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  • 06 Feb 2012 1:26 AM | Anonymous member

    Let’s Do Lunch and raise cash for care professionals in need





                                                                     

    Patron of the charity Fiona Phillips


    Country Range, Major International and Dr Oetker have teamed up with the Care Professionals Benevolent Fund (CPBF) to help raise cash for care workers who have fallen on hard times.

    The charity’s “Let’s Do Lunch” campaign is inviting everyone in the care industry to organise a lunch event to help raise much needed funds.

    The Care Professionals Benevolent Fund is the registered charity for the care sector and supports current, former and retired care professionals, by providing emergency and essential need grants to relieve financial hardship caused by sickness or life-changing circumstances.

    CPBF spokesman Shaun Turner said: “We receive heartbreaking pleas for help on a daily basis. Sometimes all it takes is a very small change in circumstances to tip the balance and turn a manageable situation into an unmanageable one.”

    The CPBF are hoping to encourage at least 500 care homes across the country to organise a lunch event between now and the end of March.

    “There are lots of different types of lunches to choose from,” Said Shaun. “You could organise a themed lunch at your care home with invited friends and family, a glitzy gathering in a local hotel restaurant or staff could do a “come dine with us” extravaganza in their homes with their colleagues.

    “As well as charging people to attend, you could also have a raffle to help raise even more money.”

    TV presenter and Patron of the charity Fiona Phillips, is fronting the campaign. She said: “I know I’m definitely not alone when I say how much I love having lunch with friends. And it’s even better when we can do just that and raise money for a good cause at the same time.”

    The CPBF has lots of advice and ideas, including top tips from Michelin starred celebratory chef Michael Caines MBE and Dean Harper resident campaign chef on how to organise the perfect “Let’s Do Lunch”, as well as posters, collection boxes and fundraising packs.

    For more information on how to register for your free fundraising pack, or to register your event please call 0845 601 9055 or e-mail info@cpbenevolentfund.org.uk


    Care Professionals Benevolent Fund

    http://www.cpbenevolentfund.org.uk 

  • 05 Feb 2012 11:34 PM | Anonymous member
    Action on Elder Abuse

    National Adult Safeguarding Conference







    Action on Elder Abuse are holding our annual National Adult Safeguarding conference on 30th March this year, at Herbert Smith solicitors near Liverpool Street in London. 

    Keynote speakers are Lord Justice Munby QC (in the morning) who is always worth hearing (talking about DOLs), and the Minister for Social Care, Paul Burstow MP as the afternoon keynote. 

    Other speakers include Terry Bryan, the whistleblower at Castlebeck, Julie Bailey whose group 'Cure the NHS' triggered the Mid Staffordshire inquiries, Michael Mandalstam, the solicitor who wrote the recent guide to Safeguarding and the Law for the Department of Health, plus many others. 

    You can get full details at http://www.elderabuse.org.uk/Conferences/Conferences%20current.htm or 
    email maggieevans@elderabuse.org.uk. 

    I hope you can make it either as a delegate, or staffing one of the stalls on the day. And if you want to join as a member of AEA, we can give you the membership discount which gives you an immediate saving on costs.


  • 03 Feb 2012 6:28 PM | Anonymous member


    Medical Emergencies within

    the Dental Practice


    SYNCOPE  (FAINT)


    By Wendy Berridge






    MEDICAL EMERGENCIES WITHIN THE DENTAL PRACTICE

    SYNCOPE  (FAINT)

    DEFINITION A loss of consciousness caused by a temporary insufficient blood supply to the brain.

    When a casualty faints, the blood vessels in the lower body dilate and the heart rate decreases, resulting in a drop in blood pressure. A faint is also known as syncope, vasovagal syncope or vasovagal attack. The word syncope means “a sudden loss of consciousness” and vasovagal is referring to the action of the vagus nerve in causing a faint. An increase in vagal activity causes a drop in heart rate and blood pressure. There is also a reduction in the sympathetic nervous system activity which causes a dilation of the blood vessels, leading to a “pooling” of the blood volume in the limbs. This means that there is now less blood flowing to the brain, and this lack of oxygenated blood leads to unconsciousness.

    Faints are common, 50 percent of the population will experience a faint at least once in their lifetime.

    A faint is usually caused by a trigger and some of these are listed below. The most common triggers in the dental surgery are stress, anxiety and pain. Most people will experience some or all of the signs and symptoms which are also listed below.

