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ARB TRAUMA KITS
Purple Dog Offline
#1 Posted : 19 July 2012 11:15:07(UTC)
Purple Dog


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Hi Guys,



I really do some advice...I have been asked to run a days course with our council Tree Felling team. These are council workers and work for them.



They presented me with a ARB Trauma Kit and have asked if i could deliver a days training course and show them how to use all the equipment in the kit. How do we stand if i show them how to use the equipment...They have CAT and all sorts of equipment that is not generally used in first aid training.



Please help......



Purple Dog 
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speckles Offline
#2 Posted : 19 July 2012 20:57:57(UTC)
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Purple Dog welcome to the forum. When you say "How do we stand"  what do you mean?  



It is reconised that Arborists face I higher risk of severe bleeding often, in remote locations. So provided you teach them from a position of understanding then I don't see any problem.



 
TLC Offline
#3 Posted : 19 July 2012 21:02:54(UTC)
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I don’t do any training so will be of little help but have one suggestion


Find out the manufacturer of the kit and contact them, they might have a training video or some kind of demo clips/user notes etc.


You might also be able to strike up a deal with the manufacturer doing some training for their customers.


Also have a look around youtube you sometimes get company demos on there.


Good Luck


 

TLC Offline
#4 Posted : 19 July 2012 22:18:49(UTC)
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Link to the ARB website some usefull info on it if it helps you



http://www.arbaid.co.uk/content/kit-contents.php



Cheers John


PrivAmb Offline
#5 Posted : 20 July 2012 00:28:48(UTC)
PrivAmb


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Hi PD

In short if you have to ask, then don't. If you have never received training with the clotting aids and tourniquation to a high standard, then you should not teach it. Aside from the risk of delivering poor quality training, you risk awkward questioning from students. Not all will be learners. Some will be experienced, others trained elsewhere, some will be instructor level.

In order to use this kit, you need to understand tourniquation, clotting cascade, use of adjuncts including differing clotting agents and impregnated gauze products and their differences/pros/cons, the replacement of ABCDE with CABCE and MARCHE, along with issues such as suspension trauma, working above ground and so on. If the chainsaw that sliced the leg had been used for slicing through the mature bow of a Eucalyptus tree, you would probably not understand the dangers associated with Eucalyptus poisoning and so on, or indeed a strimmer taking a chunk from a leg that had previously been cutting nightshade or rough ground containing toxic fungi etc.

Effectively you have been asked to be someone with a Private Pilot's Licence invited to teach four engine engine flame out prodecures to a class of 747 pilots.

Its only one days worth of work, but as you appear not to be confident in any way, I just suggest you respectfully retire from the running.

Regards

medrocktraining Offline
#6 Posted : 20 July 2012 05:59:27(UTC)
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That really is sound advice. Never deliver training with equipment you"ve not used in anger yourself or been trained by someone who has.
Regards
Purple Dog Offline
#7 Posted : 20 July 2012 07:13:41(UTC)
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Hi Everyone, this is Purple Dog,



I would like to thank you all for all your advice with the ARB Trauma Kit.



I think i need to rethink this and speak to them.



I am glad i linked in with you all as i was worried with regards to this training.



Once again



PD
rescuecentral Offline
#8 Posted : 20 July 2012 13:39:28(UTC)
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Hi Purple Dog,
where abouts in the Uk are you?

MJ
admin Offline
#10 Posted : 20 July 2012 20:10:57(UTC)
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I see Arb Aid do training – FPOS a three day course. So needless to say it covers and put into practice a lot more than could be adequately covered in a day.


Suspension trauma was mentioned. In the UK the HSE published a document on this. The outcome we that no special treatment or procedures should be carried out that is different from standard first aid.


http://www.hse.gov.uk/research/rrpdf/rr708.pdf


-          Are there any updates to this that I’m not aware of?


Regarding training, I would suggest  that although the use of the equipment / items are fairly straight forward, having experience in this specific topic will make the training more relevant, interesting and in turn effective.

PrivAmb Offline
#11 Posted : 21 July 2012 00:26:30(UTC)
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Hi Admin

Good that ARB have their own training to back up their product. That is where I would direct any person if I were in doubt. Effectively what is in that pack is what is now commonplace in military field medic and PFA packs that have been battlefield tried, tested and developed over the last 10 years.

Updates, well there are always updates, but your patient will always behave differently once you have them off the rope. That tourniquet you applied before the clotting agent and FFD may all be rendered ineffective as the bloodflow is increased to the distall areas after release from suspension - these issues do not just relate to shock and acidosis as the result of circulatory insufficiency.

Acidotic blood clots less effectively, release a legful of that into the system and you will need to revisit everything that you did to the severe injury you treated prior to rescue and release - as well as potentially seeing the clinical picture of your patient change.

The best people to rescue the patient will be colleagues, otherwise you will be waiting an age for HART and fire service rope teams to arrive, have a meeting, get dressed up, have another meeting, then decide its too dangerous and call in cave/mountain rescue. If those colleagues are not told, during training, what to expect when they get the patient on the ground, then they will not expect it and will concentrate on the ABC rather than the CABC or MARCH.

