Doing CPR on a child

a205

A situation where you would need to perform CPR on a child is a difficult thing to consider, let alone do. Children would normally need CPR because of a respiratory problem, whereas adults normally need CPR because of a Cardiac (Heart) condition. This is why CPR for children is slightly different. We first give 5 rescue breaths and then 30 compressions followed by 2 breaths. You then repeat 30:2 until you are relieved, the EMS arrive, the child shows signs of recovery, or you are too tired to continue.

When providing breaths, cover the child’s mouth with yours and pinch the nose closed or use a face shield. You just need to gently blow for one second until you see the chest rise. To do compressions, place one hand in the centre of the chest and push down at least one third the depth of the chest for the 30 compressions at a rate of 100 to 120 compressions per minute. If you cannot do this, then use both hands.

Always send a bystander to call EMS immediately if possible. If you are on your own, you should use the “Call Fast” approach and carry out 1 minute of CPR then go and make the call.

Advertisements

Use of Aspirin for Heart Attacks

a204

The HSE have clarified the point of giving Asprin to someone who is having a heart attack. They state:

Anecdotal information has come to our attention that training on the administration of aspirin on FAW courses appears to be inconsistent. The view of HSE is that the administration of medication by a first aider is not part of a FAW or EFAW training course, but you can assist an individual in taking it. However, the one exception is when training students on first aid for heart attacks, then this subject must be covered. Therefore, for heart attack management, the student must be able to assist a casualty in taking 300 mg of aspirin and to advise them to chew it, not swallow.

Aspirin, used in the prevention of heart attacks, is probably the most cost-effective drug available in medical practice and daily low-dose aspirin is now a standard item in the management of heart disease patients. There is evidence that aspirin, taken during a heart attack, can reduce the size of the clot causing the heart attack and may even cause the platelets in the clot to disperse. Research shows that the death rate can be reduced by 20-25%.

Aspirin also has effects on processes other than clotting, suggesting that if taken very early in an attack, the damage to the heart could be reduced and additional lives saved. Patients known to be at risk of a heart attack, including all persons over about 50 years of age, would be well advised to carry a few tablets of aspirin at all times, and chew and swallow a tablet immediately, if they experience severe chest pain, even as they are phoning 999. They are chewed rather than swallowed as this will mean they are adsorbed twice as fast into the blood stream, speeding up the treatment. Soluble aspirin tablets should not be swallowed whole.

Although Aspirin will greatly benefit the patient, we cannot force them to take it, instead we offer it to them and tell them that it could help them. In the workplace the HSE do accept that this is a valid time to offer medication to a patient.

Young Drivers

Young drivers don’t see dangers of driving tired

A study has found that driverrs are more likely to get behind the wheel drowsy than drunk, despite it being just as dangerous.

The research undertaken by the Centre for Accident Research & Road Safety – Queensland (CARRS-Q) was presented at the Australasian Road Safety Conference on the Gold Coast in October of this year.

Road safety researcher Chris Watling said driving sleepy and driving drunk were two risky behaviours linked to a comparable increase in crash risk, yet drivers perceived the dangers of each as vastly different.

“Research shows a blood alcohol content (BAC) of 0.05 per cent has the same effect as being awake for 17 hours, and a BAC of 0.1 per cent is roughly 20 hours, but drivers don’t consider the impairment to be the same,” Mr Watling said.

“In Queensland 20 per cent of the state’s fatal crashes were attributed to drink driving and an estimated 15 per cent to fatigued driving, although incidence rates of sleep-related crashes are often more difficult to pinpoint because of the absence of an objective test.”

The study, which examined the perceptions of sleepy driving and drink driving of 114 young drivers (under 30) and 177 drivers over 30, found young drivers were more likely to drive sleepy than drunk and more accepting of enforcement practices for drink driving than they are for sleepy driving,”

“What this shows is that drivers, in particular young drivers, don’t view equally the dangers of drink driving and sleepy driving despite the crash risks being similar,” he said.

Mr Watling said sleepiness had been shown to significantly impair a person’s cognitive and psychomotor abilities, which impact safety-critical tasks such as driving, attention, working memory and coordination.

He said younger drivers were also more likely to be impaired by sleepiness because of the natural developmental maturing of the body’s sleep-wake systems in early adulthood.

“Given younger drivers are over-represented in crash statistics and more likely to be impaired by sleepiness, it is vital we look to increase their perception of the dangers of driving while sleepy,” he said.

Employees should note the factors that can increase the risk of a driver being involved in a tiredness-related crash and should take these into into account when developing policies to  prevent driver tiredness.

Drink driving

Drivers still think a couple of drinks are OK

The 2015 THINK! Christmas Drink Drive Campaign targets drivers who think it’s OK to have a couple of drinks before they get behind the wheel. The campaign was launched on the back of new research which shows that while half the population (51%) would not consider consuming any alcoholic drinks before driving, a ‘shocking’ one in 10 would consider having two or more drinks before they get behind the wheel. This increases to one in five (19%) among men aged 18-34 years.

