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Youth First Responder Pre-course workbook Name:
Youth First ResponderPre-course workbook
Name:
2 YOUTH FIRST RESPONDER PRE-COURSE WORKBOOKINTRODUCTION
About the pre-course workbook
The pre-course workbook must be completed and all areas signed off prior to the cadet attending the first component of the youth First Responder course. It is the cadets responsibility to ensure that this happens. If the workbook is not completed, the cadet cannot attend the First Responder course.
The pre-course workbook covers topics that are included in the first two days of the First Responder course. These topics will be revised throughout the course – but will not be retaught completely.
There are a number of practical tasks that are required to be completed, alongside a number of worksheets where the cadet will need to research the answers. When doing research, the cadet may use any means – internet, people, books etc. Where required, all signatures must be obtained.
This book can be completed by all gold level cadets, from the age of 13 years.
Completed Blue Level First Aid:
Date completed
Signed (DM)
Name (please print)
3YOUTH FIRST RESPONDER PRE-COURSE WORKBOOK PATIENT ASSESSMENT
Patient assessment
1. When do we perform a primary survey?
2. What is involved with a primary survey?
3. Demonstrate a primary survey on another cadet. A leader or ambulance staff should sign off that you can effectively perform a primary survey.
Assessors signature: Date:
4. What is a secondary survey?
5. When do we perform a secondary survey?
6. Demonstrate a secondary survey on another cadet. A leader or ambulance staff should sign off that you can effectively perform a secondary survey.
Assessors signature: Date:
7. What do the mnemonics SAMPLE and PQRST stand for and when are they used?
SAMPLE
PQRST
8. Demonstrate effective patient questioning on another cadet. A leader or ambulance staff should sign off that you can effectively question a patient.
Assessors signature: Date:
4 YOUTH FIRST RESPONDER PRE-COURSE WORKBOOKLIMB INJURIES
Limb injuries
1. Demonstrate effective wound care, including bandaging of a range of different joint and limbs. A leader or ambulance staff should sign off that you can effectively manage a basic wound.
Assessors signature: Date:
2. Demonstrate a broad arm, elevation and collar and cuff sling. A leader or ambulance staff should sign off that you can effectively perform all three slings.
Assessors signature: Date:
3. When will you use the broad arm sling?
4. When will you use the elevation/St John sling?
5. When will you use the collar and cuff sling?
6. Demonstrate how to use a box splint on both an arm and a leg. A leader or ambulance staff should sign off that you can effectively use a box splint.
Assessors signature: Date:
7. What assessments should be made prior to and after applying a sling/splint/bandage? Use the mnemonic CWSMP.
C
W
S
M
P
5YOUTH FIRST RESPONDER PRE-COURSE WORKBOOK ANAPHYLAXIS WORKSHEET
Anaphylaxis worksheet
1. You attend a patient who has been stung by a bee. In the table below list four signs and symptoms that the patient will have, and describe briefly what pathophysiological process is causing each one.
Sign/symptom Cause
2. List five causes of anaphylaxis
1.
2.
3.
4.
5.
3. You are called to a 31 year old female who has a history of severe allergic reactions to bee stings. She has been stung by a bee. When you arrive on scene she is lying slumped on the ground, being supported by her partner. She is not unconscious, but is clearly exhausted. She appears very flushed and you can see hives all over her body. She is making high pitched noises each time she inhales. Her partner tells you that she was stung by a bee about four minutes ago and that she deteriorated rapidly. She was not able to use her adrenaline injector but she has it with her. He is afraid to use it. Upon examination you find her to be hot and dry to touch, with a rapid weak pulse and rapid laboured respirations. She has stridor and when you listen to her chest you hear an expiratory wheeze. Her vital signs are as follows:
– Pulse: 130 – Respirations: 26– Blood pressure: 90/60– GCS: 15
Describe your actions. You are 20 minutes from hospital and backup is 10 minutes away. You can use this scenario to set up a scenario with your local St John group.
4. Find a video or audio clip of stridor on YouTube. What does it sound like and what causes Stridor?
6 YOUTH FIRST RESPONDER PRE-COURSE WORKBOOKCARDIAC PROBLEMS
Cardiac problems
1. The diagram below shows the chambers of the heart and the blood vessels attached to the heart. Name the major areas of the heart and draw the flow of blood through the circulatory system on the diagram
1.
9.
10.
11.
12.
13.
14.
15.
2.
3.
4.
5.
6.
7.
8.
