2023-05-02_EFA_V5

Safety training

Enhanced First Aid Training Standard

Publication date: 2 May 2023

Safety training

Enhanced First Aid Standard / V5 2023-05-02

CONTENTS

1. LIST OF ABBREVIATIONS .................................................................................................................................................... 4

2. TERMS AND DEFINITIONS .................................................................................................................................................. 4

3. CHANGE LOG...................................................................................................................................................................... 5

4. SCOPE................................................................................................................................................................................. 7

5. GENERAL REQUIREMENTS FOR THE GWO ENHANCED FIRST AID .....................................................................................7

5.1 5.2 5.3 5.4 5.5 5.6 5.7

Target Group

7 7 8 8 9 9 9

Aims and Strategic Objectives Duration of the EFA Standard

Validity Period Course Codes

Participant Prerequisites for the EFA

EFA Maintenance Training

6. GENERAL RESOURCES REQUIRED TO DELIVER ENHANCED FIRST AID STANDARD ............................................................9

6.1 6.2

Instructors

Training Equipment

7. USING THIS STANDARD TO DEVELOP TRAINING..............................................................................................................10

8. MODULE 1 – ENHANCED FIRST AID .................................................................................................................................13

8.1 8.2 8.3 8.4 8.5 8.6

Aims and Objectives for the EFA Module

13 13 13 14 14 16

Duration of the EFA Module EFA Module Participant Ratio Equipment for the EFA Module

EFA Module Timetable

Detailed Description of the EFA Module

Introduction to the training ................................................................................................................................ 16 Risks/hazards/legislation .................................................................................................................................... 20 Anatomy and physiology..................................................................................................................................... 22 Management of an incident (Emergency response) ........................................................................................... 25 Lifesaving and enhanced first aid using primary & secondary survey ................................................................ 28 Pain management and further possible medication........................................................................................... 48 Enhanced first aid exercises (scenario-based training) ....................................................................................... 51 Training review ................................................................................................................................................... 55

ANNEX 1 - EQUIPMENT LIST ........................................................................................................................................................... 57

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ANNEX 2 - EFA GUIDELINE: RECOMMENDATIONS .........................................................................................................................59

ANNEX 3 - VERSION HISTORY ......................................................................................................................................................... 65

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1. LIST OF ABBREVIATIONS

AED

Automatic External Defibrillator

AHA

American Heart Association

ANSI

American National Standards Institute

AS/NZS

Australia and New Zealand Standard

BEFAR

Basic Safety and Enhanced First Aid Training Refresher

BST

Basic Safety Training

BSTR

Basic Safety Training Refresher

CO2

Carbon Dioxide

CPR

Cardiopulmonary Resuscitation

CSA

Canadian Standards Association

EFA

Enhanced First Aid

EFAR

Enhanced First Aid Refresher

European Standards

ERC

European Resuscitation Council

GWO

Global Wind Organisation

ILCOR

International Liaison Committee on Resuscitation

OHS

Occupational Health and Safety

WTG

Wind Turbine Generator

2. TERMS AND DEFINITIONS

Term

Definition

Instructor’s feedback should focus on what the participant must adjust to perform correctly. Feedback may involve dialogue, where the participant reflects on their understanding or performance.

Feedback

Function

Purpose. What is it doing? What can it be used for?

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Group discussion

Learning activity involving all participants. Group discussions may be conducted in smaller groups. The instructor should step back and only interfere to facilitate the experience exchange between participants. Optimal group size is four participants.

Hazard

A hazard is any source of potential damage, harm or adverse health effect on something or someone.

Human factors

Human factors refer to an established science that uses many disciplines (like anatomy, physiology, physics, and biomechanics) to understand how people perform under different circumstances and environments.

Practice

The participants apply what they are learning.

A risk is the chance or probability that a person will be harmed or experience an adverse health effect if exposed to a hazard.

