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mike52  
#1 Posted : 23 November 2016 11:29:01(UTC)
Rank: Forum user
mike52

I was looking at First Aid courses, and came across a couple stating that from the new year first aiders will be required tp be trained in the use of AEDs. when I looked at the HSE website i could find no mention of this.

So my question is: is this true? or is it just a training providers way of getting more money out of companies?

If it is right then surely the FA courses will have to be extended to allow for this training.

Regards

Mike

Yossarian  
#2 Posted : 23 November 2016 12:25:58(UTC)
Rank: Super forum user
Yossarian

Mike,

You need to be aware in this brave new deregulated world, the HSE no longer have control over course content so if the supplier says it is a requirement for their course and they are accredited by an external verifier, then it is.

Call me cynical if you wish.

Kate  
#3 Posted : 23 November 2016 12:38:49(UTC)
Rank: Super forum user
Kate

My training provider said this was about to become a requirement and threw it in even before it came in, at no extra time or cost.  A 3 day course has enough space to include this.  Learning to use the defib really doesn't take long.

johnwatt  
#4 Posted : 23 November 2016 12:53:40(UTC)
Rank: Forum user
johnwatt

Yes this is correct. 

These changes were driven by the 2015 update of the UK Resus Council Guidlines. Trainers have until the 31st of December to include defibrillation within the FAW and EFAW syllabus of the courses they deliver.

There is no requirments to retrain your current first aiders. Hope this helps.

John

(First Aid/Defibrillation instructor/assessor)

thanks 1 user thanked johnwatt for this useful post.
Martin Fieldingt on 28/11/2016(UTC)
johnwatt  
#5 Posted : 23 November 2016 13:02:19(UTC)
Rank: Forum user
johnwatt

Sorry I meant to add (I wish there was and edit button!)

Although the HSE don't approve courses and training providers they do still advise on the First Aid at Work Syllabus. It was the HSE's First Aid Bulletin (below) that specified the dates on the implementaition of these changes. 

https://content.govdelivery.com/accounts/UKHSE/bulletins/14e1e10

thanks 2 users thanked johnwatt for this useful post.
Yossarian on 23/11/2016(UTC), Martin Fieldingt on 28/11/2016(UTC)
WatsonD  
#6 Posted : 23 November 2016 13:05:54(UTC)
Rank: Super forum user
WatsonD

Originally Posted by: johnwatt Go to Quoted Post

Sorry I meant to add (I wish there was and edit button!)


There is. Take another look at your posts

johnwatt  
#7 Posted : 23 November 2016 13:07:38(UTC)
Rank: Forum user
johnwatt

Originally Posted by: WatsonD Go to Quoted Post
Originally Posted by: johnwatt Go to Quoted Post

Sorry I meant to add (I wish there was and edit button!)


There is. Take another look at your posts


Ah, now I see it! Is there a post threshold before this is available. It's the first i have seen this despite looking previously.

Edited by user 23 November 2016 13:09:35(UTC)  | Reason: Not specified

Yossarian  
#8 Posted : 23 November 2016 13:20:36(UTC)
Rank: Super forum user
Yossarian

Originally Posted by: johnwatt Go to Quoted Post

Sorry I meant to add (I wish there was and edit button!)

Although the HSE don't approve courses and training providers they do still advise on the First Aid at Work Syllabus. It was the HSE's First Aid Bulletin (below) that specified the dates on the implementaition of these changes. 

https://content.govdelivery.com/accounts/UKHSE/bulletins/14e1e10

That's useful John, thank you for alerting me.

thanks 1 user thanked Yossarian for this useful post.
johnwatt on 23/11/2016(UTC)
Andrew Bober  
#9 Posted : 24 November 2016 08:58:19(UTC)
Rank: Forum user
Andrew Bober

What is the UK Resus Council Guidlines for refreshing on AED training? It had stood that you'd deliver this each year, whereas if include in EFAW and FAW then it would be every 3yrs, or are we back to risk assessment?

Geoff 1954  
#10 Posted : 24 November 2016 12:36:33(UTC)
Rank: Forum user
Geoff 1954

Interesting posting.

Does this mean I am going to have a put a defib at each of my 50 plus locations now that the any new first aider will be trained in their use?

