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First Responder

Control the bleed – BBC News Article

In todays news the BBC UK  News ran a news item on Birmingham becoming the first UK city to deploy Bleed control kits at various venues and locations. Remote First Aid sell the featured PerSystems 4BC bleed control kit. This kit is ideal for all large public venues and those working in high risk environments, such as Forestry Operations, Highways Officers and Operatives and many more areas.

Remote First Aid also deliver face to face training on a range of Stop the bleed first aid and first responder kits including on or nationally recognised QNUK L 3 First Responder Award programme. These can bee viewed on-line at our Trade-post store. We also offer high volume sales discounts on these kits. We can supply single items to large volume orders to Public House & Hotel chains, Rail Network Operators and their associated bodies. Watch the BBC article below.


4BC Bleed Control Kit

First Responder Qualification


New British Standard (BS8599-1 2019) BSi First Aid Kits

An update to BS8599-1: January 2019 came in to force on the 1st March 2019. This means that employers are required to provide trauma bandages, haemostatic agents and / or dressings, tourniquets and the training in their safe and correct use, if their first aid needs assessment identifies a risk from traumatic injury.

There are two new additions – a ‘critical injury pack’ for a severe life-threatening bleed or mass-casualty attack, and a new ‘personal first aid kit’, ideal for those lone-working and outside of the office within the updated BS8599-1 2019 Standard. Minor other changes have been made to the small, medium and large workplace and catering kits also.

Critical Injury Pack

The Critical Injury Pack is designed to provide immediate, life-saving first aid to someone who has sustained a severe bleeding injury in the workplace.

Every second count when dealing with a catastrophic bleed and action needs to be taken before emergency services arrive. This can make the difference between life and death. Currently, standard first aid kits aren’t equipped appropriately to stem such a bleed.

The HSE now recommends that employers provide haemostatic dressings and tourniquets in their first aid kits, where it’s possible that trauma could occur.

The new kit should be carried by the person at risk, so it’s at hand when needed. Appropriate training is also important, so they know how to use it!

The HSE recommends that employers arrange training for staff where tourniquets and haemostatic dressings are provided. A suitable course covering this would be our Emergency First Aid at Work Catastrophic Bleeding course.

Another use for the critical injury pack is at a mass-casualty incident, like a terror attack. The kit can be deployed using a ‘drop and throw’ method ensuring there are suitable provisions to stem catastrophic bleeds for anybody affected. As recently as Monday the 5th March 2019 the UK transport hub was targeted where members of the public were nearby when devices detonated (source BBC).

As Paramedics aren’t able to engage when they arrive at a possible terror incident until it has been declared safe, being able to treat ourselves and others is so much more important. Large bleeds need immediate treatment, or death is a real possibility.

The packs can be readily available at places with a large population, such as public venues like exhibition centres and concert halls. They should ideally be situated around cities, clearly signposted for ease of access.

A BS8599-1:2019 Critical Injury Pack contains:

  • 2 x haemostatic dressing
  • 2 x trauma dressings
  • 1 x foil blanket
  • 2 x pair of gloves
  • 1 x guidance leaflet
  • Pair of shears
  • 1 x tourniquet

This all comes inside a soft bag and can be purchased here: Critical Injury Kit

Personal First Aid Kit

Also called supplementary first aid kits, these are an extra to those already required. New guidelines include recommendations on ‘supplementary kits’ as an extra resource to British standard compliant kits.

Health and safety regulations state, “An employer shall provide or ensure that there are provided such equipment and facilities as are adequate and appropriate in the circumstances for enabling first aid to be rendered to his employees if they are injured or become ill at work.”

The new range of BS8599-1 compliant first aid kits reflect what’s needed to deal with workplace incidents, and are more ‘fit for purpose’ in today’s working environments. You can order the kit by clicking Personal First Aid Kit.