Risk

3. CHANGE LOG

Amendment date

Version

Approved by & date

2 May 2023

GWO 2023

Description of changes

Changes throughout:

New layout

•

GWO Requirements for Training – title updated

•

Section 4: Scope

• Text revised and updated Section 5: General Requirements for the GWO Enhanced First Aid 5.3 Duration of the EFA Standard Modules

• Text updated to clarify instructions 5.6 Participant prerequisites for the EFA

• Replaced text to: All personnel participating must meet the participant prerequisites described in the GWO Requirements for Training. 5.7 EFA Maintenance

Text updated to clarify instructions

•

5.8 Physical demands

Section deleted

•

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Section 7: Understanding the GWO taxonomy Replaced - the section Understanding the GWO taxonomy has been replaced with a referral to the GWO Requirements for Training

Module 1 – Enhanced First Aid

8.2 Duration of the EFA Module

Text updated to clarify instructions

•

8.4 EFA Timetable

Text updated to clarify instructions

•

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4. SCOPE Global Wind Organisation is a non-profit body founded by the wind turbine manufacturers and owners. Our members strive for an injury free work environment in the wind turbine industry, setting common international standards for safety training and emergency procedures. This standard describes the requirements for enhanced first aid training that are recommended by the members of GWO. The standard comprises of one module. GWO recognises trained persons as competent within EFA in the wind industry. GWO accepts the trained person as possessing the required knowledge, skills, and abilities to provide ongoing care to a sick or injured casualty over a short period of time while waiting for professional emergency rescue teams to arrive. This standard has been developed in response to the demand for recognisable Enhanced First Aid (EFA) training in the industry and has been prepared in co-operation between the members of GWO based on risk assessments and factual incident and accident statistics from G+ and the wind industry.

Training is verified through GWO´s WINDA database.

GWO members agree that everyone working on one of their properties (wind turbine generators, sub stations, etc.) shall complete Enhanced First Aid training courses relevant for their assignments. All work shall be done in teams of at least two competent persons. Exemptions from the above can be made based on internal company rules. General feedback on this document can be sent to info@globalwindsafety.org See globalwindsafety.org on how to raise a complaint about a training provider or report a safety incident occurring during training. 5. GENERAL REQUIREMENTS FOR THE GWO ENHANCED FIRST AID 5.1 Target Group Personnel who will be working in the wind industry or related fields, and who will have duties to fulfil in a wind turbine environment, as well as usually being in physical contact with a wind farm environment or an offshore wind structure make up the target group. Personnel that are selected by their employer to perform enhanced first aid onshore or offshore, where training according to the GWO Enhanced First Aid training may enable them to react to incidents and thus mitigate the results of casualties deriving from the identified risks. Annex 2- EFA Guideline: Recommendations, has been developed to assist employers in determining who and how many should take the training. 5.2 Aims and Strategic Objectives Training in accordance with the Enhanced First Aid Standard will enable participants to support and care for others working in the industry by possessing the knowledge, skills, and ability of enhanced first aid. Upon completion of the GWO EFA training, participants will be able to administer safe, effective, and immediate lifesaving and enhanced first

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aid measures to save lives and give assistance in remote areas using advanced emergency equipment and medical teleconsultation. 5.3 Duration of the EFA Standard The total contact time for completing the stand alone EFA training module is 21 hours and 0 minutes. This is based on the times given in the module timetable and summarised in table 5.3.1 (below).

The training provider must not exceed the time per day given in table 5.3.2 (below).

Modules

Duration

Enhanced First Aid

21 hours 0 minutes

Table 5.3.1 – Duration of the GWO Enhanced First Aid Module

Maximum Duration Per Day

Contact time

8 hours

Total training day

10 hours

Table 5.3.2 – Maximum durations for training days

Note

Contact time includes delivery of course lesson content, practical exercises and activities directly related to these. The total training day includes contact time, meals and breaks and travel between training sites (where applicable).

Within the module timetable, approximate durations for each of the lessons are given. The training provider may choose to deliver elements of the training according to other timetables, as long as the total duration is not reduced, and practical elements are not reduced in length. Theoretical elements may be delivered during the practical exercises when feasible.

If a participant fails to meet the demands of the EFA Standard, they shall attend a new EFA training.

5.4 Validity Period EFA Standard training is valid for the period stated in the table below. Certificates and training records shall be renewed before the end of a given validity period. A certificate or training record can be renewed up to two months prior to expiry and maintain the original certification date by uploading the previous certificates valid until date in WINDA. A participant is only allowed to attend a refresher course in the EFA Standard training prior to the date of expiry on the current certificate or training records.

If a certificate or training record is renewed outside of two months of expiry, it must carry the new date of certification.

