Download Strategy 2020 - European Reference Centre for First Aid Education

The First IFRC
International FA and
Resuscitation Guidelines
2011
DO WE NEED AN IFRC
GUIDELINE?
Future of First Aid
1. First aid policy implementation
2. Strategy 2020 – do more, do
better, reach further
Strengths
 Red Cross Recognition
 Combined resources of all National
Societies – science research, good
practices in different environment and
context
 Knowledge of the needs of communities and
citizens around the world with regard to FA
and resuscitation
 History of expertise in FA education
Weaknesses
 Limited resources in National Societies
 Staff
 Revenue
 Etc…
 Lack or limited scientific process and
support of FA program
Opportunities
 Establish Red Cross as both leader in:


FA Education
FA Science
 Assist National Societies with


Interpretation of science
Creation of either updated and new programs
 Begin an on-going Red Cross Scientific Process


Disseminate science
Harmonize FA approaches and improve FA
education/ curriculum based on science
 Answer on-going science questions
 Provide view of future sciences and changes to FA
Threats
 Competition from other organizations in
different countries
 Different interpretation of science
 Difficulty in reaching and delivering programs to
community
 Loss of Red Cross Pre-eminence in
 First Aid
 Training of public
 Preparing communities
History
 ECC Guidelines
 Every 5 years evidence reviewed
 Guidelines published
 Commonly known




CPR
PALS
ACLS
NRP
History
 First Aid Guidelines
 First published in 2000
 Mostly consensus
 Published Again in 2005
 Evidence based process
 US Focus
International First Aid Science Advisory Board
 Co-Chaired by
 ARC
 AHA
 Full Partnership of both organizations
 ARC was Co-Chair
 ARC has equal role in final approval of all
documents
 Full representation of IFRC since 2008 by a team
of 12 – a signed letter of agreement
Scope of First Aid
 The International First Aid Science
Advisory Board recognized that
 The scope of First Aid is not a purely
scientific one and is related to both
training and/or regulatory issues.
 The definition of scope is therefore
variable and should be defined
according to circumstances, need, and
regulatory requirements.
Evidence Review
 The evidence review by International First
Aid Science Advisory Board confirmed the
paucity of scientific evidence on First Aid
subjects.
 Many of the following recommendations
have been made by extrapolation from the
experience of health care professionals.
 Research is needed to ensure that future
guidelines are based on a larger body of
scientific evidence.
Outcome
 This critical review of the scientific
literature resulted in a Consensus on
Science for First Aid with Treatment
Recommendations, from which these
Guidelines are derived, and identified
areas for future scientific research.
First IFRC First Aid & Resuscitation Guidelines

Based on the consensus of science

Purpose of the Guidelines – support NS to update its FA and
resuscitation knowledge/practice/education in their FA
materials according to the latest evidence based science
Goals
 Creation of International IFRC Guideline

First Aid Guidelines


Based on IFASAB CoSTR and other Red Cross Science
Interpreted for Red Cross Red Crescent National Societies
–
–
–

Audience
Environments
Purposes
Resuscitation Guidelines


Based on ILCOR CoSTR and other Red Cross Science
Interpreted for Red Cross Red Crescent National Societies
–
–
–
Audience
Environments
Purposes
Document General Points
 Sections
 Introduction
 First Aid
 Resuscitation
 Psychology
 Education
 References
Document Key Points
 Target Audience
 National Societies
 NS Medical and scientific Advisory
Groups
 Course and program development staff
 Leadership volunteers
 Not targeted at lay pubic
Document General Points
 Availability
 Free to use but must be referenced
 Copyright
 IFRC - Copies and translations of all or
part of this document may be made for
non-commercial use, providing the
source is acknowledged. The
International Federation would
appreciate receiving details of its use.
Executive Summary







Purpose of Document
History of Process
Where does this fit in IFRC FA Activities/Policy
Link to S2020 and FA Policy
Daily need and disaster need
Link of science to practice
Local adaptation



Epidemiology
Cultural, religious, language
Medications
 Future updates, current science
General Principles





Prevention
Personal Safety
Linkages to other healthcare
Update/re-training
Special Populations
 Target for training
 Patient/victim
 Ethics
General Approach to Patient/Victim




Assessment
Airway
Patient Position
Call for help/EMS/further help
Major Sections




First Aid
Resuscitation
Psychological Support/Mental Health
Education
Topics – First Aid
 Overview/Introduction



