FAQ Level 3 Award in Immediate Response Emergency Care (RQF) - IREC® Blended Part One
Course Content
- Course Introduction
- Principles of Ambulance Service First Responder Care
- Responsibilities of the First Responder
- The Importance of Being Physically and Mentally Fit to Perform the Role
- Protecting Yourself from Potentially Malicious Allegations
- Methods of Continuing Professional Development
- Asking permission and consent to help
- The Hazards that Pose a Risk to Personal Safety
- Actions to Manage Conflict
- Facts And Information About Abuse
- What causes someone to be vulnerable?
- Who might abuse or neglect
- Who Is A Vulnerable Adult?
- Abuse and its Indicators
- Duty of care
- Human anatomy and physiology for immediate emergency care
- Assessment of casualties in immediate emergency care
- Complex Scene safety scenario
- Assessing a Major Incident Scene
- DRCA(c)BCDE
- Calling the Emergency Services
- What3Words - location app
- Alternative emergency phone numbers
- Introduction to Initial Patient Care
- Consent to help
- Fears of First Aid
- Waiting for the E.M.S to arrive
- Chain of Survival
- How to use face shields
- Hand Washing
- Waterless hand gels
- Medications and First Aid
- The Ten Second Triage Tool
- Using The Ten Second Triage Tool
- How are 999 Calls Handled
- Basic airway management in emergency care
- Respiration and Breathing
- Postural Drainage
- Peak Flow
- Pocket Masks
- Pocket Mask with Oxygen
- Bag Valve Mask Equipment
- Using a BVM
- Respiratory Injuries Part Three
- Respiratory Injuries Part Four
- Choking Statistics
- Choking Recognition
- Adult Choking
- Choking in children
- Infant Choking
- Trauma from Choking
- Vulnerable People and Choking
- Basic life support and external defibrillation
- Adult CPR Introduction
- RCUK & ERC Resus Guidelines
- When to call for assistance
- Three Steps to Save a Life (2025)
- Cardiac Arrest and CPR Overview
- Adult CPR
- CPR Hand Over
- Compressions Only CPR
- Mouth to Stoma Ventilations
- CPR and the female casualty
- Cardiac Arrest and Pregnancy
- Paediatric Airway
- Child CPR
- Adolescent CPR
- Infant CPR
- Infant Recovery Position
- Cardiac Arrest and the Drowned Patient
- Drowning
- SADS
- Effective CPR
- Improving compressions
- Improving breaths
- AED Introduction
- Types of AED Units
- AED Setup
- How to Use an AED
- Using an AED on an adolescent
- Child AED
- Using an AED on an infant
- Update on AED pad placement
- AED Maintenance
- AED Pads
- AED Batteries
- AED Troubleshooting
- AED Locations
- Community AED Units
- AED Post Resuscitation Procedures
- CPR Risks
- Advanced Decision and DNR CPR in Basic Life Support
- Recognition and Management of Life Extinct
- Post Resusitation Care
- Real time CPR scenario
- ROSC Care
- Paediatric Triage and Assessment
- Management of medical conditions
- Asthma
- Asthma Spacers
- When an Asthma inhaler is not available
- Accuhaler®
- Heart Attack
- Warning signs of cardiac arrest and heart attack
- Heart Attack Position
- Aspirin and the Aspod
- Stable angina
- Hypertension
- Pulse Oximetry
- Epilepsy
- Epilepsy treatment
- Meningitis
- Diabetes
- Blood Sugar Testing
- Poisons and Food Poisoning
- Shock
- Near and secondary drowning
- Cold water shock
- Administration of Medications
- Support the emergency care of wounds, bleeding and burns
- The Pulse
- Capillary Refill
- The Healing Process
- Types of Bleed
- Serious Bleeding
- Ambulance Dressings
- Excessive Blood Loss
- Excessive Bleeding Control
- Blood Loss - A Practical Demonstration
- Embedded Objects
- Knife Wounds
- Trauma and Standard Dressings
- Using trauma dressings
- Amputation Treatment
- Blast Injuries
- Hemostatic Dressing or Tourniquet?
- Air Wrap Dressings
- RapidStop Tourniquet
- CAT Tourniquets
- SOFT-T tourniquet
- STAT Tourniquets
- Improvised Tourniquets
- Tourniquets and Where to Use Them
- Damage caused by tourniquets
- When Tourniquets Don't Work - Applying a Second
- Hemostatic Dressings
- What is Woundclot?
