ABA 2012 New Practical Test

Here we look at the new practical test coming into force in September 2017. We aim to discuss the pros and cons of the new test and how it may affect your staff and your business.

Where can i complete my training?

ALTTA is fully approved and accredited to deliver training at our training academy in Peterborough or on your site as long as it meets the requirements of the governing body.  Our training academy in Peterborough Cambridgeshire is just of junction 17 of the A1M and is easily accessible by public transport or your own vehicle. We are in easy reach of Peterborough, Cambridge, Northampton,Lincoln, Spalding, Boston, Norfolk, Ipswich, Essex, Huntingdon, Suffolk, Derby, Nottingham, Leicester, London and many more.....................................   

Top to Toe Survey​

The top to toe survey is only carried out if the casualty is breathing.  They do not necessarily have to be conscious but they must be breathing. Once you have established they are breathing you may begin the secondary survey, or top to toe as some refer to it.  This survey is carried out in whatever position the casualty is in at the time and should if possible be carried out before the casualty is moved (breathing always takes priority) Most importantly you must be wearing gloves before carrying out this survey as you maybe putting your hands in places where there maybe bodily fluids. The Head  Gently feel around the head for any soft spots. If you were to feel a soft spot then you should stop immediately and then call for medical help.  If the head feels ok then look in to the casualty’s ears and nose for cerebral fluid (brain juice).  This fluid is a straw colour with red flecks in.  Again if this is found, stop and call the Emergency Services.  You can then check the casualty’s eyes to see if they are bloodshot or if the pupils do not react simultaneously.  Again if either of these are present you should contact the Emergency Services.  At this point you should feel gently around the cheeks and the lower skull area for any signs of weakness as again this could be the sign of a skull fracture.  You should look at the casualty’s lips for discolouration. This is known as cyanosis. The Neck and Shoulders If you feel down your own neck you will feel a lump where the neck meets the top of the spine.  This lump is perfectly normal, however should you gently feel down the neck and you were to feel abnormalities in this area, you should stop and seek medical help.  Remember this survey is to be carried out in whatever position the casualty is found in.  So if they are lying on their back then it may be difficult or impossible to check this area without moving them.  If this is the case do not check it.  You should then carefully feel across the collar bones to see if you can feel any abnormalities.  If you can, make either a mental note of the side and what you felt, or ask a helper to take notes if possible.  This information will be extremely useful when calling the Emergency Services or when they arrive to take over. The Sternum and Ribs The sternum and the ribs need to be checked to ensure that they are not broken.  You check the sternum by flattening the hand out straight. You then gently feel down the sternum to ensure that it is still in one piece.  The sternum should feel like a solid bone.  Once you have done this you can then gently feel down the ribs.  Remember do not squeeze the ribs. If you feel any damage then call 999 or 112. Stomach All stomachs have squidginess to them, even the ones with a six pack.  Should the stomach feel solid or the casualty be in any pain, then we would advise an ambulance is called.  Legs/Ankles/Feet The legs should now be checked to make sure there are no breaks or other damage.  You can do this by firstly looking at both legs to ensure that they are the same length.  If one leg is smaller than the other it could indicate that the bone in the top of the leg has been broken.  This means that the casualty could have an internal bleed.  This will require immediate medical care.  Check down the leg to look for any abnormalities or signs of blood loss.  Look at the way the legs/feet and ankles are positioned and if any seem to be at an unnatural angle then you should seek medical attention. Arms Just gently feel down the arms and hands looking for any abnormalities. Back and Spine If it is possible to check the back and the spine, feel down the spine area for any abnormalities.  Do not press or poke the spine, just gently touch it.  Also check the clothes for any staining that could be blood.   Remember any head, neck or chest injury should be treated as a spinal injury. Summary It is important to note that you need to attend a course in order to carry out a top to toe survey. Remember that even when you have been trained, you are not a paramedic or a doctor. This is a quick look over the casualty, and should take no longer than 1 to 2 minutes.  When checking around the neck, try to loosen any obstructive clothing around the airway.  When checking the arms, ankles and neck, try to look for any jewellery that could be an SOS warning device of any medical conditions.  Never move the casualty unless the airway is compromised or they are in immediate danger. Next month we will look at ways in which to move the casualty into the recovery position.