History
 RC Movement
 Numbers, reach
Description of First Aid and definition
 Prevention
 Community, disaster, families, friends
 Different environments, developing countries
Scientific Foundation
 IFASAB CoSTR
 Red Cross Societies
First Aid Sub-Sections
 Medical Emergencies
 Injuries
 Environmental
Topics – First Aid Medical Emergencies
 Allergic Reaction
 Poisoning
 Breathing
difficulty
 Chest Pain
 Stroke
 Dehydration/GI
Distress
 Seizure
 Diabetic
 Medications


Issues, role
Oxygen, ASA
 Shock
 Unconsciousness/
Altered Mental
Status

Patient
Positioning
Topics – First Aid Injuries
 Foreign Body
Airway
Obstruction
 Burns

Thermal,
electrical, etc../
 Bleeding
 Head and Spinal
Injury
 Chest and
Abdomen





Injured extremity
Abrasion/wounds
Dental Injury
Eye Injuries
Chemical Injuries
Topics – First Aid Environmental
 Cold Emergencies/Injuries
 Heat Emergencies/Hypohydration
 Altitude
Topics First Aid Animal Bites and Stings




Snake Bites
Marine Animals
Insect Bites and Stings
Animal Bites
Topics First Aid Drowning and SCUBA
 Drowning Process Resuscitation
 Cervical Spine Injury for Drowning
Victims
 SCUBA/Decompression Illness
Topics – Resuscitation
 Introduction/Overview



History
Description of Resuscitation
Purpose of Document



Scientific Foundation



International recommendations
National societies may need to address their local resus
councils, etc…
ILCOR CoSTR
Red Cross Societies
Scope



Resuscitation skills as performed by the same group of
individuals who would provide first aid
Scope of certification/training which society can provide
Mostly BLS/BPLS
Topics - Resuscitation

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Airway Obstruction
Artificial Respiration
CPR
AED
Methods of Providing Ventilations
Topics – Psychology
 Rescuer
 Patient/Victim
 Mental Illness
 Experiencing first aid emergency
 Other causes
Topics – Education

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
Simulation
Retraining/updating
Evaluation/monitoring/feedback
Methodology
 Self-efficacy
 Competency Based
 Messaging
Approach to Guideline Sections
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
Introduction
Summary of scientific foundation


Referencing prior scientific review including worksheet
numbers, additional studies if strengthen or would lead to
major shift in recommendation
Guideline/Recommendation

System to grade strength of guideline

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
Recommendation
Option
Not Recommended
Implementation Considerations (only present if needed)




Equipment
Regulatory, Legal
Environment/Context
Training
Strength of Guideline
Lessons learnt from using the Guideline to update
NS FA manuals in Belgium organised by the
Belgian RC – Flanders, January 2011
•
•
1.
2.
3.
4.
Guideline is useful to provide evidence to guide the FA matérial
development
Interpretation and selection of guideline/recommendations/options
to be used and included in the FA matérials depends on:Target population – what level of FA do they need to learn?
The legislation of the country – what a first aid trained person/ volunteer is allowed to
do? This varies from country to country.
Is the training appropriate or/and adequate for the people to learn that particular
knowledge or skills included in the guideline/ recommendations/options?
Consider the most effective way for the target population’s learning .
Focal resource persons to advise
Africa zone

Dr Pascal Cassan, European Reference Centre for First Aid Education, IFRC [email protected]

Mr Rick Caissie, Canadian Red Cross - [email protected]
America’s zone

Dr Richard Bradley, American Red Cross [email protected]

Mr Rick Caissie, Canadian Red Cross - [email protected]

Ms Samantha Roberts, Grenada Red Cross - [email protected]
Asia Pacific zone

Dr KL Chung, Hong Kong Red Cross - [email protected]

Dr Shen Hong, Red Cross Society of China - [email protected]

Dr David Markenson, American RC - [email protected]
Europe zone

Dr Gabor Gobl, Hungarian Red Cross - [email protected]

Dr Susanne Schunder-Tatzber, Austrian Red Cross - [email protected]

Dr Pascal Cassan, European Reference Centre for First Aid Education, IFRC [email protected]
MENA zone

Dr Mohamed Halbourni, Egytian RC - [email protected]

Dr David Markenson, American RC - [email protected]
Additional resource person: Ms Nana Wiedemann, Reference Centre for Psychosocial Support, IFRC
Focal persons in Geneva
• Dr Pascal Cassan
• Dr Ayham Alomari – [email protected]