Archive | BASICS Scotland

15th December: Next BASICS Scotland Clinical Governance Meeting

basics_logo_new_large_csBASICS Scotland Clinical Governance Meeting

15th December 2016, 7.00pm – 8.30pm

 

The BASICS Scotland Clinical Governance Meetings are held quarterly and are provided over internet based video conferencing allowing you to have a face to face meeting with your peers from the comfort of your own home or work place to share and discuss clinical cases that you may have been involved in or are interested in.

Each meeting consists of a selection of cases which are presented by the person involved and is then opened up for discussion giving you the opportunity to learn from others.

Our meeting on 15th December will feature the following cases:

  • Fall from a horse: Iain Craighead (Highland)
  • My drive to Newcastle: Paul Gowens
  • An Entrapment: Brian Fitzsimmons (Highland)
  • Multiple Casualties: Mark Worrall (Ayrshire)

The meeting will also cover ‘Rudeness and clinical performance‘ with Richard Price.

Join us at the next meeting

This is a free benefit to all BASICS Scotland members and counts towards your CPD!

If you haven’t been to one of our meetings before and would like to attend this or future meetings please email or call Craig Stewart at the BASICS Scotland office – cstewart@basics-scotland.org.uk or tel: 01764 663671.

Invites will automatically be sent out to everyone who has previously attended one of our Clinical Governance Meetings.

The programme for this meeting will be distributed in due course and invites will be sent out on the Tuesday before the meeting.

Not sure how it works?

Never attended one of our internet based video conference sessions using Adobe Connect and unsure of how it all works? Contact Craig at the BASICS Scotland office (cstewart@basics-scotland.org.uk or call 01764 663 671 ) and he will be more than happy to help you get set up.

You can also catch up on previous meetings which will give you a good idea of what is involved by logging into the members area of the BASICS Scotland website ( http://basics-scotland.org.uk/members/clinical-governance/recordings/ ).

Continue Reading ·

BASICS Scotland Adult Tele-Education Course

BASICS Scotland Tele-Education presents…

Adult Pre-hospital Emergency Care

basics_logo_new_large_csStarts Monday 16th January 2017

(closing date for registration is Friday 23rd December 2016)

Course cost: £150 for non-members / £135 (BASICS Scotland members)

This Course is primarily for doctors, nurses & paramedics delivering care in the pre-hospital environment. 

BASICS Scotland provide two types of Tele-education courses which are Paediatric and Adult Emergency Medical Care

New evidence based topics are delivered by weekly 1 hour sessions over 9 weeks for the paediatric course and 10 weeks for the adult course. These are presented live through our internet based video conference system using Adobe Connect which can be accessed anywhere in the world that you have a computer with an internet connection and up-to-date web browser with the latest Flash Player plugin installed.

Can’t make the live sessions? Don’t worry. Each live session is recorded and made available on our E-learning website along with supporting materials so you can view them in your own time.

adult-tele-ed-pic-slider

 

The adult course covers topics such as:

Allergy & Anaphylaxis; Asthma; LVF – Adult Pneumonia; Stroke & TIA; Chest Pain & Thrombolysis; Head Injury; ENT Emergencies; Wounds, Burns & Tetanus; Pain Relief; Seizures

Feedback from previous courses:

I picked up lots of useful tips, particularly regarding the range of drugs that I should consider using in a remote pre-hospital environment and the management of wounds and minor injuries.

Excellent course, loved been able to do it online, like structure of a topic each, 2 week break worked well. I enjoyed that the sessions were interactive, learned lots of useful information, thank you.

A very useful course that has increased my confidence in emergency situations.

Introduction on Adobe Connect and how it works

A short video is available from the BASICS Scotland page (link below) introducing what Adobe Connect is and how to use it for BASICS Scotland courses and meetings. Watching this recording is a good test to ensure you are able to watch the recordings made during this course.

Full details, including the application form, are available from this page at the BASICS Scotland website.
Continue Reading ·

Is there a Sandpiper Responder near you?

Spot the Sandpiper responder? They work with all other emergency personnel, including ambulance, fire, police, lifeboat and mountain rescue teams. (Staged simulation - pic by Chris Hogge).

Spot the Sandpiper responder? They work with all other emergency personnel, including ambulance, fire, police, lifeboat and mountain rescue teams. There are actually two in this photo.  (Staged simulation – pic by Chris Hogge).

Have you heard of the Sandpiper Trust?  If you are a rural GP or nurse in Scotland, you are very likely sitting there thinking ‘yeah, of course’!  You probably don’t have to look far in your home/car/work to find a familiar blue Sandpiper Bag – over £2000 worth of emergency life-saving kit brought together into a neat, organised package, ready to go at a moment’s notice.

Sandpiper Bag - in this case there's a BASICS Scotland teaching exercise being carried out in the background.

Sandpiper Bag – in this photo there’s a BASICS Scotland teaching exercise being delivered in the background.

There are over 1000 such bags in Scotland, mainly in rural and remote areas.  They enable rural clinicians to support the Scottish Ambulance Service in providing emergency care when there isn’t an ambulance easily available, or sometimes as there is more than one casualty, or the skills of a doctor are required to augment those of an ambulance paramedic.

One thousand bags.  That’s over £2,000,000 (2 million) worth of kit – funded purely from public donations over the last fifteen years.  And that’s before considering that responders who are on islands or make themselves trackable by the ambulance service, are provided with even more resource, from EZIO needles and pelvic slings, to defibrillators and technology to plug themselves into the national responder system.

