WHEATON ASTON CFR ASSESSMENT EXERCISE
23rd JULY 2005 (Report prepared by Staffordshire Ambulance Service)

Saturday 23rd July 2005 saw the Wheaton Aston Community First Responder (CFR) Scheme undertake their assessment exercise at the culmination of an extensive training period that sees CFRs trained, in their own time, to ambulance Health Care Support Worker standard.  Designed to demonstrate to both the Trust, to scheme members and to the local community that the team were ready in every respect to "go live",  the assessment exercise also demonstrated the complete spectrum of incidents and responses that might be encountered in the local community.  Exercise scenarios set in open land, in local premises and in farms represented a few of the incident locations in which a wide range of clinical protocols were practiced.

Wheaton Aston is situated West of the M6....

...and just North of the Gailey-Weston stretch of the A5.

Shortly after 0900 elements of the Trust arrived at St Mary's School and commenced...

...setting up the Casualty Clearing Station (CCS) that would act as Exercise HQ.

Trust staff were briefed on the exercise scenarios...

..followed by CFR scheme members

Organised into 4 groups for the day, CFRs were given the opportunity to...

... get in some driving practice in Trust cars before the start of the scenario phase.

The CFRs then had an opportunity...

...for a group photo with their own responder car.

Exercise scenarios included a number of local representative locations to which CFRs might be asked to respond.  A number of these locations are shown in these pictures.  The scenarios practiced the initial response and actions by the CFRs, the follow up by and handover to a Trust Community Paramedic Officer (CPO) and the arrival, where necessary, of the ambulance crew.

Trust trainee technicians provided the ambulance crews.

TURNERS GARAGE

At the local garage a mechanic had been doing some welding on a car when there was an explosion.  He collapsed in the inspection pit suffering from burns to the face and chest.


...CFRs were quickly on scene to commence treatment...

...followed by a CPO.

With the help of the crew, the patient was boarded....

...before being safely removed to hospital.



THE HARTLEY ARMS

A visitor to the local canal-side pub suffered a cardiac arrest upon seeing the size of the lunch portions!

CFRs arrived shortly after a call from the pub and commenced CPR...

...whilst waiting for backup from a CPO who was equipped with the...

...LUCAS ACDC device, a medical gases driven device able to deliver and sustain...

...gold standard CPR.

The LUCAS remained attached to the patient, and functioning,  for the journey to hospital.

ROOKERY FARM

Down on the farm, a farm hand had been crushed by a falling object.  By the time the alarm was raised he had been trapped for over 20 minutes.

Crushed with a chest injury...

...the dilemma is whether to remove the object.

The patient was first stabilised before the arrival of additional hands permitted the safe removal of the object....

...and the evacuation of the casualty.

SCENARIO DEBRIEFINGS

Each scenario took around an hour to complete.  CFR groups rotated round each scenario, at the end of which they returned to the school for a debrief.

Cardiac Arrest debrief

Burns incident debrief.

After the debrief there is an opportunity to take a break courtesy of the lads from logistic support.

CHADWELL

Early in the afternoon a call was received that two microlights had collided in mid-air with up to 5 casualties from the incident, that included people injured on the ground.   It was believed that the microlight pilots had crashed into a pond (nothing like a good incident to end on, and of course this is a weekly occurrence in Wheaton Aston!!!).

A CFR team were first on scene to the remote area.  They quickly confirmed the incident and called for assistance.

One of the pilots was stuck up a tree.

Additional resources took time to arrive...

...but the slightly soggy BRONZE officer was quick to triage the casualties...

...for treatment and evacuation...

...to the waiting ambulances.

After an exhausting but exhilarating day the Wheaton Aston CFR group were assessed as ready to become operational.  Our thanks go to all the volunteer CFRs, their support team, their families that allowed them to train, the casualties and the many behind the scenes people who made the scheme possible.  Well done to everyone on the hard work achieved over the past months.

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