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The 1 Day Emergency First Aid at Work (statutory) course complies with current Health and Safety (First Aid) Regulations 1981. This course will be held at our fully equipped training premises in York, Leeds, Manchester, Sheffield, Hull, and Newcastle We provide complimentary tea, coffee and lots of high quality training equipment to ensure your course is an enjoyable experience. Il corso di Primo Soccorso, Emergenze Mediche ed Abilitazione al Defibrillatore Semiautomatico (Emergency First Response) viene offerto in stretto accordo con gli standard ILCOR, ERC ed IRC (European and Italian Resuscitation Council) che attualmente disciplinano gli interventi nei settori delle emergenze 118. Riconoscere e valutare i livelli di coscienza delle vittime in svariate tipologie di incidenti, da quelli automobilistici a quelli domestici, dagli incidenti sul lavoro alle malattie propriamente dette.
Effettuare una valutazione primaria ed applicare con successo tutte quelle tecniche volte a garantire il “sostentamento di base alla vita” utilizzando propriamente un Defibrillatore Semiautomatico o una unita di rianimazione ad Ossigeno. Effettuare una valutazione secondaria volta ad identificare le varie forme di trauma-lesione e di malattia attuando, nel contempo, le appropriate misure precauzionali. Effettuare sollevamenti e trasporti di emergenza a politraumatizzati per allontanarli da pericoli immediati o per garantirne il piu completo ed agevole soccorso da parte del personale sanitario di emergenza. Fornire valido supporto e collaborazione pratica e di informazioni al personale medico di emergenza. PROGRESSIONE DEL CORSO Le argomentazioni verranno discusse ed apprese soprattutto attraverso le prove pratiche su particolari manichini e tra gli allievi stessi sempre simulando condizioni reali di emergenza.
Ma il Kudadive non e semplicemente una scuola subacquea, e molto di piu, e un gruppo di amici con i quali trascorrere delle piacevolissime ore. Take the opportunity to know more about First Aid.  The best training available, delivered on site by our team of experienced trainers who will make this course fun, interesting, practical and relevant to you.
Our First Aid training courses are a combination of theoretical knowledge and practical sessions that are designed to develop ability and most importantly practical confidence.
Triage of any MCI is one of those infrequently practiced skills that have massive implications for patient outcomes, and when it’s done “wrong” it leads to wasted resources and potentially deaths.  It also has virtually no science to back it up.
In fact, current ALTS-based physician-directed triage training doesn’t seem to make a difference in triage outcomes! In 2008 this gap was acknowledged, and a “new” method of triage was developed based on the limited information available and compliant with the American College of Surgeons best-practices guidelines. In an active shooter situation the first people through the door are there for job 1, threat suppression and mitigation, and this frequently (28.1%) results in an exchange of fire between the perpetrator and the responding members. But once the threat has been suppressed it’s time for the rest of the THREAT mnemonic to kick in, and that’s where SALT can play a role.
Sorting is conducted as a “Walk, wave, still” where the the walking are directed to a safe area (to be cleared by LEO in an active shooter) unmoving are assessed first, and the waving are checked after the unmoving. The SALT Assessment is conducted concurrently with limited treatment, and is even simpler than START. In the Tactical Medical world, this limited treatment is what’s run out of the medic’s leg bag. The critical difference between the Active Shooter MCI and the other MCI is the speed with which providers must act. This entry was posted in Active Shooter, EMS Education, IED response, TCCC, TECC, Uncategorized and tagged Emergency Operations Planning, Hemcon, Hemorrhage Control, IED, Law Enforcement, PEMT, Tac Field Care, Tactical Field Care, Tactical first aid, Tactical Medicine, TCCC, TECC on March 4, 2016 by pemtadmin.
Department of Homeland Security and NAEMT have all added their voices to the call for public access hemcon and public training in hemcon techniques. If you don’t know how to use a tourniquet, if you can’t apply one to yourself quickly, efficiently, and effectively, you are exposed to an easily controlled risk.  It’s not just hybrid targeted violence of the sort we’ve seen in Paris, Mali, Kenya, London, Madrid, but any exposure to a traumatic injury that warrants no-fail hemorrhage control measures! This entry was posted in Active Shooter, IED response, ITLS, TCCC, TECC, Uncategorized and tagged British Columbia, Care Under Fire, Emergency Medical Training, Hemcon, Hemorrhage Control, Law Enforcement, Tactical first aid, TCCC, TECC, Wound Packing on November 21, 2015 by pemtadmin. Unlike tourniquets and TXA, both of which have  a robust and growing body of literature to support their use, hemostatic dressings such as Quickclot, Combat Gauze, WoundStat etc have had limited published field experience to support their use. In US DoD studies, Combat Gauze was chosen as the agent of choice, but that decision was largely based on animal models, which are great, but provide limited value and don’t always translate well to clinical practice.
