Trainer/Assessor Signature Course Date/s Learner Name For exemplar answers and full information on the completion of the scenarios please refer to the Trainer/Assessor Assessment Guidance UNIT 1 SCENARIO 1 PRIMARY SURVEY AND RECOVERY POSITION The casualty is unresponsive and breathing normally. Learners must complete a primary survey of the casualty and once they have confirmed that the casualty is breathing normally, place them into the recovery position completing each step listed in the scenario below. Learners can be split into pairs taking turns to act as the First Aider and the casualty. check for dangers? check for a response using the AVPU scale? Trainer/Assessor response your casualty is unresponsive open the airway using the head tilt, chin lift method? check for normal breathing for no more than 10 seconds? Trainer/Assessor response your casualty IS breathing normally place into the recovery position and monitor the casualty? LEARNER SCENARIO 1 RESULTS
UNIT 1 SCENARIO 2 CARDIOPULMONARY RESUSCITATION (CPR) AND THE SAFE USE OF AN AED The casualty is not breathing normally. A bystander is available for assistance. Learners must demonstrate CPR and the safe use of an AED completing each step listed within the scenario below. A bystander is available to the learner. For the purposes of this scenario learners do not need to repeat the full primary survey as this is assessed in scenario 1; they can simply start from the breathing check. Manikins and training AED units must be provided to complete this scenario.... check for normal breathing for no more than 10 seconds? Trainer/Assessor response your casualty is NOT breathing normally... ask the bystander to call the emergency services and bring back an AED and first aid kit?... start CPR administering 30 chest compressions at a rate of 100-120 chest compressions per minute at a depth of approx. 5-6 cms?... attempt 2 rescue breaths? Bystander response confirms that the emergency services have been called and hand over of the AED and first aid kit... unpack the AED and apply the pads to the chest?... follow the voice prompts?... deliver a shock successfully?... continue CPR when requested by the AED? LEARNER SCENARIO 2 RESULTS
UNIT 1 SCENARIO 3 CHOKING The casualty has an airway obstruction and is choking. Learners must successfully demonstrate the protocols for dealing with an airway obstruction and call the emergency services. Learners should demonstrate a minimum of two cycles of five back blows and five abdominal thrusts. Learners must also correctly answer the supporting oral question. Learners must not demonstrate choking procedures on each other for safety purposes; specialised training choking vests are available for this purpose or a manikin can be used.... encourage the casualty to cough and ask are you choking? Trainer/Assessor response coughing is ineffective administer five back blows checking to see if the blockage has cleared after each blow? administer five abdominal thrusts checking to see if the blockage has cleared after each thrust? call the emergency services after one cycle of back blows and abdominal thrusts? continue to deliver cycles of five back blows and five abdominal thrusts until requested to stop? Q. What immediate action should be taken by a First Aider if the casualty becomes unresponsive? LEARNER SCENARIO 3 RESULTS UNIT 1 SCENARIO 4 MAJOR BLEEDING AND HYPOVOLAEMIC SHOCK The casualty is bleeding significantly from their arm and is suffering from hypovolaemic shock. A first aid kit is immediately available. The learner has a casualty who is bleeding significantly from a wound to their arm. Learners must communicate with the casualty and gain consent to administer first aid. They must treat the wound appropriately and then treat the casualty for hypovolaemic shock. A first aid kit is immediately available. Learners must also correctly answer the supporting oral question. talk to the casualty and gain consent to administer first aid? put gloves on? inspect the wound and apply direct pressure? support the injured limb and secure a sterile dressing to the wound? treat for shock? call the emergency services and monitor their breathing and response levels? Q. Name two tasks that a First Aider should do once the emergency services have taken responsibility of the casualty. LEARNER SCENARIO 4 RESULTS
UNIT 1 SCENARIO 5 MAJOR SEIZURE (TONIC-CLONIC SEIZURE) The casualty is experiencing a major seizure (tonic-clonic seizure). Learners must detail the procedure for dealing with a casualty who is experiencing a major seizure. Trainer/Assessors are able to orally ask each learner on a one to one basis, can create a practical scenario with a casualty on the floor for a learner to demonstrate the procedure or ask learners to write their answers down. Q. Please state the procedure for dealing with a casualty who is experiencing a major (tonic-clonic) seizure. Q. What position should the casualty be placed into once the seizure has run its course? Q. Name two instances in which you would call the emergency services when dealing with a casualty suffering from a major seizure. LEARNER SCENARIO 5 RESULTS UNIT 1 SCENARIO 6 MINOR INJURIES Minor injuries include small cuts and grazes, bruises, burns and scalds and small splinters. Learners need to correctly describe the treatment for each of the minor injuries listed within this scenario. Learners can orally respond to the questions, write their answers down or practically demonstrate them. Trainer/Assessors should choose a method that best fits their teaching style but must ensure that all learners successfully describe/demonstrate the treatment for all minor injuries. describe the treatment for a small cut or graze? describe the treatment for a bruise? describe the treatment for a small burn/scald? describe the treatment for a small splinter? LEARNER SCENARIO 6 RESULTS
