. Welcome – Note: If you wish to skip the introduction (2nd part of the course only) click on the Driver Link Training logo in the top right of the screen.

. Welcome – Note: If you wish to skip the introduction (2nd part of the course only) click on the Driver Link Training logo in the top right of the screen. Greet all delegates as they arrive, making them feel welcome and inform them of what they need to do

Emergency Exit and Assembly Points
Fire alarms are tested on Fridays, in case of an emergency, please walk the safest route to outside, assembly points are outside the main gate. Emergency Exit and Assembly Points Explain emergency exits and assembly points

Washroom Facilities Washroom Facilities
Explain where the rest rooms are located

Smoking Facilities Smoking Facilities
Site specific rules on smoking areas, explain where the smoking facilities are

Mobile Phones Please switch off your mobile phones or any other electronic devices. Mobile Phones Remind all delegates to switch their mobile phones on silent, or off

Refreshments Refreshments
Do you have refreshments available? If so, where?

Break Times Today we will take 3 breaks, 15 minutes in the morning, 30 minutes for lunch and then 15 minutes in the afternoon. Break Times Explain your intended break times

Fair Processing Note Driver Link Training, and its Consortium are bound by The Data Protection Act 1998 We are required to gather certain information for the purpose of uploading Periodic Training hours to the DVSA database. External auditors may require to see these documents from time to time Fair Processing Explain that delegate details will not be shared with any 3rd party, the reason they are collated is to upload Driver CPC hours to the DVSA. Should an auditor from JAUPT or DSA be present, he/she may require to look at these documents We will NOT share your information with any other party other than for the purpose stated above.

Compliance You can check that we have recorded your Periodic Training hours by visiting the following website; You must complete 7 hours training in order for these hours to be uploaded to your licence, anything less is fraudulent and will not qualify 7 hours can be broken in to 2 x 3.5 hour sessions providing they are within 24 hours. Compliance Explain to delegates that they can check we are completing the job we are paid to do by the web address given. Ensure drivers understand that this is a 7 hour course, anything less is fraudulent

Your Participation Qwizdom icons in the top right corner of the screen indicate an electronic question Pencil icons in the top right corner of the screen indicate a paper exercise Your Participation Cue indicators are inserted in to the top right of the presentation to indicate an interactive slide by whichever method stated. Pencil icons will be accompanied by an Annex which will be stated in the instructor notes. Speech bubble icons indicate an interactive slide, use the mouse to click where you think the answer is.

Your Participation Hold the Power button to switch on your Q6 remote
Enter your unique ID number using the number keys Your Participation Step by step log each delegate on to his/her handset and ensure each delegate is logged on with his/her own unique ID number. Don’t forget to pre register names prior to the course started to get the full benefit of Qwizdom Press join Your remote should now read ‘Ready’

Your Participation To answer a question, use the up and down arrows to highlight your chosen answer Then Press Send Your Participation Ensure all delegates understand how to use the hardware. Take this time to explain how to answer questions

Complaints In the unlikely even that you feel aggrieved by this training, you are entitled to follow the Complaints Procedure You can obtain information on this procedure by telephoning and asking for Kevin Allen, or ; Complaints Candidates are entitled to complain and follow Driver Link Trainings procedure. If the procedures cannot be resolved internally, then candidates must be made aware that they have an organisation above to write to

Course Objectives . Course Objectives
What are the course objectives, other than 7 hours periodic training, what do the delegates hope to get out of it?

Any Questions…? Questions?
Does everybody understand? Are there any questions before continuing?

Overview Statistics Title Slide
This slide outlines upcoming slides. Use this time for a short comfort break if it helps keep attention focused

Statistics – GB Road Deaths
According to the DfT’s most recent National Road Traffic Survey released in June 2016, there were 23,869 people killed or seriously injured on UK roads in 2015 As a percentage, what kind of numbers do you think were occupied by the following? Statistics – GB Road Deaths Intro in to the upcoming slides, look to the delegates for answers

Pedestrians 22.41% Pedal Cyclists 13.99% Motorcycle Users 22.63% Car Occupants 36.20% Bus & Coach Occupants 1.17% Statistics – GB Road Deaths DfT official stats in relation to road deaths on UK roads in Slide finishes on 2.62%, the next slide asks why bus and coach occupants is significantly lower than other road users Goods Vehicle Occupants 2.62%.