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If a certificate is or training record is expired, the participant must attend the applicable full Enhanced First Aid Training to obtain a new training record.

The validity period is automatically calculated by WINDA by entering the course completion date.

Course/module

Certificate Validity (Months)

Enhanced First Aid

24 months

Table 5.4.1 – Validity period of EFA certificate

5.5 Course Codes

Module

Course Code

Enhanced First Aid

EFA

First Aid

Table 5.5.1 – GWO Enhanced First Aid course code

GWO Enhanced First Aid training is an extension of the GWO FA training. Therefore, on completion of the GWO EFA standard, the participant will be eligible to receive both the GWO FA certificate and the GWO EFA certificate. 5.6 Participant Prerequisites for the EFA All personnel participating must meet the participant prerequisites described in the GWO Requirements for Training. 5.7 EFA Maintenance Training The GWO EFA training is to be maintained with at least two training days supported by relevant drills and exercises within 24 months of completing the EFA ref. Annex 2: EFA Guideline: Recommendations. 6. GENERAL RESOURCES REQUIRED TO DELIVER ENHANCED FIRST AID STANDARD The training provider shall ensure that instructors, facilities, and equipment are in place to support the training of participants. 6.1 Instructors The instructor shall possess appropriate qualifications and experience to ensure that all training and supportive activities are carried out in accordance with current legislation and/or local guidelines and current version of GWO’s Requirements for Training.

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Instructors must be:

1. Trained in instructional/lecture techniques and/or have documented instructional/ teaching experience

2. Able to provide documented evidence of continual professional development (in accordance with national guidelines/professional requirements)

Included in an ongoing familiarisation programme consisting of either:

a. Visits to on-shore and/or off-shore WTGs (tower, nacelle, hub) prior to instructing the Enhanced First Aid Standard, to enable them to maintain and update skills related to the GWO courses they instruct, or b. Alternative ways of ensuring familiarisation with the wind turbine working environment and updated skills related to Enhanced First Aid Standard 4. Able to demonstrate competencies in enhanced first aid/pre-hospital emergency care through experience or internal staff development

5. Competently trained in the use of airway adjuncts, pain relief and advanced first aid equipment

Knowledge of medical teleconsultation

7. All instructors shall possess the appropriate competencies to conduct/assist the elements of training they have been assigned to 6.2 Training Equipment The required equipment for training is shown in Annex 1 and shall be available and shall fulfil national legal requirements in the country where the training is taking place. The equipment shall be maintained, inspected, and tested in accordance with current national legislation and manufacturers’ recommendations. Risk assessments shall be conducted and documented for all training equipment. The training provider shall hold the required permits to operate relevant equipment. When teaching about equipment, a generic approach to shall be applied aiming to avoid additional potential product specific formal training after completion of this training. However, national or regional legislation, company gap analysis and location specific risk assessments may require additional product specific familiarisation which is the responsibility of the duty holder. 7. USING THIS STANDARD TO DEVELOP TRAINING The training in this standard is designed around the GWO taxonomy described in the GWO Requirements for Training. Theoretical and practical activities must be delivered according to the defined taxonomic level in order to reach the described learning objectives.

In addition to this, all training based on this standard including all related resources shall, as a minimum, meet the requirements described in the GWO Requirements for Training.

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Enhanced First Aid Module

(EFA)

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8. MODULE 1 – ENHANCED FIRST AID 8.1 Aims and Objectives for the EFA Module

The aim of the module is to enable the participants to support and care for others working in the industry and to provide ongoing care to an ill or injured casualty over a short period of time while waiting for professional emergency rescue teams to arrive.

Overall learning objectives for the EFA module:

1) Participants can take responsibility for administering safe, effective, and immediate lifesaving and enhanced first aid measures in an emergency in a wind turbine generator (WTG) environment (Ability, intermediate level) 2) Participants can act independently in giving assistance in remote areas using advanced emergency equipment and medical teleconsultation (Ability, intermediate level)

8.2 Duration of the EFA Module The total contact time for completing this module is 21 hours and 0 minutes . This is based on the times given in the module timetable.

The training provider must not exceed the times per day given in table 8-2.1 below.

Maximum Duration Per Day

Contact time

8 hours

Total training day

10 hours

Table 8.2.1 – Maximum durations for training day

Note

8.3 EFA Module Participant Ratio The ratio shown for theory sessions indicates the maximum number of participants per instructor attending the course.