BS8599-1:2019 Personal First Aid Kit:

  • 1 x bandage
  • 1 x triangular dressing
  • 1 x foil blanket
  • 2 x pairs of adult gloves
  • 1 x guidance leaflet
  • 10 x plasters, wash proof and assorted
  • Resuscitation face shield
  • Pair of shears
  • 4 x cleansing wipes

Employers, Owners and Operators of buildings and land now have a clearly defined duty to provide suitable equipment and sufficiently trained staff to meet the HSE recommendations relating to responding and treating major injuries in the workplace.

First Responder Qualification

The QNUK Level 3 Certificate in First Responder (RQF) qualification is specifically designed for those seeking a career in the emergency services, ambulance services, the event medical  and security sectors or those who work in high risk workplaces.

This regulated and nationally recognised prehospital care qualification meets The Faculty of Pre-Hospital Care – The Royal College of Surgeons of Edinburgh competencies set out in the Pre-hospital Emergency Medicine (PHEM) skills framework at descriptor level D. It is also fully recognised by the Security Industry Authority (SIA).


  • Certification of this Award is issued by the Qualifications Network United Kingdom that is valid for 3-years.
  • The course is recognised by Ofqual as being a Level 3 award on the Regulated Qualifications Framework.
  • The qualification meets Grade descriptor D of the faculty of pre hospital care, pre hospital emergency medicine skills framework

Grade D – Nationally certificated non health care professional pre hospital provider caring for patients as a secondary role. i.e. D13 Enhanced certificated police officers, Fire Service IEC. Several types of UKSAR trained personnel.

In the full course specification below, students learn about sepsis and how the first responder can recognise and treat the sick person and how the first responder can initiate initial emergency treatment such as offering the sick person with Sepsis Oxygen Therapy.  Developing the First Responders communication skills includes using two-way communication systems and the Phonetic Alphabet, using ATMIST Pre-Alert Systems and much more when assisting a Healthcare Professional at scene.  You may download the phonetic_alphabet here


The five day First Responder course enables first aiders to enhance their level of medical capability to treat a casualty in a trauma or medical emergency. This qualification is highly sought after and is ideal for those working in any industry.

The training includes hands on experience with multiple casualty management and medical planning exercises, as well as a systematic approach to the management of trauma. The course includes practical medical scenarios based on potential threats and situations that may be encountered when operating in your chosen profession.

Experienced instructors

All our medical training personnel have extensive operational pre-hospital care experience gained when working in the Emergency Medical Services, including NHS Ambulance Services. Their proven capabilities and our facilities ensure that we deliver a learning experience that allows clients to operate confidently and securely in the field of First Responder.

First Responder Syllabus

  • Scene safety
  • Scene management including triage

    QNUK Level 3 Award in First Responder

    Each delegate receives the First Responder Care Essentials Manual

  • Patient assessment
  • The principles of manual handling
  • The management of catastrophic bleeding
  • Basic & Intermediate airway management skills (including adjuncts)
  • Respiratory assessment
  • Management of breathing difficulties
  • Basic and intermediate life support including AED
  • Management of haemorrhages and shock
  • Trauma related emergencies
  • Medical related emergencies
  • The recognition features of sepsis
  • Assisting the healthcare professional
  • Paediatric life support
  • Administration of Medical Gases


This five day course is assessed by Observation of practical skills and completing a Multi-choice question paper within the programme, which includes additional assessments in the administration of medical gases and first aid at work.

Certification – First Responder

  • Certification is issued by the Qualifications Network United Kingdom that is **valid for 3-years.
  • The course is recognised by Ofqual as being a Level 3 award on the Regulated Qualifications Framework.
  • Clinical endorsement of the qualification is by the Royal College of Surgeons (Edinburgh) Faculty of Pre-Hospital Care.  The qualification meets Grade descriptor D of the faculty of pre hospital care, pre hospital emergency medicine skills framework – PHEM Skill

Grade D – Nationally certificated non health care professional pre hospital provider caring for patients as a secondary role. i.e. D13 Enhanced certificated police officers, Fire Service IEC. Several types of UKSAR trained personnel.


