I just came off a refresher course in First Aid / CPR A last week. I really shouldn't say refresher as it has been over 20 years since my last instruction. My course was taught by St. John's Ambulance (another FA organization in Canada, not unlike the Canadian Red Cross. I had actually started my Red Cross course earlier last year but I had a family emergency and I had to withdrawl.) It was a 20-hr course that matched the requirements of OH&S (16 FA and 4 CPR) over 2 1/2 days. There are differences in approach between the 2 agencies but they weren't drastic - RC taught a bit more biology and theory while SJA was tuned to be very practical. Overall I'd say it was a great course.

• My how things have changed in the protocols since I first took it. Gone are the ideas about torniquets for example - they don't teach it because it isn't nearly as useful as applying direct pressure to a wound.
• AR is taught only in passing as it is believed that only better trained personnel should use that method (you need to be able to accurately judge the pulse rate of the victim). CPR is the main method and even that protocol has changed over the years. Currently what is being taught is 2 quick breaths, listen for breathing and circulation check then 30 chest thrusts. 2 cycles of that then recheck for breathing and circulation and 5 more cycles, etc.
• Way back when I was I kid and got my advance swimming lessons, we were all taught AR and it was never with a mask. Now all practice is done with the mask and gloves because of Hep A,B and to a lesser extent Hep C and HIV.
• I also remember a technique that involved a butterfly movement where you would bring the victims arms back in a sweeping motion while kneeling at their head then sweeping their arms to the chest and then chest compressions - that is no longer being taught except in the armed forces for nerve agent, etc type of victims where contact with the mouth may impair the helper.

It was both great fun breaking off in to groups to practice the techniques and bandages on manequins and each other. There are some procedures that are taught First Aiders and a number that are not because at that level most people don't have the background training to make use of them. Hopefully, my company will continue to sponsor this training and will pay to keep my current every 3 years.

However, on my own I decided I wanted something more because I do a lot of camping. So I checked into a Wilderness Medical Associates - Wilderness First Responder course. That's an 80 course taught over 9 days plus homework. I am looking forward to that and expand on my abilities to react in a situation. I have had two instances where FA training could have helped where I've been the late comer to an accident scene. I've always wanted to pitch in and help but without the knowledge and confidence I've always thought ill prepared to help out previously.

This course also led into a workplace discussion about a public access defibulaltor or A.E.D. We don't have one in the building but we have about 600 occupants in the building and serve the general public. So we are going to do some research into the feasibility of having one located on the main floor. An A.E.D. requires further training (4 hr) as well as co-ordination with EMS. We are only 5 min away from EMS but then again every minute counts!

Knowing what to do in a situation naturally leads into a discussion about First Aid kits and what to include in them. My FAK is usually pretty small - I've got a micro kit (nothing more than a few bandaids and a couple of meds in a tiny plastic bag that I keep on me.)

I've also got a larger Adventure Medical Kit .5 that I've supplemented for my camping and which I carry in my everyday work daypack. Naturally, I also carry a PSK (revised AMK-Ritter kit), my everyday carry pocket knife, Photon lights, and a bandana that can also serve as a triangular bandage or two.

I'm not sure exactly how I want to modify the kit yet - perhaps a change in the sterile dressings, revise the meds, perhaps include a small manual or key cards for information. One thing I do want to add is a water-proof checklist of items to look for during the secondary examination. I'll probably modify my kit again when I take the WFR course, and revise the contents when I am with a group of people. Anyway, something to do to keep me busy this weekend! <img src="/images/graemlins/smile.gif" alt="" />

Hint: I'm always keen to hear suggestions.

I hope you will keep us all up-to-date with your advances! I'd be interested in how you augment your FAK after the course.

Start the breathing.
Stop the bleeding.
Protect the wound.
Treat for shock.

That is all i remember from my first-aid training. It has worked for me so far.

The ABC's

Airway
Breathing
Circulation

Roar,

I like the idea of checklist cards --perhaps with your emergency info on the back?

Some ideas for additions to your kit: Cell phone, gloves, clean bandanna, barrier mask?

Let us know what you decide ( and why)

Teacher

PS I took and enjoyed 'wilderness first aid' --reccomended.

Good post. I'll be watching this one to learn from input.

I recently got an AMK .7 kit and am looking for advice on how to supplement it. There's quite a bit of room for small thinks in one of the Aloksak bags.

Yup, i was in from 95-99.

Well not Marines but no disrespect to them but my instructor was a former Chief Warrant Officer in the Canadian army - equivalent to an E-9 in your system. I specifically asked him about that old style of resuscitation (I first learned this for a Red Cross swimming badge in the '70s) and this is how he explained it to me.

That would be a great size for a carry along - however it does seem to be orientated to EMS personnel. I think I shall hold off on my evaluation of tthat item until I can increase my training. It may be too detailed for a first aider - for example oxygen administration is only taught at the EMR and above levels.

I also did a quick Google - the first item I pulled up seemed to be very interesting:
http://firstaidandcpr.jbpub.com/pocketguides/
http://firstaidandcpr.jbpub.com/catalog/0763740322/

A pocket sized guide is OK to carry, but the really important stuff in it you have to KNOW, you won't have time to dig the book out, find the page, then try to read the CPR (for example) instructions in the 50 mph winds that are blowing. By the time you get that done your victim is a gonner.

Re carrying oxygen, that stuff is the wonder drug of first aid. It is amazing the improvement of a victim, no matter what the ailment (with maybe a couple of exceptions), will show after you start the O2 flowing. Probably the most important, it can give you a head start on shock prevention. I am not a certified EMT anymore, but I found some O2 cylinders and requlator at a garage sale one day (some oldster had passed on), and try to keep it stashed away in a corner of our vehicle...

Well, I used to have first responder qualificationsa, about 10 years ago, for S&R. I just recently got back into the swing of things, and just found out that ALL searchers are required to have SOLO training (wilderness first aid). Its all that the state, and NASAR, will officially recognize. Makes me wonder who gets the money from the courses....

Yikes! If the instructor saw what I posted he would have hanged me up by my yardarms! His rank was Chief Petty Officer 1st Class and he was in the Navy. He just kept saying Chief and for some stupid reason I was thinking Army.... <img src="/images/graemlins/confused.gif" alt="" />
That's was I get for doing time on an air training base as a civilian contractor.

I still have Battle Dressings in my FAK's but If those become no longer useable (contaminated), I will start carrying 2-4 old fashioned OB pads. They make great medium size battle dressings. You just place them neatly in a zip lock bag, squeeze the air out, and seal the bag.
No, I am not a Doctor, or corpsman, or EMT,,,,,I just played a Medical Officer on a Coast Guard Cutter.

I was taugth the pad trick about 35 years ago. Good ideas sometimes last forever...

Thanks, i like the place so far.