Practical ratios indicate the maximum number of participants to be supervised by an instructor during each activity.

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Module

Session Theory Practical

Instructor to Participant Ratio

1:12

EFA module

1:6

Table 8.3.1 – GWO EFA Module instructor to participant ratio

8.4 Equipment for the EFA Module The equipment required for training as listed in Annex 1 must be available and must fulfil national legal requirements as listed in Annex 1 where applicable. 8.5 EFA Module Timetable The delivery of this module must comply with the requirements described in the GWO Requirements for Training.

Lesson

Element

Duration

Introduction to the training

1.1 1.2 1.3 1.4 1.5 1.6 1.7

Safety instructions and emergency procedures

Facilities

Introductions

Scope and main learning objectives

Ongoing assessment (participant assessment form)

Motivation

Human factors TOTAL Risks and hazards

15 min.

Risks/Hazards/Legislation

2.1 2.2

First aid guidelines and emergency plans TOTAL

15 min.

Anatomy and Physiology

3.1 3.2 3.3

Life conditions for the human body

Structure, functions, and signs – the human body Serious and minor injuries – signs, symptoms, and functions TOTAL Safety awareness and personal protection equipment in an emergency situation

30 min.

Management of an incident (emergency response)

4.1

4.2 4.3

Management of an incident

Emergency rescue teams and medical teleconsultation TOTAL

40 min.

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5.1 5.2 5.3 5.4 5.5 5.6 5.7 5.8 5.9

The “C” in the A-B-C-D-E principle

Lifesaving and enhanced first aid using primary and secondary survey

Primary survey

“C” catastrophic bleeding

“A”: Airway

“B”: Breathing – cardiopulmonary resuscitation (CPR)

“C”: Circulation “D”: Disability

“E”: Environment / exposure

Secondary survey

5.10

Damage and poisoning through contact with chemical / biological substances

5.11 5.12 5.13 5.14 5.15 5.16 5.17

Eye injuries

Broken bones and injuries to joints/muscles

Burns

Bites and stings Significant injuries Significant illness

Psychological First Aid TOTAL

675 min

Pain management and further possible medication

6.1 6.2

Application algorithm of pain management

Further possible medication TOTAL Practice first aid techniques

50 min

EFA Exercises (Scenario-based training)

7.1 7.2

Debriefing TOTAL

420 min

Training review

8.1 8.2

Training review Feedback session TOTAL

15 min

GRAND TOTAL

1260 min.

Table 8.5.1 – GWO EFA Module timetable

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8.6 Detailed Description of the EFA Module

Note

The administrative part of the registration should be carried out before the course commences

INTRODUCTION TO THE TRAINING

15 min.

The aim of this lesson is for the participants to be motivated and to engage in the training safely at a training facility, while recognising what is expected of them during the training.

After having successfully completed this lesson, the participants can:

1) Recognise what is expected of them throughout the module (Knowledge, basic level)

2) Name and point out local emergency procedures and facilities (Knowledge, basic level)

3) Discuss the relevant human factors and explain their implications (Knowledge, intermediate level)

ELEMENT 1.1 - SAFETY INSTRUCTIONS AND EMERGENCY PROCEDURES

Learning objective:

4) The participants show interest and curiosity in the safety and emergency procedures at the training facility (Ability, basic level)

The instructor shall:

Explain and ask involving questions aiming at:

safety instructions according to internal procedures

b. emergency procedures and emergency exits in the areas where the participants can be expected to be located during the course

The participants shall:

Engage in answering questions on local safety and emergency procedures

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ELEMENT 1.2 - FACILITIES

Learning objective:

5) The participants can recognise the location of facilities at the training location (Knowledge, basic level)

The instructor shall:

Present a general description of the facilities at the training location (Administration, dining area, restrooms, toilets, etc)

Alternative activity: tour of the facilitates

The participants shall:

Note relevant facilities and ask questions when in doubt

ELEMENT 1.3 - INTRODUCTIONS

Learning objective:

6) The participants show interest in fellow participants and the course content and design (Ability, basic level)

The instructor shall:

Explain and ask involving questions about the EFA Module programme, including breaks and mealtimes

Give a short introduction to themselves, including their backgrounds as instructors

Ask for participants’ expectations of the training and their learning and development

