You wouldn't use a garden hose at a Structure Fire or at a Wildfire...
Then why would you do a First Aid Course that was designed for the Home or the Office?
Traditional First Aid courses DO NOT cater for the unique challenges
faced by Urban and Rural Firefighters.
In response to this shortfall, SureFire Tactical has developed and
delivers unique and specialised casualty care training
that focuses on the injuries and conditions specific to the
dangerous environments and challenges that Firefighters face.
Our Training Courses include a more detailed curriculum, focusing on;
Learn life saving skills for the Fire Ground
This Level 3 Program is a balance between trauma and medical care. It is intended for people from all backgrounds, with limited time, but still need to upgrade their Emergency Care Skills.
No prior knowledge or experience is required.
The Rural Firefighter "Basic Life Support" Program
includes a Nationally Recognised Certificates;
HLTAID001 Provide Cardiopulmonary Resuscitation
HLTAID002 Provide Basic Emergency Life Support
Includes "FireFighter Down" CPR on a patient in full Turnout Gear and SCBA
Includes "FireFighter Down" CPR on a patient in full Turnout Gear and SCBA
Includes "FireFighter Down" CPR plus Oxygen Resuscitation on a patient
in full Turnout Gear and SCBA
“Training and assessment delivered on behalf of Allens Training Pty Ltd RTO 90909”
SureFire Tactical Pty Ltd T/A Tactical Casualty Care (TC2) Australia is a Recognised Educational Partner with the Committee of Tactical Emergency Casualty Care and delivers training in accordance with the Principles of Guidelines Instruction set by the Committee for Tactical Emergency Casualty Care (CoTECC).
When the unthinkable happens, and a firefighter collapses on an emergency scene, we need
to be prepared to provide the highest level of care possible. We know that good neurological outcomes can be had in out of hospital cardiac arrest provided high quality chest compressions are initiated early.
Unfortunately, the resuscitation of a downed firefighter presents a special concern:
They're in full turn out gear with an SCBA!
In essence we have an access issue. Before we can initiate chest compressions we must extricate the fallen firefighter from their gear. Undirected attempts at removal of turnout
gear is time consuming and chaotic. Therefore, FD-CPR has developed a simple technique
to doff the gear from an unresponsive firefighter which requires minimal training and no additional equipment.
All our Nationally Recognised First Aid Courses includes "Firefighter Down CPR" Training.
If a firefighter is unresponsive and not breathing or not breathing normally, assume they are in cardiac arrest and begin resuscitation starting with chest compressions.
Our advice, based on the best available evidence and the AHA guidelines, is that the FD-CPR technique is a special means of extrication and as such will necessitate some deviation from the standard algorithms. Thankfully this is only for a short duration, perhaps 30-45 seconds. Once the firefighter is successfully doffed, the usual resuscitation bundle can begin with a pulse check if that is common in your area, and continue with 30:2 C.A.B. ordering, or 10:1 with upstroke ventilation, or continuous compressions manually, or even via mechanical devices.
The FD-CPR process is the missing link in the rescue of a downed firefighter. It serves as a bridge from hot zone extrication by a rapid intervention team to medical attention without further compromising no-flow time in a potential cardiac arrest.
The initial assessment of a downed firefighter will be by the firefighters that find and perform the extrication from the hot zone. The RIT or FAST members will establish if the FF is responsive in any form. Breathing can be assessed through the regulator; however, pulse checks are usually not performed in extreme environments. Not only will it be difficult to palpate a pulse point in a firefighter with full PPE, the rescuer would have to remove their gloves to perform this task. Something that we would not recommend in a hazardous environment.
In the case of an unresponsive firefighter, we feel the likelihood of cardiac arrest is high if any of the following are true:
The evidence available shows that CPR is unlikely to cause harm to a victim who happens to be only deeply unresponsive. In support of this guidance are a few studies of healthcare providers of all levels (EMT through MD) that found pulse checks only a bit more accurate than a coin toss; thus, if there is any doubt it is best to begin CPR.
In these situation, we believe that delaying chest compressions is of greater consequence than performing CPR on someone with a pulse.
Similar practices are performed nationwide with dispatch-directed CPR for laypersons. Two of the most common Emergency Medical Dispatch questions upon receiving a 000 call are:
If the caller advises that they are unresponsive and not breathing, not breathing normally or gasping, the pre-arrival instructions are to perform chest compressions until trained providers arrives.
If the firefighter is not thought to be in cardiac arrest, instead of compressions the second rescuer will work to remove the firefighter quickly with rescuers 3 and 4. In our conversation with other departments, many have adopted this technique to help them remove any unresponsive / semi-conscious firefighters from their gear (such as during rehab or other areas).
The FD-CPR Team is Michael Herbert and Christopher Watford. However, they are merely the names and faces behind the website. FD-CPR is owned by the firefighters, EMS providers, training officers, and the departments who implement it.
You are FD-CPR.
The Firefighter Down: CPR Project by Michael Herbert and Christopher Watford
is licensed under a
Creative Commons Attribution-ShareAlike 4.0 International License.
Course Duration: 1 Day $190 per person
Designed for non-EMS responders including Firefighter, SES,
Law Enforcement, Government, Corporate, Industry, Lifeguards,
Security Personnel, Corrections Personnel and other individuals who are not EMS or healthcare providers but desire or require advanced training in dealing with casualties stemming from Active Shooter, Bombing Incidents or other Acts of Intentional Violence.
Statement of Attendance:
Tactical Emergency Casualty Care - First Responder
Course Duration: 2 Days plus pre-work $295 per person
With an additional Day of Instruction and formal assessments
the TECC - First Responders, Duty to Act Course can be combined
with the Nationally Recognised Qualifications
HLTAID003 Provide First Aid &
HLTAID007 Provide Advanced Resuscitation
Statement of Attendance:
Tactical Emergency Casualty Care - First Responder
Statement of Attainment:
HLTAID001 Provide Cardiopulmonary Resuscitation
HLTAID002 Provide Basic Emergency Life Support
HLTAID003 Provide First Aid
HLTAID007 Provide Advanced Resuscitation
“Training and assessment delivered on behalf of
Allens Training Pty Ltd RTO 90909”
Nationally Recognised Certificate Subjects Include
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