Why is it do you think that the numbers are significantly lower for bus, coach and LGV occupants? Statistics – GB Road Deaths Answers may include because of the size of the vehicles

In What percentage of fatal accident do you think happened in Built Up areas? In What percentage of fatal accident do you think happened in Rural areas? In What percentage of fatal accident do you think happened on motorways? Statistics – GB Road Deaths Official DfT stats as to where fatal accidents occured by road type

Fatalities by TC Area Regions: 2015
North East: 62 Scotland: 162 Yorkshire: 149 North West: 178 East Mids: 174 West Mids: 162 East of England: 195 Wales: 105 Fatalities by TC Area Regions: 2015 Official DfT stats relating to fatalities by region London: 136 South West: 173 South East: 236

Statistics – Summary In 2015, there were 1732 fatalities on UK roads, which is a 2% decrease since 2014 In 2015, there were 22,137 serious injuries on UK roads, a 3% decrease since 2014 In 2015, there were 162,340 slight injuries on UK roads, a 4% decrease since 2014. Statistics – Summary Proof that accidents are decreasing, is this a result of training?

Yes or No Having seen official statistics, would you consider Driver CPC, and any other training to be a worth while cause? Quizdom No right or wrong answer, purely to gauge peoples opinions

Arriving at the Scene Assessment Emergency Services
Title Slide This slide outlines upcoming slides. Use this time for a short comfort break if it helps keep attention focused

Instructor cue, use button No.3
If you are the First person or one of the first to arrive at the scene of a RTC or Road Traffic Collision you may be required to give help, which of the following would you do? Call the emergency service Give treatment Stay in your car, or Drive away so that you don’t block access. Qwizdom No right or wrong answers Instructor cue, use button No.3

Do I have to help ? In GB nobody is legally obliged to provide First Aid Other European Countries have differing rules with some making you legally responsible to provide First Aid You cannot be sued for providing First Aid to an individual (non responsive casualty) Individuals can refuse First Aid from you as a First Responder You still have HSE regulations you must adhere to Remember just by calling emergency services you might save a life. The Law and Providing First Aid Explain there is no legal requirement to act as a first aider in the UK, but rules change depending on which country you’re in.

Health & Safety at Work Act 1974
What Are Your Responsibilities? If put in place, follow your employers guidelines. Take limited risks Be safe, never risk your own safety You have a duty of care to yourself and others Do no harm! The Law and Providing First Aid Duty of care to yourself and others Do no harm Be safe and don’t risk your own safety ? Take Limited Risk, whey up what are your risks, is it safe to proceed! Follow your employers guidelines Is there a definitive Answer? – people will react in different ways. Is there a definitive Answer?

D Arriving at the Scene Danger
Your first instinct should always be to assess, use the abbreviations D.R.A.B. D DRAB Ask yourself, why do we have a casualty? Depending on circumstances, check for leaking fuel, live electrical cables, toxic gases etc Always make sure the scene is safe, there is no point in becoming another casualty!

R Arriving at the Scene Response
Your first instinct should always be to assess, use the abbreviations D.R.A.B. R DRAB Call out (Verbal) pinch the casualty (Pain) to get a response. Check to see if the casualty, or casualties, are conscious

A Arriving at the Scene Airway
Your first instinct should always be to assess, use the abbreviations D.R.A.B. A DRAB Make sure the casualty can breath Tilt the head back to open the airway Perhaps place in the recovery position. Airway maintenance is the most important skill in First Aid

B Arriving at the Scene Breathing
Your first instinct should always be to assess, use the abbreviations D.R.A.B. B DRAB Once the airway is open, check breathing If in doubt, assume ‘not breathing’ Check to see if the casualty is breathing, your next action largely depends on this.

SAFE Approach Free from danger Assess the scene Shout for help
Some people prefer to us the SAFE approach instead of DRAB, what Is S.A.F.E Approach? Evaluate Free from danger Assess the scene Shout for help The S.A.F.E. Approach Explain briefly the need to try get help, and the importance of ensuring their own safety before proceeding with any First Aid.

Assessing the Scene Are there any fire risks, such as leaking petrol?
Are any children involved? They can easily be over looked Are you at risk of other vehicles colliding with you? How many people are involved? Are there any vehicles displaying ADR labels? If so, are the containers leaking? Are there any fire risks, such as leaking petrol? Assessing the Scene of an Accident Talk about self preservation, the importance of identifying ‘at risk’ individuals and identifying third party risks such as ADR vehicles. Talk about the colours of dangerous goods placards (orange). Also explain how easy young children can be thrown from vehicles (look for car seats and boosters).

Identifying your location
Smart phones – incorporate GPS mapping Road signage (junction numbers) Emergency telephones (roadside) Sat Nav. Practical First Aid at an RTA Talk about GPS mapping (google maps) and the numbers located on roadside emergency phones and distance markers.

Do you know about 112 ? 999 puts you through to a regional call centre generally via an analogue switch 112 puts you through via a digital switch to a local call centre If you are on a mobile they can track you within 20 metres If your mobile is GPS enabled within a few feet If you or someone else is trapped 112 is better than is the emergency telephone number that can be dialled free of charge from any phone in order to reach emergency services within the European Union The Emergency Services Explain the advantages of 112 GPS location accuracy. It’s a digital service, not analogue.

