Elementary First Aid: Instructor Manual
Elementary First Aid: Instructor Manual
PMA/IM/005
PONDICHERRY -605 111 REVISION NO:00
DATE:22nd APR 2024
INSTRUCTOR MANUAL PREPARED BY:
APPROVED BY:SJ
ELEMENTARY
FIRST AID
INSTRUCTOR MANUAL
1|Page
Introduction:
Lesson plans
Having adjusted the course content to suit the trainee intake and any
revision of the course objectives, the instructor should draw up lesson plans
based on the detailed syllabus. The detailed syllabus contains specific references
to the textb0oks or teaching material propose, page 18. Where no adjustment
has been found necessary in the learning objectives of the detailed syllabus, the
lesson plans may simply consist of the detailed syllabus with keywords or other
reminders added to assist the instructor in making his presentation of the
material.
Presentation:
The presentation of concepts and methodologies must be repeated in
various ways until the instructor is satisfied, by testing and evaluating the
trainee's performance and achievement that the trainee has attained each
specific learning objective or training outcome. The syllabus is laid out in learning
objective format and each objective specifies a required performance or what the
trainee has attained each specific learning objective or training outcome. Taken
as a whole, these objectives aim to meet the knowledge, understanding and
proficiency specified in the appropriate tables of the STCW Code.
Implementation
For the course to run smoothly and to be effective. Considerable
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attention must be paid to the availability and use of:
- properly qualified instructors
- Support staff
- rooms and other spaces
- equipment
- textbooks, technical papers
- other reference material.
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expanded to define a required performance of knowledge, understanding and
proficiency. IMO references, textbook references and suggested teaching aids are
included to assist the teacher in designing lessons.
The new training requirements for these competences are addressed in
the appropriate parts of the detailed teaching syllabus.
The Convention defines the minimum standards to be maintained in Part
A of the STCW Code. Mandatory provisions concerning Training and Assessment
are given in Section A-\/6 of the STCW Code. These provisions cover: qualification
of instructors; supervisors as assessors; in-service training: assessment of
competence; and training and assessment within an institution. The
corresponding Part B of the STCW Code contains non-mandatory guidance on
training and assessment.
As previously mentioned separate model course addresses Assessment of
Competence and use of various methods for demonstrating competence and
criteria for evaluating competence as tabulated in the STCW Code.
Responsibilities of Administrations
Administrations should ensure that training courses delivered by colleges
and academies are such as to ensure those completing training do meet the
standards of competence required by STCW Regulation VI/1.
Validation
The information contained in this document has been validated by the
Sub-Committee on Standards of Training and Watch keeping for use by technical
advisors, consultants and experts for the training and certification of seafarers so
that the minimum standards implemented may be as uniform as possible.
Validation in the context of this document means that the Sub-Committee has
found no grounds to object to its content. The Sub-Committee has not granted its
approval to the documents, as it considers that this work must not be regarded
as an official interpretation of the Convention.
In reaching a decision in this regard, the Sub-Committee was guided by
the advice of a Validation Group comprised of representatives designated by ILO
and IMO.
Objective
This syllabus covers the requirements of the 1995 STCW Convention
Chapter VI Section a V/1, Table A- -VI/1-3. On meeting the minimum standard of
competence in elementary first aid, a trainee will be competent to take
immediate action upon encountering an accident or medical emergency until the
arrival of a person with medical first aid skills or the person in Charge of medical
care on board.
Entry standards
The course is open to all seafarers who are to serve on board sea-going merchant
Ships. There are no particular educational requirements.
Course certificate
On successful completion of the course and demonstration of
competence, a document may be issued certifying that the holder has met the
standard of competence specified in Table A-VI/1-3 of STCW 1995.
A certificate may be issued only by centers approved by the
Administration.
Staff requirements
The course should preferably be under the control of a qualified first aider
assisted by other appropriately trained staff.
Available from:
Videotel Marine International Ltd
84 Newman Street
London W1P3LD, UK
Tel: +44 (0)20 7299 1800
Fax: +44 (0)20 7299 1818
E-mail: mail@videotelmail.com
URL: www.videotel.co.uk
All reference material necessary for the course has been incorporated in the
Course Compendium (T1)
7|Page
938E)
R2 Medical section (pages 111 to 148) of International Code of Signals, 1987
edition (IMO Sales No. 994E)
R3 Assembly Resolution A.438(XI) - Training and qualification of persons in
charge of medical care aboard ship
R4 IMO/ILO Document for Guidance, 1985 (IMO Sales No. 935E)
R5 ILO/IMO/WHO International Medical Guide for Ships (IMGS), 2nd ed., (Geneva,
World Health Organization, 1988) (|SBN 92 4 154231 4)
R6 Medical First Aid Guide for use in Accidents Involving Dangerous Goods
(MFAG) (IMO Sales No. 251E)
Course Outline
The tables that follow list the competencies and areas of knowledge,
understanding and proficiency, together with the estimated total hours required
for lectures and practical exercises. Teaching staff should note that timings are
suggestions only and should be adapted to suit individual groups of trainees
depending on their experience, ability, equipment and staff available for training.
