Modern First Aid: The History of How Training Has Changed to Save More Lives

Maxx Parrot

What do you think of when you hear the terms First Aid Training? For some, it’s a distant memory of a health class taught in schools, or perhaps a rusty corporate seminar consisting of a dated manikin and a VHS. This old image of a first aid course no longer fits. Today’s first aid courses have been modernized to include technology integrated to enhance the learning of first aid along with theories of psychology, designing the courses so that average persons can have the skills and knowledge to become competent first responders in the the emergencies of the 21st century.

The first aid courses of the past required students to memorize rigid and detailed protocols, step by step, and to follow them without fail. The new philosophy, espoused by organizations such as the International Liaison Committee on Resuscitation (ILCOR), centers on adapting to real life situations, and integrating the knowledge gained to execute the proper protocols in real life contexts. For instance, instructors teach students to assess possible ongoing risks (e.g. traffic, fire, or electrical hazards) before approaching a casualty. The first step isn’t just “check responsiveness,” but “ensure the scene is safe for you and the victim.”  This prioritizes the rescuers’ safety and prevents the victim from becoming two.

This flexible approach can be applied to the ABCs (Airway, Breathing, Circulation). Although this mnemonic is still taught in newer courses, the developments in teaching are more advanced. For example, the old protocol on a patient who is unconscious and not breathing has been modified to emphasize more the importance of high-quality chest-compressing and not interrupting the cycles. In appreciation of the general public, the practice of hands-only CPR was introduced to eliminate the initial barrier of rescue breathing and encourage more bystanders to take action. Training involves the use of CPR feedback devices to ensure that learners receive real-time information on compression rates and depth to master their technique.  

The Digital Classroom and Enhanced Realism  

Skills teaching and practicing have been positively disrupted by technology. Learning is now fully blended. For anatomy, theory, and procedure videos, students take self-guided, interactive online modules prior to attending the in-person class. This approach preserves limited in-person time for hands-on practice. Students arrive for the practical session prepared with the foundational knowledge, which supports advanced coaching and more sophisticated scenario practice.

There have been advancements in the CPR training manikins. Manikins can now be connected, have interactivity, and have more realistic features than ever before. There now exist wireless CPR manikins that can relay stats about the compression depth, rate, and recoil, allowing instructors to give feedback in real time. Some advanced models can simulate a pulse, rise and fall the chest to mimic ventilating during a real CPR scenario, and can even audibly respond to treatment or vocally express pain. For trauma training, hyper-realistic moulage, or the art of applying realistic fake wounds to create trauma scenarios, accompanies training to create psychologically impactful scenarios complete with latex wounds and fake blood to prepare learners for real-life emergencies in a psychologically safe way.

Psychological First Aid: A New Requirement.

The next major advancement involves the understanding of psychological and emotional trauma. First aid training now incorporates an understanding of Psychological First Aid or PFA. PFA is an appropriate, caring response to the distress of an individual that seeks to be non-intrusive. This is not psychotherapy, but a professional process, PFA helps to fill an emotional and social support gap in the moment.

Participants are taught the steps of the Look, Listen, Link model:

Look for safety and basic needs of the person, and for others near them who may be in distress.  

Listen without interruption. Ask about needs and what is a concern for them.

Link the person to further help or support of a community, and any relevant information to what is needed.

This module covers the responder and victim’s acute stress, and how to best assist and support the victim and the victim. Learners are taught to manage their personal stress responses, and to build personal resilience so they do not become secondary victims. In a time of widespread fear and trauma, the skills will be useful in any situation, from assisting a distressed coworker to disaster relief.

Specialization and Accessibility

Training in the modern age is fully adaptable to the specific and varied locations where emergencies occur. In addition to the actual course, participants are able to access specific/additional modules covering Narrow Areas of Focus such as the following:

Pediatric First Aid: Emergencies and anatomy of children and infants.

Wilderness/Remote First Aid: Provides training for prolonged care and improvisational skills, as well as decision-making, in situations where an ambulance is not available for several hours.

Mental Health First Aid: Education on how to detect, respond and assist an individual suffering from a mental illness or a substance use disorder.

Workplace-Specific Courses: Designed for offices, construction sites or factories, targeting the most probable hazards.

Also, improvements in access are noteworthy. Courses are available in different languages, and adaptive methods are offered for participants with disabilities. The aim is to create a more inclusive and larger potential lifesaving community.

The Ripple Effect: Building Resilient Communities

The benefits of contemporary first aid training go beyond the personal certification and individual benefits. It cultivates a culture of having a strategic plan and a sense of collective accountability. When a large segment of a community gets trained, the likelihood of a bystander being able to assist in the crucial moments of a cardiac arrest, choking, or life-threatening injury is vastly increased. This “chain of survival” theory is endorsed by the American Heart Association and other organizations, and is strengthened at each link through abundant, good quality training. 

Employers who provide their employees with modern, interactive training of their choice do way more than just fulfill a compliance requirement; they are creating a safer and more self-assured employee base, and schools implementing these programs provide students with life-long skills and abilities. This modern course acknowledges the fact that the responder is a real human being who experiences stress, fear, and other forms of distractibility and forgetfulness, and is specifically designed to counter these challenges through a combination of practice, encouragement, and scientific methods.

Conclusion: An Investment You Hope You Never Have To Use

Taking a modern first aid class is an investment in the real-life skills that we always hope we never have to use, but that we need the confidence to handle. It prepares the student to handle the real-life complexities of emergencies with a thought process, a tool kit, and mental preparation to tackle emergencies. It changes the overwhelming fright of an emergency to a state of active preparation. With the skills gained in a first aid class, the student is no longer a passive bystander, but the most valuable link in the survival chain in a -life saving emergency. The student now has the confidence that comes from being modern first aid trained and the tools that mental preparation and skill gained from a first aid class to make a life saving differenc. It is priceless.

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