Emergency Services In the event of a collision, contact the emergency services immediately In the case of injuries always request the Ambulance Service In the event of casualties Police are automatically diverted to the scene Paramedics receive live updates on route to the accident location whilst you are talking to the operator. The Emergency Services Explain that once they have contacted the emergency services, their information is being relayed live to the paramedics on route.

Information Relay On calling 999 or 112, what information could you be asked for? Your name / vehicle details The location of the accident (try to be specific) Details of the casualty if you can Is there risk of fire Are there any chemicals (ADR) vehicles involved Is there risk from further collision – they relay information to the Highway Agency to close the motorway / road Try to give as much detail of the injuries sustained by the casualty and if anyone is trapped Do not PANIC – once you have issued your location a Ambulance is immediately allocated to the incident. The Emergency Services Explain the importance of accurate, clear and concise information, and the importance of not panicking. Explain that the operator will have a list of questions to prompt you, so don’t panic if you don’t remember every detail.

Accidents Involving Hazardous Goods
If you can see leakage stay away from the vehicle, follow the drivers instruction at all times until the emergency services arrive Instruct people who can to move to a safe distance If you can see warning labels relay the information on them to the emergency services Do not use any form of ignition i.e. smoking this can cause a Bleve (a tanker explosion) Be mindful of vapour not just the liquid (there can be 1000 times more vapour than visible liquid) far more dangerous Try to stand upwind to reduce the affect of any vapour inhalation (cryogenic gases can freeze lungs in a fraction of a second) If the driver has been injured only approach the vehicle after assessing the risk. Remember self preservation at all times. ADR Vehicles Explain in general the additional dangers of ADR goods. The risks involved in leaks from tankers and the dangers of vapours, and risk of explosions. DON’T BECOME A CASUALTY!!!!

Casualties Basic First Aid Needs C.A.B.C.D.E The Unconscious Casulaty
Treatment of a Casualty CPR - Explained Title Slide This slide outlines upcoming slides. Use this time for a short comfort break if it helps keep attention focused

First Aid Kit 10 things we can we expect to find in a First Aid Kit, can anybody name any? Eye Wash Plasters Bandage Wipes Bandage Scissors Dressings Tweezers Gloves The First Aid Kit Get a first aid kit out and show the class. Discuss different types of plasters, scissors, wipes, tweezers etc Images appear automatically. Don’t be tempted to rush this slide. There is a British Standard First Aid Kit with standard contents.

Triage What is Triage ? Translated from French, it means “to Sift”
How do we apply it as First aiders ? Do the most for the most, do not be distracted by none life threatening conditions. Triage Casualties making alot of noise, and fuss, are very much alive! The quieter ones may have the more serious injuries.

C.A.B.C.D.E What is C.A.B.C.D.E? What does it stand for?
Catastrophic Bleeds Airway Breathing Circulation C.A.B.C.D.E. Discuss each one and determine the importance of all of them. Deformity Extremities

Appropriate Action Once you have determined some BASIC facts about the condition of the casualty or casualties, What do you do? Get help straight away ? Start to deal with injuries/problems you find? Treat what Kills first? Basic Actions of First Aid Call the Emergency services asap. Then you can start giving First Aid, knowing that help is on the way.

Apply as much pressure as you can until paramedics arrive on scene.
Catastrophic Bleeds What are they ? In simple terms a catastrophic bleed is when the flow of blood cannot be controlled by applying direct pressure to the injury These can be in the form of: Total or partial dismemberment Arterial damage Internal bleeding (crush – impact injury) Brain injury Apply as much pressure as you can until paramedics arrive on scene. Catastrophic Bleeds Explain the risk of these types of bleeds, and how severe blood loss will quickly result in a life threatening situation for the casualty.

Airway (non responsive casualty)
Is the casualty’s chest moving? Place your cheek near their mouth Open their mouth to check for obstructions Remove dentures if they wear them Gently tilt their head back to open the airway Loosen tight fitting garments i.e. shirt collars and ties Can the casualty be moved safely? Airways Explain the difference between non responsive and responsive casualties. Discuss the dangers of moving casualties increasing the risk of further injury. Discuss when it would be appropriate to move a casualty (risk of fire, or risk of further injury) etc.