Course Outline
Competence: Take immediate action upon encountering an accident or
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other medical emergency.
1. General Principles
2. Body structure and functions
3. Positioning of casualty
4. The unconscious casualty
5. Resuscitation
6. Bleeding
7. Management of shock
8. Burns and scalds, and Accidents caused by electricity
9. Rescue and transport of casualty
10. Other Topics
Objectives are:
1. The manner and timing of raising the alarm is appropriate to the
circumstances of the accident or medical emergency
2. The identification of probable cause, nature and extent of injuries is prompt
and complete and the priority and sequence of actions is proportional to any
potential threat to life
3. Risk of further harm to self and casualty is minimized at all times.
5 .Resuscitation (2 hours)
Required performance:
1. Recognizes the necessity of immediate resuscitation in appropriate
emergency situations.
2. Applies resuscitation procedures alone and with the assistance of a
further person for a minimum period of ten minutes, including:
control of respiration
function of reclined position of head
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mouth-to-mouth respiration
mouth-to-nose respiration
cardiac arrest
3. In cases of cardiac arrest states the methods and limiting factors of:
cardiac massage
cardiopulmonary resuscitation (CPR)
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introducing specific national requirements as appropriate.
The detailed teaching syllabus is arranged in ten main sections which
reflect the requirement in IMO/ILO Document for Guidance, 1985. Where
supporting material is available in the Course Compendium (T1) an appropriate
reference to it is indicated in the detailed teaching syllabus.
The times allocated for each section are suggested values, and the
instructor should adjust them as necessary. In particular, it may be found
necessary to increase the times allocated for practical applications to ensure that
the trainees can demonstrate their competence to carry out the procedures and
measures effectively.
Guidance Notes
Section A-VI/1, paragraph 2, requires seafarers employed or engaged in any
capacity on board a ship on the business of that ship as part of the ship
complement with designated safety or pollution prevention duties in the
operation of the ship, to complete approved basic training before being assigned
to any shipboard duties. The basic training includes elementary first aid.
The minimum standard of competence set out in Table A-VI/1-3 of the STCW 1995
code is based on recommendations originally contained in Section 17, Appendix 1
of the IMOILG Document for Guidance. All seafarers should receive this
elementary first aid training as pre- sea training, i.e. before service aboard any
ship. It provides the seafarer with some preparedness for the potentially
hazardous environment on board ship.
The training enables effective immediate action to be taken at the scene of
an accident or other medical emergency pending the arrival of a person with
medical first aid skills or until the person in charge of medical care aboard ship
arrives.
The aim should be to familiarize the trainees with the accidents, injuries,
and illnesses commonly found aboard ship and the actions and procedures that
can be immediately applied in any given situation. In particular the training
should ensure that all seafarers are able, in accident situations, to assess both
the needs of any casualties and the hazards to themselves. The training also
includes basic instruction in healthy living and personal hygienic.
Although the lectures based on the detailed teaching syllabus are important
in informing and explaining and making sure that emphasis is placed on critical
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aspects, the practical sessions are of equal importance in establishing that
understanding and knowledge have been properly answered and, therefore,
wherever it is practicable to do so, the trainees should demonstrate the actual
procedures involved.
To support the objectives of the syllabus, a compendium has been
compiled; a copy of this should be provided to each trainee taking the course.
The compendium for this course consists of the following extracts from the
lMOWHO/ILO International Medical Guide for Ships (IMGS)
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GUIDANCE ON THE IMPLEMENTATION OF
MODEL COURSES
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Part 1 -Preparation
1 Introduction
1.1 The success of any enterprise depends heavily on sound and effective
preparations.
1.2 Although the MO model course "package" has been made as comprehensive
as possible, it is nonetheless vital that sufficient time and resources are devoted
to preparation. Preparation not only involves matters concerning administration
or organization, but also includes the preparation of any Course notes, drawings,
sketches, overhead transparencies, etc., which may be necessary.
2. General considerations
2.1 The course "package" should be studied carefully: in particular, the course
syllabus and associated material must be attentively and thoroughly studied. This
is vital if a clear understanding is to be obtained of what is required, in terms of
resources necessary to successfully implement the course.