    Faints can sometimes be avoided if action is taken early enough.

    Typical causes of fainting include:

    Pain and/or fright

    Lack of food/fluid

    Emotional stress

    Long periods of inactivity (such as sitting or standing)

    Prolonged exposure to heat


    POSSIBLE SIGNS AND SYMPTOMS

    Feeling hot and sweaty

    Pale, clammy skin

    Auditory and/or visual disturbances

    Feeling light-headed and dizzy

    Slow pulse (bradycardia)

    Temporary loss of consciousness

    The symptoms vary between individuals, but usually include a feeling of becoming very warm and light-headed. The person will look quite pale and sweaty, and may mention that any sounds seem “very far away”. The pulse rate will be slow (an average pulse rate in a healthy adult at rest is 60 – 90 beats per minute) which is a useful diagnostic tool. After a few seconds the person will lose consciousness.

    As soon as the blood flow to the brain is restored they will begin to make a recovery, although they will continue to feel unwell for a time afterwards.


    MANAGEMENT

    When a person shows any of the signs mentioned above they should immediately be placed flat with the legs elevated to a position above the level of the heart (laid on the floor with feet resting on a chair/dental chair laid flat with headrest lowered and legs elevated). This should encourage the blood flow towards the vital organs. It is very rare for someone to faint when lying down because it is impossible for blood to pool in the limbs. High – flow oxygen should be quickly administered using the non - re-breathing facemask. This will help to restore the cerebral oxygen concentration quickly. A person who is pregnant needs to be placed onto their side, otherwise the weight of the baby will push down and prevent the blood flow returning effectively, and may also hinder breathing. As the person begins to recover, leave them in this position for a few minutes and then allow them to return to a sitting position. This should be done slowly, especially if the person is elderly or pregnant. Reassure them as they are likely to feel embarrassed, and encourage them to continue receiving the oxygen until they are feeling “back to normal”.

    It is helpful to monitor the pulse rate because there will be an increase in the rate as the person recovers – after a minute it may become rapid but will return to normal quickly after that.

    If the casualty loses consciousness at any time OPEN THE AIRWAY using the head tilt/chin lift manoeuvre and quickly CHECK FOR BREATHING taking no longer than 10 seconds to do this.  IF THE CASUALTY IS BREATHING NORMALLY place them into the recovery position and telephone for an ambulance. Continue to administer high-flow oxygen. IF THE CASUALTY IS NOT BREATHING, OR IS NOT BREATHING NORMALLY then send someone to ring for an ambulance and quickly start CPR.


    PREVENTION

    It is always better to avoid an incident altogether, than have to deal with one when it arises, so it is always useful to know what the triggers are if someone has a history of fainting. Ensuring that the patient is adequately hydrated and has eaten recently can help to minimise the likelihood of a faint. If it is a hot day, then make sure that the air-conditioning is on, or the windows are open and a fan is available to use in the surgery.

    Do remember to reassure the patient and explain what treatment you are about to do to try to keep their stress levels to a minimum.

    As soon as the patient complains of feeling hot and/or dizzy, stop any dental treatment immediately, alter the chair position as mentioned earlier, and give high – flow oxygen.

    When stress and anxiety is associated with dental treatment then the value of using sedation may have to be considered.


    Wendy Berridge

    Berridge Medical Training

    http://www.berridgemedicaltraining.com/

  • 03 Feb 2012 6:04 PM | Anonymous member

    CPDme Newsletter Contributor

    Wendy Berridge

    Berridge Medical Training




    Wendy Berridge has worked within the dental profession for over 26 years and delivers CPR, Medical Emergencies and Defibrillation training to dental practices within Yorkshire and Lincolnshire.

    All training qualifies for Verifiable CPD and meets with current UK Resuscitation Council and GDC guidelines.  It takes place at each individual practice, allowing for a personal approach, and resulting in a more relaxed atmosphere!

    http://www.berridgemedicaltraining.com/


  • 29 Jan 2012 12:23 AM | Anonymous member

     

    Communication for First Aiders

    Harry Decker

     

     

     

    Communication for First Aiders

    “Communication is the key to success.” I hate that phrase, I think it sounds really clichéd, but as much as is pains me to, I agree entirely with the message it is trying to get across – it is especially relevant to first aid and healthcare staff of all grades.

