1 Table of contents 115

10032026 EFA V6

1. List of Abbreviations		4
2. Terms and Definitions		4
3. Change Log		5
4. Scope		5
5. General Requirements for the GWO Enhanced First Aid		6
5.1 Target Group		6
5.2 Aims and Strategic Objectives		6
5.3 Duration of the Enhanced First Aid Module		6
5.4 Validity Period		7
5.5 Course Codes		8
5.6 Participant Prerequisites for the Enhanced First Aid		8
5.7 Enhanced First Aid Maintenance Training		8
6. General Resources Required to Deliver Enhanced First Aid Standard		8
6.1 Instructors		8
6.2 Training Equipment		9
7. Using this Standard to Develop Training		10
8. Enhanced First Aid Initial Training		12
8.1 Aims and Objectives for the Enhanced First Aid Initial Training		12
8.2 Duration of the Enhanced First Aid Initial Training		12
8.3 Enhanced First Aid Initial Training Participant Ratio		12
8.4 Equipment for the Enhanced First Aid Initial Training		13
8.5 Enhanced First Aid Initial Training Timetable		13
8.6 Detailed Description of the Enhanced First Aid Initial Training		15
Lesson 1 - Introduction to the training		15
ELEMENT 1.1 - Safety instructions and emergency procedures		15
ELEMENT 1.2 - Facilities		16
ELEMENT 1.3 - Introductions		16
ELEMENT 1.4 - Scope and main learning objectives		17
ELEMENT 1.5 - Ongoing asseessment (participant assessment form)		17
ELEMENT 1.6 - Motivation		18
ELEMENT 1.7 - Human factors		18
Lesson 2 - Risks/hazards/legislation		20
ELEMENT 2.1 - Risks and hazards		20
ELEMENT 2.2 - First aid guidelines and emergency plans		21
Lesson 3 - Anatomy and physiology		21
ELEMENT 3.1 - Life conditions for the human body		22
ELEMENT 3.2 - Structure, functions and signs – the human body		22
ELEMENT 3.3 - Serious and minor injuries – signs, sympotoms, and functions		23
Lesson 4 - Management of an incident (Emergency response)		24
ELEMENT 4.1 - Safety awareness and personal protection equipment in an emergency situation		25
ELEMENT 4.2 - Management of an incident		26
ELEMENT 4.3 - Emergency rescue teams and medical teleconsultation		27
Lesson 5 - Lifesaving and Enhanced First Aid Using Primary and Secondary Survey		28
ELEMENT 5.1 - The “C” in the A-B-C-D-E principle		29
ELEMENT 5.2 - Primary survey		29
ELEMENT 5.3 - “C” – Catastrophic bleeding		30
ELEMENT 5.4 - “A”: Airway		31
ELEMENT 5.5 - “B”: Breathing – cardiopulmonary resuscitation (cpr)		32
ELEMENT 5.6 - “C”: Circulation		35
ELEMENT 5.7 - “D”: Disability		37
ELEMENT 5.8 - “E”: Environment/exposure		38
ELEMENT 5.9 - Secondary survey		39
ELEMENT 5.10 - Damage and poisoning through contact with chemical/biological substances		40
ELEMENT 5.11 - Eye injuries		40
ELEMENT 5.12 - Broken bones and injuries to jointS/muscles		41
ELEMENT 5.13 - Burns		42
ELEMENT 5.14 - Bites anD stings		43
ELEMENT 5.15 - Significant injuries		43
ELEMENT 5.16 - Significant illness		45
ELEMENT 5.17 - Psychological first aid		47
Lesson 6 - Pain management and further possible medication		48
ELEMENT 6.1 - Application algorithm of pain management		48
ELEMENT 6.2 - Further possible medication		50
Lesson 7 - Enhanced first aid exercises (scenario-based training)		51
ELEMENT 7.1 - Practice first aid techniques		52
ELEMENT 7.2 - Debriefing		54
Lesson 8 - Training review		54
ELEMENT 8.1 - Training review		55
ELEMENT 8.2 - Feedback session		55
9. Enhanced First Aid - Refresher Training		57
9.1 Aims and objectives of the Enhanced First Aid Refresher Training		57
9.2 Duration of the Enhanced First Aid Refresher Training		57
9.3 Enhanced First Aid Refresher Training Participant Ratio		57
9.4 Equipment for the Enhanced First Aid Refresher Training		58
9.5 Enhanced First Aid Refresher Training Timetable		58
9.6 Participant Prerequisites for Enhanced First Aid Refresher Training		60
9.7 Detailed Description of the Enhanced First Aid Refresher Training		60
Lesson 1 - Introduction to the training		60
ELEMENT 1.1 - Safety instructions and emergency procedures		60
ELEMENT 1.2 - Facilites		61
ELEMENT 1.3 - Introduction		61
ELEMENT 1.4 - Scope and main learning objectives		62
ELEMENT 1.5 - Ongoing assessments (Participant assessment form)		62
ELEMENT 1.6 - Motivation		63
ELEMENT 1.7 - Human factors		63
Lesson 2 - Risks/Hazards/Legislation		65
ELEMENT 2.1 - Risk and hazards		65
ELEMENT 2.2 - First aid guidelines		66
Lesson 3 - Anatomy and Physiology		67
ELEMENT 3.1 - The human body’s life conditions, structures, functions and signs		67
Lesson 4 - Incident Management, Emergency Response & Teleconsultation		69
ELEMENT 4.1 - Safety awareness and personal protection equipment in an emergency situation		69
ELEMENT 4.2 - Management of an incident		70
ELEMENT 4.3 - Methods on calling for help both onshore and offshore Emergency rescue teams and medical teleconsultation		71
Lesson 5 - Lifesaving & Enhanced First Aid using primary & secondary survey		72
ELEMENT 5.2 - The "C"- A-B-C-D-E- principle		73
ELEMENT 5.3 - Primary survey		73
ELEMENT 5.4 - "C" Catastrophic Bleeding		74
ELEMENT 5.5 - “A”: Airway		75
ELEMENT 5.6 - “B”: Breathing - Cardiopulmonary Resuscitation (CPR)		76
ELEMENT 5.7 - “C”: Circulation		79
ELEMENT 5.8 - “D”: Disability		81
ELEMENT 5.9 - “E”: Environment/exposure		81
ELEMENT 5.10 - Secondary survey		82
ELEMENT 5.11 - Damage and poisoning through contact with chemical/biological substances		83
ELEMENT 5.12 - Eye injuries		84
ELEMENT 5.13 - Broken bones and injuries to joints/muscles		85
ELEMENT 5.14 - Burns		85
ELEMENT 5.15 - Bites and stings		86
ELEMENT 5.16 - Significant injuries		87
ELEMENT 5.17 - Significant illness		88
ELEMENT 5.18 - Psychological first aid		90
Lesson 6 - Pain management and further possible medication		91
ELEMENT 6.1 - Application algorithm of pain management		92
ELEMENT 6.2 - Further possible medication		93
Lesson 7 - Enhanced first aid refresher exercises (scenario-based training)		93
ELEMENT 7.1 - Practice first aid techniques		94
ELEMENT 7.2 - Debriefing		96
Lesson 8 - Training review		97
ELEMENT 8.1 - Training review		97
ELEMENT 8.2 - Feedback session		97
Annex 1 - Equipment list		100
Annex 2 - EFA Guideline: Recommendations		102
Annex 3 - Version History		108

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