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    • CPR and COVID-19

      Resuscitation Council UK Statement on COVID-19 in relation to CPR and resuscitation in first aid and community settings Whenever CPR is carried out, particularly on an unknown victim, there is some risk of cross infection, associated particularly with giving rescue breaths. Normally, this risk is very small and is set against the inevitability that a person in cardiac arrest will die if no assistance is given. The first things to do are shout for help and dial 999. Watch what to do in an emergency. First responders should consult the latest advice on the NHS website ( https://www.gov.uk/government/publications/novel-coronavirus-2019-ncov-interim-guidance-for-first-responders/interim-guidance-for-first-responders-and-others-in-close-contact-with-symptomatic-people-with-potential-2019-ncov). Those laypeople and first responders with a duty of care (workplace first-aiders, sports coaches etc.) that may include CPR should be guided by their employer’s advice. This guidance may change based on increasing experience in the care of patients with COVID-19. Healthcare workers should consult the recommendations from the World Health Organisation and Department of Health and Social Care for further information, and advice by nation is at the conclusion of this statement. Resuscitation Council UK Guidelines 2015 state “If you are untrained or unable to do rescue breaths, give chest compression-only CPR (i.e. continuous compressions at a rate of at least 100–120 min-1)”. Because of the heightened awareness of the possibility that the victim may have COVID-19, Resuscitation Council UK offers this advice: Recognise cardiac arrest by looking for the absence of signs of life and the absence of normal breathing. Do not listen or feel for breathing by placing your ear and cheek close to the patient’s mouth. If you are in any doubt about confirming cardiac arrest, the default position is to start chest compressions until help arrives. Make sure an ambulance is on its way. If COVID 19 is suspected, tell them when you call 999. If there is a perceived risk of infection, rescuers should place a cloth/towel over the victims mouth and nose and attempt compression only CPR and early defibrillation until the ambulance (or advanced care team) arrives. Put hands together in the middle of the chest and push hard and fast. Early use of a defibrillator significantly increases the person’s chances of survival and does not increase risk of infection. If the rescuer has access to any form of personal protective equipment (PPE) this should be worn. After performing compression-only CPR, all rescuers should wash their hands thoroughly with soap and water; alcohol-based hand gel is a convenient alternative. They should also seek advice from the NHS 111 coronavirus advice service or medical adviser. Paediatric advice We are aware that paediatric cardiac arrest is unlikely to be caused by a cardiac problem and is more likely to be a respiratory one, making ventilations crucial to the child’s chances of survival. However, for those not trained in paediatric resuscitation, the most important thing is to act quickly to ensure the child gets the treatment they need in the critical situation. For out-of-hospital cardiac arrest, the importance of calling an ambulance and taking immediate action cannot be stressed highly enough. If a child is not breathing normally and no actions are taken, their heart will stop and full cardiac arrest will occur. Therefore, if there is any doubt about what to do, this statement should be used. It is likely that the child/infant having an out-of-hospital cardiac arrest will be known to you. We accept that doing rescue breaths will increase the risk of transmitting the COVID-19 virus, either to the rescuer or the child/infant. However, this risk is small compared to the risk of taking no action as this will result in certain cardiac arrest and the death of the child.

    • Herpetic whitlow (whitlow finger)

