The training of Emergency First Response Course starts at 1000hrs and it will usually end at about 1700hrs provided the students already watch the EFR DVD and completed the EFR Knowledge Review. The following are the Course Goals & Performance Requirements:
Course Goals For Emergency First Response Primary Care (CPR) and Secondary Care (First Aid):
Increase access to CPR education, increase effectiveness and efficiency of instruction, improve skills retention, and reduce barriers to action for basic life support providers.
Provide a positive and nurturing learning environment that reduces participant anxiety, guilt and fear of imperfect performance.
Teach a course that increases the percentage of CPR and first aid-trained laypersons who use their skills without hesitation to assist those in need.
Combine CPR and first aid into one Emergency Responder protocol.
Teach a simple CPR and first aid protocol that promotes long-term memory retention by participants.
Maximize participant skill development and practice time, while minimizing instructor led knowledge development (lectures).
Teach a course following the latest ILCOR (International Liaison Committee on Resuscitation) Basic Life Support guidelines, thus providing an internationally consistent course flexible enough to accommodate regional CPR and first aid protocols and cultural differences.
Integrate participant independent study whenever possible for course efficiency and respect for valuable participant time.
Performance Requirements of the Emergency First Response Course:
Use barriers appropriately.
Perform a patient responsiveness check by giving the Responder Statement and then tapping the collarbone, grasping or squeezing the shoulder or arm to gain patient attention.
Phone an Emergency Medical Service number at the appropriate time within the CPR and first aid sequence.
Quickly recognize unresponsiveness and absence of normal breathing to determine when CPR – chest compressions – is appropriate.
Perform one rescuer, adult CPR – chest compressions – at a rate of at least 100 compressions per minute, to a depth approximately one third the depth of the chest – at least 5 centimeters/2 inches.
Minimize the frequency and duration of interruptions to chest compressions to maximize the number of compressions delivered per minute.
Perform effective chest compressions by allowing the chest to completely recoil after each compression.
Open and maintain an airway using the head tilt-chin lift or pistol grip technique.
Provide effective rescue breaths (normal breaths of 1-second duration) that make the patient’s chest rise. The rescue breaths may be given using the mouth-to-mouth, mouth-to-barrier, or mouth-to-mask techniques.
Perform complete CPR with chest compressions and rescue breathing at a rate of 30 compressions to 2 rescue breaths.
Explain the importance and timeliness of defibrillation within the CPR and first aid protocol and list the two ways it can be obtained (EMS and AED provided).
Perform an emergency move and place a person in the recovery position.
Demonstrate how to assist a conscious choking patient and/or an unconscious choking patient consistent with local protocol.
Manage serious external bleeding using direct pressure.
Perform appropriate shock management.
Stabilize and manage suspected spinal injury.
Provide manual stabilization of suspected skeletal injuries when Emergency Medical Service personnel will be delayed.
Perform initial and ongoing assessments of an injured or ill person when Emergency Medical Service personnel are either delayed or unavailable.
Perform all skills in a manner that minimizes risk to the Emergency Responder, patient and bystanders.