Breathing If the casualty shows no sign of breathing
Tilt the casualties head backwards Open their mouth checking for obstructions Pinch their nose firmly Make an air tight seal around their mouth with yours Breath into their airway checking after each breath the casualty chest is moving up and down Regulate your breathing dependant on the casualty i.e. reduce your pressure with infants. Breathing Have a basic Discussion on the appropriate way to operate CPR with young children (gentle breathing and two finger compressions)

Circulation Check the casualty for bleeding
Assess whether immediate attention is required Apply direct pressure with a bandage If the bandage becomes soaked apply a new bandage on top of it and reapply pressure Use the 3 bandage principle (only discard the third bandage leaving the first two on) Constricted pupils and or grey skin colouration may indicate internal bleeding In the event of internal bleeding try to elevate the chest. Circulation Explain the principle of 3 bandage approach to dressing wounds (only remove the 3rd dressing) helping with coagulation etc

Deformity Deformity in basic terms means any body part that has been forced into a position outside of its normal restriction Broken legs Broken Arms / Wrists / Digits Trunk damage from crush or impact accidents Cranial damage Do not try to reposition limbs this action could cause further injury and risk internal bleeding. Deformaties Explain the risks of injuries that might occur when moving broken limbs, such as causing arterial bleeds etc.

Extremities Check for bleeding Injuries Risks from other objects
Skin colouration Sweating Other signs of medical shock such as shaking, constricted pupils, conscious but non responsive. Extremeties Have a discussion about what the above signs may indicate, such as internal bleeding – shock etc.

What is the first priority when assessing the scene of an accident
Casualties Contacting emergency services Your safety and others, or Telling your boss you are going to be late. Qwizdom The answer is C Discussion stage before the answer is revealed…

Discussion stage before the answer is revealed…
Who is responsible for the Health & Safety at the scene of a Road Traffic Collision? First responder Police Fire Service, or Everyone. Qwizdom The answer is D Discussion stage before the answer is revealed…

What is the alternative number you can call instead of 999 to contact the emergency services. 115 112 212, or 122. Qwizdom question The answer is B Discussion stage before the answer is revealed…

What colour placards indicate a vehicle is carrying hazardous goods?
Red Yellow Orange, or Green. Qwizdon question The answer is C Discussion stage before the answer is revealed…

What are the dangers of approaching the scene of an accident?
Fire Chemicals Other road users, or All of the above. Qwizdom question The answer is D Discussion stage before the answer is revealed…

The Unconscious Casualty
The unconscious casualty is vulnerable for many reasons They are unable to move away from danger They are in danger of dying if they don’t receive life saving intervention. Unconsciousness Place in the recovery position and get their friends/family, or a bystander to watch over them, if there are more casualties you need to help

If the casualty is unable to breathe, no oxygen can reach the lungs and be transported around the body, and subsequently the brain will be starved of oxygen Brain cells start to die within 3 or 4 minutes of being starved of oxygen. Unconsciousness It’s vital to start CPR to provide oxygen

The casualty’s tongue can fall into the back of the throat and block the airway Tilting the head back will unblock the airway. Unconsciousness People do not ‘Swallow their tongue’, it simply falls into the back of the throat.

Breathing : When breathing, the casualty will be taking in air and the heart will still be beating, thus circulating oxygenated blood around the body This will in turn be providing oxygen to the vital organs including the brain Not Breathing: When not breathing, the heart has usually stopped beating too, (cardiac arrest) and therefore isn’t pumping blood around the body. Unconsciousness

Not Breathing: When a casualty collapses and is not breathing, or is taking occasional gasps, this is usually as a result of a Sudden Cardiac Arrest (SCA) The occasional gasps are the body’s reaction to SCA and can easily be mistaken for normal breathing If you have any doubt, assume your casualty is not breathing. Unconsciousness The occasional gasps of breath are known as AGONAL breathing, and are the body’s response to Cardiac Arrest.

The treatment of an unconscious, or non responsive casualty will depend whether or not they are breathing They are likely to need professional help, so we may need to decide to go for help before giving first aid. Unconsciousness Professional help may be more important than any first aid treatment you may give. This is a decision that you may have to make if you are on your own. Each situation will vary, but if a casualty is not breathing, they are technically dead already, so it may be wiser to call for help and then give first aid.

Following the D.R.A.B. procedure, turn the casualty onto their back, tilt the casualty’s head back to clear the airway, listen for breathing, watch to see if the casualty’s chest is rising and falling Take 10 seconds to do this to be sure Unconsciousness DRAB – Danger – Response – Airway - Breathing Wet your cheek when doing this, if the casualty is breathing it will feel cold on the wet area.

Your next action depends on the outcome of the previous checks If the casualty is breathing, then they need to be placed in the recovery position as soon as possible, however, depending on the quality of breathing, this may be postponed until a ‘body check’ is done to look for any injuries The body check can be done after placing the patient in the recovery position, if this is more important, remembering that we treat life threatening conditions first. Unconsciousness If the casualty is breathing place them in the recovery position.

