Tag Archives: Fever

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.





Slight update to your FAW book.

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Slight change to your recent book if you attended a  First Aid at Work (FAW) 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 7

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



What is Sickle Cell Anaemia?

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The disorder affects the red blood cells which contain a special protein called haemoglobin (Hb for short). The function of haemoglobin is to carry oxygen from the lungs to all parts of the body.

People with Sickle Cell Anaemia have Sickle haemoglobin (HbS) which is different from the normal haemoglobin (HbA). When sickle haemoglobin gives up its oxygen to the tissues, it sticks together to form long rods inside the red blood cells making these cells rigid and sickle-shaped. Normal red blood cells can bend and flex easily.

Blocked blood vessels

Because of their shape, sickled red blood cells can’t squeeze through small blood vessels as easily as the almost donut-shaped normal cells. This can lead to these small blood vessels getting blocked which then stops the oxygen from getting through to where it is needed. This in turn can lead to severe pain and damage to organs.

Who Gets SCDs?

The different kinds of SCD and the different traits are found mainly in people whose families come from Africa, the Caribbean, the Eastern Mediterranean, Middle East and Asia.* In Britain SCD is most common in people of African and Caribbean descent (at least 1 in 10-40 have sickle cell trait and 1 in 60-200 have SCD). It is estimated there are over 6,000 adults and children with SCD in Britain at present. There are other inherited conditions that mainly affect other groups, e.g. Cystic Fibrosis in Europeans, and Tay-Sachs disease in Jewish people.

Thalassaemia is a group of inherited blood disorders where the part of the blood known as haemoglobin is abnormal.

The abnormality means that the affected red blood cells are unable to function normally, which leads to anaemia (a red blood cell deficiency).

Red blood cells

Red blood cells are very important because they contain a substance called haemoglobin, which carries oxygen from the lungs to the rest of the body.

Haemoglobin is produced in the bone marrow (a spongy material found inside larger bones) using the iron that the body gets from food.

In thalassaemia, haemoglobin production is abnormal, leading to anaemia and a reduced oxygen-carrying capacity. If your body doesn’t receive enough oxygen, you’ll feel tired, breathless, drowsy and faint.

If left untreated, the most serious types of thalassaemia can cause other complications, including organ damage, restricted growth, liver disease, heart failure and death.

Who is affected by thalassaemia?

In England, beta thalassaemia major (BTM) is thought to affect around 1,000 people, with an estimated 214,000 carriers.

It most commonly affects people of Cypriot, Indian, Pakistani, Bangladeshi and Chinese origin.

In the UK, 8 out of 10 babies born with BTM have parents of Indian, Pakistani or Bangladeshi ancestry.

Sickle Cell and Thalassaemia: A guide to school policy [pdf]

A new law (Section 100 of the Children and Families Act 2014) places a duty on schools and academies to make arrangements for supporting pupils with medical conditions. Research has shown that schools struggle to support young people with sickle cell, but the Sickle Cell Society can offer help and advice. Working with university researchers our advisors have overseen the development of a Guide to School Policy for Sickle Cell.

Teachers are faced with many different possible medical conditions and it is not reasonable to expect them to remember details of all of them. At the same time young people with sickle cell dislike initiatives that draw attention to them as different from their peers,” said Professor Simon Dyson of De Montfort University, who led the team of researchers. “What was needed was a policy that supported the student with sickle cell but which operated in the background without overloading teachers with information”.

The Guide to School Policy for young people with sickle cell is based on examples of good practice and contains a template for drawing up an individual health care plan.

Dyson-School-policy-sickle-cell pdf.

Statutory_guidance_on_supporting_pupils_at_school_with_medical_conditions pdf.

For more information go to www.sicklecellsociety.org There is a great video on the website about Sickle cell and how a young person feels about the condition.


British Standard First Aid Kit

Child First Aid

Here is the law as revised recently in relation to First Aid Kits.

