St John Ambulance Community First Responder

1. St John Ambulance Community First Responder • Assessment Scenario’s Pack

2. CFR Reassessments • Basic principles of re-assessments, Effective, Safe and Prompt. • All CFR’s will come into the scenario’s with a full CFR training kit and a training AED. Any other items required are listed on each scenario. • Some scenario’s are shown as ‘initial’. These are more appropriate for CFR’s who are completing their first assessment.

3. 50 year old with central chest pain. After a time decided by assessor the patient collapses into cardiac arrest. Patient has taken their own GTN (Initial) Skills to be demonstrated Equipment Required Resus Annie OP Airway manikin AED trainer GTN spray Placebo Aspirin • Aspirin administration • Oxygen administration • Consideration of OP airway insertion • Use of pocket mask • Use of AED

4. 3 month old. Has drowned, in cardiac / respiratory arrest. Skills to be demonstrated Equipment Required Parent Resus Anne Baby AED Trainer • Correct hand placement for paediatric resuscitation • Demonstrate correct PBLS • Consider AED, not using it as patient is under 1yr • Ventilation without pocket mask

5. 30 year old. Had a fit, now stopped fitting. Unconscious with a head injury Skills to be demonstrated Equipment Required Patient Fake wound • Use of recovery position • Use of oxygen • Consider use of an OP airway • Dressing to the wound

6. 40 year old. Fallen after standing on a chair, leg injury, wound visible. GCS 15 throughout Skills to be demonstrated Equipment Required Fake wound • Wound dressing • Treatment for shock • Consideration of oxygen for shock • Monitor baseline obs, pulse, AVPU, respirations.

7. 40 year old. Allergic reaction to nuts. In respiratory distress. Deteriorates into cardiac arrest at assessors discretion. Starts fully conscious enabling oxygen / Epipen administration. Skills to be demonstrated Equipment Required Training Epipen Training AED OP airway manikin Resus Annie • Patient positioning • Oxygen administration • Consideration of OP airway • AED usage • Correct usage of pocket mask • Epipen Assistance • SJA CFR’s are taught Epipen assist as part of their initial training. Secamb trained CFR’s will not have covered this element so will not be expected to assist.

8. 8 year old. Cardiac arrest after a sudden collapse. No history of trauma. Skills to be demonstrated Equipment Required Resus Anne Junior Training AED OP airway manikin • Correct hand positioning for a paediatric • Correct use of pocket mask • Correct use of AED • Consideration of OP airway

9. 45 year old. Tripped over an upturned chair. Lying on floor complaining of hip pain and a wound to arm. Skills to be demonstrated Equipment Required Fake wound Chair Blanket • Wound dressing • Immobilise injury using improvised objects • Treatment for shock • Consideration of oxygen for shock • Monitor baseline obs, pulse, AVPU, respirations.

10. 45 year old. Known diabetic. Feels lightheaded, sweaty, becoming drowsy. (if the CFR asks, they have done their own BM and it is 2.5mmol) Skills to be demonstrated Equipment Required Placebo glucose gel BM kit (if available) • Use of glucose gel • Use of recovery position if not treated rapidly, can pass out at assessors discretion. • Consider oxygen therapy • Monitor baseline obs, pulse, AVPU, respirations.

11. 50 year old. Slipped on wet floor, lying on ground with a open wound to arm. Patient then passes out. Skills to be demonstrated Equipment Required Fake wound OP airway manikin • Wound dressing • Recovery position • Consider use of OP airway • Appropriate use of oxygen • Treatment for shock • Monitor baseline obs, pulse, AVPU, respirations.

12. 50 year old collapsed. In cardiac arrest, bystander CPR ongoing, but bad quality. Skills to be demonstrated Equipment Required Training AED Resus Annie OP airway manikin Bystander • Consider use of OP airway • Appropriate use of oxygen • AED use • Pocket mask use • Correct bystander CPR