**Delegates are required to attend the full course at the three-year point to requalify.

It is strongly recommended that those gaining this qualification attend at least eight hours of practical CPD annually and that further CPD such as reading relevant articles relating to this subject area is undertaken and recorded and reflected on.


Our training delivery takes place at our centres in Lydney Gloucestershire and Capel Curig Snowdonia. These venues have direct access to realistic and authentic training environments both indoors and out of doors and are easily reached by the UK road, rail and air networks and our venues includes five nights accommodation.

Or if you prefer we can deliver this training at your own working site*.

*Because of the practical nature of the course it is ideally delivered with access to the normal or anticipated working environment of the candidates, be that a a renewable energy site, docklands environment, mountain or upland area or any other high-risk or remote environment.

Benefits of First Responder Training

  • Accredited by QNUK and meets the requirements for the Security Industry Authority (SIA).
  • Written in line with current UK Resuscitation Council guidelines.
  • Large organisations particularly international Oil and Gas Companies, often require their security staff to have additional first aid qualifications.
  • Delegates will develop an increased confidence with regards to dealing with casualties and the management of medical emergencies.
  • High quality tutors and training.
  • Low class sizes on a ratio of one instructor to six students.
  • Five day course that includes ample evening study sessions.

Course Fees

Join us at our training venues below and the fee includes five-nights Bed, Breakfast, Lunch with light beverages each day.

  • Single Candidate  £600

There are no additional costs.


Course Enquiry


Sepsis – Treatments

Treatment for sepsis varies, depending on the site and cause of the initial infection, the organs affected and the extent of any damage.

You’ll usually be referred to hospital for diagnosis and treatment if you have possible early signs of sepsis.

Management of sepsis after admission to hospital usually involves three treatments and three tests, known as the “sepsis six”. These should be initiated by the medical team within an hour of diagnosis.

Treatment involves:

  • giving antibiotics – if the sepsis is detected early enough, this may be a course of tablets you can finish taking at home
  • giving fluids intravenously
  • giving oxygen if levels are low

These treatments are described in more detail on this page.

Tests will include:

  • taking blood cultures – to identify the type of bacteria causing sepsis
  • taking a blood sample – to assess the severity of sepsis
  • monitoring your urine output – to assess severity and kidney function

Emergency treatment

You’ll need emergency hospital treatment and may require admission to an intensive care unit (ICU) if:

  • the sepsis is severe
  • you develop septic shock – when your blood pressure drops to a dangerously low level

ICUs are able to support any affected body functions, such as breathing or blood circulation, while the medical staff focus on treating the infection.

Because of problems with vital organs, people with severe sepsis are likely to be very ill. Up to 4 in every 10 people with the condition will die.

Septic shock is even more serious, with an estimated 6 in every 10 cases proving fatal.

However, sepsis is treatable if it is identified and treated quickly, and in most cases leads to full recovery with no lasting problems.


The main treatment for sepsis, severe sepsis or septic shock is antibiotics.

If you have severe sepsis and septic shock, antibiotics will be given directly into a vein (intravenously).

Ideally, antibiotic treatment should start within an hour of diagnosis to reduce the risk of serious complications or death.

Intravenous antibiotics are usually replaced by tablets after two to four days. You may have to take them for 7 to 10 days or longer, depending on the severity of your condition.

Types of antibiotics

There won’t usually be time to wait until a specific type of infection has been identified, so broad-spectrum antibiotics are given first.

These are designed to work against a wide range of known infectious bacteria and usually cure most common infections.

Once a specific bacterium has been identified, a more focused antibiotic can be used.

Viral infections

If the sepsis is caused by a virus, antibiotics won’t work. Antibiotics are usually given anyway because it would be too dangerous to delay treatment until tests confirm the specific cause.

With a viral infection, you’ll need to wait until your immune system starts to tackle the infection, although antiviral medication may be given in some cases.

Intravenous fluids

If you have sepsis, your body needs increased amounts of fluid to prevent dehydration and kidney failure.