Health & Safety (First Aid) Regulations 1981 (revised 2013).

“An employer shall provide or ensure that there are provided such equipment and facilities as are adequate and appropriate in the circumstances for enabling first aid to be rendered to his employees if they are injured or become ill at work.”

You have a choice when it comes to kits. You can buy an expensive kit to BS8599 standards or you can have a kit that meets the minimum that the HSE recommend. It is your choice.

Your kits must be based on your ‘First Aid Needs Assessment’

How to make sure you meet the new BS8599-1 Standard…

  1.  Undertake a First Aid needs assessment:

LOW RISK (e.g. shops, offices, libraries etc.)

HIGH RISK (e.g. light engineering and assembly work, food processing, warehousing, extensive work with dangerous machinery or sharp instruments, construction, chemical manufacture etc).


  1.  Based on risk, choose the appropriate British Standard First Aid Kit:


LOW RISK   Less than 25 employees

HIGH RISK   Less than 5 employees


LOW RISK   25-100 employees

HIGH RISK   5-25 employees


LOW RISK     1 Large Kit per 100 employees

HIGH RISK     1 Large Kit per 25 employees

Remember Its your choice on the type of kit.

What does the HSE say?

“Employers may wish to refer to British Standard BS8599 which provides further information on the contents of workplace first aid kits. Whether using a first aid kit complying to BS8599 or an alternative kit, the contents should reflect the outcome of a first aid needs assessment”

Hope this helps


Again you can email me on paulkenny@me.com



Checking First Aid Kits (UK)

Green first kit equipmentWhen ever children and adults are on site and whenever they leave the building on official duties or trips they must have access to a first aid kit. This also relates to solo workers.

There are no set guidelines for checking kits, however it is advisable to check them on a regular basis to ensure they are fully stocked.

Planning frequency depends on use. A review of your accidents over the last twelve months for your first aid needs assessment will tell you how often each box or bag is used and it should highlight the type of accidents you are dealing with. Each box/bag is stocked with items that reflect this audit.

There is a recommended minimum for your kits which is shown on my website www.paulkenny.me This list is also available from the HSE website.

There are two lists:

When checking kits, the contents should be:

  • Within the use by date
  • Still sealed
  • Packaging intact
  • Stocked to match the number of bodies on site
  • Is water available close to the kit?

You can have what ever you want as long as you justify it with evidence from previous incidents.

Remember no pills, creams or potions.

Water needs to be available at all times so wall kits need to be mounted near or in the same room as a sink and portable kits need a small sealed, sterile water bottle. ‘Still’ water bottles with a sports nozzle are ideal but remember it needs to be sterile and sealed. Also if it is a bottle of water it needs a sticker on saying for First Aid or HSE use only.

As a company we check our first aid kits every Monday and record in each kit a completion list on a monthly checklist. Each week a different member of the team checks the kits as each one has additional items as well as the HSE Minimum to meet that area of use. By doing the rotation on staff checks, all staff get familiar with the kits in that room or area.

Each kit has copies of blank accident forms and Patient report forms as well as the monthly check tick sheet. We also have a monthly treatment spreadsheet for minor injuries where wipes or plasters are used and don’t need a full accident form. On playground duties this spreadsheet will be daily and must be stored in a folder in the office. The only people to access this should be recognized first aiders.

As a busy first aid company we check fixed wall kits weekly and our portable kits daily.

If you have mobile kits used everyday on playground duties then these should be checked daily and a small amount of regular used stock need to held on site. Don’t hoard dressings as they usually only have a short 3 to 4 year shelf life.

If you are a venue that does not have many incidents the minimum really should be monthly.

I have not mentioned the BS8599-1 kits here and will cover this in my next update.

Hope this helps.

Email me on paulkenny@me.com for any information you need.


First Aid Needs Assessment Update


Just a quick update with some sample First Aid Needs documents which may help you.



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