Instructor Preparation - Online Blended Part 1
Course Content
- Instructor preparation and update course introduction
- FAW Blended Part One Introduction and Regulations
- The Human Body
- First Aid the Initial Steps
- Asking permission and consent to help
- Calling the Emergency Services
- What3Words - location app
- Waiting for the E.M.S to arrive
- Scene Safety
- Chain of Survival
- DRcABCDE approach
- Using gloves
- How to use face shields
- Hand Washing
- Waterless hand gels
- Initial Assessment and Recovery Position
- BSi First Aid Kit
- Cardiac Arrest and Heart Conditions
- Adult CPR Introduction
- RCUK & ERC Resus Guidelines
- Heart Attack
- Heart Attack Position
- Aspirin and the Aspod
- Respiration and Breathing
- Pulse Points
- When to call for assistance
- Three Steps to Save a Life (2025)
- Adult CPR
- Effective CPR
- Improving breaths
- Improving compressions
- Compressions Only CPR
- CPR Hand Over
- Seizures and Cardiac Arrest
- Drowning
- AED Introduction
- Using an AED - brief overview and demonstration
- Choking Management
- Bleeding Control
- Catastrophic Bleeding
- Why is this Training Now Required?
- Prioritising first aid
- Bleeding assessment
- Blood Loss - A Practical Demonstration
- Hemostatic Dressing or Tourniquet?
- Tourniquets and Where to Use Them
- Types of Tourniquets
- Improvised Tourniquets
- When Tourniquets Don't Work - Applying a Second
- Hemostatic Dressings
- Packing a Wound with Celox Z Fold Hemostatic Dressing
- The Woundclot range
- How Does Woundclot Work
- Woundclot features
- Woundclot and direct pressure
- Packing a wound with Woundclot
- Woundclot and knife injuries
- Woundclot and large areas
- Shock and Spinal Injury
- Injuries
- Secondary Care Introduction
- Injury Assessment
- Strains and Sprains and the RICE procedure
- Adult fractures
- Splints
- Dislocated Shoulders and Joints
- Types of head injury and consciousness
- Eye Injuries
- Foreign object in the eye
- Burns and burn kits
- Treating a burn
- Blister Care
- Electrical Injuries
- Abdominal Injuries
- Chest Injuries
- Heat emergencies
- Cold emergencies
- Dental Injuries
- Bites and stings
- Treating Snake Bites
- Splinters
- Illness
- Introduction to Paediatric and Adult First Aid
- Paediatric CPR and Choking
- Specific Paediatric Conditions
- How to use an AED
- Extra Subjects to allow you to teach specialist courses
- Teaching Equipment
- Summary
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Febrile convulsions
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Febrile convulsions are seizures brought on by a fever in infants and small children. And although a seizure, they don't mean the child has epilepsy. They usually happen on the first day of an illness and not always when the child is as its hottest. The majority of children with febrile seizures have temperatures over 38 or 39 degrees Celsius. Approximately 3 in every 100 children will have at least one febrile seizure and one-third of these children will have additional febrile seizures before they outgrow the tendency to have them. Febrile seizures usually occur in children between the ages of six months and six years and are particularly common in toddlers. Children rarely develop their first febrile seizure before the age of six months or after four years of age. The older a child is when the first febrile seizure occurs, the less likely that child is to have more. Children prone to recurrent febrile seizures often have frequent illnesses, viral upper respiratory infections such as flu or ear infections, measles. They can sometimes occur between eight to 14 days after a vaccination like MMR and if there's a family history of febrile seizures, that child could have a tendency to have them as well. Febrile seizures can happen with no long-term problems. They may just be an indication of another illness like a cold or a fever. The illness that causes the fever needs to be identified to rule out meningitis especially in children under the age of one year old. Few children have more than three febrile convulsions. Recurrences of further fits are more likely if the first fit was when the child was very young or a close relative had febrile convulsions. Children prone to febrile convulsions are not considered to have epilepsy. Epilepsy characterised by repeated seizures are not triggered by fever. A child does have a slightly higher risk of developing epilepsy but this is very rare. There is no evidence to suggest that febrile seizures cause brain damage. Lots of studies found that children with febrile seizures have normal school achievement and perform as well as intellectually on the actual test as those students who don't have seizures. Symptoms include being hot, flushed, sweating, dazed or confused states, loss of consciousness and may stop breathing just for 20 seconds. They may turn blue, loss of bladder or bowel control, shakes, moving limbs on both sides of the body. Most seizures last less than a minute. Some can be brief as a few seconds while others go on for more than five minutes. The seizure activity is generally characterized as clonic, consisting of rhythmic jerking movements of the arms and the legs or tonic-clonic, commencing with stiffening of the body followed by the clonic phase. The child often falls into a deep sleep afterwards. If a child is having a febrile seizure, you should prevent injury by placing the child on a protected surface such as the floor, clear a space around them, place padding around them, something like rolled up towels to protect them against any harm. Loosen clothing especially around the neck and the child shouldn't be held or restrained during the convulsion. Remove any object from the child's mouth. Never place anything in the child's mouth during a convulsion. To prevent choking, place the child in the recovery position. Cool the child by putting them in a cooler room but do not overcool or bathe the child. Where possible, look at a watch to find out what time the seizure starts. Monitor and record their vital signs. Once seizure has ended, the child should be taken to their doctor to check for the source of the fever. Regular doses of paracetamol may be given to lower the temperature. Check the instructions and the dosage for recommendations. Remember, Ibuprofen is not to be given to a child under six months old. The advice on when to call the EMS is, if a child doesn't improve after the convulsion, the seizure focuses on one particular part of the body. For example, one arm twitches and shakes but the rest of the body doesn't, the child has breathing difficulties, or the seizures last for more than 15 minutes, repeated seizures straight after the first one, or finally if you're worried about anything. The first time you see the seizures, you'll be scared and it's common to call the EMS.
Febrile Convulsions in Children
Overview
Febrile convulsions are seizures that can occur in children with high temperatures. They are typically seen in children between 6 months and 6 years old.
Causes
- Febrile Illnesses: Febrile convulsions often accompany illnesses causing high temperatures, such as flu or ear infections.
- Vaccinations: Convulsions may occur 8 - 14 days after certain vaccinations, though they are more commonly associated with the measles virus itself.
Symptoms
- Appearance: Hot and flushed skin, dazed or confused, may lose consciousness.
- Muscle Symptoms: Muscle tightening, twitching, shaking, arching of the back, clenched fists.
- Other Symptoms: May stop breathing briefly, loss of bladder or bowel control, sweating.
Patient Care
- Safety Measures: Place the child on a flat surface, clear the area around them, and pad with towels to prevent injury.
- Loosen Clothing: Ensure clothing is loose, especially around the neck.
- Do Not Restrict: Do not restrain the child's movements.
- Protect Airways: Do not insert anything into the mouth; clear vomit or food from the vicinity.
- Cooling: Cool the room, loosen clothing, but do not sponge or bathe the child.
- Recovery Position: Place the child in the recovery position.
- Medication: Administer paracetamol as directed to lower temperature; avoid ibuprofen for children under six months.
- Monitor Vital Signs: Keep track of the child's vital signs and report any concerns to a doctor.
Emergency Action
Activate emergency medical services (EMS) if:
- The child's condition does not improve after the convulsion.
- The seizure is focused on one part of the body.
- Breathing difficulties occur or the seizure lasts more than 15 minutes.
- Another seizure follows shortly after the first.