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
- DR ABC and the ABCD'S
- 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
- Heart Attack
- Heart Attack Position
- Aspirin and the Aspod
- Respiration and Breathing
- Pulse Points
- When to call for assistance
- 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 crime 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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Get StartedRespiration and Breathing
One of the things we look out for within first aid is that someone's breathing or their respiration rate. But just the respiration rate is just one component of it. There are a lot more other things we need to look for when monitoring someone's breathing. When we're looking at a patient we are looking for normal breathing, so what sort of indications would there be of normal breathing? Normal breathing, the chest is able to rise and fall equally on both sides. The patient doesn't display any signs of any distress at all. You can hear good air entry coming in and going out. We wouldn't hear that normally. You don't hear people breathing, normally, so if you're able to hear a breath going in and going out, normally something is wrong. If they're normal it can be quite quiet, but they're not showing any signs of distress. And then when things start going wrong, what sorts of different types of breathing are there then? Generally, your patient will become... They will become distressed. They may look distressed or they may feel uncomfortable because they're now having to think about breathing, whereas normally we don't. For somebody who's asthmatic who may be wheezy and you could hear the wheeze whilst they're breathing, or they will tell you that they feel very wheezy or they feel very tight. Their respiratory effort will increase, and the speed that they breathe will also increase. You should still be able to see the chest rise and fall equally on both sides. And then what other conditions can then go further and more serious? If you think possibly of a pneumothorax, where for some reason that one side of the chest and the lung is not working properly, the patient will be incredibly stressed. They will tell you that they can't breathe. They'll tell you... The request for help, constantly request for help and will want to sit up. You will only see one side of the chest move, so whichever side is not moving, that's the affected side. But the patient will demand to be sitting upright, possibly sitting forward and hunched over, because they can't breathe. And how can you make them more comfortable in that stage? Get them into the position that they want to get into. Your asthmatic patient will sit in like a tripod position, so they'll sit forward and they'll lean forward and they'll try and open the back of their chest, and they'll sit themselves like that. Whatever position they want to sit, let them or help them get to there. Don't force them into a position that makes you feel more comfortable. They need to feel comfortable. And then how can we listen more carefully? Using stethoscopes, is that an easy way of anyone learning how to do it? If you're used to using a stethoscope, then yes, you're able to hear different noises within the chest. You can hear a wheeze, you can hear what we call fine crackles or even coarse crackles at the base of the lungs. That would show us there's some infection going on in there. Depending on the environment that you're in you may be able to hear somebody wheeze or you may even hear some stridor of some description. The simulator will actually demonstrate that for you. But if you're not used to using a stethoscope, it's actually quite difficult to use.
Recognizing Breathing Difficulties in First Aid
Normal Breathing Signs
- Rising and Falling Chest: Look for the chest's symmetrical rise and fall on both sides.
- Sign of Comfort: The patient should display no signs of distress.
- Steady Breath: Breathing should be quiet, regular, and consistent.
Signs of Breathing Difficulty
When someone experiences difficulty breathing, there are key indicators to observe:
- Distress: They may appear distressed and anxious.
- Conscious Effort: The individual might consciously think about their breathing, which is unusual.
- Rapid Respiration: Their respiratory rate and effort will increase significantly.
- Asthma Symptoms: In cases of asthma, they may wheeze or describe tightness in the chest.
- Symmetrical Chest Movement: Even when experiencing difficulty, their chest should still rise and fall equally on both sides.
First Aid for Asthma
When assisting an asthma patient:
- Comfortable Position: Allow them to sit in a position they find most comfortable; they often prefer sitting down with hunched shoulders.
- Respect Their Choice: Let the patient decide the position that suits them best.
Recognizing Serious Conditions
Some serious conditions affecting breathing include:
- Pneumothorax: In this condition, one lung isn't functioning correctly.
- Severe Distress: Patients with pneumothorax will be incredibly distressed, express an inability to breathe, and seek help.
- Asymmetrical Chest Movement: With pneumothorax, only one side of the chest will visibly move; the affected side won't.