*** New Paediatric First Aid Guidance – Pre-schools, Nurseries and Millie’s Mark ***

(Based on information received from Qualsafe Awards August 2016)

Millies Mark
As you may be aware, under current legislation pre-schools and nurseries in England are only required to have one fully
qualified paediatric first aider available on the premises whilst children are present. However, in an unprecedented
review of the standards, September 2016 will see the regulations finally amended.
Under the new regulations, which are due to be included in the Early Years Foundation Stage (EYFS) guidance from 1st
September 2016, all newly qualified staff possessing a Level 2 or 3 childcare qualification must also hold an emergency
paediatric first aid or a full paediatric first aid certificate in order to be included in the required staff to child ratios in an
early years setting.
Dan and Joanne Thompson of Millie’s Trust have been campaigning for the change since the tragic death of their
daughter Millie Thompson, who passed away in a choking incident whilst at nursery in 2012. Their heart-felt campaign rapidly gained public support, with over 103,000 people signing their e-petition! In addition, soon early years care providers in England who have 100% of their staff trained in paediatric first aid will be able to apply for ‘Millie’s Mark’, a brand new kitemark style scheme that is set to be a sign of exceptional paediatric first aid cover. Developed in conjunction with the Department for Education (DfE) and the National Day Nurseries Association (NDNA), Millie’s Mark will help to give parents assurance that every staff member that cares for their child is trained in vital paediatric life-saving skills.

These two new changes are set to add an additional 15,000 paediatric first aiders to pre-schools and nurseries each
year, a fantastic outcome that is sure to improve the standard of child care.

Please either private message us, email training@afesolutionsltd.co.uk or ring 01287 651005 for more information


*** Association of First Aiders Qualifications (AoFAQ) ***


We are so excited. The official registration has come through today (9th March 2016) from the Association of First Aiders Qualifications (AoFAQ). This means we can now offer even more fantastic courses.

AoFAQ Level 2 Award in Emergency First Aid for Drivers (CPC)
AoFAQ Level 2 Award in Food Safety in Catering (QCF)
AoFAQ Level 3 Award in Education and Training (QCF)
AoFAQ Level 2 National Award in the Principles of Fire Safety and the Role of the Fire Marshall
AoFAQ Level 2 National Award in Safeguarding Children and Young People (England and Wales)
AoFAQ Level 2 National Award in the Safeguarding of Vulnerable Adults
AoFAQ Level 1 Award in Health and Safety in the Workplace
AoFAQ Level 2 National Award in the Principles and Practices of Infection Prevention and Control
AoFAQ Level 1 National Award in Food Safety in Catering
AoFAQ Level 2 Award in Conflict Management and Personal Safety (QCF)
AoFAQ Level 3 Award in Supervising Health and Safety in the Workplace (QCF)
AoFAQ Level 2 Award in the Control of Substances Hazardous to Health (QCF)
AoFAQ Level 2 Award in Risk Assessment (QCF)
AoFAQ Level 2 Award in the Safe Handling and Administration of Medications (QCF)

Please either private message us, email training@afesolutionsltd.co.uk or ring 01287 651005 for more information

*** Resuscitation Guidelines 2015 Guidance ***

(Article taken from Qualsafe Awards website October 2015)

Every 5 years the European Resuscitation Council (ERC), the Resuscitation Council (UK) and the International Liaison Committee on Resuscitation (ILCOR) review the latest research and evidence in resuscitation, and then release updated guidelines.  In addition to this, for the first time in history, this year the European Resuscitation Council (ERC) have also produced guidelines for first aid.

With these changes underpinning first aid practice, we would like to offer our Centres a summary of the changes and some information about the next steps.

Resuscitation Council (UK) Guidelines

Whilst the updates to resuscitation were minimal, there are three subtle changes that will impact on how first aid is taught in the future:

1.    ‘Shouting for help’ is no longer a step to be taught on its own. The guidelines now state that the first aider should ‘ask someone to call 999’ after checking for normal breathing.

The guidelines now only instruct the first aider to ‘ask someone to call 999’ after checking for normal breathing. This further simplifies the guidelines, making accurate recollection of the sequence even easier. It also acknowledges the frequent availability of mobile phones as the new guidance also says to use the speaker function on mobile phones for ease of communication.

2.    Increased emphasis on seizure as a possible presentation of cardiac arrest

Immediately following cardiac arrest, blood flow to the brain is reduced to virtually zero. This may cause a seizure-like episode that can be confused with epilepsy. Bystanders should be suspicious of cardiac arrest in any patient presenting with seizures. It is also extremely important to teach first aiders how to recognise agonal gasps.

3.    Teach first aiders to activate the speaker function on their phone when calling 999 to help communication.

A common feature on modern mobile phones, this addition helps the first aider to communicate with the Emergency Medical Dispatcher at the same time as assisting the casualty. Guidance says that it is reasonable to show the first aider how this can be done on their own mobile phone.


