1032026 ART V6

Safety training

G WO Advanced Rescue Training Standard / V6 02032026

i. Training centres shall not use boards for vertical lifting or lowering of casualties unless the device is specifically designed and approved for that purpose in the manufacturer’s instructions for use.

j. When boards are used in scenarios, the duration on the board should be as short as practicable, and comfort and pressure points should be checked regularly.

5.

Head -support alternatives and training implications

In Advanced Rescue Training:

1. Collar use is taught as an exceptional skill, not as a default step in all trauma scenarios.

2.

Practical training focuses primarily on:

manual head support and safe movement in confined turbine spaces;

packaging methods that provide inherent head support;

• communication and coordination when one rescuer must manage both casualty and rescue system.

3.

When collars are used in training:

• Application is demonstrated and practised on dummies and, where appropriate, on volunteers with strict comfort checks and limited duration.

• Scenarios explicitly discuss whether collar use is justified compared with alternative strategies.

4. Training centres shall align collar use with local medical governance and emergency response plans, including:

whether collars are stocked and authorised for operational use;

• any specific indications/contra -indications defined by the employer or medical director;

procedures for seeking telemedical or clinical advice.

The ART standard therefore does not mandate routine cervical collar use, but ensures that technicians and instructors understand the limited indications, risks and safe technique where a collar remains part of local practice.

6.

References

1. Zideman DA et al. European Resuscitation Council Guidelines 2021: First Aid.

Resuscitation 2021;161:270 -

290.

2. Singletary EM et al. 2015 International Consensus on First Aid Science With Treatment Recommendations. Circulation 2015;132(16 Suppl 1):S287 -S303.

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