1. Introduction BASICS Education Instructors
© BASICS Education March 2019

2. House keeping Fire Exits & Alarms Food and refreshments Toilets
Mobile phones & pagers off / silent

3. Why are we here? The course is designed to prepare the
Immediate Care Practitioner
to work safely and effectively in the pre-hospital environment
Provide an insight into the change in role to that of
First Responder

4. This course is assessed using continual assessment techniques
Why are we here?
You must successfully complete this course before being allowed to work on board
This course is assessed using continual assessment techniques

5. Health & Safety
Various elements of this course expose the instructors and
candidates to a certain degree of risk.
These risks include such things as:
Manual handling Slips/trips/falls
Sharps Others
Risk assessments for all skill stations are at the rear of the room
please make yourselves familiar with their content.
Please adhere to all instructions from members of the
faculty regarding health & safety matters

6. The aims of pre-hospital care
Structured Approach
Standardised
Reproducible
Seamless
Team Effort
<C> Ac B C D E

7. The Chain of Survival

8. The Trauma Chain of Survival

9. Trimodal distribution of trauma deaths
50%
30%
Airway
Blood loss
Mins Hours Days Weeks
20% (Multi) Organ failure / Sepsis
Catastrophic bleeds

10. If you fail to prepare, prepare to fail
Preparation
Appropriate training
Correct Personal Protective Equipment (PPE)
Standardised medical equipment
If you fail to prepare, prepare to fail
Experience at working with the emergency services at the scene of accidents is the best way to become skilled,but, looking at these main areas of preparation should provide a firm platform to build on,& the 4 main areas which you should consider even before leaving for the scene of the incident are:
Training
Protective clothing
Equipment
Vehicle

11. Personal Protective Equipment

12. Medical equipment Standardised & compatible Pre-packed & ready to go
Checked regularly and recorded
Photograph of Sandpiper Bag – standard issue in Scotland for BASICS responders

13. Actions on receipt of activation call
Confirm location
Confirm access routes
Note other responses
Be dressed & equipped properly

14. Generic principles of incident management
C - command
S - safety
C - communications
A - assess
T - triage
T - treat
T - transport

15. You are responsible for:
Scene assessment
SAFETY IS PARAMOUNT
You are responsible for:
Yourself
The scene
The patient(s)
Safety can be seen to have 4 dimensions
Left and Right
Up and Down
Front and Back
Time

16. Hazards Machinery Debris Fuel spillage Fire, Chemicals Electricity
Falling objects
The weather
The sea
Rescue equipment

17. Hazardous incidents
Beware
Puddles underfoot
Wind direction?

18. Multiple casualties - triage
Identify priority casualties

19. The key to a successful outcome is..

20. Introduction
Questions?

21. Carnival UK Immediate Care Course