You’ll usually be given fluids intravenously during the first 24 to 48 hours after admission if you have severe sepsis or septic shock.

It’s important that the doctors know how much urine your kidneys are making when you have sepsis so they can spot signs of kidney failure.

If you’re admitted with severe sepsis or septic shock, you’ll usually have a catheter inserted into your bladder to monitor your urine output.


Your body’s oxygen demand goes up if you have sepsis.

If you’re admitted to hospital with sepsis and the level of oxygen in your blood is low, you’ll usually be given oxygen. This is either given through a mask or tubes in your nostrils.

Treating the source of infection

If a source of the infection can be identified, such as an abscess or infected wound, this will also need to be treated.

For example, any pus may need to be drained away or, in more serious cases, surgery may be needed to remove the infected tissue and repair any damage.

Increasing blood pressure

Medications called vasopressors are used if you have low blood pressure caused by sepsis.

Vasopressors are normally given intravenously while you’re in an ICU. Extra fluids may also be given intravenously to help increase blood pressure.

Other treatments

You may also require additional treatments, such as:

  • corticosteroids or insulin medication
  • a blood transfusion
  • mechanical ventilation – where a machine is used to help you breathe
  • dialysis – where a machine filters your blood to copy the function of your kidneys

These treatments are mostly used in ICUs.

Sepsis – Causes


Sepsis can be triggered by an infection in any part of the body. The most common sites of infection leading to sepsis are the lungs, urinary tract, tummy (abdomen) and pelvis.

Sepsis may develop when you’re already in hospital. For example, you’re more likely to develop sepsis if:

  • you’ve recently had surgery
  • you’ve had a urinary catheter fitted
  • you have to stay in hospital for a long time

Sources of infection

Types of infection associated with sepsis include:

  • lung infection (pneumonia)
  • appendicitis
  • an infection of the thin layer of tissue that lines the inside of the abdomen (peritonitis)
  • an infection of the bladder, urethra or kidneys (urinary tract infection)
  • an infection of the gallbladder (cholecystitis) or bile ducts (cholangitis)
  • skin infections, such as cellulitis – this can be caused by an intravenous catheter that’s been inserted through the skin to give fluids or medication
  • infections after surgery
  • infections of the brain and nervous system – such as meningitis or encephalitis
  • flu (in some cases)
  • bone infection (osteomyelitis)
  • heart infection (endocarditis)

Sometimes the specific infection and source of sepsis can’t be identified.

What causes the symptoms of sepsis?

Usually, your immune system keeps an infection limited to one place. This is known as a localised infection.

Your body produces white blood cells, which travel to the site of the infection to destroy the germs causing infection.

A series of biological processes occur, such as tissue swelling, which helps fight the infection and prevents it spreading. This process is known as inflammation.

If your immune system is weak or an infection is particularly severe, it can quickly spread through the blood into other parts of the body. This causes the immune system to go into overdrive, and the inflammation affects the entire body.

This can cause more problems than the initial infection, as widespread inflammation damages tissue and interferes with blood flow.

The interruption in blood flow leads to a dangerous drop in blood pressure, which stops oxygen reaching your organs and tissues.

People at risk

Everybody is potentially at risk of developing sepsis from minor infections. However, some people are more vulnerable, including people who:

  • have a medical condition that weakens their immune system – such as HIV or leukaemia
  • are receiving medical treatment that weakens their immune system – such as chemotherapy or long-term steroids
  • are very young or very old
  • are pregnant
  • have a long-term health condition – such as diabetes
  • have just had surgery, or have wounds or injuries as a result of an accident
  • are on mechanical ventilation – where a machine is used to help you breathe
  • have drips or catheters attached to their skin
  • are genetically prone to infections

Sepsis is a particular risk for people already in hospital because of another serious illness.

Bacterial infections that can be caught in hospital, such as MRSA, tend to be more serious, as these bacteria have often developed a resistance to many commonly used antibiotics.