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Role and responsibility of the Cardiac First Responder - Community Level
A cardiac first responder Community level is a person trained in cardiopulmonary resuscitation and in the use of an automated external defibrillator (AED) who can respond to someone who has suddenly collapsed. A cardiac first responder plays a critical role in keeping a person alive until the commencement of expert medical care.
A cardiac first responder may be part of the emergency medical services, a healthcare practitioner or a member of the public who has undertaken a Pre-Hospital Emergency Care Council (PHECC) recognised course within the last 2 years. CFR Community level is the pre or co-requisite for entry to PHECC’s Emergency Care (Special Circumstances) courses.
Cardiac first responders at Community level include citizens and trained members of Volunteer Organisations and Emergency Agencies such as An Garda Síochána and the Civil Defence etc who may be dispatched or come across the following emergencies: cardiac arrest, heart attack, choking and stroke. The care management includes, FAST assessment, cardiopulmonary resuscitation (CPR) for adults, children and infants, AED use and Aspirin administration.
Successful completion of the CFR Community standard leads to the award of the joint recognised institution and PHECC award. This award ensures that the responder has fulfilled the educational and training requirements as prescribed by PHECC, thereby possessing the knowledge, skills and professionalism in line with the expectations of the public and the profession. It is recommended that the cardiac first responder ensure their ongoing competency by participation in annual refresher training and certification every two years.
Participants | |
Limits | Maximum of 6 students per instructor. For bookings with more than 6 people, we will supply the required number of instructors. |
Course Content | |
Module 1 | Basic Emergency Care On completion of Module 1 the student will be able to recognise the signs of a life threatening emergency and can initiate basic life support to the person who suddenly collapses or is choking. The student will also learn the indications and administration of Aspirin. Knowledge Objectives At the completion of this module, the student will be able to: 1. State the importance of early cardiopulmonary resuscitation (CPR) and defibrillation 2. List the obvious signs of death and when resuscitation is not indicated 3. List the signs of heart attack, stroke, cardiac arrest and choking 4. List the steps in a FAST assessment (Face, Arms, Speech & Time assessment) 5. List the steps in one-responder and two-responder CPR 6. List the steps in the management of a choking patient who is responsive and then becomes unresponsive 7. List the steps to be taken prior to Aspirin (acetylsalicylic acid) 300 mg tablet administration for cardiac chest pain as per the PHECC Clinical Practice Guideline Attitudinal Objectives At the completion of this module, the student will be able to: 1. Demonstrate a caring attitude toward the patient, patient's family or bystanders Skills Objectives At the completion of this module, the student will be able to: 1. Assess responsiveness including absence of normal breathing to confirm cardiac arrest 2. Demonstrate chest compressions maximising the number of compressions delivered per minute 3. Demonstrate opening an airway using the head-tilt chin-lift manoeuvre 4. Demonstrate rescue breathing using the techniques of mouth-to-mouth (using face shields), mouth-to-mouth and nose (infants only) and mouth-to-mask (pocket mask with disposable one way valves) 5. Perform one-rescuer CPR 8. Demonstrate the care management for a responsive choking patient who becomes unresponsive 6. Demonstrate the recovery position 7. Demonstrate the administration of Aspirin (acetylsalicylic acid) 300 mg tablet for a patient suspected of having cardiac chest pain |
Module 2 | Accessing and Use of an Automated External Defibrillator On completion of Module 2 the student will be able to use an automated external defibrillator (AED) without delay in accordance with the appropriate PHECC CPGs. Knowledge Objectives At the completion of this module, the student will be able to: 1. Outline the functions of an automated external defibrillator (AED) 2. Describe when to use an AED 3. Describe the steps of AED operation 4. List the safety precautions for using an AED Attitudinal Objectives At the completion of this module, the student will be able to: 1. Demonstrate an awareness of the importance of AED retrieval Skills Objectives At the completion of this module, the student will be able to: 1. Demonstrate defibrillation with an AED with minimal delay and interruption in CPR |