      Herpetic whitlow (whitlow finger) Introduction A herpetic whitlow, or whitlow finger, is an abscess of the end of the finger caused by infection with the herpes simplex virus (the "cold sore virus"). It usually affects the fleshy area of the fingertip. What are the symptoms? The fingertip suddenly becomes red, swollen and extremely painful. Small white blisters develop underneath the skin of the finger, which may break to release fluid, eventually crusting over. What's the cause? There are two types of herpes simplex virus (HSV), type 1 and type 2. Both HSV-1 and HSV-2 can cause a herpetic whitlow. These viruses can also cause cold sores and genital herpes. A herpetic whitlow can develop as a secondary infection if you already have a cold sore or genital herpes and you touch the sore area of skin, transferring the virus from your mouth or genitals to your finger. It can also develop if you touch the sore or blister of another infected person. You're at greater risk of becoming infected if you have a weakened immune system. How is it treated? Antivirals A herpetic whitlow may be treated with an antiviral drug such as aciclovir. You may be prescribed a five or seven day course of 200mg aciclovir to take five times a day or 400mg to take three times a day. But this is only worth taking if you start the treatment within 48 hours of symptoms starting. Using an antiviral after this initial period is unlikely to have any effect. Antiviral drugs may help to heal a herpetic whitlow, but they do not get rid of the herpes simplex virus or prevent future outbreaks of herpes simplex viral infection. A whitlow will heal without an antiviral drug within two to three weeks. Antiviral treatment may: reduce the time taken for the abscess to heal reduce your risk of a secondary bacterial infection reduce your risk of the herpes simplex virus spreading to other parts of the body Caring for the whitlow at home You should cover the whitlow with a light dressing so the infection doesn't spread any further. Avoid wearing contact lenses until the infection has healed, to stop the virus spreading to your eyes. You can take an over-the-counter painkiller such as paracetamol or ibuprofen for pain relief. Do not attempt to drain the fluid, as this may cause the virus to spread or cause a bacterial infection. Will it come back? The herpes virus remains dormant (inactive) in nerve cells and may reactivate at a later date, sometimes following stress or an illness. This can result in another whitlow at the same site as the first one If a whitlow does return, it can be treated in the same way, with an antiviral drug. If the whitlow returns often, the antiviral drug can be given for long periods of time (years) to reduce the number of times it comes back. This suppressive antiviral treatment will also reduce both the severity of the whitlow and the length of time it takes to heal. #communicablediseases #Herpes #childcare

    • Early years foundation stage: coronavirus disapplications. Updated 24 April 2020

      Our online training course in Paediatric First Aid meets these requirements if you are an existing student who has completed our FAW or EPFA course in the last three years and needs to during this COVID crises up-skill due to no PFA staff availability. Training will only be valid during the crises. After restrictions are removed students will just need to attend a 1 day practical session to hold full PFA status. Email paul@paulkenny.co.uk for more details. 6.2 Paediatric First Aid The changes: The requirement for at least one person who has a full paediatric first aid (PFA) certificate to be on the premises at all times when children are present remains in place where there are children below the age of 24 months. Paragraph 3.25 and Annex A of the EYFS set out more detail. However, if children are aged 2-5 within a setting, providers must use their ‘best endeavours’ to ensure one person with a full PFA certificate is on-site when children are present. If after using best endeavours they are still unable to secure a member of staff with full PFA to be on site then they must carry out a written risk assessment and ensure that someone with a current First Aid at Work or emergency PFA certification is on site at all times children are on premises. ‘Best endeavours’ means to identify and take all the steps possible within your power, which could, if successful, ensure there is a paediatric first aider on site when a setting is open, as per the usual EYFS requirement on PFA. Please note this does not apply for childminders as they must already have a full PFA certificate. New entrants (levels 2 and 3) will not need to hold a Paediatric First Aid (PFA) certificate within their first 3 months in order to be counted in staff: child ratios, during the COVID-19 outbreak. Additionally, if PFA certificate requalification training is prevented for reasons associated directly with COVID-19, or by complying with related government advice, the validity of current certificates can be extended by up to 3 months. This applies to certificates expiring on or after 16 March 2020. Providers remain responsible for ensuring all children in their care are kept safe at all times. What this means in practice: For providers with children below the age of 24 months in their care, the requirements around PFA remain the same as in the current EYFS framework, with the exception that during the COVID-19 outbreak new entrants do not need to have a PFA certificate to be counted in ratios. This is in recognition of the greater risk factors for babies and young children in this age bracket, including choking risks and different cardiopulmonary resuscitation (CPR) procedures for those aged 0-1 as set out by the NHS. For providers who have children aged 2-5 in their care they must use ‘best endeavours’ to have one person with full PFA, as set out in the EYFS, onsite. By best endeavours we mean providers must be able to demonstrate they have identified and taken all the steps possible to appoint a suitable person. This should include liaising with their local authority to find a suitable person, this could include identifying and looking to appoint: a person with a PFA certificate and Disclosure and Barring Service (DBS) check from a local provider who has closed; or a registered local childminder with a PFA certificate and DBS check who is approved to work on non-domestic premises Looking to secure full PFA training for staff that includes the specific risk factors and techniques required for the care of young children including but not limited to choking, seizures, and issues related to sleeping. Annex A of the EYFS statutory framework sets out the criteria for effective PFA training. After these actions have been carried out and if it is still not possible for someone with a full PFA certificate to be on site at all times children are present, providers must undertake the following actions in order to remain open: Carry out a written risk assessment to consider and mitigate the likely occurrence of a serious incident. Ensure at least one person with a current First Aid at Work or emergency PFA certification is on site at all times children are on premises and must accompany children on outings. Paragraph 3.65 in the EYFS continues to apply and outings should only be undertaken if it is safe to do so. Providers must take account of any Govt advice in relation to the COVID-19 outbreak. The written risk assessment should take into account all relevant factors with the aim of enabling the setting to ensure they can provide the safe care needed by children of critical workers and vulnerable children during COVID-19 outbreak, including: The number of children on the premises The staff to child ratios The types of activities undertaken with the children on the premises The likely need for first aid based on the needs of the children attending the premises First aider knowledge among staff on the premises: and The mitigations available to reduce the risk of such an incident Providers will need to keep the written risk assessment available in the setting throughout the COVID-19 breakout. This does not need to be sent anywhere but must be available on request. Providers could help members of staff who have a First Aid at Work or emergency PFA certificate to help bridge the gap between their current qualification and full PFA by looking to secure online training to cover elements required for the care of young children. HSE provides guidance on choosing a first aid training provider. As set out in HSE guidance, any training in relation to paediatric CPR and choking should be in line with the Resuscitation Council’s guidance and NHS England guidance.