2.2 A "checklist", such as that set out in annex A1, should be used throughout all
stages of preparation to ensure that all necessary actions and activities are being
carried out in good time and in an effective manner. The checklist allows the
status of the preparation procedures to be monitored, and helps in identifying the
remedial actions necessary to meet deadlines. It will be necessary to hold
meetings of all those concerned in presenting the course from time to time in
order to assess the status of the preparation and "trouble-shoot" any difficulties.
2.3 The course syllabus should be discussed with the teaching staff who are to
present the course, and their views received on the particular parts they are to
present. A study of the syllabus will determine whether the incoming trainees
need preparatory work to meet the entry standard. The detailed teaching
syllabus is constructed in "training outcome" format. Each specific outcome
states precisely
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what the trainee must do to show that the outcome has been achieved. An
example of a model course syllabus is given in annex A2. Part 3 deals with
curriculum development and explains how a syllabus is constructed and used.
2.4 The teaching staff who are to present the course should construct notes or
lesson plans to achieve these outcomes. A sample lesson plan for one of the
areas of the sample syllabus is provided in annex A3.
2.5 It is important that the staff who present the course convey, to the person in
charge of the course, their assessment of the course as it progresses.
3 Specific considerations
3.1 Scope of course
In reviewing the scope of the course, the instructor should determine
whether it needs any adjustment in order to meet additional local or national
requirements (see Part 3).
3.3.2 If the entry standard will be exceeded by your planned trainee intake, you
may wish to abridge or omit those parts of the course the teaching of which
would be unnecessary, or which could be dealt with as revision.
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3.3.3 Study the course material with the above questions in mind and with a view
to assessing whether or not it will be necessary tor the trainees to carry out
preparatory Work prior to joining the course. Preparatory material for the trainees
can range from refresher notes, selected topics from textbooks and reading of
selected technical papers, through to formal courses of instruction. It may
necessary to use a combination of preparatory work and the model course
material in modified form.
It must be emphasized that where the model course material involves an
international requirement such as a regulation of the International Convention on
Standards of Training, Certification and Watchkeeping (STCW) 1978, as amended,
the standard must not be relaxed; in many instances, the intention of the
Convention is to require review, revision or increased depth of knowledge by
Candidates undergoing training for higher certificates.
1. Overhead Projector
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Check through any illustrations provided in the course for producing overhead
projector (OHP) transparencies, and arrange them in order of presentation. To
produce transparencies, a supply of transparency sheets is required; the
illustrations can be transferred to these via photocopying. Alternatively,
transparencies can be produced by writing or drawing on the sheet. Coloured
pens are useful for emphasizing salient points. Ensure that spare projector lamps
(bulbs) are available.
2. Slide projectors
If you order slides indicated in the course framework, check through them
and arrange them in order of presentation. Slides are usually produced from
photographic negatives. If further slides are considered necessary and cannot be
produced locally, OHP transparencies should be resorted to.
3 Cine projectors
If films are to be used, check their compatibility with the projector (i.e. 16
mm, 35 mm, sound, etc.).The films must be test-run to ensure there are no
breakages.
4 Video equipment
It is essential to check the type of video tape to be used. The two types
commonly used are VHS and Betamax. Although special machines exist which
can play either format, the majority of machines play only one or the other type.
Note that VHS and Betamax are not compatible; the correct machine type is
required to match the tape. Check also that the TV raster format used in the
tapes (i.e. number of lines, frames/second, scanning order, etc.) is appropriate to
the TV equipment available. (Specialist advice may have to be sought on this
aspect.) All video tapes should be test-run prior to their use on the course.
5. Computer equipment
If computer-based aids are used, check their compatibility with the
projector and the available software.
6. General note
The electricity supply must be checked for voltage and whether it is AC or DC,
and every precaution must be taken to ensure that the equipment operates
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properly and safely. It is important to use a proper screen which is correctly
positioned; it may be necessary to exclude daylight in some cases. A check must
be made to ensure that appropriate screens or blinds are available. All material to
be presented should be test-run to eliminate any possible troubles, arranged in
the correct sequence in
Which it is to be shown, and properly identified and cross-referenced in the
course timetable and lesson plans.
3.11 Textbooks
The detailed syllabus may refer to a particular textbook or textbooks. It is
essential that these books are available to each student taking the course. If
supplies of textbooks are limited, a Copy should be Loaned to each student, who
will return it at the end of the course. Again, some courses ale provide With a
compendium which includes all or part of the training material required to
support the course.
