PO 001 Provide First Aid for a Cardiovascular Emergency

EO 001.01 Conduct Emergency Scene Management

1. Performance: Conduct Emergency Scene Management

2. Conditions:

a. Given:

1) scenario;
2) resources; and
3) assistance.

b. Denied: references

c. Environment: classroom.

3. Standard: The trainee shall conduct emergency scene management by:

a. Performing a scene survey;

b. Performing a primary survey;

c. Performing a secondary survey;

d. Providing ongoing casualty care.

4. Teaching Points:

Tpt Description Method Time Reference

1 Explain the roles and responsibilities of Lecture 75 A1 Ch 1 pg 12-
the first aider including: 24
 Definitions
o First aid
o First aider
o Medical help
o Casualty
o Adult
o Child
o Infant
o History
o Mechanism of injury
o Signs
o Symptoms
  First aid and the law
 Safety and personal protection
 Objectives of first aid

2 Explain emergency scene management Lecture 25 A1 Ch 2 pg 34

(ESM)
 Define ESM
 Define the 4 sequential steps of
ESM
o Scene survey
o Primary survey
o Secondary survey
o Ongoing casualty care

3 Perform a scene survey EDI 50 A1 Ch 1 pg 22-

 Taking charge of the situation 26
 Calling for help Practice scene A1 Ch 2 pg 34
 Assessing hazards and making the survey with various
area safe scenarios
 Determining history of situation
 Determining number of casulaties
 Determining mechanism of injury

4 Performing a primary survey EDI 50 A1 Ch 2 pg 35-

 Checking airway 36
 Checking breathing Practice checking a
 Checking circulation peers ABCs and
 Performing a rapid body survey rapid body survey

5 Turning a casualty EDI 50 A1 Ch 2 pg 37-

 When no head or spinal injury is 43
suspected Practice turning a
 When a head or spinal injury is peer
suspected

6 Performing a secondary survey EDI 50 A1 Ch 2 pg 43-

 Determining history (SAMPLE) 51
 Monitoring vital signs Practice monitoring
o Level of consciousness a peers vital signs
o Breathing
o Pulse
o Skin condition
 Performing a head-to-toe exam
  Providing first aid for injuries and
illness

7 Provide ongoing casualty care EDI 50 A1 Ch 2 pg 52-

 Placing the casualty in recovery 53
position Practice putting peer
 Providing care for shock into recovery
 Providing care for fainting position
 Providing care for unconsciousness

5. Time:

Item Minutes 50 Min Periods

Instructional time 350 7
EC 50 1
Total 400 8

6. Substantiation:

a. Lecture is used to introduce trainees to new concepts, provide background and to

provide an overview of theory components of this EO; and

b. Explain-Demonstrate-Imitate (EDI) is used to provide trainees with a

demonstration of practical skills involved in this EO and to provide trainees an
opportunity to practice, under supervision, while being provided feedback.

7. Resources Required:

a. First aid manual – 1 copy per trainee

b. Scene survey kit – containing “hazard” materials
c. Nitrile gloves
d. Gym mats - for first aiders to kneel on during practice
e. Blankets – for peers to lay on during practice

8. Test Details: EC – Theory-based written assessment. The trainees will be given 50

minutes to write the test. Feedback will be provided in written form.

9. Remarks: Practice provided during this EO is not meant to attain mastery of skills but to
allow for basic skill development. All concepts and skills presented in this EO will be
practiced throughout the course during instructional scenarios and assessments.
EO 002.02 Perform resuscitation

1. Performance:

2. Conditions:

a. Given:

1) scenario;
2) resources; and
3) assistance.

b. Denied: references

c. Environment: classroom.

3. Standard: The trainee shall perform resuscitation by:

a. Recognizing signs and symptoms of a cardiovascular emergency to include;

1) Heart attack;
2) Angina;
3) Stroke; and
4) Transient ischemic attack.

b. Providing first aid for a cardiovascular emergency to include:

1) Performing a scene survey;

2) Performing a primary survey;
3) Placing the casualty at rest; and
4) Assisting the casualty in taking prescribed medication.

c. Performing cardiopulmonary resuscitation on an adult, child and infant by:

1) Opening airway;
2) Checking for breathing;
3) Giving compressions;
4) Giving breaths.

d. Defibrillating with an Automated External Defibrillator (AED) by:

1) Powering on the AED
2) Following voice prompts to include:
a) Attaching electrode pads;
b) Clearing area;
c) Pressing shock button; and
d) Continuing CPR.
 4. Teaching Points:

Tpt Description Method Time Reference

1 Recognize signs and symptoms of a heart Lecture 25 A1 Ch 4 pg
attack & angina 104-109

 Definitions
o High blood pressure
o Narrowing of arteries
o Angina
o Heart Attack
 Risk Factors
 Early recognition
 Chain of Survival
 Signs and symptoms