A B C – 3 steps to First Aid A = Airway
Check to see if casualties are breathing and no obstructions B = Bleeding Visually check for severe bleeding requiring immediate attention C = CPR No pulse, start CPR 30 compressions (100 compressions per minute) followed by 2 breaths An easy rhythm to remember is the song Staying Alive (Do Not Use Another One Bites the Dust!!!!) Only stop CPR if the individual recovers, or when Paramedics take over or when you can no longer physically continue. The A.B.C. Of First Aid Explain this is just an over view of first aid. Explain the casualty will be already oxygenated, and so the need to start compressions is a priority, and the rhythm they need to incorporate. Have a laugh with the candidates about the different types of rhythms they could adopt when doing CPR !!! ‘Staying Alive’ – ‘Another One Bites the Dust’ – ‘Nelly the Elephant’ etc.

Treatment Of A Casualty
Look Listen & Feel Open the Airway... Safely Check for breathing 10 seconds Not Breathing? Practical CPR Demonstrate this on the resus dummy. And discuss how and when to get help. Get Help Now !

Commence CPR At a Rate of 30 -2 Per min Practical CPR Demonstrate this on the resus dummy. And discuss how and when to get help.

Continue With Chest compressions Until The casualty comes round You are too tired to continue You are told to stop by a health professional Practical CPR Demonstrate this on the resus dummy. And discuss how and when to get help.

The Routine of Life Saving First Aid Talk about availability of AED’s = Automatic External Defibrillator. There’s a Phone ‘APP’ to locate them. Stress the importance of getting the casualty to Advanced Care and Life Support as soon as possible.

CPR – Practical The Recovery Position Injury Management
Performing CPR – Practical The Recovery Position Injury Management Title Slide This slide outlines upcoming slides. Use this time for a short comfort break if it helps keep attention focused

Let’s Practice.... CPR Practical CPR – CPR Mannequin needed.
Let some or all delegates have a chance to practice. Highlight how tiring it is, and then stress again the importance of getting help before they start.

The Recovery Position Putting a casualty into the recovery position will create a stable platform The casualty can be left on their own or with a non first aider, to allow you to attend to other casualties Correct positioning will allow the casualty to breathe and keep the airway open. The Recovery position Explain why we use the recovery position

The Recovery Position Kneel beside the casualty, remove any spectacles or watches and check their pockets for bulky items which may cause harm Place the arm nearest to you at a right angles to their body with arm bent in the position it falls. Do not attempt to force the arm in to an unnatural position Place the arm nearest to you at a right angles to their body with arm bent in the position it falls. Do not attempt to force the arm in to an unnatural position. The recovery position Step by step guide to the recovery position

The Recovery Position With your other hand, grasp the far leg just above the knee and pull it up, but keep the foot on the ground Keep their hand pressed against the cheek and pull on the leg to roll the casualty towards you and on to their side The recovery position Step by step guide to the recovery position Roll gently, supporting the head constantly.

The Recovery Position Adjust the upper leg so that both the hip and knee are bent at right angles Adjust the hand under the cheek if necessary to keep the head tilted Casualty in the Recovery Position. The recovery position Step by step guide to the recovery position

Recovery Position Putting an Unconscious casualty into the recovery position will create a stable platform Recovery Position Demonstrate the recovery position with a volunteer Practice the recovery position with the students. Explain the importance of every unconscious/ semi conscious casualty being placed in the recovery position Remove objects from pockets before turning, Remove glasses and place in casualty’s hand, Cover to protect from hypothermia. Lets practice…

Is the casualty bleeding?
Injury Management Priorities – We need to act quickly, but DO NOT rush in! Is the casualty bleeding? Stop it! Apply pressure. Injury Management Are these injuries life threatening? If so, minimise the risk to life, now. Shock what is it?

Is the casualty breathing? Call for help, conduct CPR.
Injury Management Priorities – We need to act quickly, but DO NOT rush in! Is the casualty breathing? Assess it! Call for help, conduct CPR. Injury Management Are these injuries life threatening? If so, minimise the risk to life, now. Shock what is it?

Minimise the pain and swelling.
Injury Management Priorities – We need to act quickly, but DO NOT rush in! Are there any breaks? Support them! Minimise the pain and swelling. Injury Management Are these injuries life threatening? If so, minimise the risk to life, now. Shock what is it?

Injury Management Are there any burns? Treat them!
Priorities – We need to act quickly, but DO NOT rush in! Are there any burns? Treat them! Wrap with cling film. Injury Management Are these injuries life threatening? If so, minimise the risk to life, now. Shock what is it?

