Описание компетентностного уровня по первой медицинской помощи для outdoor деятельности, принятого Британским институтом outdoor образования.

1. Outdoor First Aid Training
Institute for Outdoor Learning Statement of Good Practice
Reason For The Statement:
An appropriate level of First Aid Competence is an essential part of operating as an
outdoor learning practitioner. The Institute for Outdoor Learning recognises and
supports the provision of Outdoor First Aid training that is delivered at the appropriate
level, by trainers with outdoor knowledge and assessed in a fair and relevant way.
This Statement of Good Practice is designed to support the maintenance and
development of standards in Outdoor First Aid training and assessment. It supports:
1. Organisations making their own assessment of “adequate and appropriate
equipment, facilities and personnel” to ensure the people in their care receive
immediate attention if they are injured or taken ill.
2. Practitioners of Outdoor Learning (instructors, teachers, trainers, coaches,
etc.) in identifying appropriate First Aid training to match their area of practice.
3. First Aid Training Providers, National Governing Bodies of sport and First
Aid Awarding Bodies when considering the content of First Aid training
courses specifically for outdoor practitioners.
Alignment with the IOL Statement of Good Practice:
Aligning with the IOL Statement of Good Practice is on a voluntary basis. The Institute
encourages:
• Providers of First Aid Training to self declare that their course content and
delivery is aligned with the relevant band described in this statement
• Employers, National Governing Bodies of sport, and other interested
parties to refer to the bands described in this statement where it simplifies the
definition of a required level of First Aid Competence.
Providers can also, should they wish, apply to have a particular course accredited by
IOL in order to demonstrate their course is relevant to outdoor leaders and assure
others the course includes a clear aim, learning outcomes, assessment for learning and
knowledgeable trainers.

2. 2
IOL Statement of Good Practice:
The statement recognises four bands of Outdoor First Aid (OFA) training. Each band
recognises a different set of competencies for First Aid in an Outdoor Learning context.
1. Each band describes a minimum expected course content and delivery structure.
They are not absolute statements of course content - training providers may
well include additional topics to those mentioned at their own discretion or to
meet the needs of their customers.
2. The skills and knowledge must be taught and assessed in accordance with
currently accepted first aid practice in the United Kingdom as described by the
Resuscitation Council (UK) and in other publications or sources (e.g. Voluntary
Aid Societies, Royal Life Saving Society, Mountain Rescue, etc.) provided that
they are supported by a responsible body of medical opinion.
3. Outdoor First Aid Training providers should be able demonstrate how they
satisfy all the relevant HSE First Aid criteria, including those for selecting a first
aid training provider. Training providers should also meet the requirements of
“Principles of Assessment for First Aid Qualifications” (Skills for Health).
4. Trainers are encouraged to complete the IOL Outdoor First Aid Trainers
Questionnaire online assessment tool to test and evidence relevant knowledge
of first aid provision in the outdoors.
Outdoor First Aid Band 1
Typical role of holder within an
outdoor learning context
Teachers/visiting leaders, e.g. educational visit leader
(urban or accessible rural visits)
Previous experience No prior Outdoor First Aid experience required
Course content to include
** additional topics may be included at
the training providers discretion or to
meet the needs of their customers
The course focuses on basic first aid awareness and
may include:
Roles and responsibilities for first aid
Incident management
First aid equipment and record keeping
Course delivery to include Min 3 hours contact time
Observable competence
(assessment criteria)
N/A
Suggested trainer requirements
to deliver this course
Current Outdoor First Aid Band 2/Emergency First Aid
at Work (EFAW) or above
Relevance for NGB & other
Qualifications
Educational visit leader

3. 3
Outdoor First Aid Band 2
Typical role of holder within an
outdoor learning context
Supported outdoor activity or learning leader
Typically operating within defined grounds and close to
immediate support, e.g. activity instructor, sports
coach, school teacher, remote rural visit leader, etc.
Previous experience No prior Outdoor First Aid experience required
Course content to include
* content in italics is in
common with OFA Band 1
** additional topics may be included at
the training providers discretion or to
meet the needs of their customers
Roles and responsibilities for first aid
Incident management
First aid equipment and record keeping
Calling for appropriate help/rescue service
ABC primary survey
Treatments for unconscious/not breathing
Treatments for bleeding/shock
Recognition and management of life threatening illness
Recognition and management of drowning/cold water
shock/hypothermia
Age awareness for vital signs/CPR/bleeding
Treatment of minor injuries, e.g. small cuts, bruises,
minor burns, etc.
Course delivery to include
8 hours contact time
Practical casualty assessment
Practical CPR
Treatment for unconscious casualty
Treatment for bleeding, shock and minor injuries
Outdoor scenarios to mirror the first aid situations the
course participants may encounter
Observable competence
(assessment criteria)
Recognise and manage life threatening incidents in the
outdoors
Call for appropriate help/rescue service
Can manage unconscious casualty
Can perform CPR
Can treat bleeding/shock
Can respond to signs/symptoms of hypothermia
Can monitor casualty appropriately
Minimum trainer requirements
to deliver this course
First Aid at Work/medical registration to HSE guidance
Teaching/training/assessing qualification to HSE
guidance

