A formation with the prompt helps is a formation intended to make it possible a person to intervene in team and with material on a faintness or an accident, by carrying out acts of Prompt help, i.e. not including/understanding administration of drug neither of invasive gesture (not of puncture nor of introduction of device into the mouth, except exception).

The english-speaking as certain countries not-english-speaking (as for example the Italy) use the term BASIC life support ( BLS ), of the name of the formation to the the United States.

; Note

For the basic trainings for the general public, to see Basic training with first aid .

In France

History

Initially, the National patent of first aid (BNS, 30 H) contained concepts of first aid in team and with material (poses of splint, brancardage), and was supplemented by the mention Ranimation (30 H), term introduced to distinguish the operations from the first-aid workers of the D - medical animation.

Nomenclature of the formation after the reform of 2007

October 19th, 1988, the National Commission of the first aid validates the reform resulting from work of its teaching sub-commission. That leads in 1991 to the suppression of the BNS and its Ranimation mention, replaced by the Certificate of formation to first aid (AFPS), the Certificate of additional training to first aid with material (AFCPSAM) and the Certificate of formation to the activities of first aid in team (CFAPSE). The BNS gives the equivalence of AFPS (basic training of 12:00) and the BNS Ranimation mention gives the equivalence of the CFAPSE (50 H). Obtaining the CFAPSE is obligatory for the allowed people in a team called has to take part in the helps organized under the control of the public authorities (mayor, prefect). The CFAPSE is also necessary to be able to become national instructor of first aid (INS), except with the State education which has an exemption. The AFCPSAM is the prérequis to pass the watery patent of rescue (BNSSA), even if many organizations require to have the CFAPSE.

In addition to the actualization of the techniques, the new formation is centered on the gestures and does not include/understand any more theoretical concept nor of anatomy. The AFCPSAM is in fact made up of certain modules of the CFAPSE. One can thus pass the AFCPSAM, then to supplement it by the CFAPSE, or to pass the CFAPSE directly. To pass the AFCPSAM and the CFAPSE, it is necessary to be 16 years old and to be titular national patent of first aid (BNPS, examination “officializing” obtaining the AFPS), then simply of the AFPS after the suppression of the BNPS in 1997. The formation is ensured by two monitors, holders of the BNMPS and the CFAPSE.

The AFCPSAM is delivered in continuous assessment by the monitors, while the CFAPSE is the subject of a exmane organized by the prefecture, and whose jury includes/understands enter others a representative of the prefecture and a doctor. The official reference, used by the monitor, is a whole of hard-bound cards (14,7×22,8 cm ² recto-back), the “teaching Cards and techniques” published by a private editor, France-Selection, and whose reproduction is prohibited.

To be able to take part in aid operations, the holder of the CFAPSE must be recycled every three years, recycling having for object the revision of the techniques, the actualization of knowledge and, if necessary, the assimilation of the novel methods. As regards the stations associative rescues, if it is about a station rising from a convention with the organizer and in the organization of which the public authorities do not intervene, the holders of the up to date CFAPSE of their recycling must constitute at least half of manpower.

The program of the CFAPSE is the following:

  • E1: The team of first-aid workers;
  • E2: Assessment;
  • E3: Emergency releases;
  • E4: Raisings;
  • E5: Brancardage;
  • E6: Hemorrhages - Wounds - Burns;
  • E7: Release of the air routes;
  • E8: Artificial ventilation with material;
  • E9: Oxygen treatment - cardiac massage external;
  • E10: Fixed assets.

In 1999, the first-aid workers holder of the AFCPSAM or of the CFAPSE and up to date of their recycling are authorized, after formation of 8:00, to use a semi-automatic Défibrillateur (DSA); the first-aid workers must follow an annual recycling of 4:00 the formation to the DSA is sanctioned by the delivery of the Certificate of formation (AFUDSA); the contents of the formation are described in a national Guide of reference (GNR), free downloadable on the site of the ministry for the Interior which authorizes the reproduction of it. This GNR is worth updated of the E9 section of the teaching and technical cards of the CFAPSE, but those remain unchanged.

