Welcome Instructor Trainers

Housekeeping
All call-in lines are on mute Type questions in the lower right-hand screen at any time during the presentation Questions will be answered after each section and at the end of the WebEx if time permits This presentation will be posted to Instructors Corner

Agenda
Overview Technical Content Changes New Value Proposition Program Design and Instructor Course Your Role as an Instructor Trainer Updating to the New Programs Online Resources Next Steps and Upcoming Releases

Overview of Technical Content Changes

David Markenson, MD, FAAP, EMT-P Jonathan Epstein, MEMS, NREMT-P

Scientific Advisory Council

Multi-disciplinary panel comprised of more than 30 volunteer professionals The goal of the Council is to ensure that Red Cross courses, training materials and products utilize the latest scientific and technical information available

Scientific Advisory Council Every 5 years experts from around the world review first aid and emergency care procedures The goal is to determine if any new discoveries affect the way care is delivered Guidelines and program materials are updated accordingly

CPR: The Big Picture . . .

Emphasis on quickly getting to CPR for anyone in cardiac arrest

Bystanders
Hands-Only CPR
For witnessed sudden collapse of any person Step of opening the airway eliminated Rescue breaths remain important for children and infants and others with respiratory emergencies Check for responsiveness, call 9-1-1, and quickly look for breathing. If no breathing, give continuous chest compressions. Push hard and fast in the middle of the chest.

Workplace Responders
(OSHA-compliant)

Full CPR: Adults

Initial 2 rescue breaths as part of assessment eliminated Breath following compressions retained No pulse check

Rationale
Most arrests in adults are cardiac in nature Important to start compressions as soon as possible Pulse checks are unreliable and delay resuscitation Best outcome is with combination of breaths and compressions

Workplace Responders
(OSHA-compliant)

Full CPR: Children and Infants

Retain 2 initial rescue breaths with the exception of a witnessed sudden collapse in which case you would skip the 2 initial rescue breaths No pulse check

Rationale
Most arrests in children and infants are respiratory in nature 2 initial rescue breaths provide needed oxygen Pulse checks are unreliable and delay resuscitation Balance between what the patient needs and what the responder can reasonably perform

Professional Rescuers
Full CPR
Emphasis on quickly and simultaneously checking for breathing and a definite pulse Rescue breathing skill retained For adults, initial 2 ventilations (rescue breaths) during assessment eliminated

Workplace and Professional Rescuers

CPR Technique
For adults, compress chest at least 2 inches For children, use 2 hands and compress chest about 2 inches For infants, compress chest about 1 inches

Workplace Responders
(OSHA-compliant)

When two trained responders are present, they should take turns performing full CPR
30:2 ratio for all

Rationale
Acknowledges difficulty in non-professionals synchronizing activity Recognizes CPR is tiring Minimizes transition time

Professional Rescuers 2-Rescuer CPR

Adults 30:2 Children and infants 15:2 Switch roles about every 2 minutes

Rationale
Acknowledges pediatric victims need for more oxygen at more frequent intervals. Minimizes transition time Acknowledges compressions are tiring

Workplace and Professional Responders

AEDs
AED protocols remain the same Use an AED as soon as possible Emphasis on not stopping CPR until AED is ready to use and pads are attached

Professional Rescuers
Giving Ventilations/Using a BVM
This should only be done as a 2-person skill 1-rescuer barrier device provides better ventilation than 1-person BVM

Choking Workplace and Professional Responders

Technique
Indications are the same Conscious Combination of back blows and abdominal thrusts (chest thrusts in infants) Unconscious Same technique as full CPR with addition of finger sweep for visible material

Rationale
Conscious all techniques equally effective Unconscious chest compressions/thrusts most effective More than one technique is often needed

First Aid: Medical Emergencies

Epinephrine
A second dose of an epinephrine auto-injector should be given if signals of anaphylaxis persist after a few minutes and advanced medical care is delayed

Positioning
Simplified approach to positioning a person who is unconscious, but breathing. Generally, the person should not be moved from a face-up position

Shock
Its best to leave the person lying flat and not elevate legs

First Aid: Environmental Emergencies

Heat stroke
Rapid cooling for heat stroke by cold water immersion is preferred method with carbohydrate-electrolyte solutions recommended for rehydration

Frostbite
Care for minor frostbite can be as simple as rewarming by skin-to-skin contact; with warm water immersion recommended for more serious frostbite

First Aid: Environmental Emergencies Bites

Care for any venomous snakebite is now the same and includes a pressure immobilization bandage Irrigation of animal or human bites with large amounts of clean water or saline can minimize the risk of infection Use vinegar to prevent further envenomations (such as jellyfish) followed by hot water immersion for reducing pain

First Aid: Injuries

Bleeding
Direct pressure continues to be the most effective method of control

Tourniquets
Can be used as a last resort if direct pressure fails, is not possible or where response from EMS is delayed

Topical hemostatic agents

Can be considered at the professional rescuer level if direct pressure and tourniquets are not effective or possible

First Aid: Injuries

Spinal injuries
Manually support the head and neck in the position found without movement or alignment with the body, except in the case of compromised airway

Muscle/bone/joint injuries
Use RICE (Rest, Immobilize, Cold and Elevate) Angulated fractures should not be straightened

More Information

The Summary of Changes to CPR and First Aid Skills for American Red Cross Programs document can be found on Instructors Corner on the First Aid/CPR/AED course page And other technical information can be found at www.redcross.org/webexpo

Questions?