Perhaps suspension trauma was the wrong term to use. Perhaps suspension and post suspension issues/clinical presentation would be a better description. However, in the case of both first aid provision, and indeed the law requiring the management and provision of Health and Safety, there are many things to consider. Considerations beyond first aid provision would include rescue, and those persons having the correct training and permits to work. It is an area or tutorship beyond the majority of even highly competent first aid trainers.
Purple Dog Offline
#9 Posted : 22 July 2012 13:14:46(UTC)
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Originally Posted by: rescuecentral Go to Quoted Post
Hi Purple Dog,

where abouts in the Uk are you?



MJ


Hi,



We are based in Huddersfield and have our own venue also in Huddersfield.



I have been intouch with ARB and i am waiting to find out what training they do.



Regards



PD
Purple Dog Offline
#12 Posted : 22 July 2012 13:19:15(UTC)
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Hi everyone,



I have been intouch with ARB and awaiting a reply. I will ask them all about there training and what there training covers. I am looking at attending their 3 day course.



Thanks once again.



PD 
PrivAmb Offline
#13 Posted : 23 July 2012 01:44:13(UTC)
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Attending the three day course, most of which will inevitably be given to CPR, Recovery Position and how to put a sling on that mythical patient with a fracture who feels so little pain that they will let you is not the same as being knowledgeable and competent in teaching use of some of the skills needed to use the contents ARB Kit. It is regurgitating books and the words of their trainers that lead to people asking all sorts of idiotic questions such as a recent on on here about inducing vomitting etc. If you want to look like a divvy out of their depth on the WWW Interweb, then here is the place that it is done. Do it in front of an audience, you will get pinged. Also, the MHRA investigating a serious issue had cause to revert to the accused's training provider who are an NHS Trust. As a result, that NHS Trust has had to adjust its training package and up the content of its disclaimers. Don't take my word for it as its only the Interweb and there are plenty of people who have seen your thread and and have added ARB training to their single page website along with lifeguarding, close protection and HALO/LALO insertion into gargen fetes who will see no harm in it.

What 99 percent of those people fail to understand is that if there are faced with a positon where they have to use that kit, then their patient will be big sick, and if they know little other than basic first aid management of shock, major haemorrage, airway management etc, then they may as well not be there at all.

PS, aren't tourniquets banned on pain of the mythical litigation beast visiting himself upon you and sueing you for 10 million pounds and rendering you homeless in your underpants?
admin Offline
#14 Posted : 23 July 2012 11:06:20(UTC)
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At our last conference Prof.Sir Keith Porter touched the important of tourniquets in light of the new evidence coming back from the war zones.  Sir Keith, stated that he would like to work with the AoFA in developing procedures for their use.

JonAcc Offline
#15 Posted : 23 July 2012 11:47:05(UTC)
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PrivAmb puts it quite bluntly, as so often, but sometimes things need to be said in words like that so there is no misunderstanding what he is saying. As a simple rule, if you have to ask questions about something, you are not competent to train it.



As a clarifier, because the written word does not always readily convey the context of a statement, that is not intended as a "put-down" to people coming on here asking questions about things they teach where the questions are furthering their CPD. It's about asking simple basic questions about things that are at the same level as a candidate on the course would ask.
Purple Dog Offline
#16 Posted : 26 July 2012 06:18:54(UTC)
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Hi Everyone,



I would first like to thank you all for your great advice and suggestions.



I have been in touch with A.R.B in Scotland and we had a good chin wag. I explained where is was coming from and what i wanted to do. He was straight forward in say that, " It was more a train the trainer course i needed and at this stage he does not do this. He also mentioned that if i did all the training with him that i could be in direct competition. He has worked hard to develop this product and because of the complexity of the kit, he was reluctant to pass on any training to me, but i did mention for him to quote me for delivering the course down he in Huddersfield. I am waiting now for the quote from him.
PrivAmb Offline
#17 Posted : 26 July 2012 10:13:29(UTC)
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Hi PD

Naturally this gent would like to protect his business, but there is absolutely nothing unique about the contents of the equipment. All of it is in common usage, and certain medical personnel carry most of this equipment anyway. There is no getting away from the fact that it is a very well thought out and put together kit and is definately the sort of thing you want to hand when there is an accident with a chainsaw. There is however absolutely nothing unique about the sellers knowledge in respect of its use.

REgards

Amaron Offline
#18 Posted : 27 July 2012 09:41:00(UTC)
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Hi,

Ref the CAT Tourniquets that are now carried by ALL military on OPs in Afghan, the use of which is taught on Team Medics courses but otherwise in the field by each other!!!!

The training video supplied with it is useless, but we found that explanation and practise on a dummy arm with fake blood was very effective at getting across the application onto another, we would then get them to do 1 handed application on themselves (with stringent controls in place)!!!!

Hope this helps in some way.

Amanda
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