3.12 Bibliography
Any useful supplementary source material is identified by the course designers
and listed in the model Course. This list should be supplied to the participants so
that they are aware where additional information can be obtained, and at least
two copies of each book or publication should be available for reference in the
training institute library.
3.13 Timetable
If a timetable is provided in a model course, it is for guidance only. It may only
take one or two presentations of the course to achieve an optimal timetable.
However, even then it must be borne in mind that any timetable is subject to
variation, depending on the general needs of the trainees in an one class and the
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availability of instructors and equipment.
2: Delivery
2.1 Always face the people you are talking to; never talk with your back to the
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group.
2.3 Maintain eye contact with the whole group as a way of securing their interest
and maintaining it (i.e. do not look continuously at one particular person, nor at a
point in space).
2.4 People are all different, and they behave and react in different ways. An
important function of a lecturer is to maintain interest and interaction between
members of a group.
2.5 Some points or statements are more important than others and should
therefore be emphasized. To ensure that such points or statements are
remembered, they must be restated a number of times, preferably in different
words.
2.7 It is only possible to maintain a high level of interest for a relatively short
period of time; therefore, break the lecture up into different periods of activity to
keep interest at its highest level. Speaking, writing, sketching, use of audio-visual
material, questions, and discussions can all be used to accomplish this. When a
group is writing or sketching, walk amongst the group, looking at their work,
and provide comment or advice to individual members of the group when
necessary.
2.8 when holding a discussion do not allow individual members of the group to
monopolize the activity, but ensure that all members have a chance to express
opinions or ideas.
2. Course content
The subjects which are needed to form a training course, and the precise skills
and depth of knowledge required in the various subjects, can only be determined
through an in-depth assessment of the job functions which the course
participants are to be trained to perform (job analysis). This analysis determines
the training needs, thence the purpose of the course (course objective). After
ascertaining this, it is p0ssible to define the scope of the course.
(NOTE: Determination of whether or not the course objective has been achieved
may quite possibly entail assessment, over a period of time, of the "on-the-job
performance" of those completing the course. However, the detailed learning
objectives are quite specific and immediately assessable.)
3. Job analysis
A job analysis can only be properly carried out by a group whose members are
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representative of the organizations and bodies involved in the area of work to be
covered by the course. The validation of results, via review with persons currently
employed in the job concerned, is essential if undertraining and overtraining are
to be avoided.
4. Course plan
Following definition of the course objective and scope, a course plan or outline
can be drawn up. The potential students for the course (the trainee target group)
must then be identified, the entry standard to the course decided and the
prerequisites defined.
5. Syllabus
The final step in the process is the preparation of the detailed syllabus with
associated time scales; the identification of those parts of textbooks and
technical papers which cover the training areas to a sufficient degree to meet,
but not exceed, each learning objective; and the drawing up of a bibliography of
additional material for supplementary reading.
6. Syllabus content
The material contained in a syllabus is not static; technology is continuously
undergoing change and there must therefore be a means for reviewing course
material in order to eliminate what is redundant and introduce new material
reflecting current practice. As defined above, a syllabus can be thought of
as a list and, traditionally, there have always been an "examination syllabus" and
a "teaching syllabus"; these indicate, respectively, the subject matter contained
in an examination paper, and the Subject matter a teacher is to use in preparing
lessons or lectures.
7. Training outcomes
7.1 The prime communication difficulty presented by any syllabus is how to
convey the "depth knowledge required. A syllabus is usually constructed as a
series of Training Outcome s” to help resolve this difficulty.
7.2 Thus, curriculum development makes Use of training outcomes to ensure that
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a common minimum level and breadth of attainment is achieved by all the
trainees following the same course, irrespective of the training institution (i.e.
teaching lecturing stat).
7.3 Training outcomes are trainee-oriented, in that they describe an end result
which is to be achieved by the trainee as a result of a learning process.
7.4 In many cases, the learning process is linked to a skill or work activity and, to
demonstrate properly the attainment of the objective, the trainee response may
have to be based on practical application use, or on work experience.
7.5 The training outcome, although aimed principally at the trainee to ensure
achievement of a specific step, also provides a framework for the teacher or
lecturer upon which lessons or lectures learning can be constructed.
7.6 A training outcome is specific and describes precisely what a trainee must do
to demonstrate his knowledge, understanding or skill as an end product of a
learning process.
7.7 the learning process is the "knowledge acquisition" or "skill development"
that takes place during a Course. The outcome of the process is an acquired
"knowledge", "understanding", "skill"; but these terms alone are not sufficiently
precise for describing a training outcome.