First Aid Blog​

I know you are supposed to start the New Year with a resolution but I have decided to end with one instead.  I have neglected this blog as I have been very busy with other projects but I have decided that I have found a use for the blog and that is First Aid.  Every month I will blog a new subject/section of a first aid course.  Why? Well 2 reasons. 1)It will help our students who pass their training courses stay up to date and keep the information fresh 2)We hope it will build interest and then get more people involved in first aid. Lets get started and what better place to start than at the beginning.  Picture the scene: You arrive at work and walk into the office to find that one of your colleagues is unconscious and laying on the floor.  Your natural reaction is going to be PANIC.  Your natural instinct will be to go to the person but wait……………………………………………….. It is important that a first aider fights the instinct to rush forward, when you find a casualty whether unconscious or conscious you need to: STOP THINK ACT AND DECIDE what action is best to take. Remember Danger Response Airway Breathing procedures taught during your course.  Lets start with danger. DANGER No matter how safe you think your workplace is, in an emergency there is the potential for the most harmless thing to be a danger, so stand back and look for them. Is there a possibility that the casualty is live from electricity, remember this can pass from one human to another. Are there sharp objects laying around that could harm you or them. Smell for gas before switching on lights.  Is there an animal such as dog near by that may harm you as they can become extremely protective when their owners are taken ill.  What about traffic where other staff members are arriving.  In any situation you need to make sure that you are not going to get hurt by what hurt them.  This is a small section of dangers that could be found.  If any dangers are highlighted then they must be dealt with before carrying out any treatment. RESPONSE Now you know it is safe to enter the scene you need to see if the casualty is responsive.  Firstly introduce yourself “ Hello I am Colin the first aider, can I help you” of course don’t say Colin if that’s not your name as this could really confuse the issue ☺ As you are walking towards them give an order “Don’t move your head stay still for me” this order is given as we do not know what injuries the casualty has sustained, so therefore we need them to lay still in case they have injured the neck or back.  Where possible try and walk towards the casualty from the feet end as if you walk from behind this may encourage them to twist their head to see who is coming.  Once in position take a final close up view of the area for danger and then place your hands on their shoulders lean into each ear and repeat “ Hello can you hear me, I am a first aider can I help you”. This is carried out in both ears as they might have hearing difficulties or the accident or illness they have suffered may have affected the hearing.  If no response is forthcoming then you need to shout for help “HELP HELP FIRST AIDER NEEDS HELP”  AIRWAY Whilst waiting for help we need to see if the casualty is breathing normally.  To do this you would talk to them and tell them what you are going to do.  “I am going to open your mouth to see if anything loose is in there” At this point open the mouth gently by moving the jaw. DO NOT PUT YOU FINGERS IN AND BLIND SWEEP THE MOUTH.  If you see a loose item such as a sweet then you are able to remove it carefully and quickly.  If no items or false teeth are found then place your hand closest to the top of their head palm down on their forehead. Next use you forefinger and middle finger to push on the chin bone from the underside at the same time using the hand on the head to tilt the head back.  There is a possibility that the casualty could start to breathe as the tongue is stretched back and this could unblock the airway and the casualty may start to breathe.  If this happens make sure the airways stay free you could do this by placing the casualty in the recovery position which will be discussed in another blog. BREATHINGOnce the head is back place an ear over the casualty’s nose and mouth and have your head positioned so that you can see down the casualty’s chest to see if the chest is rising and falling (NORMAL BREATHING) you would carry this check out for up to 10 seconds.  If this is not the case and there are no breaths then you would need to start CPR (this will be covered in another blog) The helper Once the helper has arrived and you have carried out your DRAB survey then you must give clear and concise instructions to your helper “ Call an ambulance, we are at 14 Stapledon Road Peterborough. There is a male about 34 years old not breathing and tell them that I am about to start CPR. Can you come back with a first aid kit and a defibrillator and let me know how long the ambulance will be” At this point you would ask the helper to repeat the information. If no help arrives you should carry out the DRAB procedures discussed and then call the ambulance yourself.  (THIS MUST BE CARRIED OUT BEFORE DOING CPR) This is just a reminder to qualified first aiders as to the procedures of the initial assessment.  This does not class as training.  In a situation like this then you must make sure that you get the ambulance on the way by calling 999 or 112.  For further information or to book a course please dial 01733237115 or email info@altta.co.uk Next blog we will look at the secondary survey.


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