    Communication can be verbal or non-verbal, and is certainly the most important skill we possess. Effective communication allows you to form a bond with your patient – as event first aiders we are often only in contact with our patient for ten to twenty minutes at a time, sometimes less, so first impressions, and the way in which we behave around our patients is key. If you are able to put your patient at ease, they will have more confidence in you, making your job easier.

    If time allows, shake your patient’s hand, introduce yourself, and make eye contact. This will immediately put them at ease. If your patient is a child, involve them in your initial contact as well as the parents, bring yourself down to their eye level – you will appear less intimidating, and the patient will feel more at ease.

    Don’t stand behind your patient to talk to them – if they are unable to move, for example they are on a trolley bed, move in front of them to talk where possible. This is just polite; it stops your patient from having to lean round to see you and reply. Another thing I try to avoid doing where possible is talking “over” your patient – this is where you talk as though your patient is not there, when they are in earshot. Where practical, involve your patient in the conversation about their treatment. Obviously this is not always suitable – it may panic them more, for example if you are concerned about the lack of sensation from the waist down on a patient with a ?spinal, do not blurt it out across them to your fellow first aider.

    Very importantly, always inform your patient of what you are doing, even if they are unconscious (hearing is the last sense you lose). You do not have to go into great depths explaining, unless the patient asks you to, but for any treatment or test, a good way of gaining their consent is informing them of what you are about to do – “I’m just going to put this peg on your finger, it isn’t going to hurt, but it will just give me a little bit more information about what might be the matter, is that okay with you?” By informing your patient of what you are doing, it gives them the opportunity to refuse, or ask more questions before allowing you to perform the procedure, and prevents them from panicking, possibly making their condition worse.

    Tailor your speech, and body language to the patient. You are not going to be using the same tone of voice, or the same type of language to a five year old, as you are a thirty-five year old, and again it will be different to how you speak to a confused seventy-five year old. Never patronise your patient, or appear condescending. It is important however, to take control of some situations, by being firm, yet sympathetic – this is different from being patronising. Being patronising is assuming your patient is stupid, and is not the right attitude to have.

    Communication is also one of our biggest treatment tools. If you win the confidence of the casualty, you will be able to effectively communicate with them. At first aid level, the only intervention we can offer to a patient hyperventilating due to a panic attack is firm reassurance. This involves both verbal and non-verbal communication. The verbal part is telling them that the only person that can stop the hyperventilating is them, and by reassuring them any pins and needles, cramps etc are perfectly normal, and the non verbal part involves coming down to their eye level, making eye contact, and placing a reassuring hand on their shoulder (if they allow you to). This has worked, without fail, for every hyperventilating panic attack patient I have ever dealt with.

    The way in which your casualty communicates with you is just as important, although it is worth noting the way they respond to you is often based upon how you communicate with them. The body language of your casualty can sometimes give you a good idea as to what is wrong, for example, a patient who withdraws from your touch when you press on an area whilst performing an examination is normally experiencing pain in the area, or the way they hold their arm, neck etc is indicative of where the pain is. It also important you give the impression you can be trusted, and are competent when taking a history – the patient is more likely to disclose all the information to a first aider who appears interested and concerned in them, and who is making the effort to come down to their eye level, than a first aider who is standing there with his hands in his pockets, looking elsewhere.

    I don’t claim to be an expert in communication – I’m not. I have never really received any formal training in how to communicate with my patients above and beyond what is covered on any course. The ideas I suggest in my article are based on experience – both my own, and others experiences. It is true the real learning happens outside the classroom. You can teach a first aider how to use all their kit, how to perform a primary survey, how to lift a carry chair, but communication, and putting these skills into practise are all things you learn out in the field – quite literally sometimes in event first aid, a cold, wet, muddy field.

    I’m always interested in hearing new tips and tricks, so if you have any you would like to share, my email address is harry.decker@firstaidcentral.co.uk

    Harry Decker

    First Aid Central

    www.firstaidcentral.co.uk

  • 25 Jan 2012 4:16 PM | Anonymous member (Administrator)

        Outdoor Sports Event Paramedics  Required


    ALS members of staff required for casual event work across the country but mainly in the Lake District. The work is of an outdoor adventure sport style so those interested should have an interest in such sports and be fit to spend the day on the fell.