UNIT 2 SCENARIO 7 SECONDARY ASSESSMENT (TOP TO TOE SURVEY) For the purposes of the assessment, learners are not required to complete a primary survey prior to the top to toe or to place the casualty into the recovery position once completed; these skills are assessed in unit 1 of this qualification. Learners can practice these elements but the assessment must focus on the items listed below within this scenario. Learners are required to complete a secondary assessment (top to toe survey) of the casualty checking each area of the casualty s body as listed within the scenario below, and correctly answer the oral question. Learners can be split into pairs taking turns to act as the First Aider and the casualty. check the casualty s head, face and neck? check the casualty s chest and shoulders? check the casualty s spine? check the casualty s abdomen? check the casualty s pelvis visually? check the casualty s arms and hands? check the casualty s legs and feet? Q. State two sources of information available to a First Aider to get details of the incident and the casualty s history of health issues. LEARNER SCENARIO 7 RESULTS
UNIT 2 SCENARIO 8 INJURED LIMBS When dealing with a fracture, dislocation and sprain/strain it is important to support the injured area and prevent movement. In this scenario learners must demonstrate the application of an elevated sling for a fractured forearm, a support sling for a dislocated shoulder and the appropriate treatment for a sprained ankle. Learners are required to demonstrate the application of both an elevated sling and a support sling as well as providing appropriate treatment for a sprained ankle following each step listed below in the scenario. Learners must also correctly answer the oral question. Fractured forearm Q. Fractures, dislocations and sprains/strains can be differentiated by their location but all share similar signs and/or symptoms. Please list three signs and/or symptoms that you would expect to see. talk to the casualty to gain a history of the incident and gain consent to provide treatment? apply an elevated sling and prevent further movement? Dislocated shoulder talk to the casualty to gain a history of the incident and gain consent to provide treatment? apply a support sling and prevent further movement? Sprained ankle talk to the casualty to gain a history of the incident and gain consent to provide treatment? adopt the PRICE method? talk to the casualty to advise resting and protecting the injury? apply an ice pack, or ice wrapped in a towel, to the injury and advise the casualty to maintain for 72 hours? compress the injured area with a bandage? elevate to prevent swelling and advise to maintain elevation? refer the casualty to seek medical assistance? LEARNER SCENARIO 8 RESULTS
UNIT 2 SCENARIO 9 HEAD AND SPINAL INJURIES Head injuries include concussion, skull fracture and cerebral compression but please note that learners are not expected to differentiate between the three different types of head injury. A casualty has evidence of an injury to the head and a spinal injury is suspected; they are breathing normally. Learners must correctly answer both oral questions and provide appropriate treatment completing each step listed within this scenario. Q. Name three signs and/or symptoms of a suspected head injury. talk to the casualty to gain a history of the incident and gain consent to provide treatment? Q. Name two signs and/or symptoms that would suggest the casualty has a spinal injury. support in the position found and not allow any movement, keep them warm and reassure them? monitor the casualty s breathing and response levels? LEARNER SCENARIO 9 RESULTS UNIT 2 SCENARIO 10 CHEST INJURIES Learners must treat both a penetrating chest injury and a rib cage injury. To complete this scenario learners must treat both a penetrating chest injury and a rib cage injury. Learners must also correctly answer both oral questions. Penetrating chest injury Q. State two signs and/or symptoms of a penetrating chest injury. put on gloves? control the bleeding? treat for shock leaning towards the injured side? Rib cage injury Q. State two signs and/or symptoms of a rib cage injury. support the casualty and lean them towards the injured side? monitor the casualty s airway and breathing? LEARNER SCENARIO 10 RESULTS
UNIT 2 SCENARIO 11 MAJOR ILLNESS Major illness includes heart attack, asthma and stroke. Learners must successfully identify the signs and/or symptoms and provide effective treatment for each major illness as outlined below. Learners must also correctly answer all oral questions. Heart attack Q. State two signs and/or symptoms of someone suffering a heart attack. calm and reassure the casualty? position the casualty in the half-sitting position (ideally supported against a wall) with their knees bent and head and shoulders supported? monitor the casualty s breathing and response levels? Asthma attack Q. State two signs and/or symptoms of someone suffering an asthma attack. calm and reassure the casualty? sit the casualty down? assist the casualty to take their own medication? Q. State one instance that you would be required to call the emergency services when dealing with a casualty experiencing an asthma attack. Stroke Q. State two signs and/or symptoms of someone suffering a stroke. lay the casualty down with the head and shoulders raised and turn their head affected side down? monitor the casualty s breathing and response levels? LEARNER SCENARIO 11 RESULTS