When starting CPR how many compressions should you do before giving 2 breaths? 10 40 30, or 5 Qwizdom question Answer is C Discussion stage before the answer is revealed…

Break @HGVDriverCPC DriverLinkTraining(NW)
Break – 15 minutes

Signs and Symptoms of other Injuries
Bleeds Breathing Fractures Burns Embedded Objects Amputation Title Slide This slide outlines upcoming slides. Use this time for a short comfort break if it helps keep attention focused

Bleeds Internal - Not seen! External – Flowing, Pumping, Running Be aware of blood soaking into seats: big blood loss Be aware a small amount of spilled blood can look like a lot. Bleeding Tell delegates about not panicking on the site of blood and how a small amount looks a lot. Explain how the body constricts the flow by closing major vessels.

Bleeding Bleeding should be controlled by direct or indirect
pressure using bandages and dressings Direct pressure Indirect pressure Bleeding Explain how to control bleeding by ‘Direct’ and ‘Indirect’ pressure. The slide shows the pressure point in the upper arm, explain the pressure point in the inner thigh.

Breathing How should it sound? How do we assist it? Number of
breaths per minute? Breathing - Answers Quiet and effortless Head tilt chin lift & CPR 16 to 18 is right when at rest. Too low = below 8 per min Too high = above 30 per min

How to treat a Fracture or (break)
Fractures How to treat a Fracture or (break) Immobilise Support Only move if absolutely necessary Fractures Describe how to; Immobilise – using bandages Support – using a support sling Move casualty – only if necessary and as painlessly as possible.

Burns Burns at the scene of an accident can range in severity Burns from being in contact with vehicle fires are the most common ADR vehicles can release chemicals which can cause serious chemical burns Motorcyclists receive friction burns from contact with the road. Burns These are very common at RTAs and come in several forms, as listed. The severity can vary, but all will need treatment and can be life threatening if severe.

Burns Superficial Partial thickness Full thickness Categories of burns
Ask the students of their experiences. Use examples and descriptions

Burns Treatment of Burns
Remove all clothing from the burn unless it is stuck on Remove jewellery Do not pop blisters Do not apply creams or lotions Put cling film over burns to protect from infection (sheets not wrapped) Do not use fluffy or adhesive dressings. Burns The slide gives the correct procedures for the treatment of burns. Stress the importance of avoiding contamination by not applying any creams, lotions or potions.

Embedded Objects An object embedded in a wound (other than a splinter) should not be removed as it may be stemming the bleeding, and further damage may result Use sterile bandages and dressings to build up around the object. This will apply pressure to the area and help stem the bleeding further. It will also support the embedded object to prevent it from moving Embedded objects in the eye, ear, nose or any other orifices do not attempt remove them. Let professionals at the hospital assess and treat them as you can cause more harm than good. Embedded objects These should never be removed, (Except small splinters). It is important to support the object to prevent further damage to tissue which can increase blood loss. All objects in the eyes or ears etc, should only be removed by professionals.

Amputation Amputation means the complete or partial severing of a limb, extremely traumatic for the casualty Your priorities are stem the bleeding and preserve the body part Dress the wound with a low-adherent non fluffy dressing Place the amputated part in a plastic bag and put the package on to a bag of ice Do not let the amputated part come into direct contact with ice or water. Amputation Talk about the importance of keeping the limb cold. look for icepacks in other vehicles but at the very least try to keep it sterile. Don’t let the severed limb come into direct contact with any ice or water.

What should you do in the event of an embedded object in a casualty?
Remove it immediately Place dressings around it to apply pressure Break off any part not inside the casualty, or Try moving it to see if its loose. Qwizdom question Answer is B Discussion stage before the answer is revealed…

In the event of a casualty being burnt, what should you do to the affected area? Wrap the affected are in fluffy lint dressing Apply cool creams to the affected area Remove stuck clothing immediately, or Cool down the affected area and cover with cling film. Qwizdom question Answer is D Discussion stage before the answer is revealed…

If you find a casualty with a fracture, what action should you take?
Try to straighten the limb Immobilise the limb to prevent movement Move the casualty, or Apply a band to the injured area. Qwizdom question Answer is B Discussion stage before the answer is revealed…

Shock Stroke Medication Children and Animals
Other Possibilities Shock Stroke Medication Children and Animals Title Slide This slide outlines upcoming slides. Use this time for a short comfort break if it helps keep attention focused

Shock In an (RTC) Road traffic collision or other incident An injured person may suffer from shock as a result of injuries sustained What is it ? Circulatory shock is a life-threatening medical emergency and one of the most common causes of death for critically ill people Shock Discuss classic cases of people who are shocked and how their condition alters as time goes on, people who seem OK at first but then deteriorate very quickly and collapse into coma. Shock can have a variety of effects, all with similar outcomes, but all relate to a problem with the body’s circulatory system.

