Page 29 - the SyI Quarterly V3 digital (1)
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Matt Maer, director of security at Canary Wharf Group, said : “ This   So which course is more suitable for the medic to deliver simple,
           legislation has the potential to make a significant impact on public   robust, lifesaving interventions contextualised in situations like
           security , improving the situation for people as they go about their   Westminster Bridge/ Borough Market or 7/7? Is there a strong
           daily lives “ ( Alistair Bunkall Sky Security correspondent 24/2/20 )   and robust Clinical Governance (CG) to clinically govern the taught
                                                               medical interventions and support the medic/security officer?
           Which led me to questioning how effective is the medical   How able and capable is the CG to withstand any civil litigation?
           interventions and training on the market today?     Do security companies have such governance or even Advanced/
                                                               Specialist medics? How would a company refute or mitigate any
           The D13 training programme (Thurgood Hall et al) forms 24 hours   lawsuits and thus avoid reputational damage?
           of contextualised scenario-based learning. There are two elements
           to this package. D13.1 Standard and D13.2 Enhanced roles. It   Members of staff and/or members of the public do some
           covers the trauma fields to the highest standards and teaches the   extraordinarily abnormal things in the deadliest of situations….….
           medic to operate in suboptimal conditions with real capability   Why? Who taught them to do that? Who told them not too? All the
           and intent with minimal kit. It simplifies what is a complex process   instincts of survival come to the fore, yet some people still go above
           into simple and effective lifesaving interventions. It covers such   and beyond the norm to help and give first aid to the injured.
           areas as catastrophic haemorrhage control, airway management
           interventions with adjuncts and concurrent oxygen therapy. Added   How do the risk assessments conducted by a security company
           to this, a thorough systematic primary survey that is advanced in   direct what type of medical training it should have for its staff?
           approach and lifesaving in conclusion. Following the breathing   What does the Strategic Threat and Risk Assessment or STRA state
           assessments allied to use of innovative chest seals and advanced   about the security company’s position? How effective will the medics
           splinting techniques the trained medic will assist in stabilising   be under these conditions? Does the medical training reflect what
           the casualty within the first 10 minutes often referred to as the   the Security Officer is likely to face?
           “Platinum 10 minutes”. After the Platinum period, the casualty can
           be managed within the Golden hour for definitive care.   The Faculty of Pre-Hospital Care supports the National College
                                                               of Policing in the D13 training programme. Therefore, it enjoys
           There are other courses out there such as the FREC (First Response   statistical data extrapolated from several sources. We see numerous
           Emergency Care) pathway. This takes 5 days and details emergency   incidents where specialist Firearms Officers dealt with a large range
           aspects but is broadly medicine based.              of medical emergencies (Medical training Police officers Specialist
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