New Value Proposition

Jennifer Deibert

New Value Proposition 2-year certification for CPR and first aid
Free quarterly digital refreshers for participants Choice of free digital or affordable print course materials Concise learner-centered course design with emphasis on hands-on skills Comprehensive, easy-to-use instructor resources

New Value Proposition

Optional add-on training (e.g. BBP) Additional advanced-level courses under development (e.g. ACLS) Easy access to certificate printing and tracking Convenient instructor bridging and crossover process

Program Design
Erich Ericson

Overall Goals
Overall program and instructional goals: Shorten course lengths Streamline instructors manuals Increase interactivity Emphasize hands on skills No exams for FA/CPR/AED Exams still included in CPR/AED for Professional Rescuers and Health Care Providers Give instructors better tools to assess skills Provide multiple tools for effective course delivery

Instructional Design
Less technical content in the instructional manual instructors must prepare for lectures and guided discussions Multiple options for participant materials instructors must be prepared to provide printed out copies of skill and activity resources Greater focus on facilitation skills instructors must be able to lead guided discussion and promote interaction

Instructor Materials Instructors Manual:

Free e-book or affordable manual Streamlined lesson plans and enhanced skill assessment tools

Multimedia course presentation:

Includes all course video, activity visuals and directions, skill sheets and key lecture points Play from the Internet or download

Instructor Materials
Video
All new segments First Aid/CPR/AED includes instructor segments Available in a variety of formats Streaming Course presentation DVD

Skill Posters
Print posters for use in skill sessions

Course Presentation
The First Aid/CPR/AED course presentation is an in-class visual aid that is projected onto a screen or viewing area The course presentation is an optional tool that has been designed to contain all the visual information necessary for conducting a course, including:
All required video segments Skill reference slides for use in skill sessions Activity directions and activity worksheet information Lecture points

Course Presentation

Pause, play videos or skip to the next slide with the buttons on the lower left Video lengths are listed on the right menu The button on the lower right collapses the menu

Refreshers
First aid, CPR and AED knowledge and skills begin to decline within as little as 3 months after training Refreshers help participants retain knowledge and skills learned during the course Refreshers are a series of short, online learning exercises and quizzes that should be taken about every 3 months Encourage participants to participate in the refresher program www.redcross.org/refresher

Participant Materials
All participants have access to free digital versions (e-book) or they can purchase affordable, high quality print versions
Participant products can be viewed online and printed

First Aid/CPR/AED
Ready References or Participants Manual

CPR/AED for Professional Rescuers and Health Care Providers

Handbook

Ready References
First Aid/CPR/AED
Adult card and Pediatric card Key CPR and first aid skill steps presented at a glance Durable 7 panel, 6 x 9 cards

Instructors are highly encouraged to have extra copies of Ready References for use during skill practice sessions

Participants Manual First Aid/CPR/AED

Resource during class Refresher tool after class Greater detail of topics covered in class Additional content recognized by the Occupational Safety and Health Administration (OSHA) Supplemental prevention and preparedness information

Participant Materials for First Aid/CPR/AED

Full Service and Community Classes
Chapters must provide either the printed Ready Reference cards or the printed participants manual to students to refer to during class. We want customers to see the high quality printed materials which they may want to purchase Authorized Provider Classes APs may use either digital or print materials in their classes.

Handbook
CPR/AED for Professional Rescuers and Health Care Providers Section 1 contains key information such as signs and symptoms Section 2 includes skill sheets with photos

Participant Materials for CPR/AED for Professional Rescuers and Health Care Providers

Handbook available in either digital or print format and is required for this course Full Service and Community Chapters should provide the printed handbook to students for use during the course. This will show the quality of the printed product and help with up-selling Authorized Providers APs can use either the digital or print versions in class

Key Takeaways
Focus on interactive classroom experience Participants no longer required to purchase materials Instructors should allow time for additional skill practice Instructors should learn how to use the course presentation All instructors and ITs should become familiar with all the resources on Instructors Corner

Instructor Course
Erich Ericson

Overall Goals
Shorten course lengths Streamline precourse processes and prerequisites Create opportunities for skill development Emphasize skill assessment Provide hands-on practice accessing and using online resources and digital materials Offer course in a blended learning format