7YOUTH FIRST RESPONDER PRE-COURSE WORKBOOK CARDIAC PROBLEMS
2. Define angina
3. Define myocardial infarction and list possible signs and symptoms
4. List as many causes of non-cardiac chest pain that you can think of
5. What are four questions you could ask of a patient with chest pain to find out if the pain is caused by an MI or not?
6. How would you treat a patient who is presenting with cardiac style chest pain?
8 YOUTH FIRST RESPONDER PRE-COURSE WORKBOOKALTERED LEVEL OF CONSCIOUSNESS WORKSHEET
Altered level of consciousness worksheet
1. You are called to a patient who is found fitting. In groups of three enact this incident. One person can be the assessor, one person will be the St John officer and the third person can mark the checklist (the assessor). Note the assessor should be a leader or ambulance staff.
Performance criteria Assessor checks (tick)1 Checks the scene is safe2 Attempts to gain a response from the patient 3 Conducts a primary survey 4 Gains a history using SAMPLE 5 Ensures the patient is safe while fitting 6 Has a reassuring and calming manner7 Assesses and records vital signs8 Calls for assistance 9 Writes patient report form
Assessors signature: Date:
2. Using the mnemonic AEIOU-TIPS list the causes of loss of consciousness
A E I O U T I P S
3. Why may an elderly person need more assessment if there has been a brief loss of consciousness than a younger person?
4. Write a scenario that involves a patient who has suffered a brief loss of consciousness where the patient has not just ‘fainted’. Once you have done this, discuss with a group of St John cadets and leaders a possible list of causes. At the end of the discussion, tell the group what cause of unconsciousness the patient has.
Assessors signature: Date:
9YOUTH FIRST RESPONDER PRE-COURSE WORKBOOK
Respiratory worksheet
1. What are the two main sections of the respiratory system?
2. Identify the parts of the respiratory system.
3. Define asthma
4. How would you treat a patient presenting with asthma?
5. List some common causes of shortness of breath
RESPIRATORY WORKSHEET
1
2
3
4
5
6
7
8
9
10
11
10 YOUTH FIRST RESPONDER PRE-COURSE WORKBOOKMY CONTACTS
6. What is auscultation? What does it tell you and how do you do it?
7. Practice auscultation three times on other people.
a. Patient 1 name:
b. Patient 2 name:
c. Patient 3 name:
Assessors signature: Date:
8. What are the pertinent aspects of respiratory assessment?
9. What signs and symptoms would lead you to believe that a patient has severe respiratory distress?
10. Work in groups of three. One person will be the patient, one will be the assessor (note this must be a leader or ambulance person) and one of you will be the First Aiders. The First Aiders should assess the patient, concentrating on respiratory assessment.
Work through each of the three scenarios below:
a. A patient is found leaning forwards on a chair. When you speak to them they answer you but are only able to speak a few words per breath.
b. The patient is sitting outside against a house. There has been a house fire.
c. The patient is standing in the doorway waiting for you. He looks pale. He tells you in broken sentences, as he gasps for air, that he has been feeling unwell for a week. He is unsure why.
Assessors signature: Date:
11YOUTH FIRST RESPONDER PRE-COURSE WORKBOOK ABBREVIATIONS
Abbreviations that may be used during this course
abdo Abdominal
AO Ambulance Officer
BGL Blood glucose level
BM Bowel Motion
BP Blood pressure
ca Cancer
CHF Congestive heart failure
c/o Complains of
COAD Chronic obstructive airway disease
CORD Chronic obstructive respiratory disease
CSF Cerebrospinal fluid
D+V Diarrhoea and vomiting
ECG Electrocardiogram
GCS Glasgow coma score
GTN Glyceryl tri-nitrate
hr Hours
hx History
IDDM Insulin dependent diabetes mellitus
IM Intramuscular
IV Intravenous
J Joules
JVD Jugular venous distension
LLQ Left lower quadrant
LOC Level of consciousness
LRTI Lower respiratory tract infection
LUQ Left upper quadrant
MI Myocardial infarction
min Minutes
12 YOUTH FIRST RESPONDER PRE-COURSE WORKBOOKYOUTH CLINICAL PATHWAY
Youth clinical pathway
6-8 yrs8-11 yrs
11-13 yrs13-15 yrs
15 +
16 -18 yrs
18+ adult role
6-8 yrs8-11 yrs
11-13 yrs13-15 yrs
15 +
16 -18 yrs
18+ adult role
Penguin First Aid
Green level First Aid
Blue level First Aid
Gold(Pre-First Responder entry)
First ResponderClinical 1
First ResponderClinical 2
Operations risk management(Manual handling and personal safety)
Achieve First Responder(Obtain the first responder patches and
maintain practice level)
Driving course(18+ with a full licence)
Certificate
Certificate
Certificate
Certificate
Certificate
Certificate