    We also have opportunities for staff to teach on our wide range of remote medical courses from our training centre in the Lakes. We are currently in the process of expanding our course range.

    These paid positions provide a great CPD opportunity.

    Apply to - Nick Wright 
    info@mountaintrauma.co.uk for more information.

    Our outdoor courses are designed by paramedics and other leading healthcare professionals who come from a mountain rescue background.

    It is a common misconception that REC and ITC courses are the industry standard - they are courses designed by commercial providers like ourselves. Our courses are recognised within the industry and our programmes allow us to tailor courses to individual clients and as such do not have prescriptive syllabi.

    Click Here to View Courses


  • 10 Jan 2012 10:25 PM | Anonymous member


    Ambulance Services Benevolent Fund

    A New Year Message



    THE AMBULANCE SERVICES BENEVOLENT FUND.

    HAPPY NEW YEAR FROM CHAIRMAN PAUL LEOPOLD AND THE TRUSTEES OF THE AMBULANCE SERVICES BENEVOLENT FUND.

     AN URGENT APPEAL FROM THE ASBF!

     Are you planning an event to raise funds for charity this year? If you are, please choose the ASBF, the UK’s major ambulance services charity.

    We are appealing for urgent help from the nation’s ambulance services and all their staff to help raise funds for the ASBF enabling it to thrive and to develop its future ‘Caring for the Carers’ programmes.

    This year we want to introduce ASBF representatives on to stations and other service locations. These will be people interested in volunteering their time to become a direct link to the ASBF for colleagues in need of help and support when dealing with an unforeseen personal crisis or period of hardship. Importantly, their role will be to become ASBF champions by promoting ideas for fund raising events and to encourage colleagues to make regular donations by signing up to one of the donations from salary schemes.   

    This is an URGENT appeal from the Charity for help from all ambulance services, and to support this we welcome hearing from anyone interested in becoming ASBF representatives.

    For further information about volunteering as an ASBF representative or raising funds please visit our website:

    www.asbf.co.uk

    Or email:

    enquiries@asbf.co.uk

    ‘THE ASBF IS HELPING TO CARE FOR THE CARERS - TOGETHER WE CAN MAKE THE DIFFERENCE!’

    PATRON: SIMON WESTON OBE

    REGISTERED CHARITY # 800434

    (WORD COUNT 250)

  • 10 Jan 2012 9:28 PM | Anonymous member
     Queen's Diamond Jubilee Medal
       Ambulance Services Benevolent Fund



    Ambulance Services Benevolent Fund 

    The Ambulance Services Benevolent Fund has Queen's Diamond Jubilee Medal (miniatures and full size replicas) and Ribbons Bars in their fundraising shop. Please visit the ASBF website to see these and other items.

    Please print out the poster attached below to put up in your Ambulance Stations or other workplace, or email a copy to your colleagues.

    Ambulance Services Benevolent Fund - QDJM Miniature _ Ribbons.pdf

    The miniature medal is in stock, the full size replicas have been ordered and promised by the end of the January, the enamel medal ribbons are currently in production and should be available in early February.



    The Ambulance Services Benevolent Fund is a registered charity, established in 1986 to help ambulance service personnel and their dependents from all over the United Kingdom, Ireland, Channel Islands and the Isle of Man in times of genuine hardship. The Trustees are all unpaid volunteers and they work for the ASBF in their own limited spare time. The ASBF philosophy is to help people help themselves wherever possible but we always involve claimants in any decisions that involve outside agencies.

    The assistance given to both serving and retired ambulance personnel grows year on year and the Fund has now become firmly established within the field of ambulance staff welfare. The Fund assists claimants to deal with a whole variety of distressing circumstances, many arising from the stressful and demanding incidents they have 
    had to deal with in their careers in the ambulance services.

  • 03 Jan 2012 9:07 PM | Anonymous member

      British Heart Foundation Campaign


    Dear friends,

    Currently, not all children leave school having learnt the basic skills that could save a life in an emergency.

    The British Heart Foundation is campaigning to ensure that all children across the UK are taught these simple to learn skills. Knowing how to stop bleeding or perform cardiopulmonary resuscitation (CPR) should be as important as learning your times tables. Immediate on the scene CPR can double or even triple the chances of survival after a cardiac arrest.

    Join us in demanding that all children are taught these skills by signing the petition now.