4. 4
Have held an Outdoor First Aid Band 3
Evidence of relevant CPD
Relevance for NGB & other
Qualifications
Courses are likely to meet required minimum level for
CWA/CWLA, BCU L1 & L2 Coach, RYA, Mountain Biking
L1, Scout leaders
Outdoor First Aid Band 3
Typical role of holder within an
outdoor learning context
Unsupported outdoor or adventurous activity leader
Typically operating in situations where help is generally
under 2 hours away, e.g. outdoor instructors, outdoor
learning practitioners, mountain leader, D of E assessor,
bushcraft instructor, forest school leader, canoe
expedition leader, etc.
Previous experience No prior Outdoor First Aid experience required
Course content to include
* content in italics is in
common with OFA Band 2
** additional topics may be included at
the training providers discretion or to
meet the needs of their customers
Roles and responsibilities for first aid
Incident management
First aid equipment and record keeping
Calling for appropriate help/rescue service
ABC primary survey
Treatments for unconscious/not breathing
Treatments for bleeding/shock
Recognition and management of life threatening illness
Recognition and management of drowning/cold water
shock/hypothermia
Age awareness for vital signs/CPR/bleeding
Treatment of minor injuries, e.g. small cuts, bruises,
minor burns, etc.
Secondary survey
Trauma injury
Illness/medical conditions
Poisons, burns
Hypo/hyperthermia, dehydration
Casualty in variety of positions/situations
Stabilising/insulating/monitoring
Management of one or more casualties/basic
monitoring
Additional first aid topics specific to the needs of the

5. 5
participants
Course delivery to include Two full days (suggested 16 hours contact time)
Practical casualty assessment of conscious and
unconscious casualties
Practical CPR, treatment for unconscious casualty and
bleeding
Practical immobilisation/stabilisation/insulation and
evacuation of walking wounded
Outdoor scenarios reflective of the range of first aid
challenges that may be encountered by participants
Observable competence
(assessment criteria)
Can recognise & manage life threatening incidents
involving injury and illness in suitable outdoor
environments (typically where expert help is generally
under 2 hours away)
Can call for appropriate help/rescue service
Can manage an unconscious casualty
Can perform CPR
Can treat bleeding/shock
Can respond to signs/symptoms of hypo/hyperthermia
Can insulate/shelter
Can immobilise/stabilise casualty
Can assess and manage more than one casualty
Can monitor basic life signs and record
Minimum trainer requirements
to deliver this course
First Aid at Work/medical registration to HSE guidance
Teaching/training/assessing qualification to HSE
guidance
Evidenced Outdoor First Aid Band 4 competence
Evidence of relevant CPD
Relevant outdoor experience. Achieving a pass mark on
the IOL Outdoor First Aid Trainers Questionnaire will
demonstrate this
Relevance for NGB & other
Qualifications
Courses are likely to meet required minimum content
for
SPA, LL, WGL/H&ML, ML, winter ML, IML, MIA, MIC,
BMG, Mountain Biking L2+, BCU level 3+, BCA LCMLA
and CIC, RYA