I have about 30 staff going on a course early 2017

Some of my sites only have 8 staff.

Geoff

A Kurdziel  
#11 Posted : 24 November 2016 12:54:50(UTC)
Rank: Super forum user
A Kurdziel

Originally Posted by: Geoff 1954 Go to Quoted Post

Interesting posting.

Does this mean I am going to have a put a defib at each of my 50 plus locations now that the any new first aider will be trained in their use?

I have about 30 staff going on a course early 2017

Some of my sites only have 8 staff.

Geoff

No that would take a piece of specific legislation that says that you would need an AED on each site. And that has not happened.

johnwatt  
#12 Posted : 24 November 2016 13:32:21(UTC)
Rank: Forum user
johnwatt

Originally Posted by: Andrew Bober Go to Quoted Post

What is the UK Resus Council Guidlines for refreshing on AED training? It had stood that you'd deliver this each year, whereas if include in EFAW and FAW then it would be every 3yrs, or are we back to risk assessment?

The UK Resus Council says this on training:

"It is important that resuscitation skills are refreshed regularly, particularly by those who have a duty to respond in an emergency. The principle is that skills should be maintained at an effective level at all times. Individual employers and organisations should make arrangements for retraining to be available, but the frequency of this refresher training will depend on the individual. For guidance, skills should be refreshed at least once a year, but preferably more often."

It is the HSE that specifies the frequencies for recertification of first aiders in the workplace. Currently (and has been for as long as I can remeber) it is set at 3 years. This inludes FAW, EFAW and Defibrillation. There is guidance that annual refresher training would be benneficial but this is not a requirement.

L74 The HSE's ACOP for First Air at Work Regulations states:

"Certificate validity, requalification and refresher training [74] All first-aid training certificates, whether FAW, EFAW or some other appropriate training, are valid for three years. Employers need to arrange retraining before certificates expire. "

There is no requirment to pace a defib at all or any of your sites. The resus protocol as of the current (2015 resus guidlines) require you to ask for a defib if one is available. This training is to ensure that the first aiders know how to use it if it is. Remeber the defib may not be in your workplace. You will now find them in many public places. 

Edited by user 24 November 2016 13:39:10(UTC)  | Reason: Citation

johnmurray  
#13 Posted : 26 November 2016 07:22:08(UTC)
Rank: Super forum user
johnmurray

"There are approximately 30,000 Out of Hospital Cardiac Arrests per year in the UK
In 2013, the Emergency Medical Services attempted to resuscitate approximately 28,000 people after they suffered Out of Hospital Cardiac Arrests
Of the 28,000 people EMS attempted to resuscitate, 8.6% survived and were discharged from hospital
Approximately 80% of Out of Hospital Cardiac Arrests occur at Home; 20% in Public Places
The current rate of initial bystander CPR in England is reported to be around 43%
12 people under the age of 35 die every week due to sudden cardiac arrest in the UK
270 children die in the UK per year after suffering a Sudden Cardiac Arrest at school
When someone has a cardiac arrest, every minute without CPR and defibrillation reduces their chances of survival by 7-10%
Currently only 20% of cardiac arrest victims are in a ‘shockable’ rhythm when the EMS arrive; this figure can be increased if more cardiac arrest victims received immediate, effective CPR from bystanders
Passive smoking increases the risk of developing coronary heart disease by up to 30%
If a defibrillator is used and effective CPR is performed within 3-5 minutes of cardiac arrest, survival chances increase from 6% to 74%
The emergency services average response time to a cardiac event related incident in an urban area has increased from 8 to 11 minutes
Without immediate treatment, 90-95 percent of Sudden Cardiac Arrest victims will die"

Under current NHS planning....A&E depts are to be reduced by half. Down from 144.
It will take longer to reach specialist care.
So your intervention will be cancelled further down the line

douglas.dick  
#14 Posted : 28 November 2016 11:49:14(UTC)
Rank: Forum user
douglas.dick

I was of the understanding that AED's were being included due to the more common availability of the devices. As well as Government pressure to up-skill first aiders in these and tourniquets due to increased liklihood of major terrorist events and the countries reponse to them, rather than laws to make them compulsory.


