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Providing casualty care outside of first-aid regulations

Hazard Knowledge

Fire and rescue service personnel may either need to carry out first aid before the arrival of medical responders or assist medical responders at the incident. The level of response may be in line with and sufficiently covered by the training given and outlined under the requirements of first aid at work, as detailed in:

The guidance in this section that falls outside of the first aid regulations, has been developed with the support of the Faculty of Pre-Hospital Care (FPHC) of the Royal College of Surgeons of Edinburgh. Pre-hospital care is a well-established branch of medicine, practised mainly by the ambulance service.

Care that is administered outside the scope of first aid at work can be complex; the maintenance of its delivery is crucial to safeguard the providing organisation against litigation, and to ensure the best possible casualty care is delivered.

This guidance does not include the complete syllabus for advanced medical trauma care. However, the elements selected, supported where appropriate by links to the FPHC consensus statements, position statements, and Pre-Hospital Emergency Medicine (PHEM) banding, aim to provide a level of guidance for the medical conditions that personnel are likely to encounter. The control measures do not directly map across to the FPHC framework, and therefore do not provide a level of respective banding, as set out for the medical profession.