Prerequisites
Age Prerequisites Must be this age or older by the scheduled end of the course 16 years old for FA/CPR/AED 17 years old for CPR/AED for Professional Rescuers and Health Care Providers Program Possess current American Red Cross basiclevel certification or equivalent Obtain materials

Prerequisites
Complete online precourse sessions
Orientation to the American Red Cross Orientation to the First Aid/CPR/AED Instructor Course or the CPR/AED for Professional Rescuers and Health Care Providers Instructor Course

Complete a comprehensive online precourse exam

Precourse Sessions
Online precourse sessions focus on administration, topics that used to be covered in F.I.T. and technical course content Precourse sessions help prepare instructor candidates for a rigorous, comprehensive precourse exam The goal of the precourse sessions is to cover and test most of content that was delivered via lecture in the last program

Instructors Corner
Instructor candidates have access to a special island page with limited access to Instructors Corner Candidate page provides access to materials and online precourse session Features a quick link to Red Cross Learning Center

Teaching the Course

Confirm all prerequisites have been met
Work with the local chapter to obtain an online content status for instructor candidates

Use skill assessment and practice sessions to help instructor candidates refine (and possibly learn) skills
Instructor candidates will come with different skill sets

Help instructor candidates learn how to become effective instructors

Certification Requirements
To be certified as an American Red Cross First Aid/CPR/AED or CPR/AED for Professional Rescuers and Health Care Providers Instructor, candidates must:
Attend and actively participate in all classroom sessions Successfully complete all classroom activities, including practice-teaching assignments Score at least 80 percent on the instructor course final written exam

Key Takeaways
Online precourse sessions focus on content Classroom sessions should focus on skill assessment and, if necessary, skill refinement
Additional time may be necessary for skill practice If, by the end of the course, instructor candidates cannot demonstrate skill competency, they cannot pass the course

Classroom sessions help instructor candidates prepare to effectively lead all course activities, including guided discussions and skill sessions

Your Role as an American Red Cross Instructor Trainer 10,000 300,000 10 MILLION
Bill Snelling, Volunteer Instructor Trainer Southeastern Pennsylvania Chapter

Your Role as an American Red Cross Instructor Trainer

YOU are the key to the future of Red Cross Training YOU are the technical resource for Chapter Staff YOU can be a resource to National Headquarters YOU are valued by your Chapter YOU are valued by National Headquarters YOU are the standard that new instructors will emulate YOU can be a regional or national resource YOU have every right to be proud of what you do!

Updating to the New Programs

Stacey Ryan

Next Steps Updating to the New Program Online Update for Current Instructor Trainers Who is Eligible?
For Current Instructor Trainers and Instructor Trainers whose certifications expired no longer than two years ago due to lack of teaching activity

Next Steps Updating to the New Program Obtain the new IT Guide from your chapter Obtain the new participant and instructor materials Complete the update online or in a group orientation

Instructor Trainer Certification

Instructor Trainer Certification (new term)
There is one instructor trainer certification for CPR/AED for Professional Rescuers and Health Care Providers And a separate instructor trainer certification for FA/CPR/AED

Instructor Trainer Re-certification

Must teach or co-teach every 2 years from date of training

AND
Pass an online recertification assessment on the American Red Cross Learning Center

Questions?

Online Resources
John Thompson Joy Zukauskas

Instructors Corner
Instructor resources Program information Reports and forms Download center for digital materials Quick access to the Red Cross Learning Center to manage course records and print certificates

Red Cross Learning Center

Real-time, self-service access for course record entry and certificate printing Access your instructor records, including certificates and transcripts Receive automatic training notices and alerts Instructors and instructor trainers must have a American Red Cross Learning Center account to access Instructors Corner Contact your local chapter to get started

Red Cross Learning Center

Course Record Entry Allows instructors to enter course information directly into Red Cross Learning Center Submit to chapter for review Instructors can print certificates Can be used for classes for all Red Cross courses Payment made when course record is submitted

Red Cross Learning Center

Process Log into Red Cross Learning Center Create a course record Add instructor(s) Enter student information Enter payment information Submit to chapter Chapter reviews Chapter or instructor can print certificates

Red Cross Learning Center Helpful Tips

Instructors will have Course Record Admin Role once they are set up in the American Red Cross Learning Center at chapter Best practice is for instructors to take Saba LMS Course Record Admin self-paced training Instructors can only enter course records for organizations listed on their people records

Next Steps Upcoming Releases

Jennifer Deibert

Timeline
FA/CPR/AED:
Sept 31 Basic-level courses in the existing program may no longer be taught Dec 31 Instructors and instructor trainers are required to update to the new program

CPR/AED for Professional Rescuers and Health Care Providers:

April 28 Program release April 28 Instructor courses in the existing program may no longer be taught Oct 30 Basic-level courses in the existing program may no longer be taught Dec 31 Instructors and instructor trainers are required to update to the new program

Questions?