Shock – Different Types
Which relates to which? Cardiogenic Anaphylactic Neurogenic Septic Hypovolemic Blood Loss Allergies Heart Attack Fainting / Stress Infection Shock Ask the group to match the left to the right, animation arrows come in 1 by 1 after the types of shock and symptoms are displated. Your candidates can guess which relates to which one by one.

Shock – Signs and Symptoms
Restlessness Weak, rapid pulse Rapid breathing Drowsiness Confusion or unconsciousness Shock Ask if any students have experience of people suffering from shock. Bluish colour to extremities

Shock – Signs and Symptoms
Thirst Anxiety Nausea Faint or dizziness Shock List the possible signs and symptoms These are signs and symptoms of other conditions, but you should always have an open mind and remember ‘Shock’. Cold, clammy skin

Shock Bleeding is a major cause of shock in road traffic incidents. This can be caused by four types of impact A vehicle hitting an object An occupant hitting the inside of the vehicle An occupants organs hitting the inside wall of their body, and 4. Objects in the vehicle hitting the occupant. Hypovolemic Shock The slide lists some of the impact types which can cause shock.

Shock Internal External Venous Arterial Capilary Harder to see
Bleeding can be: Internal Harder to see External Easier to see Venous Flowing Arterial Pumping Hypovolemic Shock Discuss with students the type of injuries and bleeding using examples. Capilary Abrasion

Shock - Treatment Place the victim in the shock position
Get the person to hospital as soon as possible Shock - Treatment If the person is still conscious keeping talking to them and offering reassurance Turn the victims head to 1 side, if a neck injury is not suspected Place the victim in the shock position Keep the person warm and comfortable

Types of strokes The most common type of stroke is a blocked blood vessel in the brain. The other type of Stroke is a ruptured blood vessel in the brain causing part of the brain to be squashed by the pressure of the blood Both types of strokes, the signs and symptoms are very similar and can happen to any age of person A stroke is a medical emergency and the faster you act the more that person will recover. The speed of treatment can have a dramatic impact on the casualty People who suffer strokes need an urgent brain scan to ascertain the severity of the stroke and the required treatment can be given. Always call an ambulance if you suspect a stroke. Types of strokes Explain any sign of a stroke of the importance to seek medical assistance as soon as possible

Can the person smile? Has their mouth or eye dropped?
Facial Weakness Signs and symptoms If you suspect a stroke carry out the FAST test F Shock Explain the F.A.S.T. Approach Can the person smile? Has their mouth or eye dropped?

Can the person lift both arms?
Arm Weakness Signs and symptoms If you suspect a stroke carry out the FAST test A Shock Explain the F.A.S.T. Approach Can the person lift both arms?

Can the person speak clearly and understand what you are saying?
Speech Problems Signs and symptoms If you suspect a stroke carry out the FAST test S Shock Explain the F.A.S.T. Approach Can the person speak clearly and understand what you are saying?

If they fail any test, it is now a medical emergency.
Time to call 999 or 112 Signs and symptoms If you suspect a stroke carry out the FAST test T Shock Explain the F.A.S.T. Approach If they fail any test, it is now a medical emergency.

Signs and symptoms Other signs to look out for, include;
Unequal pupil size Loss of balance Sudden severe headache Lack of coordination Sudden onset of confusion Signs and symptoms More signs and symptoms to look out for Sudden numbness of the face or 1 side of the body

What can cause an individual to have a stroke?
Poor diet Head injury from impact Smoking, or All of the above. Qwizdom question Answer D Discussion stage before the answer is revealed…

Children & Animals If children are present at an accident and you
are first on scene, it can even more distressing if they are injured, try to stay calm and use your training Animals will be unpredictable and could be dangerous if possible don’t touch them. Secure them to stop them escaping and causing further problems or accidents. Children and Animals in Accidents Highlight how distressing this can be for the First Aider, and for others at the scene, if children are present or injured. Animals can be dangerous if injured! They can also cause other accidents if allowed to escape. Each situation will have to be treated differently.

Bandages and Dressings
Title Slide This slide outlines upcoming slides. Use this time for a short comfort break if it helps keep attention focused

Bandages Bandage A piece of soft material that covers and protects an injured part of the body, and is primarily used to hold a dressing in place. Bandages can also provide support to injured limbs and act as temporary slings if required until other suitable triangular bandages can be found Bandages Explain bandages are only for support and not for dressing injuries.

Triangular Bandages Bandages & Dressings Used as support Sling
Demonstrate how to apply these 2 types of slings, then have students pair up and practice. Explain the purpose of the different slings. Used as support Sling Used as an Elevation sling

Dressings They should be sterile – not to cause additional infection Just large enough to cover the wound Able to stem the blood flow in minor injuries Additional pressure and elevation can be applied to stem the blood flow Must not restrict the blood supply to any other part of the body No more than 3 dressings on a wound Always leave the first 2 dressings applied on the wound to help with coagulation Warning – do not attempt to apply a tourniquet or band around a limb. This causes tissue damage and may increase the bleeding. Dressings Stress the importance of sterile dressings, and the dangers of tying bands around limbs to stop blood loss.

