Has anyone here had any luck using the remote emergency care level 2 first aid course as sufficient medical cover for ranges or do you all stick to AFA/FAaW?
My bold, so the course you refer to would not be sufficient.
There has been a very recent (12 Jun) revision to the CT-R 2017, sub-para âeâ has changed slightly (but not affecting the outcome of the OPâs question):
e. MATT 3 level 1 trained Regular or Reserve Forces personnel attached to/or working with cadet organisations
Summary of changes to CT-R 2017
NOTE - NEW RAM FORMAT - some minor changes.
I donât get involved in shooting and I saw something about changes to the paperwork. Honest question is there a legitimate reason that things keep getting changed in shooting, that then requires new forms to be used.
Thanks Mike - That was a copy & Paste fail on my part, now corrected.
Mondayâs release wasnât a revision of Cadet Training - Ranges but a new issue that supersedes the previous 2016 version.
One BIG improvement is to remove the superfluous green shading - waste of ink & no highlighting purpose at all. Otherwise, there have been a couple of minor 'phone number changes. Shoots already planned = OK to use old RAMs, new shoots (& from 01 Aug) must use new format.
I think weâre missing the question hereâŚ
Would the question be âWhat skills does an on-range first-aider actually need and is that beyond the ability of an EFA-holder to deal with appropriately?â
I would have thought an average first aider (which is all of us) could be out of their depth if it went really wrong on a range.
I just wondered how I managed without a first aider or first aid ticket (through the corps) in my 12ish years as an RO.
Bullet wound?
Just a serious bleed - keep the blood in, call an ambulance and treat for shock.
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pneumothorax/sucking chest wound, catastrophic haemorrhaging, internal haemorrhaging, hypovolemic shock, exit wounds
Or you know, turning your head inside out. Which no first aid course is going to help.
Use of haemostatics, TQs, and Asherman chest seals would be more than helpful.
What is an emergency care course? I have never heard of it.
The problem being that medic is an umbrella term and is not protected. And so many Mickey Mouse courses break away from it and delve into things they shouldnât and arenât covered for.
In the military I was covered for cannulation and fluid resuscitation, in civvie street that counts for naff all, and I shouldnât do it. I will try and find an interesting article for anyone that wants to read about the whole medic thing.
Edit: I canât see FPOS - First Person On Scene quals on that list can someone confirm if itâs accepted?
As far as AFA/FAAW is concerned, patch and transport. There isnât even a specialist treatment for sucking chest wounds any more!
Not even chest seals?
Is that the greater spotted or lesser spotted chest seal.
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UK resuscitation guidelines 2015 say that sucking chest wounds should be left open to the environment - Three sided dressings are no longer recommended.
Due to clinical experience of both improvised and purpose made dressings inadvertently becoming occlusive, the ERC guidelines recommend to âleave the wound in open communication with the environmentâ. This means that there is no longer a requirement to cover it with a dressing. The main emphasis on providing care should be to âdo no harmâ, and the risk of dressings becoming occlusive is significant.
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Seen. Interesting.
Obviously Military and emergency service drills are Understandably different, as they Donât follow that.
Really?
Is that the worst a 5.56 gunshot wound can be? 
I think we can stretch to a proper touriquet now. Not much use for a chest wound 
[quote=âGunner, post:18, topic:3049â]
Is that the worst a 5.56 gunshot wound can be?
[/quote]
What else would you like me, as a FAAW holder, to do about it?
I canât pad the wound and I canât administer saline, entonox, O2 or morphine.
I can put on an external dressing and I can get an ambulance there stat!
I can attempt to resuscitate if necessary (ie, help pump the blood out of the wound) and I can try to talk to them in a calm and reassuring manner.
Their stated minimum FA qualification canât do anything more about GSW than many lesser qualifications, which makes me question why their bar is set there and not lower.
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FPOS. You mean like ELS? Having had the misfortune to be on a police ELS course this week, I had to step in and correct the trainer on occasions, never mind witnessing appalling technique masquerading as first aid.
Canât say I would let most of the people on that course run a bath, never mind look after me if I was in need of first aid, but they are technically qualified to administer first aid in an emergency (including those conditions mentioned above).
In regards to the chest seals, it was apparent that the military found that the insurgents who were left without chest seals, often survived better than those who were given a three sided dressing. But then that was told by the trainer above, so it may not be entirely trueâŚ