Advanced Medical First Responder

 Training

Advanced Medical First Responder I

As a minimum St. John Ambulance volunteer patient care providers are trained to the Advanced Medical First Responder I level. The Advanced Medical First Responder program is a 52 hour comprehensive training program that is the minimum level of certification that a volunteer must attain before he or she can provide service in the field.

 

 

Advanced Medical First Responder II

All members are encouraged to upgrade to the Advanced Medical First Responder II certification which is a 92 hour comprehensive training program for people with specific responsibilities for caring for the sick and injured. The A-MFR II program meets the Paramedic Association of Canada's EMR competency and is similar in content to the NREMT requirements for EMT-B.

 

"The patches on our shoulders represents our scope of our practice - not the limits of our knowledge."

Ongoing Training and CME's

On top of the 52 hour or 92 hour Medical First Responder Training certification course, each volunteer participates in weekly training meetings to maintain and broaden their current skill set. The training meetings take place from September to June and total over 100 hours of additional training and Continuing Medical Education.

 

How Does a Medical First Responder Differ from a Paramedic?

 Skill

     MFR     

 Paramedic I  

 Paramedic II  

Patient AssessmentYesYesYes
Oxygen AdministrationYesYesYes
Insert Oral/Nasal AirwayYesYesYes
Suction Upper AirwayYesYesYes
Spinal ImmobilizationYesYesYes
SAEDYesYesYes
Manual DefibrillationNoSomeYes
Traction SplintingYesYesYes
Administer ASAYesYesYes
Administer NitroglycerinAssistYesYes
Administer VentolinAssistYesYes
Administer EpinephrineAssistYesYes
Blood Glucose TestingAssistYesYes
Administer GlucagonAssistYesYes
Administer Oral GlucoseYesYesYes
IntubationNoNoYes
Establish IVNoNoYes
Maintain IVNoYes Yes
Intraosseous InfusionsNoNoYes
Needle ThoracostomyNoNoYes
Administer DiazepamNoNoYes
Administer D50 (Dextrose)NoNoYes
Wound CareYesYesYes
Emergency ChildbirthYesYesYes
Burn CareYesYesYes
Behavioural EmergenciesYesYesYes
Fracture CareYesYesYes
TriageYesYesYes
Thorough DocumentationYesYesYes

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Specialty Courses

Volunteer patient care providers are also given the opportunity to participate in additional training courses to broaden their skill set such as;

  • Pediatric Emergencies for Prehospital Professionals (American Academy of Pediatrics)
  • Traumatic Brain Injury (Brain Trauma Foundation)
  • Geriatric Education for EMS
  • International Trauma Life Support 
  • Helicopter Ground Crew 
  • Emergency Vehicle Operations
  • Basic Water Rescue
  • Emergency Response Cycling

Emergency Vehicle Operations

Every volunteer will undergo annual training to operate our vehicles. This course is designed to ensure that the volunteers are capable of operating our vehicles in a safe and appropriate manner at all times.

 

Basic Water Rescue Course

The basic water rescue course is a one day course that teaches volunteers the skills required in the instance where they may have to affect a water rescue.  The course is comprised of two halves.  In the morning half, participants learn about the skills needed to affect a water rescue, and also learn about some of the devices that are used in water rescues.  In the afternoon half, the participants go to the Welland canal where the skills that were taught in the morning half of the course are put into practice.  Participants are given possible scenarios and must attempt to affect a successful rescue.

 

 

 

Emergency Response Cycling Course

The emergency response cycling course is comprised of a theoretical and a practical component.  In the first half, participants are taught about the specifics of the bicycles that are used by St. John Ambulance.  In the second half of the course, the participants are subjected to a series of drills that are meant to simulate real scenarios encountered while affecting a rescue from the emergency responce cycle.

 


Medical First Response Services                                         Training Schedule for 2007-2008

 

Date

Time

Topic

Chpt(s)

Nov 6

1900-2200

Airway Management

7

Nov 13

1900-2200

Respiratory Emergencies

13

Nov 20

1900-2200

Cardiac Emergencies

14

Nov 27

1900-2200

Altered Mental Status/Diabetes

15

Dec 4

1900-2200

Stroke

16

Dec 11

1900-2200

Seizures/Syncope

17

Dec 18

1900-2200

Allergies/Anaphylaxis

18

Jan 8

1900-2200

Poisoning

19

Jan 15

1900-2200

Drug & Alcohol Emergencies

20

Jan 22

1900-2200

Acute Abdomen

21

Jan 29

1900-2200

Environmental Illnesses

22

Feb 5

1900-2200

Behavioural Emergencies

24

Feb 12

1900-2200

Obstetric and Gynecological

25

Feb 19

1900-2200

Material Review/Testing

 

Feb 26

1900-2200

MOI/Bleeding/Shock

26, 27

Mar 4

1900-2200

Soft Tissue

28

Mar 8

0900-1800

Standard First Aid/CPR-HCP

 

Mar 11

1900-2200

Burns

29

Mar 15

0900-1800

Standard First Aid/CPR-HCP

 

Mar 16

0900-1300

AED Recertification

14

Mar 18

1900-2200

Musculoskeletal Injuries

30

Mar 25

1900-2200

Head Injuries

31

Apr 1

1900-2200

Spinal Injuries

32

 

 

 

Apr 15

1900-2200

Chest/Abdominal/Genital

34

Apr 22

1900-2200

Agricultural/Industrial Injuries

35

 

 

 

Apr 29

1900-2200

Material Review/Testing

 

May 6

1900-2200

Pediatrics

36

May 13

1900-2200

Geriatrics

37

May 20

1900-2200

Ambulance Operations

38

May 27

1900-2200

Hazardous Materials

40

Jun 3

1900-2200

Multiple Casualty Incidents

41

June 10

1900-2200

Water Rescue Theory

23

June 17

1800-2200

Water Rescue Practical

23

June 24

1900-2200

Material Review/Testing

 

  

  

  

Specialized Training Topics

Date

Time

Topic

Cost

Nov 26

1830-2130

Breathless Seminar

$10

Jan 5 & 6

0830-1700

Int. Trauma Life Support

$200

Feb 13

1830-2130

Patient Assessment Seminar

$10

Mar 12

1830-2130

Cardiovascular Seminar

$10

Dec 6

1830-2130

Medical Emergency Seminar

$10

Jan 17

1830-2130

The Pen is Mightier than…

$10

Mar 2

0830-1700

Pediatric Emergencies

$110

Mar 30

0830-1800

Emergency Response Cyclist

N/A

 

 

Textbook – The textbook chapters that are quoted above are from the Brady Prehospital Emergency Care 8th Edition (ISBN 13: 978-0-13-174143-0) which can be purchased at Chapters for $84.95. While there are several other textbooks on the market that will suffice the Brady is the one that all lecture content will be based on.

 

Clothing – All members are advised to come to every session prepared to work outside. Many practical sessions will take place outdoors, in most cases prior notice of  outdoor training will not be given.

 

Certification – Every member must have a valid AMFR – I certification along with a valid Standard First Aid, CPR for the Health Care Provider (HCP) and a valid AED certification. To maintain a valid AED certification each member must perform supervised practice within six months of his/her last course and attend at least two approved CME topics. AED and CPR-HCP are valid for one year, AMFR – I and SFA are valid for three years. Every member must attend any course in its entirety to become certified.

 

Specialized Training – All specialized training topics are optional and the costs associated with the program are the responsibility of the member.

This training schedule is subject to change based upon operational requirements and instructor availability