Hemostatic agents in their current form seem to be a potent addition to the hemorrhage control arsenal, and have lots of cheerleaders in the military health care community, but are not a silver bullet that will stop every source of bleeding.
This entry was posted in ITLS, TCCC, TECC, Uncategorized and tagged Hemcon, Hemorrhage Control, PEMT, SAR, Tac Field Care, Tactical Field Care, Tactical first aid, Tactical Medicine, TCCC, TECC, Trauma Care, Wound Packing on October 16, 2015 by pemtadmin.
If you asked any researcher to name some prehospital interventions that truly proved their worth during the recent conflicts in Iraq and Afghanistan they would, almost universally, include  tourniquets and TXA on their list. During an EMA Licensing Exam I recently watched someone take a tourniquet off a complete amputation.


It is critical that medical providers train with their tourniquet of choice under all potential conditions. This entry was posted in Active Shooter, IED response, ITLS, TCCC, TECC and tagged Care Under Fire, Emergency Medical Training, Hemcon, Hemorrhage Control, ITLS, Law Enforcement, PEMT, Tac Field Care, Tactical first aid, TCCC, TECC, Trauma Care, Vancouver EMS Training on July 5, 2015 by pemtadmin.
With the recent release of the US DHS Guidance for IED and Active Shooter document, we’re taking a look at some of the key concepts within that document.
All facilities, not just those designated trauma receiving facilities, need to be ready for an influx of patients. DCR is based on the balanced administration of thawed plasma, pRBCs, and platelets in severely injured patients instead of solutions such as normal saline and lactated ringers.9 10 11 12 DCR also includes avoidance of hypothermia and pursuit of other measures to maximize oxygenation and reduce injurious factors in the blast-injured patient.
Behind the scenes of any surgery are the hidden experts, radiology, lab techs, blood bank, and all the others without whom a modern OR can’t function, and they each have a job to do.
One area where significant efficiencies can be found is the role of the blood bank in trauma resuscitation, particularly development and implementation of Massive Transfusion (MT) Protocols. Any patient who may require MT should have already received TXA, preferably during tactical field care or casevac care.
The provider on scene is only the tip of what must be a vast concerted effort of allied health care providers working together towards a common goal:  Best care for the patients under less than ideal circumstances. This entry was posted in Active Shooter, IED response, TCCC, TECC, Uncategorized and tagged Emergency Medical Training, Hemcon, Hemorrhage Control, Law Enforcement, PEMT, Tac Field Care, Tactical first aid, Tactical Medicine, TCCC, TECC on June 30, 2015 by pemtadmin. When we talk about traditional EMS and Fire Department tasks at a major incident we are talking about the day to day activities. The RTF’s need to be properly equipped to operate within the warm zone, with protective equipment including helmets, CBRNE equipment, level IV vests, (and perhaps current generation NVG). Deploying in small (4-5 person) teams, RTF are comprised usually of a designated security element and a designated treatment element. This entry was posted in Active Shooter, IED response, ITLS, TCCC, TECC and tagged Active Shooter, Care Under Fire, Emergency Medical Training, Emergency Operations Planning, EMS, Hemcon, IED, Tac Field Care, Tactical first aid, Tactical Medicine, TCCC, TECC, Vancouver EMS Training on June 23, 2015 by pemtadmin. This week let’s take a look at IFAKs.  What do you carry on your belt?   What’s going to be immediately at hand when something catastrophic happens? You see pictures of combat medics festooned with tourniquets, and that’s a good place to start. As importantly or more, you and your peers, the guy on your left and the woman on your right flank need to know what to do with it.
This entry was posted in TCCC, TECC and tagged British Columbia, Care Under Fire, Hemcon, Hemorrhage Control, Tactical first aid, TCCC, TECC on February 24, 2015 by pemtadmin. There are a number of ways to drag and or carry a casualty and to determine which one is the most effective for any given situation you need to start with a task assessment.
This entry was posted in TCCC, TECC and tagged British Columbia, Care Under Fire, Tactical Field Care, Tactical first aid, Tactical Medicine, TCCC, TECC, Vancouver EMS Training on February 11, 2015 by pemtadmin. We’ve recently looked at wound packing as one of the more effective methods to control hemorrhage. Surgical airways are recommended by both C-TECC and CoTCCC relatively early in the airway management flowchart, below NPA and positioning and above placement of an ET tube. Watch this video of Dr Dennis Kim demonstrating a very deliberate surgical method on a cadaver, and think about doing this in a dust-storm in Iraq (or a blizzard in the BC Alpine), or in the pitch black with IR illumination and NVG’s while balancing the equipment on the cleanest surface you can find, your jumpkit or your lap. If they are done quickly and smoothly out of prepared stripped-down kits they are significantly easier and safer than ETT placement. Equipment is simple: A scalpel, a bougie, and a cut down #6 ETT with 10 ml syringe attached.