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    • Course Handouts | paulkennytraining

      Handouts and Videos for our Courses Practical Handouts Guidance Documents Word Document PDF First Aid Box Contents Infection Control Anaphylaxis Training FREE!!! Online Allergy training for Child Care Professionals FREE! Jext Pen Online Training EpiPen Use 4 Things! Paediatric First Aid Course Video's LIFEPAK CR Plus AED LIFEPAK CR Plus AED Demo Video Medina AED Instruction Video HeartSine Samaritan PAD 350P Buccolam Administration - Edited version

    • How do I access my course? | paulkennytraining

      How do I access my Online Course? https://lms.highfieldelearning.com

    • e-learning | paulkennytraining

      e-learning Press here to book on one of our online courses e-learning ​ Qualify at Home ​ At this time of isolation and working from home we need to keep our skills and qualifications current and up to date. With our mix of blended learning topics, we think we can help with that. ​ Cost of the courses will stay the same as already advertised but we may in the future have to increase charges if the current outbreak continues due to depletion in our supplies of existing manikin lungs and faces. ​ There are three types of courses to choose from. ​ e-learning Blended learning Classroom learning ​ The is a stand-alone course usually an introduction to a subject. Anybody can access these courses. Several of our clients use these for new starters and include them as part of the business induction process. Students after successfully finishing a course can printout a certificate of attendance or completion. e-learning course ​ These courses are booked directly with us and can be paid with a credit or debit card and prices start from as low as £5.00. ​ There are also several e-learning courses that can be taken and then used as evidence towards a level 2 or level 3 course very similar to blended learning courses. ​ is designed to follow the classroom course but allows a large majority of the theory to be completed online. Typically, on 12-hour Paediatric course students will complete 6 hours online and then attend for 6-hour practical session and final exam. Blended learning course ​ Blended learning offers the chance to study at home or work at your own pace and time, working with equipment you feel confident to use. ( Unfortunately, mobile phones cannot at the moment be used for e-learning). ​ When you have completed your online portion of the course you can arrange to attend your practical session with us. Contact Debra Jones at Bolton Under Fives Forum (BUFF) to arrange this. ​ We are still offering where students complete all the course in a classroom environment. These will continue to be booked with Debra Jones at Bolton Under Fives Forum (BUFF) traditional courses ​ First Aid Blended Courses ​ Online The online portion of the course also gives the student a digital copy of the latest first aid book which they can use on phones, tablets or computer. ​ ​ Practical assessments. We are running small group sessions of no more than 8 students at a time, in a space big enough to keep the recommended social distancing requirements of: ​ ‘ Social distancing means staying 2 metres (6ft) apart from other people’. HSE ‘Social distancing, keeping businesses open and in-work activities during the coronavirus outbreak’. ​ For our First Aid courses we offer students 1 to 1 with the Manikins (Adult, Child and infant), AED and Auto-injectors and we guarantee no shared equipment. Students are given training packs upon arrival containing first aid dressing, gloves, mouth shield, small bottle of water and face mask. Other preventative measures have also been introduced and these will be included in your booking pack when we confirm your class attendance date. ​ Blended e-learning courses available Description of blended learning for Paediatric First Aid Paediatric First Aid Blended Learning First Aid at Work Blended Learning Emergency First Aid at Work Blended Learning

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