Resuscitation & Custody Medical Emergency Training Course for Health Care Professionals
26th May 2012
Cantium House, Railway Approach, Wallington, Surrey, SM6 0DZ
(incorporating a Resuscitation Council UK Immediate Life Support Course)
To provide a suitable resuscitation and medical emergencies course for Healthcare professionals (HCPs) working in the custody environment. This will ensure that any person who collapses in a life threatening emergency (whilst in custody) receives prompt and effective treatment following the current guidelines and best practice.
For the HCP to be proficient (in accordance with current international guidelines) in the following:
- Assessment and Treatment of the sick patient using the ABCDE approach
- Adult resuscitation (inc CPR and use of an automatic external defibrillator)
- Basic airway management (including use of basic airways and suction)
- Recognition and management of common clinical conditions presenting in custody
- awareness of current policy on Hepatitis and HIV exposure management
The Faculty of Forensic & Legal Medicine (FFLM) recently issued Quality Standards in Forensic Medicine stating, amongst other quality standards, that forensic physicians (FP) should be able provide "safe care for patients whether they are detainees in police custody or complainants/complainers of assault. There should be equivalence of healthcare and confidentiality in the custodial setting as compared to that enjoyed by patients in the outside community". The document also recommends that FPs must have training in Basic Life Support (BLS) within the last year.
Whilst BLS remains a reasonable standard, the delivery and providers of BLS can be of variable quality as there is no structure for its delivery and assessment, unlike in the Immediate Life Support (ILS) or Advanced Life Support (ALS) Courses co-ordinated by the Resuscitation Council UK (RCUK).
Furthermore, it is recognised that detainees (DPs) in custody present a different risk to that of the general population. The roles of an FP can be very diverse with a significant amount of drug and alcohol dependency (33.9%-40% on heroin, 33.9%-38% on crack cocaine, 25% on alcohol, 16.6% on benzodiazepines). Conditions such as asthma, epilepsy, diabetes, deep vein thrombosis, pulmonary embolism, hepatitis and hypertension are also seen in custody.
A study between the IPCC, the Metropolitan Police Service, and forensic physicians identified a significant number of incidents divisible into four main groups – attempted suicide/self-harm (46%); drug consumption or possession (33%); medical conditions (14%); and alcohol consumption (7%).
This course will go some way to addressing the concerns raised that many practitioners lack relevant training and qualifications in the appropriate medical, mental health, forensic and legal knowledge base and Lord Bradley's, report of inconsistent care whilst in custody.
Registration is 08:30 until 08:45 when the course begins, and it will finish at 18:00.