The participants shall:

Give a short introduction to themselves, including job function and expected primary geographic work location and share expectations on the training

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ELEMENT 1.4 - SCOPE AND MAIN LEARNING OBJECTIVES

Learning objective:

7) The participants can recognise the scope and main objectives of the EFA Module (Knowledge, basic level)

The instructor shall:

Present the scope and main learning objectives of the EFA Module

Present examples and personal experiences related to enhanced first aid

Ask the participants involving questions about their personal experiences related to enhanced first aid

The participants shall:

Engage in answering questions and share experiences related to enhanced first aid

ELEMENT 1.5 - ONGOING ASSEESSMENT (PARTICIPANT ASSESSMENT FORM)

Learning objective:

8) The participants can recognise the assessment procedure and the aim of the ongoing assessment (Knowledge, basic level)

The instructor shall:

Explain the reasons for the ongoing assessment

Explain the layout of the GWO participant assessment form and how it will be used

The participants shall:

Engage in discussions and ask questions when in doubt in relation to the assessment procedure

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ELEMENT 1.6 - MOTIVATION

Learning objective:

9) The participants show interest and willingness to engage in the learning activities (Ability, basic level)

The instructor shall:

Explain and lead a discussion on:

the importance of personal involvement in the course

b. the definition and need for correct basic and enhanced first aid

the chain of survival

The participants shall:

Engage in discussions and share understandings

Ask clarifying questions about any doubts or concerns about the course

ELEMENT 1.7 - HUMAN FACTORS

The aim of the element is to draw the participants’ attention on how human performance and taking responsibility influences a safe work environment, and to prepare for the continued focus on human factors during practical training and exercises.

Learning objectives:

10) The participants can describe the relevant human factors, and their implications (Knowledge, basic level)

11) The participants show interes t and willingness to focus on human factors during the following practical exercises (Ability, basic level)

The instructor shall:

Present how human factors influence accidents in the wind industry. Relevant statistics may be applied

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Lead a discussion about the role of the individual in improving human behaviours and how this can improve the safety of wind industry operations Ensure that constructive feedback on the participants’ performance involve human factors criteria when these are defined in the learning objective, such as the ability to take responsibility or to act independently

Facts and Human Factors Criteria:

The consequences of human factors in accidents in the wind industry are influenced by the following terms and conditions:

attention and perception

group behaviour and peer pressure

weather conditions

weather delays

noise levels

site layout and housekeeping

fitness and health

domestic and work-related stress

workload (both overload and underload)

fatigue

time pressure and deadlines

alcohol, medication, and substance abuse

The participants shall:

Engage in discussions and share experiences on how human factors influence accidents when working in the wind industry, engage in and reflect on received feedback and take responsibility on their own performance and development during the training

RISKS/HAZARDS/LEGISLATION

15 min.

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The aim of this lesson is to enable the participants to mitigate the risks and hazards in remote areas with dangerous locations/tasks. Additionally, this lesson will enable participants to comply with national/local-specific and company- specific aspects relating to administering enhanced first aid.

After having successfully completed this lesson, the participants can:

12) Show interest in risks and hazards relating to remote areas with dangerous locations/tasks and applicable legislation relating to enhanced first aid (Ability, basic level) 13) Show interest in the importance of carrying out basic and enhanced first aid in a safe and sound manner. This must be in accordance with the legislative requirements of their geographic location and the international first aid guidelines (Ability, basic level)

ELEMENT 2.1 - RISKS AND HAZARDS

Learning objective:

14) The participants can explain risks and hazards relating to remote areas with dangerous locations/tasks (Knowledge, intermediate level)

The instructor shall:

Lead a group discussion about risks and hazards involved in an incident relevant for job functions within the wind industry for example, difficulties in management of accidents /emergencies /survival in remote areas

Note

Reference current G+ incident and national statistics as applicable

Lead a group discussion about dependency on site organisation, types of activity, work location and personnel

onshore

offshore

remote areas in general

Give constructive feedback to the participants’ group discussions

The participants shall:

Engage in the group discussions and share understandings about risks and hazards relating to remote areas with dangerous locations/tasks

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Receive and reflect on the instructor’s feedback

ELEMENT 2.2 - FIRST AID GUIDELINES AND EMERGENCY PLANS

Learning objective:

15) The participants can describe various first aid guidelines (e.g., ILCOR, ERC, AHA and company OHS strategy) in the context of (enhanced) first aid in a WTG environment and emergency plans (Knowledge, basic level)

The instructor shall:

Present basic life support guidelines such as from ERC and AHA

Present various emergency plans of companies, depending on national regulations

Ask the participants involving questions about the basic life support guidelines and various emergency plans of companies

Present an overview of relevant national legislation where applicable

The participants shall:

Engage in the group discussions and share understandings about the basic life support and other relevant medical guidelines, various emergency plans of companies and applicable legislation.