Several changes intervene in the years 2000-2001:

  • recycling is replaced by an continuing education (FC), 6:00 per annum, the totality of the program having to be seen in 5 years; the installation is progressive and must be finished in 2003;
  • the rescue stations, called preventive devices of help (DPS), can more be assured only by holders the up to date CFAPSE of their continuing education;
  • a new concept appears, that of point of alarm and first aid (PAPS), which must comprise at least a holder of the up to date CFAPSE of his FC and an at least titular first-aid worker of the AFCPSAM; the holder of the AFCPSAM is then called “rescuer qualified” while the holder of the CFAPSE is called “first-aid worker”
  • the formation with the use of the DSA is integrated into the AFCPSAM and the CFAPSE, and with the continuing education of the CFAPSE.

As from 2003, the monitors, to be able to teach the AFCPSAM and the CFAPSE, must have followed a module of pedagogy applied to the formation to teach, exempted under the responsibility for the competent organization or approved association (stopped of October 22nd).

As from 2007, the AFCPSAM is replaced by the unit of formation First aid in team of level 1 (PSE1) and the CFAPSE is replaced by the unit of formation First aid in team of level 2 (PSE2). The holder of the PSE1 is called “first-aid worker” (instead of qualified rescuer) and the holder of the PSE2 is called “team-member first-aid worker”. The national reference frames of formation (RN) are diffused as from 2006 in order to allow the formation of the monitors. They are downloadable free on the site of the ministry for the Interior, which authorizes the reproduction of it (4 files for a total of 584 A4 page). There is no more prérequis for the PSE1 (one can pass the PSE1 without having the PSC1).

To be able to teach the PSE1 and 2, the monitors must be titular units of teaching “common initial Pedagogy of level 2” (PIC2, equivalent of the BNMPS) and “Pedagogy applied to the uses/activities of level 1” (PAE1, replaces the module of pedagogy applied).

The organization of the formations of 2007 fact well distinctions between the formations general public (civic Prevention and helps, PSC), the formations on work place (Prevention and help with work, PST), the formations bound for the voluntary first-aid workers and firemen (first aid in team, PSE) and the formations bound for the personnel working in the sanitary institutions and medical-social (Certificates of formation to the gestures and care emergency, AFGSU).

Currently

The trainings of first-aid worker make it possible to carry out help with anybody within a regulated framework (monitoring of beach or swimming pool, voluntary Station rescue, Sapeur-pompier, participation in emergency plans…).

Organization of the formations of 1978 to 1991

First aid in team of level 1 (PSE 1)

In the past Certificate of additional training to first aid with material ( AFCPSAM ): to know to make use of the material of first aid: artificial ventilation with a mask (or an oral end) and a balloon car-filler, aspiration of the mucosities (liquid being able to obstruct the breathing of an unconscious person), use of oxygen, poses of a cervical collar, implemented of the external automatic defibrillator (DAE)… The PSE 1 lasts 35 hours and represents the first education level of the voluntary first-aid workers.

According to the national reference frame (RN), the role of the first-aid worker is:

  • when it only acts:
    • to ensure the individual and collective safety,
    • to examine the victim,
    • to alert the adapted helps,
    • to carry out the gestures of helps necessary and possible,
    • to supervise the victims in waiting of the helps;
  • when it acts in team and with material:
    • to intervene quickly and in a way adapted on the spot of an accident, a faintness
or of a brutal aggravation of a disease,
    • to take part in the safety and the protection of the zone of the accident,
    • to reach the victim,
    • to examine the victim and to seek a vital distress,
    • to return account,
    • To carry out the gestures of helps necessary and possible,
      • to remove obstructions from the air routes;
      • to stop a hemorrhage,
      • to protect the air routes from an unconscious victim,
      • to begin a cardiopulmonary reanimation,
      • to fight against a vital distress,
    • to move the victim only if it is necessary,
    • to supervise the victim,
    • to help the rescue squad which arrives in reinforcement.