Work in Pairs and fit a dressing, bandage and sling
Bandages & Dressings Practice... Work in Pairs and fit a dressing, bandage and sling Bandages and Dressings Demonstrate both types of slings and a dressing applied to the forearm Assess the students’ skills at these bandages and dressings.

What should a bandage be used for?
Support the limb and injury Dressing the injury Cleaning off the blood, or Use as a band to restrict blood flow. Qwizdom question Answer is A Discussion stage before the answer is revealed…

After the Incident As a F.P.O.S first aider you could be the only person dealing with potentially serious life threatening Injuries Remember you are a first aider and NOT a doctor Use the skills you have to do your best. No one can ask you to do more. Summary Keep going until the professionals arrive. – This is why you should always make sure they have been called, before you start giving treatment such as CPR.

What is the most common cause of shock for people involved in road traffic collisions ? Internal bleeding from impact Wrong medication being issued Incorrect diagnosis of their injury, or Dangerous chemicals being released. Qwizdom question Answer A Discussion stage before the answer is revealed…

How could we reduce the risk of a casualty from choking after we have dealt with their injuries? Try to get the casualty to walk round Keep talking to them Place them in the recovery position, or Tilt their head back. Qwizdom question Answer C Discussion stage before the answer is revealed…

What information should we relay first to the emergency services?
The number of casualties and injuries If there any ADR vehicles involved Risk of fire, or Your name and location. Qwizdom question Answer D Discussion stage before the answer is revealed…

When do paramedics receive the information you are relaying to the controller? At the scene of the accident Prior to being despatched On route via live feed, or Contacted by the Police accident controller. Qwizdom question Answer C Discussion stage before the answer is revealed…

End of course evaluation
As we approach the end of this presentation, we have a few questions to ask about the product Our trainers will not see individual responses, so please be as honest as you can, this is to gauge our own standards and improve on what areas need improvement This is an essential part of our quality monitoring process. End of course evaluation – Note to instructor: If this is the morning part of your course, you can skip this evaluation by clicking on the Driverlink Training logo in the bottom right of your screen. You must complete the evaluation on part 2 of your course Mandatory feedback approaches, persuade drivers to be as honest as possible

Yes or No Prior to the course…
Was your booking handled in a satisfactory manner? Yes or No End of course evaluation

Was all of the paperwork precise and correct? Yes or No End of course evaluation

Were the joining instructions clear and understandable? Yes or No End of course evaluation

Yes or No During the Course… Was the course well presented?
End of course evaluation

Yes or No During the Course… Was there enough time for participation?

Yes or No During the Course… Were the course objectives stated met?

Yes or No During the Course… Was the course content appropriate?

Yes or No Would you recommend us to others?

The following 3 questions require you answer in a different way…
These are on a scale of 1 – 5 To start, use the down arrow to fill box No.3 Then use the Left and Right arrow keys to highlight your choice End of course evaluation Explain to the drivers how they answer the following questions

On a scale of 1 – 5, can you please rate our Trainer
1 – Poor 2 – OK 3 - Average 4 - Good 5 - Excellent End of course evaluation

On a scale of 1 – 5, can you please rate our Service
1 – Poor 2 – OK 3 - Average 4 - Good 5 - Excellent End of course evaluation

On a scale of 1 – 5, can you please rate our Facilities
1 – Poor 2 – OK 3 - Average 4 - Good 5 - Excellent

DriverLink Training (NW)
Thank you for choosing Driver Link Training for your Driver CPC Training, please make sure you speak to your instructor about other courses we offer @HGVDriverCPC DriverLink Training (NW) End of Course

Medication As F.P.O.S Be aware that the casualty may be on medication or may require assistance to self administer What would a Diabetic need? Insulin/Sugar What would a Asthmatic need? Inhaler Medication Discuss possible problems / Issues with this Would you be prepared to assist someone taking medication, or administer this medication for them? What would somebody with severe allergies need? Epi Pen.

. Welcome – Note: If you wish to skip the introduction (2nd part of the course only) click on the Driver Link Training logo in the top right of the screen.

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. Welcome – Note: If you wish to skip the introduction (2nd part of the course only) click on the Driver Link Training logo in the top right of the screen.

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Presentation on theme: ". Welcome – Note: If you wish to skip the introduction (2nd part of the course only) click on the Driver Link Training logo in the top right of the screen."— Presentation transcript:

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About project

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