RichardPerry1066  
#15 Posted : 28 November 2016 13:31:25(UTC)
Rank: Forum user
RichardPerry1066

This sounds suspiciously like the HSE is trying to have their cake and eat it. They don't any longer certify courses so what are they doing specifying syllabuses (syllabi??) None of their business any more.

If an employer doesnt have an AED on site then why would you include use of an AED in a training course. And unless you have a substantial number of people at a lcoation then why provide an AED when the money might well be better spent combatting another risk.

And even if you do provide an AED I'd expect it to be so foolproof that even a fool could use it. Make sure all the staff are confident ot use it rather than relying on your relatively few First Aiders.

johnwatt  
#16 Posted : 28 November 2016 14:20:13(UTC)
Rank: Forum user
johnwatt

Originally Posted by: RichardPerry1066 Go to Quoted Post
This sounds suspiciously like the HSE is trying to have their cake and eat it. They don't any longer certify courses so what are they doing specifying syllabuses (syllabi??) None of their business any more. 

If an employer doesnt have an AED on site then why would you include use of an AED in a training course. And unless you have a substantial number of people at a lcoation then why provide an AED when the money might well be better spent combatting another risk.

And even if you do provide an AED I'd expect it to be so foolproof that even a fool could use it. Make sure all the staff are confident ot use it rather than relying on your relatively few First Aiders.

I really don't see the issue here. As of 2013 the HSE no longer approves first aid training and qualifications. This means that businesses now have more flexibility in how they manage their provision of first aid in the workplace. The HSE is still the regulator and responsible for enforcing compliance with 'Health & Safety (First Aid) Regulations 1981, so what is the problem with them setting the learning sylabus for workplace first aiders?

The training is included as it is advised by the UK Resus Council, the body that sets the resucitation protocol within the UK, in and out of hospital. By adding this element to the existing courses it provides consistency in training. Why would you not want to learn it? These skills may very well save somebodies life in or out of the workplace. 

Businesses are not being told that they must have defibrillators available, this requirment comes down to your own first aid needs risk assessment. It's your choice.

AED's are foolproof and even a lay person with no knowledge should be able to use it. However, evidence suggests that with minimal training you can use it far more efficiently and quickly. I demonstrate this when teaching defibrillation. Before demonstrating use of an AED i run a scenario where the learners have to use it without having done so before. At the end of the course I run the same scenario again; on average a shock is delivered 2 minutes quicker. 

Looking at the current statistics we can see that from the moment you hit the floor in caridac arrest, you have around an 85% chance of restarting the heart if an AED is applied immediately, this reduces by 10% each minute that passes. Having the AED user trained in its use, per the above scenario, resulted in a 20% increased chance of survival. If that doesn't convince you then look at it this way: AEDs, as work equipment, are covered by the Provision and Use of Work Equipment Regulations 1998 (PUWER), and as such this places duties on employers in respect of employee training and the provision of information and instructions in the use of such equipment!

johnwatt  
#17 Posted : 28 November 2016 14:30:20(UTC)
Rank: Forum user
johnwatt

Originally Posted by: douglas.dick Go to Quoted Post

I was of the understanding that AED's were being included due to the more common availability of the devices. As well as Government pressure to up-skill first aiders in these and tourniquets due to increased liklihood of major terrorist events and the countries reponse to them, rather than laws to make them compulsory.

In addition to technology advancements, AED's are becoming more commonly available because the UK Resus Council has laid down their importance in the recent revisions of the resuscitation guidelines. Defibrillation is a key part of the 'Chain of Survival'. 

  • Early Recognition
  • Early CPR
  • Early Defibrillation 
  • Early Post Resusitation Care

The use of tourniquets and haemostatic dressings comes from the latest amendment of the EU Resus Council Guidelines where they may be introduced where pressure alone does not control bleeding. This is likely to be limited to high risk work places. Only first aiders who have had specific additional training should use these techniques. Training courses will very shortly be made available. 

https://www.resus.org.uk/resuscitation-guidelines/adult-basic-life-support-and-automated-external-defibrillation/



thanks 1 user thanked johnwatt for this useful post.
douglas.dick on 28/11/2016(UTC)
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