    Thanks for your support,

    The BHF Campaigns Team

  • 10 Dec 2011 10:19 PM | Anonymous member

    ADULT CPR by Tony Clough



    Individuals, who find themselves thrust into a situation where casualties are having a suspected Cardiac Arrest, need to be able to react immediately. It is important that the lay-person should quickly recognise the signs and symptoms of a cardiac arrest and have had the training to perform Cardio Pulmonary Resuscitation (CPR).

    My previous article on ‘Airway Management’ explains how to recognise and confirm when patients are in a state of dying; following Danger Response Airway Breathing (DRAB) you can quickly determine whether the casualty has any response and if they are breathing normally; for the lay-person these are the signs and symptoms of cardiac arrest.

    Its human nature to start CPR immediately but before starting chest compressions it is imperative that the emergency services have been informed and a defibrillator requested. If there is no one else to make this 999 call then the first aider must abandon the casualty and make this call themselves.

    Once you know the Emergency Services are en route and a defibrillator requested Cardio Pulmonary Resuscitation (CPR) can commence. You need to locate the centre of the breast bone (Sternum) and place the heel of your ‘lead’ hand upon it and lock your elbow; quickly place the heel of the second hand above the other and again lock the elbow. Using a rocking motion you need to depress the chest 5cm-6cm; 30-times, at a pace of 100-120 compressions per minute; allow the chest to rise on each compression but keep contact with chest at all times – don’t bounce.

    Tip: Position your knees close into the side of the casualty so you can position yourself directly above the casualty’s chest. The rocking motion keeps the effort to a minimum; pushing increases the effort and tires the rescuer quickly.

    On the completion of 30-compressions it is preferred, but optional to administer two rescue breaths to the casualty. At the correct depth and pace it takes approximately 10-compressions to build enough blood pressure to give partial respiration to the brain; eventually the blood oxygen levels need to be replenished and the administration of two-rescue breaths after 30-compressions helps to keep this consistent. If for any reason you feel unable to perform rescue breaths through lack of ability or distaste then continuous chest compressions should be performed.

    Rescue breaths are successful when the casualty’s head is placed back into the head-tilt-chin-lift position, and the soft part of the patients’ nose is pinched shut before the rescuer makes a seal around the patients open mouth. A breath lasting no longer than a second should then be eased into the patient; out of the corner of your eye try to spot a subtle movement in the chest as this is all that is needed. Nevertheless, you should only make two attempts to achieve two rescue breaths; if either fails you must return to chest compressions immediately you have made the two attempts.

    Tip: Try not to blow into the mouth of the casualty as if you were blowing out a candle; best practice is to blow as if you’re making a ‘sigh’. This helps to sustain a seal around the patients’ mouth.

    Tip: Do lift the chin of the casualty while pinching the nose with your other hand as this ensures removing the tongue from the airway and clears the airway.

    Once rescue breaths have been completed you immediately return to 30-chest compressions and continue at a rate of 30:2. The only times you will stop doing CPR is when you are too exhausted to continue, someone with equal or more ability are able to take over, it becomes too dangerous to continue or in the unlikely event that the casualty starts to show signs of life.

    It has to be understood that CPR alone is highly unlikely to be successful in returning the casualty to life. In best practice CPR will partially oxygenate the brain and prolong permanent brain cell damage and death; it places the casualty in ‘hold’ until definitive care arrives. CPR success is down to the ability of the rescuer to perform continuous chest compressions with minimal interruption for rescue breaths. The rescuers hands need to be correctly placed, the compressions need to be at the correct pace and need to attain the correct depth on the patient’s chest.

    Definitive care usually arrives in the form of the medical professional; the aim of the ambulance service is to attend these incidents quickly; within 8-minutes in Urban areas; 20-mins in Rural areas. It is known that the best chance of survival is the attendance, as early as possible, of a defibrillator. All ambulances carry Defibrillators and it will be used if the cardiac rhythm of the heart requires it. These days, Automatic External Defibrillators (AED’s) are in many public places and definitive care may arrive before the ambulance service in the form of a lay-person trained to use an AED and perform good quality CPR.

    Until next time

    Tony Clough

    FIRST AID TRAINING Ltd

    Web: www.tcfirstaidtraining.co.uk

    Email: mail@tcfirstaidtraining.co.uk

    Tel: 0113 286 6023

    Mob: 07766 066 415

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