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28:, off duty paramedics, nurses or medical doctors, or indeed professionals from a non-medical discipline who may be nearby or attending emergencies, such as firefighters. Community first responders are found in the emergency healthcare systems of Canada, United Kingdom, the United States, Ireland, Israel, Italy (soccorritori), Australia, Singapore and Romania.
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because responders do not necessarily have the levels of training or equipment available to full-time staff, and may arrive on their own, increasing risks. Types of call which responders may not be asked to attend (or be stood down if already en route) include drugs related problems, domestic violence and abusive patients as well as dangerous scenes such as
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There is no nationally agreed standard for the training of community first responders. Some ambulance services choose to use the IHCD First Person on Scene (FPOS) qualification at either basic, intermediate or enhanced levels, however some ambulance services choose to deliver their own syllabus. In
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Examples of first responders include "co-responders" (police or fire service), members of staff of a shopping mall or other public place, members of a first aid organisation, lifeguards, community first responders, and others who have been trained to act in this capacity. Employees of the statutory
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and sirens (as a matter of policy, rather than legal restriction). There are a small number of schemes which have dedicated response cars and responders, who have been fully trained in response driving, respond on blue lights and sirens. In most cases funding for these schemes is from charitable
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In general, first responders are sent to immediately life-threatening situations such as cardiac arrest. Some ambulance services restrict the type of calls which responders can attend, either through blanket prohibition or by more detailed call screening by the emergency dispatch centre. This is
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response is likely to be delayed beyond the approximate 8–10 minutes during which a cardiac arrest is likely to become irreversible. The schemes have since expanded to more populous areas, where the benefit of early intervention can still prove life-saving, and the volume of people available to
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A UK review found that first responders were more likely to attend the scene of an incident before an ambulance in rural areas, for neurological conditions including stroke, and for heart and breathing problems. Callers who were less likely to be seen by a community first responder ahead of an
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control centre to attend medical emergencies in their local area. They can be members of the public, who have received training in life-saving interventions such as
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Community first responders are there to provide assistance to those with a medical emergency, and most importantly to start and maintain the
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Schemes vary in the UK and are mostly managed by the local ambulance service, although some schemes are run externally (such as by
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In most schemes, they are expected to drive under normal road traffic laws, and are not permitted to claim exemptions or use
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133:. Other topics include roles & responsibilities, scene safety, communication, patient assessment, management of minor
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145:. Most schemes also use some further extended skills adjuncts, not normally taught on public first aid courses, such as
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most cases, the training takes place over several evenings and/or weekends and involves assessment by a trained
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The training is generally first aid-based and at its core but includes extended first aid skills such as
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234:"Community First Responders' role in the current and future rural health and care workforce (CFR-RHW)"
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Healthcare
Commission Report on the role and management of community first responders (2007)(Pdf)
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ambulance control assists them with meeting response time targets such as
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ambulance were from minority ethnic backgrounds and lower income areas.
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or building sites. In some areas, responders are also not dispatched to
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Scottish
Ambulance Service "First Responder" vehicle pictured in 2006
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ambulance services may also act as first responders whilst off-duty.
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arrives. The schemes were originally envisaged for rural areas where
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cases, although other areas have this as a main part of their role.
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263:"How do community first responders help in an emergency?"
20:(CFR), is a person available to be dispatched by an
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137:and a range of other medical conditions such as
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402:: CS1 maint: archived copy as title (
206:"What is a Community First Responder?"
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418:"Aims and Objectives"
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312:on 30 December 2013
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338:on 4 January 2014
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159:paramedic
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22:ambulance
398:cite web
388:15 March
377:Facebook
184:BBC News
139:diabetes
121:Training
147:suction
143:strokes
244:31 May
135:trauma
186:. BBC
55:ORCON
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