If you compare the two techniques, you’ll see that the scalpel-bougie Crich is the easier, safer method.
This entry was posted in TCCC, TECC and tagged AIME, Airway management, Emergency Medical Training, EMS, PEMT, Tac Field Care, Tactical first aid, Tactical Medicine, TCCC, TECC, Trauma Care on February 2, 2015 by pemtadmin. This entry was posted in TCCC, TECC and tagged Care Under Fire, Simulation, Tactical Field Care, Tactical first aid, Tactical Medicine, TCCC, TECC, Vancouver EMS Training on February 2, 2015 by pemtadmin.
When we travel all we hope for is safe and fun trip, but even if we are careful, unexpected events such as emergencies, calamities or accidents can happen anywhere, anytime. There is still more that can be added to this list however as a beginner, it’s better to take note of this basic list before adding other complex things. Keep your first aid kit in a secure place within your vehicle so that children will not be able to play with it.


Keep in mind that the purpose of keeping a first aid kit is vital in providing only temporary solutions to wounds, allergies and sickness to stop infection from increasing rapidly or stop the bleeding. Successful students receive certificates to show they are qualified to be Emergency First Aiders in the workplace for the next three years.
Our trainers are the best, specially selected and trained to ensure you have an informative yet fun first aid course.
Se vuoi scoprirlo ma non ti senti ancora pronto a lanciarti in un corso di certificazione, la prova del primo respiro con Kudadive ti consentira di provare ad immergerti per scoprire se ti piace. Dove non solo troverete dei veri professionisti della subacquea ma degli amici con cui trascorrere le serate in pizzeria. Where officers engaged the perpetrator, in 46% of the events an officer was injured or killed. The jump kit doesn’t get opened outside the casualty collection point (CCP) until the treatment areas are being established. Some suggest they are about 30% more effective than good wound packing with regular materials.
Despite best efforts, none of the prehospital blood replacements (or even Normal Saline for that matter!) show much benefit in hemorrhagic shock. EMS has the job of triaging, caring for, the treatment and transport of the injured from the point of injury to different levels of care.
Their very nature and the incredibly high risk requires that we respond prepared for significant numbers of casualties with significant injuries. Teams must be familiar with all patient transport devices, and often underutilized tools like the Ferno Manta Mat and KED find a niche.
Medics move forward into warm or even hot zones under direct cover of police to perform limited casualty care as far forward as possible and initiate evacuation out of the danger zone to more definitive care away from the scene. In a vehicle for example, it should fit in the glove compartment or under the seat for quick access. If a person is seriously injured, tools like maps or cell phones would be helpful in seeking medical aid from rescuers or locating hospitals. Veniteci a trovare e troverete molto di piu di quello che pensate, un abbraccio da tutto lo staff del KUDADIVE. Tourniqueting major bleeds, opening airways with positioning, NPA or ESA, decompress tension pneumothorax (and seal obvious open pneumothorax) and administer 2PAM or other antidote as required are all reasonable and appropriate, depending on resources available. Skills like wound packing, IO initiation, pelvic binding and needle decompression should be second nature for all members.  They need to be expert in the direct and indirect threat care phases of TECC, especially skilled in the art of triage.
These aren’t pieces of equipment that you handle once and then hang up at the station. The container must be waterproof so that the contents are not damaged by rain or accidental spills. Circostanza professionalmente interessante e il termine di scadenza del livello di certificazione dopo due anni dal rilascio. Many hospitals have regular MCI drills, and at the facility level it really doesn’t matter what the incident is. The implementation of tac channels for some agencies has helped, but encrypted digital all-agency systems are still problematic (See CREST in Victoria). They need to become so familiar to the members that they operate fluidly and unhindered by them.
Although a first aid kit is something that we don’t look forward to using, but it can make a whole lot of difference and can save lives if we are suddenly faced with a life-threatening situation. On the other hand, the size should just be large enough to hold and keep its contents organized.
These TTPs need regular thorough rehearsal between all agencies, using the same language, on the same radio frequencies. If it’s too small, the contents will be harder to organize because they’re crammed together and can result in creams, salves and solutions spilling or leaking. Unless you move the MCI to the hospital during transport, or the incident targets a health care facility, MCI in hospitals (should be) are very different from the chaos of responding to the incident scene.




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