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First Medical Responder on Scene – Level 5 Award


No of Credits

MQF level





Malta Further & Higher Education Authority


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

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