GWO ENHANCED FIRST AID TRAINING STANDARD V02.1 ANNEXES
2020-10-01_TS_EFA_V02.1
The employer is also obligated to ensure appropriate transport which may include public resources in specific cases. Onshore public emergency service facilities are usually available to provide qualified transportation; however, this may not the case with offshore. Delivering EFA must be supported by company/national arrangements ensuring a system for medical teleconsultation: It is a recommendation that the employer has a robust telecommunication system - enabling medical teleconsultation support for EFA. The term 'Teleconsultation' in the context of administering basic and enhanced First Aid should be seen primarily as guidance, support and assistance provided by an emergency-call physician to all first aiders and medical assisters in emergencies (Fig. 1). The goals of teleconsultation are to achieve a qualitative improvement in First Aid and, in the context of enhanced first aiders, to extend the range of potential measures. As such, Teleconsultation should be understood as representing an additional structural element within the existing company rescue service capabilities, aimed at realizing a qualitatively high degree of patient care. EFA trained personnel provide a valuable component to meet this requirement. However, an enhanced first aider is not a medical professional and may have had limited real-life experience in providing medical intervention. Therefore, he/she will require medical teleconsultation and in severe cases support from professional medical responders, e.g. in the use of supraglottic airway devices
Figure 1 - Teleconsultation - support of (enhanced) first aid with respect to qualifications and approval of medication
Teleconsultation can essentially be grouped into the following components:
1) Supporting first and enhanced first aiders in carrying out First Aid measures
2) Diagnosing and determining the indication status of the medical measures taken
3) Monitoring and supervising the measures taken
4) Providing individual as well as psychological support of the (enhanced) first aider
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