European Resuscitation Council (ERC) First Aid Guidelines

For the first time in history, the ERC have published guidelines on first aid. This follows an ILCOR led review of evidence in specific first aid topics. The ERC first aid guidelines are based on a worldwide expert consensus of best practice following an international evidence-based review, making them an extremely important addition to first aid practice in Europe.

Below are the key changes that will affect how first aid is taught:
4.    Elevation and Indirect pressure points are no longer recommended for the treatment of bleeding.

Elevation and indirect pressure have been removed due to a lack of evidence that either is effective in stopping bleeding, particularly life-threatening bleeding.

5.    Haemostatic dressings and tourniquets are to be used when direct pressure cannot control severe bleeding.

Following extensive use and research in combat, there is a wealth of evidence that tourniquets are effective, save lives and have a relatively low rate of complications following application. Similarly, haemostatic dressings have also undergone significant improvements in recent years, have low complication rates and have saved many lives.

The balance of complications versus possible outcomes if not used have led to both tourniquets and haemostatic dressings being introduced into main-stream first aid.  Of course, a small office workplace is unlikely to find that catastrophic bleeding is a significant risk to their employees, so they wouldn’t necessarily have to rush out and buy this new equipment. A waste recycling plant or tree surgeon on the other hand may wish to consider having these available.

The good news is that the guidelines are very clear that “training is required to ensure application is safe and effective”.

6.    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 ‘leave the wound in open communication with the environment’. This means that there is no longer a requirement to cover it with a dressing. The main emphasis on providing care should be to ‘do no harm’, and the risk of dressings becoming occlusive is significant.

7.    For the treatment of Asthma, first aiders should be taught how to administer an inhaler and how to use a spacer device.

The exact wording is “First aiders must be trained in the various methods of administering a bronchodilator”. In the UK, that includes assisting a casualty to take their own prescribed inhaler and how to take it using a spacer device.

8.    Hypoglycaemia – first aiders should aim to give 15-20g of glucose.

This has been in diabetes hospital management guidance for a while so it’s good to see more clarification on quantities in first aid guidance – this is the adult requirement.

9.    Oral Carbohydrate-electrolyte beverages (sports energy-rehydration drinks) now recommended for exertion related dehydration.

Specific sports energy-rehydration drinks have proven to be more effective than water as they also replace lost body salts. Evidence also suggests that semi-skimmed milk and tea can also be as effective as water.

10.    Burns should be cooled with water for a minimum of 10 minutes, as soon as possible.

Whilst Qualsafe have always advocated this, it’s fantastic to see that ERC guidelines have clarified it. We hope that this change will encourage others to come into line with this guidance.

What’s next?

Whilst the Resuscitation Council (UK) have asked that the new guidelines are implemented by early 2017, we understand that our Centres will be keen to start teaching the above subjects as soon as possible. As such, we are currently in the process of reviewing our assessments to make sure they correspond to the 2015 updates, and we will be launching these in early 2016. However, rest assured that assessments related to tourniquets or haemostatic dressings will not be introduced until all Trainers have had sufficient time to update their knowledge and feel confident to deliver this change in guidance. This will likely be introduced in late 2016 and we will provide Centres with plenty of notice for any changes. In the meantime, we would like to reassure our Centres that the current guidance is not incorrect and is safe to be taught until these changes are implemented.


*** Everyday heroes to be protected from legal action ***

(Article from St John Ambulance website Dated June 2014)

First aider giving CPR
The Queen announced a new Good Samaritan Bill that will protect people who give first aid from legal action as of today. The hope is that the new law will prevent those people who were too afraid in the past of making a mistake when helping a stranger in need of first aid.


Whilst the bill is a great way of ensuring that those who do good are legally protected, by ensuring every child has the opportunity to learn first aid at school, we can build a nation of individuals who have the skills as well as confidence to save a life.

Sue Killen, Chief Executive of St John Ambulance, said: ‘We’re pleased the Government is taking steps to ensure everyday heroes are protected. First aid saves lives, yet our research has shown that people can be afraid of using first aid in an emergency for fear of being sued.

‘A Good Samaritan’s Act, however, is only the start. If the Government wants to encourage everyday people to be life-savers, they must ensure more people are learning this vital skill. We’re calling on the Government to ensure every child learns first aid at school, in order to create the next generation of life-savers.’

Fittingly, one of the Queen’s pageboys collapsed just as the Queen was about to announce the bill encouraging people to be an everyday hero. This is just one example of how emergencies can happen at any time. Luckily for the boy there were a number of trained first aiders nearby, but not everyone is as lucky, which is why we’re calling on the government to ensure all children are taught first aid in schools.