The campaign targets those who do not recognise that even a small number of drinks before driving can be deadly. It urges everyone to THINK! before drinking and driving. New adverts highlight how a second drink can double the chance of being in a fatal collision.

Research shows that the majority of drivers in England and Wales are aware of the need to avoid drinking before driving, with 60% of those surveyed saying it is not okay to drink at all before driving. However, even though 93% of people don’t think it is right to drive after more than one drink, almost a fifth (18%) admit to having done so.

 

Road Safety

Government unveils host of measures to further improve road safety

New measures to help learner drivers and punish dangerous drivers.

  • DfT road safety plan to build on Britain’s excellent road safety record
  • £2 million for research into driver education, including the possibility of giving learner drivers motorway experience with an instructor before taking their test
  • £750,000 grant for police forces to build drug-driving enforcement capability

The Department for Transport today (21 December 2015)

The proposals will ensure learner drivers are properly prepared before their test, including the chance to gain motorway experience with an approved driving instructor. This follows plans announced last month to introduce a deposit which is returned to the learner driver if they pass, encouraging them to take their test when they are ready.

Other measures to take priority in the government’s plan for road safety include funding to train the next generation of cyclists and extra money for police forces to crack down on drug drivers.

The plan outlines how the government is delivering on its commitment to reduce the number of people killed and injured on our roads during this Parliament.

The main proposals announced today are:

  • learner drivers will for the first time be offered the opportunity to drive on motorways
    • the proposals would see learners allowed to take a motorway driving lesson with an approved driving instructor in a dual controlled car – this is designed to make drivers safer once they have passed their test
  • police forces across the country will be able to remove more dangerous drivers from UK roads, thanks to new government funding
    • £750,000 grant for police forces in England and Wales will fund more officers with drug recognition and impairment testing skills to enable more effective and targeted enforcement
  • a grant of £50 million over the next 4 years will support Bikeability cycle training in schools
    • this funding will help to increase children’s road awareness, encouraging children to be healthy and active
    • since its inception, more than 1.5 million school children have received training through the Bikeability scheme – we expect to train 275,000 children during 2015/16
  • the government will consult on changes to improve cycle safety to ensure sideguards are not removed from HGVs but remain permanently fitted
  • the Compulsory Basic Training (CBT) for learner motorcyclists will be strengthened and there will be a consultation on a range of further proposals to support safer motorcycling
  • a £2 million in-depth research programme will be launched to identify the best possible driver education, training and behaviour-change interventions for learner and novice drivers
  • motorists who endanger lives by using hand held mobile phones while driving will face an increase from the current 3 penalty points to 4, while the fixed penalty notice will rise from £100 to £150
    • for larger vehicles such as HGVs where the consequences of an accident can be much more severe, the penalty will increase from the current 3 points to 6 and the fixed penalty notice will rise from £100 to £150

Transport Secretary Patrick McLoughlin said:

Britain has some of the safest roads in the world but we are always looking to improve that record.

Today we are delivering common sense proposals that balance tougher penalties for dangerous drivers with practical steps to help youngsters and other more vulnerable groups stay safe on our roads.

Steve Gooding, Director of the RAC Foundation, said:

One in five young drivers has an accident within 6 months of passing their test so putting the learning process under the spotlight has to be a good thing.

Mile for mile motorways are our safest roads but can be intimidating places for novice drivers. Exploring ways of letting learners have controlled access to them is welcome.

The important thing is the official seal of approval provided by the approved driving instructor who will accompany them down the slip-road. This is definitely not the time to have mum or dad in the passenger seat.

Importance of knowing CPR

The community response to cardiac arrest is critical to saving lives. Each year, UK ambulance services respond to approximately 60,000 cases of suspected cardiac arrest. Resuscitation is attempted by ambulance services in less than half of these cases (approximately 28,000). The main reasons are that either the victim has been dead for several hours or has not received bystander CPR so by the time the emergency services arrive the person has died.

Even when resuscitation is attempted, less than one in ten victims survive to go home from hospital. Strengthening the community response to cardiac arrest by training and empowering more bystanders to perform CPR and increasing the use of automated external defibrillators (AEDs) at least doubles the chances of survival and could save thousands of lives each year.

Immediate CPR is vital if the person is to have the best chance of survival. In other videos we will look at CPR and chest only compressions, which are simple things that you can do to save someone’s life. CPR is frightening but with basic training, should the need arise, you will be able to do it to the best of your ability. This training will come back to you when you need it.

Fitzcharles Training are very proud to offer this live saving course, and remember it maybe a loved one at home that you may have to use this lives saving skill. All our First Aid courses now include the AED certificate.

AED 2015.6

Reductions in Drink-Drive limits

Reductions in Drink-Drive limits

In reporting the The Belgian government’s decision to follow France with the introduction of a 0.2 g/l blood alcohol limit for young and novice drivers.

France’s lower BAC limit came into force in July and the country’s alcohol interlock requirements were extended to all coaches from September. Previously they were only required on coaches carrying school children.  Urban buses are excluded from the measure.

