I have other work as a first aid assessor and the trainer I work for does not teach the administration of aspirin.  My team of first aiders at my OH workplace are not permitted to give aspirin either.  The list of signs and symptoms below as written by Robert is what our first aiders are taught, together with a "sense of impending doom".  First aiders are taught to call an ambulance, place the casualty in the W position, loosen tight clothing, ask if they have any medication (e.g. GTN) which they can assist the patient to take, and reassure and monitor until ambulance arrives.
 
Lynda
 
-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]]On Behalf Of [log in to unmask]
Sent: 13 January 2009 16:22
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Aspirin used in first aid

The first aiders would also have to be covered to give such medication by the equivalent of a "patient group directive". Some, but not all organisations  authorise their first aiders to do this.

Anne


On 13/1/09 14:30, "Robert Dunn" <[log in to unmask]> wrote:

I forgot to say that the first aider's are taught the following in terms of recognition and diagnosis.
 
Recognition
 Persistent central chest pain - often described as a heavy pressure crushing or vice like pain.
 The pain often spreads (radiates) to the jaw, neck and down one or both arms
 Breathlessness.
 Discomfort high in the abdomen similar to indigestion.
 There could be collapse without warning.
 Ashen skin and blueness at the lips.
 Rapid, weak pulse which may be irregular.
 Profuse sweating, skin cold to the touch.
 Gasping for air (air hunger).
 Nausea and/or vomiting.
Regards, Bob
Robert Dunn TD
RGN OHNC SCPHN(OH) MSc
Senior Occupational Health Adviser
University of Oxford Occupational Health Service
 

From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of shirley jones
Sent: 13 January 2009 14:08
To: [log in to unmask]
Subject: [OCC-HEALTH] Aspirin used in first aid

 
    Hi all,
    
  I work as an Occupational Health Advisor in a Large Local Authority and would really appreciate some advice/ guidance on an issue that has arisen..
    
  An individual who works as a Solicitor within the Authority has recently been on  a Designated First Aider course, and he says he was advised to give Aspirin as first aid for a suspected MI. Is this something that anyone has come accross?? I have concerns, eg how would a non medically trained individual correctly diagnose a heart attack? This individual is now requetsin
    
  Thank you in advance for any advice i receive,
    
  Shirley Jones
 
  

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