FAQ Level 3 Award in Immediate Response Emergency Care (RQF) - IREC® - Blended Part Two
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
- Cardiac Arrest and Pregnancy
- Paediatric Airway
- Adolescent CPR
- Child 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
- 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
- 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
- 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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How EMS calls are handled at a 999 call centre
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We filmed three simulated calls at a live ambulance control center to show you what is said and how they handle the call. The calls were a simulated cardiac arrest, a severe bleed, and heart attack. We cannot show you the screen for confidentiality reasons, but you will see how the operator asks questions to determine the priority and what has happened in the incident. The first call concerns someone in cardiac arrest. You will see how they prioritise the call, give advice on how to deliver CPR right up to when the ambulance arrives. The advice given supports what we learn on first aid courses, and they are there to help you when needed and reassure you that help is on its way. Ambulance emergency, is the patient breathing? Okay, tell me exactly what has happened. Okay, what is the address of the emergency? Yeah, and what town is that in? Okay, do you have the postcode? Okay, and just repeat the full address for me to make sure I have got that correct. And we will organise the help for you, okay, just stay on the line for me. So if there is a defibrillator available, I want you to send someone to get it now and tell me when you have it. Okay, that is not a problem. So I am organising the help for you now, stay on the line and I will tell you exactly what to do next. So I need to know how old are they? Okay, are you right by him now? Okay, so please put your phone on speaker so your hands are free to help them. Okay, listen carefully, lay them flat on their back on the floor and remove anything under their head. Okay, so listen carefully and I will tell you how to do chest compressions. Place the heel of your hand on the breastbone right between the nipples and put your other hand on top of that hand. And pump the chest hard and fast at least twice per second and two inches deep. Okay, so I want you to count at the same rate as me as we are doing the chest compressions and I want you to go at a rate of one, two, three, four. One, two, three, four. That is it, follow my count, one, two, three, four. One, two, three, four. One, two, three, four. One, two, three four. Just keep on... That is it, you are doing really well. Just keep on doing the chest compressions over and over and do not give up. This will help keep them going until the ambulance crew arrives. Tell me when they are right with them or if anything changes. So, one, two three four. One, two, three, four. One, two, three, four. One, two, three, four. One. Okay, so do not leave him alone until the crew is right there and do not stop what you are doing until the crew takes over from you. Is the door unlocked? Okay, so let me know when they are right with him, okay, to keep on doing the chest compressions. All right, I will leave you with the crew, take care, you have done really well. Bye-bye. In the next scenario, we simulate a severe bleed. You will hear how the call is handled to get help, basic triage is given to prioritise the call and help is given to treat the bleed and ask more questions to keep monitoring until the crew arrives. Ambulance emergency, is the patient breathing. Okay, tell me exactly what has happened. Okay, what is the full address of the emergency? What town is that in? And the postcode? Okay, and repeat the full address for me to make sure I have got it correct. You are doing really well, we are coming as fast as we can. Okay, and are you with the patient now? Okay, how old is the patient? And how many people are hurt? Okay, thank you. And is patient male or female? Okay. And is he awake? Okay. And is he breathing? Okay, that is not a problem. So when did this happen? Okay, is the attacker still nearby? Okay, do you know where he has gone? Okay. And is there any serious bleeding? Okay. And is he responding normally? Okay, just bear with me while I make a note of this. And what part of the body is injured? Okay, bear with me while I make a note of this. Is there more than one wound? Okay, I'm organising the help for you now, stay on the line and I will tell you exactly what to do next. If the knife is still in him, do not pull it out. Okay, so please put your phone on speaker so your hands are free to help him. I'm going to tell you how to stop the bleeding, listen carefully to make sure we do it right. So I want you to get a clean dry cloth or towel and tell me when you have it. Yep, that is fine, so now place it right on the wound and press down firmly and do not lift it up to look. Okay, so do you know the patient's name? Okay, so without lifting the cloth or towel up, I want you to tell me if the bleeding is under control. Okay, so if it keeps bleeding, you are probably not pressing hard enough. Remember to keep a firm, steady