- Woundclot trauma gauze
- How Does Woundclot Work
- Woundclot and knife injuries
- Woundclot and large areas
- Packing a Wound with Celox Z Fold Hemostatic Dressing
- Celox A
- Celox Granules
- Monitoring a Patient
- Coagulopathy
- Burns and burn kits
- Treating a burn
- Management of injuries
- Prioritising first aid
- Pelvic Injuries
- Spinal Injuries
- Rapid Extrication
- SAM Pelvic Sling
- Box Splints
- Spinal Injury
- Opening the airway Jaw Thrust
- Stabilising the spine
- Spinal Recovery Position
- Introduction to Spinal Boards
- The spinal board
- Using the Spinal Board
- The Scoop Stretcher
- Using the scoop stretcher
- Cervical collars
- Vertical C-Spine Immobilisation
- Joint examination
- Adult fractures
- Types of fracture
- Horizontal Slings
- Management of trauma
- Elevated Slings
- Lower limb immobilisation
- Elevation Techniques
- Helmet Removal
- Different Types of Helmets
- The Carry Chair
- Applying Plasters
- Strains and Sprains and the RICE procedure
- Eye Injuries
- Electrical Injuries
- Foreign objects in the eye, ears or nose
- Nose bleeds
- Bites and stings
- Chest Injuries
- Foxseal chest seals
- Abdominal Injuries
- Treating Snake Bites
- Types of head injury and consciousness
- Dislocated Shoulders and Joints
- Other Types of Injury
- Dental Injuries
- Trauma Scenario Examples
- Recognition and management of anaphylaxis
- What is Anaphylaxis
- Living with Anaphylaxis
- Minor allergic reactions
- Common causes of allergic reactions
- What is an Auto-Injector?
- Jext®
- EpiPen®
- Adrenaline nasal spray for anaphylaxis
- Storage and disposal
- Who prescribes auto injectors?
- Checking Auto Injector and Expiry Dates
- Signs and Symptoms of Anaphylaxis
- Basic First Aid Advice
- Schools and teachers
- Giving a second dose
- Biphasic Anaphylactic Response
- Administration of oxygen therapy
- What are Medical Gasses
- Oxygen
- When Oxygen is Used
- Contra Indications Of Oxygen
- Hazards of using oxygen
- Hypoxia
- BOC Oxygen Kit
- The BOC Cylinder
- Storage Of Oxygen
- PIN INDEX cylinder
- Oxygen Regulators
- Standard oxygen cylinder
- Transport of Cylinders
- How long does an Oxygen cylinder last?
- Oxygen and Anaphylaxis
- Demand Valves and MTV's
- Non Rebreather Mask
- Nasal Cannula
- Medical gas storage
- Mental Health
- Recognising mental ill health
- Mental Health definition and terminology
- Mental health, stereotyping, stigma and discrimination
- Who can be affected and what are the common triggers
- What is stress
- Anxiety
- Types of mental ill health
- Starting a discussion
- Supporting someone with suicidal thoughts
- What is signposting
- Course Summary and your Practical Part
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Complex Scene safety scenario
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Now in this accident scenario, a car and there was another car over at the side there, crashed off of a road into a building. So what we have got, we have got somebody trapped, but there's lots of other dangers here. So we are going to look at sort of dangers that are around. Now initially, when approaching the scene, we need to make sure that the traffic and any other vehicles or pedestrians away from this immediate scene are kept out of our way. We make sure we approach safely. So you are doing a main dynamic risk assessment before you come anywhere near a site. But as we approach here, we are going to look at some of the dangers. So we are just really going to concentrate here on the casualty on the floor here. For this example, the driver has maybe got out and this is just a pedestrian who has been hit. So the first thing is approach, because we have gone down the bank here, there's lots of rubble and other things here, it's a building where the vehicles have hit and knocked it over, so it is quite a climb to physically get to this point. We have then got slip hazards, there's loose brick work here. If I walk a little bit too close to him, then potentially one of these large rocks here will fall down and hit him on the head or above... There is also other things here. It is reasonably solid, but we just don't know that. This looks as if it is a solid lump of steel, but we do not quite know what else is there that's likely to come down and potentially hit him. It is slightly enclosed at the bottom, so we cannot actually see what the injuries are at the lower side of his body, but we will be able to see around the top side, but it is really a matter of how do we get there as safely as possible. Other dangers could be his car here, it's been in a serious accident. We could have fuel leaking, we could have water, it could be burns, it could be oil. And also the other vehicle, we are not quite sure what's happened there. Because it was hit in the front, may well have damaged the batteries. We could be looking at acids, we do not quite know what even was in this building to start with, so it could be that there's other dangerous things there, highly