8 Assessments
Training outcomes describe an outcome which is to be achieved by the
trainee. Of equal importance is the fact that such an achievement can be
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measured OBJECTIVELY through an evaluation which will not be influenced by the
personal opinions and judgments of the examiner. Objective testing evaluation
provides a sound base on which to make reliable judgments concerning the levels
of understanding and knowledge achieved, thus allowing an effective evaluation
to be made of progress of trainees in a course.
1 Cours
e
plan
2 Timet
able
3 Sylla
bus
4 Scop
e
5 Objec
tive
6 Entry
stand
ard
7 Prepa
rator
y
cours
e
8 Cours
e
certifi
cate
9 Partic
ipant
numb
ers
1 Staffi
0 ng
coord
inator
Lectu
rers
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Instru
ctors
Tech
nician
s
Other
Facilit
ies
Room
s
Lab
Work
shop
1 Other
1
Class
Equip
ment
Lab
Work
shop
Other
AVA
Equip
ment
and
mate
1 rials
2 OHP
Slide
Cine
Video
1 IMO
3 ref
1 Textb
4 ooks
1 Biblio
5 graph
y
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General aims: Have knowledge of materials used in shipbuilding, specification of
shipbuilding steel and process of approval
Books: No specific textbook has been used to construct the syllabus, but the
instructor would be assisted in preparation of lecture notes by referring to
suitable books on ship construction, such as Ship Construction by Eyre’s (T12)
and Merchant Ship Construction by Taylor (T58)
COURSE OUTLINE
Knowledge, understanding and proficiency Total hours Total hours for
for each subject
each topic area of
Required
performance
Competence:
3.1 CONTROL TRIM, STABILITY and STRESS
1. Shipbuilding materials 3
2. Welding 3
3. Bulkheads 4
4. Watertight and weather tight doors 3
5. Corrosion and its prevention 4
6. Surveys and dry-docking 2
7. Surveys and dry-docking 83 102
The header of the first column denotes the COMPETENCE concerned. Each
function comprises a number of competences. For example, the Function 3,
controlling the Operation of the Ship and Care for Persons on board at the
Management Level, comprises a number of COMPETENCES. Each competence is
uniquely and consistently numbered in this model course.
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In this function the competence is Control trim, stability and stress. It is
numbered 3.1 that is the first competence in Function 3. The term "competence"
should be understood as the application of knowledge, understanding;
proficiency, skills, experience for an individual to perform a task, duty or
responsibility on board in a safe, efficient and timely manner.
Textbooks:T11, T12,T35,T58,T69
Required performance
1.1 Shipbuilding materials (3 hours) R1
states that steels are alloys of iron, with properties
dependent upon the type and amounts of alloying materials
used
states that the specifications of shipbuilding steels are laid
down by classification societies
states that shipbuilding steel is tested and graded by
classification society surveyors, who stamp it witt, approval
marks
explains that mild steel, graded A to E, is used for most
parts of the ship
states why higher tensile steel may be used in areas of high
stress, such as the sheer strake
explains that the use of higher tensile steel in place of mild
steel
results in a saving of weight for the same strength
-explains what is meant by:
- tensile strength
-ductility
-hardness
-toughness
defines strain as extension divided by original length
explains:
yield point
ultimate tensile stress
modulus of elasticity
explains that toughness is related to the tendency to brittle
fracture
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explains that stress fracture may be initiated by a small
crack or notch
states that cold conditions increase the ch·,a. nces of brittle
fracture
states why mild steel is unsuitable for the very low
temperatures
involved in the containment of liquefied gases
Subject Area: 3.1 Control trim, stability and stress Lesson Number 1 Duration 3
hours
Training Area: a:1.1 Fundamental principles of ship construction, trim and stability
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States Lectur T12, STC VS A1 Compi 20
that the e T58 W to led by
2, lectur
ons of
A- er
shipbuildi
ng steels 11/
2
are laid
down by
classificat
ion
societies
Explains Lectur T12, STC VS A1 Compi 15
that mild e T58 W to led by
steel, 11/ V7 the
graded A 2, lectur
to E, is A- er
used for 11/
most
2
parts of
the ship
States Lectur T12, STC VS A1 Compi 10
why e T58 W to led by
higher 11/ V7 the
tensile 2, lectur
steel may A- er
be used 11/
in areas
2
of high
stress, s
ch as the
sheer
strake
Explains Lectur T12, STC VS A1 Compi 15
that use- e T58 W to led by
of higher 11/ V7 the
tensile 2, lectur
steel in A- er
place of 11/
mild steel
2
reiuas in
a saving
of weight
for the
same
strength
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