ANATOMY AND PHYSIOLOGY

30 min.

The aim of this lesson is to enable the participants to identify normal function, normal vital signs and signs, functions and symptoms of injuries and sickness related to the human body.

After having successfully completed this lesson, the participants can:

16) Solve the challenge of identifying normal function, normal vital signs and signs, functions and symptoms of injuries and sickness related to the human body (Ability, basic level)

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ELEMENT 3.1 - LIFE CONDITIONS FOR THE HUMAN BODY

Learning objective:

17) The participants can describe normal life conditions for the human body (Knowledge, basic level)

The instructor shall:

Present examples of normal life conditions for the human body:

human cells and life conditions

cells and oxygen (O 2 )

role of carbon dioxide (CO 2 ) in cells

vital organs and their requirements

Ask the participants involving questions about the examples of normal life conditions for the human body

The participants shall:

Engage in answering the questions and share understandings about examples of normal human life conditions for the human body

ELEMENT 3.2 - STRUCTURE, FUNCTIONS AND SIGNS – THE HUMAN BODY

Learning objective:

18) The participants can describe vital systems of the human body in relation to first aid in emergency situations in a WTG environment (Knowledge, basic level)

The instructor shall:

Present the structure, functions, and signs of the following vital systems of the human body in relation to first aid in emergency situations in a WTG environment:

nervous system;

a.i anatomy, structure, functions, and normal signs

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a.ii threats to the nervous system

respiratory system;

b.i anatomy, structure, functions, and normal signs

b.ii threats to the respiratory system

circulatory system;

c.i

anatomy, structure, functions, and normal signs

c.ii threats to the circulatory system

other systems and vital organs of the human body;

d.i anatomy of the vital organs

d.ii structure and functions

d.iii threats to the vital organs

Ask the participants involving questions about the structure, functions, and signs on vital systems of the human body in relation to first aid in emergency situations

The participants shall:

Engage in the answering the questions and share understandings about the structure, functions, and signs on vital systems of the human body in relation to first aid in emergency situations

ELEMENT 3.3 - SERIOUS AND MINOR INJURIES – SIGNS, SYMPOTOMS, AND FUNCTIONS

Learning objective:

19) The participants can distinguish between normal and abnormal signs, symptoms of serious and minor injuries in first aid situations (Skills, intermediate level)

The instructor shall:

Explain and show examples of how to detect abnormal signs and symptoms of serious injuries to the:

nervous system

respiratory system

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circulatory systems

other systems and organs

Explain and show examples of how to detect abnormal signs and symptoms of minor injuries to the:

nervous system

respiratory system

circulatory system

other systems

Facilitate practice for the participants in how to recognise abnormal signs and symptoms, and distinguish between serious and minor injuries

Give constructive commentary on the participants’ performance throughout this practice

The participants shall:

Practise how to recognise abnormal signs and symptoms and distinguish between serious, and minor, injuries

Receive and reflect on the instructor´s feedback

MANAGEMENT OF AN INCIDENT (EMERGENCY RESPONSE)

40 min.

The aim of this lesson is to enable participants to manage emergencies (accident/illness) in remote areas.

After having successfully completed this lesson, the participants can:

20) Take responsibility for the management of emergencies (accident/illness) in remote areas (Ability, intermediate level) 21) Act independently in requesting immediate medical/rescue assistance providing a concise and relevant report of the casualty’s condition (Ability, intermediate level) 22) Take responsibility for requesting telemedical consultation and medical/rescue assistance providing a concise and relevant report of the casualty’s condition and obtaining medical advice to further stabilise the casualty by using by using telemedical consultation according to local emergency response plans (Ability, intermediate level)

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ELEMENT 4.1 - SAFETY AWARENESS AND PERSONAL PROTECTION EQUIPMENT IN AN EMERGENCY SITUATION

Learning objectives:

23) The participants can explain how to act and what to be aware of as an enhanced first aider in a WTG (Knowledge, intermediate level) 24) The participants can explain how to spot, mitigate, or manage hazardous situations for the rescuer and the victim(s) in an emergency situation (Knowledge, intermediate level) 25) The participants can explain how to use first aid measures with regard for personal protection (Knowledge, intermediate level) 26) The participants can explain the fundamentals of psychological care in first aid situations (Knowledge, intermediate level).