The new Belgian measures are part of a 15-point road safety plan announced by transport minister Jacqueline Galant in response to worsening official figures that show road deaths increased by 4% in Belgium last year.

ETSC also highlights a survey by the UK’s Royal Society for Public Health published earlier this month found that two thirds of motorists who admitted to drink-driving would avoid driving after drinking altogether if the drink drive limit was reduced.

And a year after a lower drink-drive limit was introduced in Scotland, a Scottish Government survey found 82% of people agreed that drinking any alcohol before driving is unacceptable, while 12% disagreed.

According to a new report from the RAC Foundation around 25 lives could have been saved across Great Britain this year, if England and Wales had followed the example of Scotland and cut the drink-drive limit. The report has been prepared for the foundation and PACTS by Professor Richard Allsop.

Smoking in vehicles

Smoking in vehicles: new rules from 1 October 2015

From 1 October 2015 it will be illegal to smoke in a vehicle with anyone under 18 present.
The new law will apply in England and Wales.

Both the driver and the smoker could be fined £50. The law applies to every driver, including those aged 17 and those with a provisional driving licence.

The law does not apply if the driver is 17 years old and is on their own in the car.

The law is changing to protect children and young people from the dangers of secondhand smoke.

Find out more at www.gov.uk/smokefreecars.

b1

Haulage Driver Shortage

a131

No Haulage Drivers, No Trucks, No Food Transportation, No Goods Delivered, the UK would very quickly come to a standstill.

The Haulage industry employs approximately 45,000 people, but there is a crisis brewing, due to the lack of drivers. The UK needs an extra 150,000 drivers by 2020. Just now there are 9 driver vacancies for every lorry driver in the UK.

The average age of a LGV driver is 53 – much higher than the national average. Many are coming up to retirement while not enough young people are coming up to replace them. This could have a significant impact on supply chain management – i.e, how goods are moved around.

Look around you now. Most of what you can see has been delivered by a lorry at some part of its supply chain journey. As the UK looks to grow, the economy will need more lorry drivers. How can we be a manufacturing base without an infrastructure to deliver things to the market or to warehouses? This is a fundamental challenge facing the country.

There are five issues that have brought the sector to this pinch point:

  1. Economic growth – both domestic and international – creates more demand for drivers to move what we are producing and hope to consume.
  2. The sector’s average age is 53 – much higher than other sectors; 13 per cent are over 60 and worryingly only 2 per cent of drivers are under 25.
  3. Changing needs around training.
  4. More directives from the EU that demand that our drivers have mandatory Certificate for Professional Competence.

You have to be more skilled to be a driver than before. We sometimes think that ‘free delivery’ means there isn’t a value to it but driving is a professional occupation that can go places – quite literally of course – leading to a proper career. That’s a perception we are working to instill within school children and others who may not understand what logistics is. Everything you see, wherever you are right now is there because of the logistics. No wonder the sector as a whole is the fourth biggest employer in the country. That shocks people the first time they hear it but we really are the driving force of the economy.

We need more lorry drivers but what are we going to do about it? We are working to overcome barriers to entry. Licence acquisition is expensive. Local initiatives are available to supple people who want to be lorry drivers.

In addition to lorry drivers the whole of the UK’s logistics sector needs well-trained and skilled talent. It might take some time but if you are interested in logistics and driving, it will definitely be interested in you – Logistics is a job for life.

 

Better Driving Book

Better Driving Book 2016

DVSA have published a new book focusing on driver behaviour. ‘Better Driving’ looks at the human factors of driving – like your health, mood and attitude. It aims to help readers identify their own tendencies behind the wheel and find ways to turn these into better driving behaviours.

This book has been published as official learning materials in partnership with TSO for many years now. From the best-sellers like ‘The Official Highway Code’ and the theory test books to’ Driving a Tractor’, we cover every category of road use in almost every format.

We’ve been using words like ‘attitude’ and ‘behaviour’ for years, and we’ve touched on the subject in some of our titles. But it was time to explore the topic with an expert and come up with a book about the driver, rather than the driving.

So, ‘Better Driving’ was conceived.

The brains

We all know a bit about what we should and shouldn’t do behind the wheel, but we needed someone who really knew their stuff. Someone who’s done the research and can say what good driving looks like. Someone who could also explain how to identify behaviour traits and what to do about them – for example, lack of confidence, or over-confidence, anxiety and distraction.

Dr Lisa Dorn is the Reader in Driver Behaviour and Director of the Driving Research Group at Cranfield University. We believe there’s no one better qualified – so we invited her to author ‘Better Driving’.

The looks

One of our aims in publishing is to make our material accessible to the widest range of people possible. We understand that not everyone can or wants to read lots of academic material, regardless of its authority and relevance.

So we’ve designed a stylish book that takes account of different people’s learning styles. Alongside Lisa’s words we’ve included lots of photographs, self-reflection quizzes, diagrams and links to online resources