First aid in team of level 2 (PSE 2)

In the past Certificate of formation to the activities of first aid in team ( CFAPSE ): it is the diploma of team-member first-aid worker, that which makes it possible to integrate a team (voluntary first-aid worker or fireman), to take part in the help with victim in an emergency plan or to direct a binomial on a station rescue. It is necessary to be titular PSE 1 and to be 16 years old; the program includes/understands a 35 hours formation with the brancardage, the installation of splints, packing (bandages, bindings) and of the material specific to various distresses (such as for example the hemostatic cushions).

According to the national reference frame (RN), competences of the team-member first-aid worker are:

  • to implement elementary measurements to comply with the rules of hygiene and asepsis necessary;
  • to examine a victim and to carry out the assessment of the lesions in order to decide gestures of help to carry out and return account;
  • to recognize a particular attack and to adapt the action to be taken if it is necessary;
  • to recognize a specific affection and to adapt the action to be taken if it is necessary;
  • to recognize a behavioral affection and to adopt a control adapted towards the victim, its entourage and the other speakers;
  • to carry out the bandage and the binding of a wound or a burn;
  • to immobilize whole or part of the body at the time of a traumatic attack of the bones or articulations;
  • to direct and take part in the raising of a victim and its installation on a device of transport;
  • to direct and take part in the brancardage of a victim and its transport;
  • to react correctly in front of a situation with many victims within a team incorporated in a plan of help at the time of a catastrophic accident for limited purpose.

Other formations

  • National patent of safety and watery rescue (BNSSA) : allows to carry out the monitoring of beaches as well as swimming pools (under certain conditions); she contains sporting tests (swimming, apnea), of rescue (to go up a mannequin, to know to control a person who panics) and of first aid. The prérequis is the PSE 1.

  • Diplôme of State of ambulance man (DEA) , in the past Certificate of competence of ambulance man (CCA) : it is about a professional diploma (several obligatory training courses, lasted approximately 6 months) making it possible to be Ambulancier in a private company or within a hospital. The prérequis is the AFPS, but the possession of the PSE 2 largely facilitates the training, and two years of driving license (B). In addition to a first aid part, near to the PSE 2, one sees there also ancillary medical concepts (for example childbirth), of hygiene (maintenance and disinfection of the ambulance), legal and of vehicle driving.
  • For the firemen, the formations of help to anybody (SAP) are added to the PSE 2.

Modules “Help with anybody” of the firemen

The PSE2 (and before the CFAPSE) and CFAPSR fot left the initial training of the fireman. This formation is supplemented by modules of help to anybody (SAP): SAP1, SAP2 and SAP3.

Before 2007, these modules include/understand a formation with the anatomy, as well as complementary gestures like the pressure tap, the oxymetry… A certain number of these concepts stupid now included in the PSE1 and 2.

Since 2007, the module SAP 1 includes/understands a formation with the road risk: identification of the dangerous matters, dealt with of polytraumatized, evacuated of a victim of its vehicle (except desincarceration),… It lasts 28 h. the SAP2 is intended to the chiefs of tackle and lasts 17:00; the SAP3 was removed.

With the Brigade of firemen of Paris (BSPP), additional training is called the BSPP 200.2 (“two hundreds item two”).

In Belgium

In Belgium, the training of the professional first-aid workers (firemen) is called “urgent Medical assistance” (AMU) and lasts 120h.

In the United States

With the the United States, the formation of first aid without ancillary medical gesture is the BASIC life support (BLS).

See too

Related articles

  • Technical of prompt help

External bonds

  • the power station of training specialized First aid

  • Secourisme.info French Site with documents on the first aid
  • training of the first-aid workers at the French Red Cross

Simple: Resuscitation

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