The instructor shall:

Facilitate group discussions about:

a. appropriate safety behaviour and awareness as an enhanced first aider in a WTG

b. how to spot and mitigate or manage hazardous situations for the rescuer and the victim(s) in an emergency situation c. safety and personal protection for all persons involved in an accident including universal precautions (e.g. personal protective equipment) against infections; protection and use of barriers in emergency situations d. the fundamentals of psychological care in first aid situations (e.g. colleagues, loneliness, unusual emergency situations)

The participants shall:

Engage in the above discussions and share their experiences

ELEMENT 4.2 - MANAGEMENT OF AN INCIDENT

Learning objectives:

27) The participants can describe how to follow an efficient and approved first aid structure and assess and manage an incident (Knowledge, basic level)

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28) The participants can describe how to call for help both onshore and offshore and recognise the challenges in remote environments (Knowledge, basic level) 29) The participants can take responsibility for the rescue of injured persons and their removal from the immediate hazard area to the nearest safe location (Ability, intermediate level)

The instructor shall:

Explain how to follow an efficient and approved first aid structure

Ask the participants relevant questions about how to follow an efficient and approved first aid structure

Explain the assessment and management of an incident

Facilitate a group discussion on methods on calling for help both onshore and offshore

The participants shall:

Discuss and understand how to follow an efficient and approved first aid structure

Discuss the importance of assessing and managing incidents

Take part in a group discussion on methods on calling for help both onshore and offshore and how to obtain telemedical advice and challenges associated e.g. poor communication skills, lack of signal, language barrier The participants can recognise the importance of raising the alarm early and recognising a life-threatening emergency

ELEMENT 4.3 - EMERGENCY RESCUE TEAMS AND MEDICAL TELECONSULTATION

Learning objective:

30) The participants can describe the functions and possible support from emergency rescue teams in WTG environments (Knowledge, basic level)

The instructor shall:

Lead a discussion on:

a. functions of emergency rescue teams (internal onsite or external as part of the chain of survival)

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b. External professional emergency rescue teams, the skills required, and the challenges associated

Outline the importance of providing ongoing care and assessment while waiting for professional help to arrive

Explain the means and use of medical teleconsultation focusing on the current and future applicability and technical infrastructure Facilitate a group discussion on how to obtain telemedical advice and challenges associated e.g. poor communication skills, lack of signal, language barrier

Ask the participants involving questions about the means and use of medical teleconsultation

Explain the administering of first aid measures via medical teleconsultation

Ask the participants involving questions about the administering of first aid measures via medical teleconsultation

The participants shall:

Take part in a group discussion on:

a. functions of emergency rescue teams (internal onsite or external as part of the chain of survival)

b. External professional emergency rescue teams, the skills required, and the challenges associated

Engage in providing ongoing care and assessment while waiting for professional help to arrive

Participate in a group discussion on:

a. the means and use of medical teleconsultation focusing on the current and future applicability and technical infrastructure b. how to obtain telemedical advice and challenges associated e.g., poor communication skills, lack of signal, language barrier,

the means and use of medical teleconsultation

d. following first aid instruction via medical teleconsultation

LIFESAVING AND ENHANCED FIRST AID USING PRIMARY & SECONDARY SURVEY

675 min.

The aim of this lesson is to enable the participants to follow a methodical sequence to identify and treat life threatening, time critical injuries and sicknesses in a wind industry environment.