pressure on the wound. Okay, so is the bleeding still serious? Okay, so continue to keep a firm, steady pressure on the wound until the ambulance crew is right there. Watch him very closely and look for any changes. So how is he doing? Is there any other changes at the moment? Okay, let me know if anything changes or when the ambulance crew gets to him, okay? Okay, so just reassure him that the help is being arranged and from now on do not let him have anything to eat or drink because it might make him sick or cause further problems, okay? Okay, so just do not move him unless it is absolutely necessary, just have him be still and wait for the help to arrive, okay? Okay, do not leave him alone until the crew is right there. Is the door unlocked? Okay, just let me know when the crew is right with him. All right, I will leave you with the crew, take care. You're welcome. In the last scenario, we simulated a heart attack. The operator gathers all the required information to assess the patient's status, gives treatment advice, and clearly advises how long the ambulance will take on what to do if the condition worsens. Ambulance emergency, is the patient breathing? And is the patient awake? Okay, tell me exactly what has happened. Okay, what is the full address of the emergency? And the postcode? And just repeat the full address to make sure I have got it correct, please. And are you with the patient now? And how old is he? And is he breathing normally? Okay, does he have difficulty speaking between breaths? And is he changing colour? Okay, I understand. And is he clammy or having cold sweats? Okay. Is he nauseated or vomiting? And has he ever had a heart attack or angina? And did he take any drugs or medications in the past 12 hours? Okay, I am organising the help for you now, stay on the line and I will tell you exactly what to do next. So, does anyone there have any aspirin or medication containing aspirin available? Okay, so please stay on the line, I need to check three more things. If someone other than the patient is there, send them to get the aspirin now. If it is only you and the patient, do not get it just yet. Okay. So is he allergic to aspirin? And has he vomited blood or coffee ground material in the last 24 hours? And has he passed black or bloody stools in the last 24 hours? Okay. So I want you to get one full dose, 300mg of aspirin or four low doses, 75mg of aspirins, and tell me when you have them. Okay, which type do you have? Okay, thank you. So what I want you to do is I want you to tell him to chew four aspirins right now. Okay, so we are unable to give you an exact time that the ambulance will arrive. We aim to be with him within the next 40 minutes, however there could be a delay. If he does become less awake and vomits, quickly lay him on his side. I do need to hang up to take another call. Only call back on 999 if his condition gets worse in any way for further instructions or if you no longer need us. You are more than welcome, take care. All emergency calls are handled differently, and it will depend on you giving clear advice to the operator so they can give you the best help they can to ensure the correct crew is dispatched with all the relevant information while triaging to prioritise the incident.
🚑 Simulated 999 Calls – Cardiac Arrest, Severe Bleed, and Heart Attack
We filmed three simulated emergency calls at a live ambulance control centre to demonstrate how emergency operators respond to life-threatening incidents. The calls cover:
- Cardiac Arrest
- Severe Bleeding
- Heart Attack
Although the call screens are not shown for confidentiality reasons, you will hear how the call handlers ask structured questions to assess the situation, determine priority, and give life-saving advice before help arrives.
🫀 Cardiac Arrest Scenario
The operator quickly confirms the patient is not breathing and gives step-by-step instructions for CPR:
- Confirming address and location
- Requesting a defibrillator if available
- Explaining how to perform chest compressions: hard and fast at 2 per second
- Guiding the caller through compressions until help arrives
🩸 Severe Bleeding Scenario
This scenario involves a serious bleed. The operator:
- Confirms the patient’s state and injuries
- Advises not to remove any embedded object
- Instructs the caller to apply firm pressure with a clean cloth or towel
- Stresses continuous pressure and monitoring until the ambulance arrives
❤️ Heart Attack Scenario
In this call, the operator gathers symptoms to confirm a possible heart attack:
- Checks for breathing, sweating, vomiting, and chest pain
- Asks if aspirin is available and safe to administer
- Instructs the patient to chew 300mg of aspirin if appropriate
- Advises what to do if the patient worsens while awaiting the ambulance
Each call reinforces the importance of calm communication, accurate information sharing, and listening to emergency guidance. Operators are trained to guide callers in delivering life-saving support while help is en route.
Clear communication saves lives. These simulations demonstrate why giving precise information quickly can help dispatch the right crew and give immediate treatment instructions that improve outcomes.
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