About the Course
Workers , first aiders who want to acquire more in depth skills, advanced knowledge and expertise on how to provide first aid in the event of an emergency. (beyond basic first aid).
The purpose of this module is to provide first responders the necessary skills so as to evaluate, treat and provide critical care to casualties before the arrival of an ambulance.
Course content:
Safety and PPE
Human body
Lifting and moving casualties
Basic medical terms
Scene Management
Kinetics of trauma
MARCH approach to trauma
Catastrophic bleed management using step wise approach – Wound Packing, Hemostatics, Tourniquets and Junctional Bleed Management
Airway assessment with enhanced management – adjuncts & supraglottic devices
Supporting breathing including se of BVM, oxygen etc
Spinal assessment, management and immobilization
Safe and effective Oxygen usage for traumatic, medical injuries
Respiratory assessment and management
Recognition of Thorax trauma and complications
Abdominal assessment
Circulatory assessment, management, shock
Head injury & disability assessment
Effects of environment and exposure
Cardiac arrest – pit crew resuscitation
Pediatric BLS
Pediatric Anatomy, normal physiology & common medical emergencies
Care of common medical conditions i.e. stroke, diabetes
Care or medical emergencies
Thermal injury with ability to assess severity
Musculoskeletal injury
Drowning and immersion
Excitation delirium and overdose
Mass casualty management
Triage and l Major civilian disasters
Bombs, blasts, blades and ballistics
Transfer of the critically ill patient
Various patient assessment tools such as pulse oximetry, blood pressure, AGT, breathing sounds , skin color, GCS, AVPU etc
Main competences:
Be responsible to check the area for safety and conduct a scene survey
Call the emergency services
Doffing and donning of personal protective equipment
Deal with different emergency / rescue situations
Use a resuscitation kit
Conduct a primary and secondary survey on a patient
Perform a patient assessment on a casualty suffering from a traumatic or a medical emergency
Perform basic triage of casualties
Preform initial assessment of a casualty using MARCH allogarithm or similar
Place a casualty in the recovery position
Recognize the need of advance airway management
Recognize major traumatic injuries such as flail chest, spinal and head trauma and penetrating chest injury
Assess a patient's:
Level of consciousness (AVPU, GCS scale)
Blood pressure
Skin temperature, colour and texture
Temperature
Pupillary response
Blood glucose measurement
Saturation of peripheral oxygen (Sp02 }
Face, arm and speech (FAST)
SAMPLE history
Pain score
Head to toe survey
Demonstrate how to conduct a secondary survey
Understand the principles of medication administration
State own role in relation to the administration of medications
Use a variety of prehospital equipment:
Immobilization devices (Splints, Short and long spine board, vacuum mattress, cervical collars, scope stretchers pelvic binders)
Resuscitation equipment (BVMs, oxygen, basic and supraglottic airways, suction units, AEDs
Patient monitoring equipment (SP02, Blood pressure, stethoscope, AGT)
Blood control management and traumatic injuries (tourniquets such as CAT, hemostatic dressings, chest seals, ambulance dressings, pressure bandages)
Oxygen administration equipment ( Non rebreather masks, nasal cannula, simple face mask)
Assist a casualty to administer adrenaline – EpiPen, MDI - meter dose inhaler or DPI inhaler, GTN.
Use kinetics of trauma to predict injury patterns in:
Falls from heights
Road traffic accidents
Sporting injuries
Blast and traumatic injuries
Carry out wound packing
Clear a foreign body obstruction
Use a chest seal to manage chest injuries
Use a trauma bandage
Apply and carry out infection control measures
Provide a proper hand over to another care provider (using a recognized system such as Nato 9 liner, ATMIST etc,
Asses and provide emergency care for the following injuries and conditions:
Flail chest
Anaphylaxis
Open chest wound
Pneumothorax
Stroke
Low blood pressure
Shock with a special focus on hypovolemia
Chest paint
Dyspnea
Disturbed level of consciousness
Seizures
Evisceration
Hypoglycemia / hyperglycemia
Poisoning and intoxication
Burns and scalds
Embedded objects
Heat attack
Sudden cardiac arrest
Angina
Myocardial infraction
Heat failure
Asthma
Suspected injuries to bones, muscles and joints
Spinal injuries
Evisceration
Hyperthermia and hypothermia
Heat exhaustion
Be responsible to position/ manage a casualty to
Maintain open airway (conscious and unconscious casualty)
To stabilize a chest injury
To prevent shock
To limit the possibility of traumatic brain injury due to cerebral compression
To stabilize evisceration
To prevent damage of the spinal chord in case of spinal trauma
Carry out a dynamic risk assessment
Establish consent so as to render help to a casualty
Be able to provide treatment to a casualty suffering from:
Cardiovascular condition
Neurological condition
Diabetic emergency
Affect by sudden poisonings
Main Skills:
Demonstrate how to carry out various procedures such as
Adult, infant and baby CPR and resuscitation
Initial, primary and secondary assessment on a casualty to identify injuries and conditions
Scene survey and assessment
Immobilization of a casualty
Hemorrhage control in traumatic injuries
Airway management
Assisting breathing and ventilations
Management of an open chest wound
Bandaging
Patient positioning
Clear a an obstructed airway by an a foreign body
Procedures and skills from a level 3 award first aid course
Demonstrate hands on how to perform specific medical techniques such as :
Clear and airway
CPR on a casualty including airway management
Use of a supraglottic device
Pelvic binder
Long bone immobilization (box, sam splint or any accepted alternative)
Ventilate a casualty
Resus I gel
Oxygen administration including selecting appropriate mask and flowrate (nasal cannula, simple mask, non-rebreather mask)
Blood control management (CAT or SOFT tourniquet, Pressure dressing and wound packing)
Understand numerous issues that are required during pre-hospital care of a casualty to include:
Pediatrics and special populations considerations
Triage
Personal protection, body substance isolation and universal precautions
Disturbance of consciousness
Medical history
Environmental and situational awareness
Course contains theory, practical's scenarios
M.S.T.S. is licensed by the Malta Further & Higher Education Authority License no : 2019-007 as a Higher Education Institution