After having successfully completed this lesson, the participants can:

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31) Take responsibility for delivering immediate enhanced first aid to stabilise the casualty, to include but not limited to: (Ability, intermediate level)

a. using standardised methodologies, specifically the primary and secondary survey - based on the "C" in the A-B-C-D-E principle

b. stopping life-threatening bleeding

c. establishing and maintaining an airway

d. resuscitation and the use of automated external defibrillator (AED) according to the indications

e. using basic and advanced first aid equipment in a first aid scenario

32) Take responsibility for assessing the casualty, for injury or acute illness, to determine if external medical advice and support is required; (Ability, intermediate level). To include but not limited to:

a. life threatening bleeding, circulatory disorder

b. impaired consciousness

c. compromised airway, breathing, too slow or too fast

d. immediate life-threatening illness and other health problems, especially with severe pain

ELEMENT 5.1 - THE “C” IN THE A-B-C-D-E PRINCIPLE

Learning objectives:

33) The participants can explain the principles of primary and secondary survey (Knowledge, intermediate level)

34) The participants can assess a casualty using the primary and secondary survey Knowledge, advanced level)

The instructor shall:

Explain the “C” in the A-B-C-D-E principle in detail

Demonstrate the procedure of primary and secondary survey using the “C” in the A-B-C-D-E principle

Ask the participants involving questions on their understanding of the procedures of primary and secondary surveys

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The participants shall:

Engage in answering questions and share experiences on the “C” in the A-B-C-D-E principle and procedures of primary and secondary surveys

ELEMENT 5.2 - PRIMARY SURVEY

Learning objective:

35) The participants can perform a safe approach and initial assessment of the casualty (Skills, intermediate level)

The instructor shall:

Demonstrate and explain conditions and procedure of primary survey comprising:

a. assessment of risks and threats for first aider and victim

safety awareness

rescue measures

emergency call

Facilitate an exercise on:

a. first approach using the “C” in the A-B-C-D-E principle to identify and treat life threatening time critical injuries and illness

b. how to check for response. Use ‘AVPU’ (Alert, Voice, Pain, Unresponsive)

Give constructive feedback to the participants on their performance

The participants shall:

Engage in the exercise and practise safe approach and initial assessment of the casualty

Receive feedback on their performance

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ELEMENT 5.3 - “C” – CATASTROPHIC BLEEDING

Learning objective:

36) The participants can act independently and take responsibility of treating catastrophic external bleeding “C” (Ability, intermediate level)

The instructor shall:

Explain how to recognise catastrophic bleeding

Explain and demonstrate a stepwise approach to control the catastrophic external bleeding e.g. direct pressure, tourniquets, haemostatic agents/wound packing

Explain and demonstrate control of catastrophic external bleeding

Ask the participants involving questions about the recognition and control of catastrophic external bleeding

Facilitate an exercise on the correct treatment of a casualty with catastrophic external bleeding including the use of available first aid equipment

direct pressure

pressure dressings

tourniquets

haemostatic agents/wound packing

Give constructive feedback to the participants on their treatment of a casualty with catastrophic external bleeding including the use of available first aid equipment

The participants shall:

Engage in answering the questions about haemostasis of catastrophic external haemorrhage, threat and detection of catastrophic bleeding, and haemostasis using algorithm-oriented procedure Participate in the exercise and practise the treatment of a casualty with catastrophic external bleeding including the use of available first aid equipment:

direct pressure

pressure dressings

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tourniquets

haemostatic agents/wound packing

Receive and reflect on the instructor´s feedback

ELEMENT 5.4 - “A”: AIRWAY

Learning objective:

37) The participants can act independently in delivering the correct first aid for obstruction of airways i.e. establish and maintain an airway, including the use of the recovery position. (Ability, intermediate level)

The instructor shall:

Explain and demonstrate:

a. obstruction of airways e.g. tongue, vomit, foreign object, choking, etc. first aid to an unresponsive, breathing casualty

head tilt/chin lift and jaw thrust techniques

placing of a casualty in the recovery position

Facilitate exercises for the participants in:

a. checking and opening airways (head tilt/chin lift and jaw thrust techniques)

b. airway obstruction (removal of foreign objects and choking procedure)

recovery position (one or more first aiders)

d. correct treatment of a casualty with an obstructed airway following a step wise approach according to national/regional guidelines and best practice (as permitted by company/national regulations)manual airway opening (head tilt/chin lift, jaw thrust)

d.i use of manual suction

d.ii use of an oropharyngeal airway (OPA, Guedel)

d.iii use of a nasopharyngeal airway (NPA)

d.iv use of a supraglottic airway device e.g. I-gel, laryngeal tube

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