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TRAINING
All First Responders attend a training course with
the East of England Ambulance Service. They learn how to manage patients who are
not breathing, including those who may have suffered a cardiac arrest. They are
taught how to treat unconscious patients and a range of other potentially
serious conditions.
Meetings
are held each month to
refresh and extend this training. Responders are assessed after
the initial training and at intervals of twelve months thereafter.
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READY TO GO
Volunteers select times that are convenient to
themselves to be on standby. They work from home and carry on with their
normal routine until contacted by Ambulance Control on a dedicated
mobile telephone. They then move promptly to patient's location and
provide appropriate care and treatment until a regular crew arrives.
Many duty sessions may pass by without a call. At
other times there may be several calls in quick succession. Duty periods
may be weekdays, weekends or nights. Ideally we would provide cover at
all times.
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THE CALL OUT
First Responders are normally used for category A
calls, which may be life threatening. Common conditions are:
▪ chest pains
▪ breathing difficulties
Cardiac arrests are fortunately less frequent but
vitally important. A rapid response time may make the difference between
life and death.
First Responders are not sent to road traffic
accidents or violent incidents, nor do they attend children under 8
years old.
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TREATMENT
In the crucial case of cardiac arrest, First
Responders will administer CPR (cardio pulmonary resuscitation) and will
attempt to restore circulation by defibrillation.
The majority of patients are given oxygen therapy and
their condition is monitored until an ambulance arrives. It is normally
possible to make the patient more comfortable, treat injuries, and to
prevent the condition from deteriorating. Both patient and relatives are
reassured by the presence of a trained person who is able to act
immediately if further emergency action is needed.
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First Responders in the East of England attended 5085 calls during the
year 2007/8.
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EQUIPMENT
First Responders travel in their own vehicles. Signs
are provided to identify the car as an emergency response vehicle, but
drivers are still required to observe normal speed limits and traffic
regulations. There are no sirens or blue lights.
High visibility jackets are provided and an identity
card is carried. Equipment includes a defibrillator, oxygen, items for
managing unconscious casualties, and dressings for simple wounds. The
emphasis is on immediate action to save lives rather than detailed
treatment of any condition.
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