likely to be glass from the car accident, but also there could be other damage. There's lots of rubbish around here as well. So when you are looking through, you need to look at the whole scene, not just concentrating on the patient, because sometimes, initially on an accident scene, the first thing we would do is go straight to the patient. Now, if... Here we can see he is breathing. We do need to assess the entire scene and also communicate well with other responders who are with you, if there is someone else that's with you. But if you were going down and then coming out of eye-shot of the main road, obviously you make sure you got some pedestrians who know where you are. And also, obviously, making sure the emergency service is already on the scene. So if we are approaching from here, if we go straight down this way, it is highly likely I'm going to start dropping gravel, knocking it down on to him. It's probably an easier route to go along here where there is slightly more solid bricks and there's less likely to have any problems. Communication is the main thing as well. He is unconscious, but you still want to talk to him the whole time. We need to try and assess what's wrong. From here, I can see he is breathing, so that's a good start, but there could be multiple injuries. The way his right arm is hit on the concrete there, it could be damage to that arm, fingers, it's highly likely lower leg damage, possibly any injury across any part of his body. 'Cause we do not quite know, he might have been rolled. Is he hit in there? So it could be entrapment. We need to try and stabilise him the best we can, but also keeping him safe. So taking this scenario a little bit further, now for this... To make it safer in doing this demonstration, we have got Ben this way up. But it could be he is the other way up, in which case we might have his legs at this end and his head right underneath there, so that is going to be extremely hard to gain access to him. We have got to get this balance of how do we get him out safely? Will we leave him where he is until we got further help? If we go down there and get on to this thing, potentially, we could get stuck as well. Is Ben the only person there? So if he is conscious, we might be able to ask him. If not, we are going to need to see, because it may well be he could have been pushing a pram, he could have been there with someone else. So there could be multiple casualties under here. And looking at the picture a little bit wider, we have got another car over that side that could have been involved in the accident as well, well, was involved in the accident as well. There's two vehicles here. If there were people in these, we need to try and stabilise those. So if you were here on your own, you are going to have to work out who needs help the first. Maybe these people got out okay, but you need to find out. So, use bystanders, use other people, other responders who are with you to try and ascertain exactly how many people have been involved, what injuries there are. Triage them the best you can and make sure that you are concentrating if you've been this now, the main... The focus for our attention, still always make sure that everyone else around is staying close enough that you can monitor them, they can be safe and also get other people watching out for them and flagging down the emergency services when they do arrive.
Accident Scenario Analysis: Approach and Dangers
Introduction
In this accident scenario, involving a car crashing into a building, it's crucial to assess the dangers and approach the scene safely.
Assessing Dangers
Before approaching the scene, consider the following hazards:
- Physical Obstacles: Debris and rubble make accessing the casualty difficult.
- Slip Hazards: Loose brickwork poses a risk of falling debris.
- Unknown Hazards: Unidentified objects may cause harm if dislodged.
- Vehicular Hazards: Leaking fuel, water, or oil from damaged vehicles.
- Building Risks: Potential structural instability and hazardous materials.
Approaching the Scene
When approaching:
- Ensure traffic and pedestrians are kept away from the immediate area.
- Communicate effectively with other responders.
- Choose the safest route to access the casualty.
Assessment and Communication
Assess the scene thoroughly:
- Check for signs of breathing and consciousness.
- Communicate with the casualty to assess their condition.
- Consider potential injuries, such as limb damage or entrapment.
Handling Multiple Casualties
Consider the possibility of multiple casualties:
- Assess if there are others involved in the accident.
- Stabilize each casualty according to their needs.
- Utilize bystanders and fellow responders to gather information and prioritize assistance.
Conclusion
Approach accident scenarios with caution, assessing dangers and prioritizing safety while providing assistance to casualties.
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