presents with the “3 C’s”: cough, Coryza (catarrhal inflammation in the nose) and conjunctivitis. This is accompanied by fever, malaise and the development of a rash. The rash is often the last symptom to appear. It starts on the head and travels downward. The most significant sign for measles is the presence of Koplik spots (whitish-grey spots) that appear on the buccal mucosa.
Measles can be transmitted by air and is considered a highly communicable disease. The virus resides in the nose and throat and is transmitted by coughing and sneezing. It can survive up to two hours on a surface and in the airspace where an infected person coughed or sneezed. About 90% of persons exposed will develop the disease.

The incubation period is 7–21 days after exposure. Rash may not be present until 14 days. A patient is considered contagious from four days before until four days after the rash appears.

Your best protection: If not already protected by having had the disease, get vaccinated.

EFAW Book update

Screen Shot 2015-01-23 at 09.46.38


Slight change to your recent book if you attended a Emergency First Aid at Work(EFAW) course with me in the last 12 months

AED Data Collection

The Resuscitation Council (UK) no longer supplies or collects the AED event form that has been in use. Out-of-hospital cardiac arrest remains an important priority for the Resuscitation Council (UK) and it has established a national out-of-hospital database with the British Heart Foundation and Association of Ambulance Medical Directors, in partnership with the University of Warwick. This audit also captures the events where a public access AED has been used before the arrival of the ambulance crew via a reusable and easily accessible new online event form. To that end, there is a requirement to reflect this information within the suite of Highfield First Aid books.

The required changes are below.

Page 9

The book states the following:

‘In cases where a defibrillator has been used, regardless of whether shocks were given or not, then the Event Report Form (ERF) requires completing in full and the white copy to be sent to the Resuscitation Council (UK) as soon as possible. The address of which can be found at the bottom of the form.’

This paragraph requires removing and the following inserted:

‘In cases where a public access AED has been used, dependent on local authority policies, there may be a requirement to report the event using a prescribed audit reporting chain’


Thank you