6. 6
Outdoor First Aid Band 4
Typical role of holder within an
outdoor learning context
Remote worker, expedition leader, independent
instructor/coach/leader
Can be operating in situations where a longer wait for
rescue (over 2 hours) may be required
Previous experience Assumes prior Outdoor First Aid Band 3 or equivalent
or practical experience
Course content to include
* content in italics is in
common with OFA Band 3
** additional topics may be included at
the training providers discretion or to
meet the needs of their customers
Building on the Outdoor First Aid Band 3 the course will
typically extend participants knowledge and skills and
understanding in following topics and with reference to
the operating environment of the participants:
Roles and responsibilities for first aid
Incident management
First aid equipment and record keeping
Calling for appropriate help/rescue service
ABC primary survey
Treatments for unconscious/not breathing
Treatments for bleeding/shock
Recognition and management of life threatening illness
Recognition and management of drowning/cold water
shock/hypothermia
Age awareness for vital signs/CPR/bleeding
Treatment of minor injuries, e.g. small cuts, bruises, etc.
Secondary survey
Trauma injury
Illness/medical conditions
Poisons, burns
Hypo/hyperthermia, dehydration
Casualty in variety of positions/situations
Stabilising/insulating/monitoring
Management of casualty/basic monitoring
Content may also include:
Further first aid topics as relevant to the participants
Injury/illness identification and casualty management
challenges consistent with higher level NGB
qualification activities
The safe, prompt and effective provision of first aid in
specific contexts or challenging situations, e.g. caving,

7. 7
winter mountaineering or remote expeditions
Complex incidents or situations and management of
the casualty with effective
insulation/stabilisation/monitoring
Course Delivery to include
(to meet requirements of NGBs
and good practice in the sector)
Minimum 16 hours contact time
Outdoor scenarios reflective of the range of first aid
challenges that may be encountered by participants
Observable competence
(assessment criteria)
As OFA Band 3 with additional demonstrable
competence in recognising and managing incidents
with more complex injuries and in more challenging
outdoor environments (help over 2 hours away)
Minimum trainer requirements
to deliver this course
First Aid at Work/medical registration to HSE guidance
Teaching/training/assessing qualification to HSE
guidance
Outdoor First Aid Band 4 competence evidenced
through relevant experience or holding OFA Band 4
certificate from a different training provider
Evidence of relevant CPD
Relevant outdoor experience. Achieving a pass mark on
the IOL Outdoor First Aid Trainers Questionnaire will
demonstrate this
Relevance for NGB & other
Qualifications
Typical courses for those working far from help, e.g.
winter ML, IML, MIA, MIC, BMG, BCU higher levels, BCA
CIC, RYA offshore, expedition leaders
Web links relevant to this statement:
HSE Guidance on First Aid:
http://www.hse.gov.uk/firstaid/index.htm
HSE Guidance for First Aid Needs Assessment:
http://www.hse.gov.uk/firstaid/needs-assessment.htm
HSE Guidance on Selecting a Training Provider:
http://www.hse.gov.uk/firstaid/approved-training.htm
Assessment Principles for First Aid Qualifications (Skills for Health):
http://www.skillsforhealth.org.uk/images/standards/qcf/First%20Aid%20Assessmen
t%20Principles.pdf
First Aid Awarding Organisations Forum - Outdoor First Aid Assessment Principles:

8. 8
http://www.outdoor-learning.org/Default.aspx?tabid=346
IOL Outdoor First Aid Trainers Questionnaire:
http://www.outdoor-learning.org/Default.aspx?tabid=346
Further Information:
IOL Statement (V1.3) clarifies ways providers of First Aid Training, employers, National
Governing Bodies of sport, and other interested parties can align with the statement.
The initial IOL statement was developed from a series of IOL consultations with First
Aid Training providers in 2013 and 2014. The core guidance evolved from a meeting in
Manchester on the 14th February 2014 attended by: HSE, AALA, ITC, React First, TQUK,
Qualifications Network, BMC/Mountain Training, British Cycling, OEAP, PGL (BAPA
member), EPA, Risk Lifesigns, Active Aid, FAIB, Marlin Training, Adventure Rapport,
Active First Aid, REC, Training Expertise, IOL.
An article in Horizons 63 (Autumn 2013) “Outdoor First Aid Training By Outdoor
Practitioners ” by Andy Robinson introduced the debate that has led to this IOL
Statement of Good Practice. http://www.outdoor-
learning.org/Portals/0/IOL%20Documents/Horizons%20Documents/OFA%20Article.
H63.pdf
Version 1.3 Issue
Issued on: 3 March 2015
Prepared by: Neal Anderson – IOL Professional Standards Manager
Reviewed by: Elspeth Mason (Casualty Care), Chris Leleux (ITC), Andy Robinson (IOL
CE)
Future Revisions
This Statement of Good Practice is seen as an evolving document that responds to the
demands and needs of the sector, as well as guidance from HSE and other relevant
bodies.
Please get in touch with the IOL Professional Standards Manager neal@outdoor-
learning.org with your comments. The Institute is open to supporting an Outdoor First
Aid Training Research or Professional Discussion Group to guide future revisions to
this statement if there is support from within the membership and wider sector.