2 Recognize signs and symptoms of stroke and Lecture 25 A1 Ch 4 pg

TIA 111-112

 Definitions
o Stroke
o TIA
 Signs and symptoms
o FAST
o Other signs and symptoms

3 Provide first aid for cardiovascular Lecture 25 A1 Ch 4 pg

emergencies 109-112
 First aid for heart attack and angina
o ASA
o Nitroglycerin
o Defibrillator
 First aid for stroke and TIA

4 Performing CPR on an adult casualty EDI 75 A1 Ch 4 pg

 Definitions 113-115
o Cardiac arrest
o Agonal breathing
 Common causes of cardiac arrest
 30:2 cycle
 Opening airway
o Head tilt chin lift
o Checking breathing
  Giving compressions
o Hand positioning
o Technique
o Rate
o Depth
o Counting
 Giving breath
o Positioning barrier device
o Length of breath
o Force of breath

5 Performing CPR on a child casualty Lecture 25 A1 Ch 4 pg

 Hand positioning 116-117
 Depth of compressions
 Force of breaths

6 Performing CPR on an infant casualty EDI 25 A1 Ch 4 pg

 Positioning an infant’s head using 118-119
pad
 Hand / finger positioning
 Depth of compressions

7 Performing modified CPR EDI 50 A1 Ch 4 pg

 Compressions only 120-122
 Dispatcher assisted
 Taking over from another rescuer
 2 rescuer CPR

9 Using an AED EDI 50 A1 Ch 4 pg

 Definitions 122-125
o AED
o Ventricular Fibrillation
o Pulseless ventricular
tachycardia
 Power buttons on commonly found
AEDs
 Following voice prompts
 Attaching electrode pads
o Removing moisture
o Removing chest hair
 Shock button on commonly found
AEDs
 Special considerations for AED use
5. Time:
Item Minutes 50 Min Periods
Instructional time 300 6
EC 50 1
PC 100 2
Total 450 9

6. Substantiation:

a. Lecture is used to introduce trainees to new concepts, provide background and to

provide an overview of theory components of this EO; and

b. Explain-Demonstrate-Imitate (EDI) is used to provide trainees with a

demonstration of practical skills involved in this EO and to provide trainees an
opportunity to practice, under supervision, while being provided feedback.

7. Resources Required:

a. First aid manuals – 1 per trainee

b. Nitrile gloves
c. Gym mats – for first aiders to kneel on during practice
d. Blankets – for peers to lay on during practice
e. Adult CPR dummies – 1 per trainee
f. Infant CPR dummies – 1 per trainee
g. Training AEDs – 1 per three trainees

8. Test Details:

a. EC – Practical based. 10 min per trainee. Each trainee will be presented a scenario
where they must take over CPR from another rescuer for an adult casualty. Each
trainee must complete 2 cycles of CPR, then will be required to use the AED.

b. PC – Practical based. 20 min per trainee. Each trainee will be presented a scenario
where they must manage an emergency scene including scene survey, primary
survey, providing first aid to an adult with a cardiovascular emergency, then upon
resuscitation of the casualty, complete a secondary survey and provide ongoing
casualty care.

9. Remarks: Assessment timings based on a 5:1 student to instructor ratio. Multiple

instructors may be required to assist with assessments depending on course loading.
Annex B
First Aid
16 Feb 2021

PC/EC Scope Purpose How When Time Resources Limitations Impact

EC 001.01 EO 001.01 To evaluate the trainee’s Theory At completion 50 min - Nil IRB/PRB
readiness to conduct Trainees will of EO 001.01 process
emergency scene complete a written applies
management test and must achieve
minimum 80%.
EC 001.02 EO 001.02 To evaluate the trainee’s Practical At completion 50 min -scenario Nil IRB/PRB
ability to perform Trainees will take of EO 001.02 information process
resuscitation over CPR from -gym mats applies
another rescuer. They -blankets
(Teaching Point 4 only) must complete a -CPR dummy
minimum of 2 cycles (1 per assessor)
of CPR. When -Training AED
prompted by the (1 per assessor)
assessor (scenario
input – arrival of
AED on scene) they
must defibrillate with
the AED.
PC 001 PO 001 To evaluate the trainee’s Practical At completion 100 min -scenario Nil IRB/PRB
ability provide first aid Trainees will of PO 001 information process
for a cardiovascular “discover” an -gym mats applies
emergency emergency scene -blankets
containing 1 casualty. -CPR dummy
They must manage (1 per assessor)
the emergency scene -Training AED
and provide first aid (1 per assessor)
to the casualty. When
prompted by the
assessor (scenario
input – casualty
recovery) they must
complete a secondary
survey and provide
ongoing casualty
care.