First Responder News
FPOS Enhanced is now rolled out within several Ambulance Trusts. IHCD have no plans to make available outside the NHS at this time (March 2012)
We understand that pilot courses are already under-way that will lead to First Responders in some areas being authorised to extend the range of interventions available, including BP, BM, Entonox and Salbutamol.
The role of First Responders differs by ambulance trust, many of which have different levels of responders detailing the differing training levels and skill sets. This is not without controversy, CFRs initially were introduced to reduce the key 'time to defibrillation'. However the success of CFRs and the introduction of Military, Fire and Police Co-Responders have seen the role expanded in many areas. Burns, choking, stroke and paediatric emergencies are now included in many services response criteria. SCAS for example, as of Oct 2010, send CFR & Co-Responders to all calls except child birth, paediatrics under age one, calls reported as violent or abusive, drug and alcohol abuse or RTCs. Indeed the focus is on what is best for the patient, and many trusts protocols use First Responders to administer Oxygen & Aspirin routinely. JRCALC guidelines have seen Pulse Oximeters issued to allow O2 administration to be better managed. Many of these areas were not in the basic FPOS course, and so the need for an advanced level is becoming evident.
Many ambulance services use FPOS as a guide but prefer to run internal courses tailored to the practices of that trust. Responders must ensure that they conform to trust guidelines as additional external training may not be recognised within trust protocols, thus the responder should check with their trust before enrolling on external courses.
UPDATE August 2011: Several Ambulance trusts are now rolling out the IHCD Advanced or in some cases, their own variation. Due to the legislation and guidelines surrounding drug administration, only NHS Ambulance trusts have been approved to run the course at this time. It is envisaged that non Ambulance Trust providers could be considered to run the course in a year or so, i.e. August 2012. When available in the wider sense the course will be listed here.
he UK Resuscitation council have launched an iPhone app that automatically brings that latest guidelines & algorhythms to your iPhone.
Always having the latest guidelines to hand.
News from the Resuscitation Council (UK) including important ERC & AHA updates.
Step by step algorhythms to walk you through the optional treatment sequences.
The guide is set out in two main areas >
Adult & Pediatric:
Adult contains: BLS, Chocking, AED, ALS, In Hospital Resus, Bradycardia, Tachycardia and Anaphylaxis
Pediatric contains: BLS, Chocking, ALS, Newborn and Anaphylaxis
Overall its a great reference tool, with the advantage of updating automatically. Many items have photography to illustrate that item in the sequence. Sections including Hospital and ALS guides have drill down 'check list' buttons to gain further information on an action or assessment. ABCDE, for example, has a page dedicated to each item. The typeface does get small in some cases. A 'Doses' button brings up drug dosages popup for that sequence. Here we would have liked to see a weight / dose calculator in the paediatric section as mental arithmetic or swapping to a calculator app could results in errors.
It's not clear if it would be suitable for use during resuscitation as a prompt. We would like to see timers & alerts added. Audit capture would also be a very useful feature.
Overall this is an excellent free app, care should be taken to ensure that your NHS trust has adopted the latest guidelines before following. Having the ability to walk through the protocols whilst on the move or as revision aid is very welcome to combat skill fade. This tool however is no substitute for ongoing hands on training.
For more information and a link to the app click here.
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