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EFR Instructor Course Day 2 January 26, 2009

Posted by Chris Sullivan in Emergencies, Training.
Tags: , , , , , , , , , , , , , , ,

On Sunday, we finished our EFRI course with the exam and two skill presentations and demonstrations. On the test I got 58/61, passing grade was 75%. Of the three I got wrong, one was because I answered the question the way I thought it was leading rather than what I thought was correct. Another was a bit of trick question but I understand the reasoning, and the third was because I read the question incorrectly. So not too bad although I strive for perfection.

The skill presentations were lots of fun, and in the cold temperature of the dive shop (around 15C) moving around a bit is a welcome relief from sitting in the classroom. The class acted up a bit, including an extreme method of immobilizing the victim’s head in the case of a spinal injury as you can see below.

A little close for comfort

A little close for comfort

My first demonstration was AED use, which I’d never done before, so it was good practice for me. The Red Cross course I took 3 years ago didn’t cover it, and the St. John’s Ambulance course last year didn’t include any practice although it briefly went over it’s use. Neither of those courses involved the application of Oxygen so this is an additional feature of EFR.

Each demonstration then involves watching a student repeat the demonstration. Matt was my student, and did everything correctly except he plugged in the pads and stuck them on the victim’s (a mannequin) chest before turning on the AED to follow the instructions.

The second demonstration was primary assessment for children, which varies from the adult procedure in that if the rescuer is alone and there is no knowledge of a preexisting heart condition in the victim, breathing and circulation is checked and attended to prior to alerting EMS, presumably because the likelihood of cardiac arrest is much lower in children. Other differences are that special pads and cables are often available for Automatic External Defibrillators, and that more care needs to be taken when tilting an infant’s head back to open the airway.

Steve demonstrating an incorrect procedure

Steve demonstrating an incorrect procedure

By 2pm we had our completed forms to mail in to EFR, along with the registration fee. Now we are qualified we can list ourselves on the EFR web site as qualified instructors. I’ll likely teach some of my coworkers and at the shop if asked. The shop now has several new EFR instructors, all of whom will be trying to become Open Water Scuba Instructors at the beginning of the summer dive season. One of the best things about being an instructor is that I don’t have to recertify every two years to maintain my pro diving qualification.



1. Socal SCUBA Diver - January 28, 2009

All is good in class, but how many people will remember their training 100% when the crap hits the fan and they have to use their skills?


2. deepstop - January 28, 2009

Most people won’t remember 100%. The EFR training recognizes this issue and emphasizes that “Imperfect care is always better than care withheld”. When someone is in cardiac arrest, they’re clinically dead, so you can’t make them worse. Even if you don’t do things perfectly you still may make them better. They also emphasize simple ideas like ABCDE to help people remember what to do.

My dive club buddies who help save the guy’s life at the bar where we had our party in December demonstrates how useful it can be.


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