Bags are provided to rural clinicians who have successfully completed the excellent BASICS Scotland courses in emergency care.  From advanced paediatric life support, to trauma care, to ongoing teleconference sessions to share best practice… the system works because of this integrated approach between BASICS Scotland – who provide the training and support – and the Sandpiper Trust – who provide the kit and training resources.

What started the Sandpiper Trust?

The Sandpiper Trust Logo - inspired by 'a light hearted, cheeky bird who plays by streams and on the seashore' - just like Sandy Dickson, whose tragic death inspired the charity to be founded.

The Sandpiper Trust Logo – inspired by ‘a light hearted, cheeky bird who plays by streams and on the seashore’ – just like Sandy Dickson, whose tragic death inspired the charity to be founded.

The Trust was formed shortly after the tragic death of Sandy Dickson in 2000 – at the age of 14 years as a result of a swimming accident in rural Canada.  His parents, Penny and Aly asked the question ‘What would have happened if this had occurred in Scotland?’.  Penny’s sister Claire and brother-in-law Robin Maitland supported them on a journey that would soon provide rural Scotland with an integrated system of emergency care and resource that has become the envy of many other countries.

Their work has inspired others to provide advice and expertise – such as when Chris Tiso of the outdoor sports company Tisos came across the Mark 1 Sandpiper Bag by chance, and provided his support to enable the Mark 2 Bag to incorporate much improved fabrics, layout and carrying harness.

More background to the Trust can be found here.

Who funds the Sandpiper Trust?

Sandpiper Bags are designed to keep equipment laid out in a logical and helpful way (Pic from simulation training at recent BASICS Scotland course).

Sandpiper Bags are designed to keep equipment laid out in a logical and helpful way (Pic from simulation training at recent BASICS Scotland course).

The Sandpiper Trust exists entirely on personal donations.  If you visit the Sandpiper Trust facebook page, you’ll see a range of budding cyclists, iron men, stall holders, bakers, auctioneers and other inspired volunteers who give their time to fund the Trust’s activities.

Unfortunately the nature of the work that the Sandpiper Trust supports, means that there are often sensitivities in reporting this at the time.  Patient confidentiality remains a paramount aspect of healthcare, and so responders have to be careful when highlighting the work that they have carried out at the time.  Inevitably, responding to emergencies can result in contact with adversity, tragedy, and changed or lost lives.  However, where possible, work is publicised to give Sandpiper supporters an idea of how donations are used.

The Sandpiper Trust is keen to hear from Sandpiper Responders about where their kit has helped.  It helps to keep the energy going behind the colossal fundraising efforts behind the scenes.

How does the system work?

Bags and jackets like this are provided to responders across rural Scotland - here's mine (Pic: Chris Hogge).

Bags and jackets like this are provided to responders across rural Scotland – here’s mine (Pic: Chris Hogge).

I am one of many Sandpiper Responders across Scotland.  I offer my situation as a typical example of why the Sandpiper Trust works so well to support us rural GPs in Scotland.  On Arran we have one ambulance available at any one time, and it is used for emergency and non-emergency patient transport.  It takes two hours to drive round Arran, and our population rises from 5,000 to 25,000 over seasonal periods such as Easter, Summer and Christmas.  We see lots of outdoor activity enthusiasts on Arran – cyclists, hillwalkers, paragliders – and like many parts of Scotland, we are seeing our population become more elderly and medically complex.

Our full team of GPs – along with one of our Practice Nurses with expertise in emergency care – are equipped with Sandpiper Kit.  Being island responders, we are given extra resources which means typical kit will cost more than £3000 per responder.  Three of us are mapped onto the Scottish Ambulance Service (SAS) system.  I carry an airwave radio and a smartphone that allows me to be tracked wherever my car goes – and to book on and off depending on other commitments.

If SAS require support – if Arran’s only ambulance is busy with another call, if there are multiple casualties, or if the crew have requested medical support – they will contact us by phone or radio, often using the map to see if anyone is closest and available.  Failing that, SAS will tend to call our community hospital to see if a response can be co-ordinated from there.  BASICS Scotland training includes not only advanced emergency medical care, but considerations about driving safely, providing a ‘sitrep’ back to ambulance control and keeping the initial scene as safe as possible.  Our personal protective equipment includes very high quality hi-vis jackets, which are extremely useful for road accidents and incidents in the open.

Sandpiper Responders can provide vital information back to ambulance control to help identify patients who need urgent evacuation for specialist medical care.

Sandpiper Responders can provide vital information back to ambulance control to help identify patients who need urgent evacuation for specialist medical care.

The job of a SAS call handler is very difficult, and sometimes it’s tricky to decide how urgently someone needs medical attention.  There are occasions when we are asked to assist with someone suspected of being very ill or injured, but being the first ‘eyes on scene’ we can further triage the call.  Being volunteers – and that emergency calls can take us away from a busy surgery, family life or time off – SAS tend to be careful and respectful on when we are asked to attend emergencies.  However, there’s no doubt that there are occasions when our early attendance can help to stand down limited resources – or indeed scale up a response for patients requiring emergency evacuation by helicopter.

Each year, across Scotland, Sandpiper responders attend thousands of calls.  These all depend on voluntary time, along with replacement of items which are used or which expire.  We continue to receive fantastic support from the Sandpiper Trust, who remain committed to providing us with great quality and often cutting-edge equipment.  Sometimes our ambulance colleagues are envious about the quality of the kit we are provided with!

What sort of calls do you attend?

Technology, funded by the Sandpiper Trust, enables some responders to link directly into the Ambulance Service responder system.

Technology, funded by the Sandpiper Trust, enables some responders to link directly into the Ambulance Service responder system.

I recently attended my 117th call in the last six years on Arran.  Without providing dates or specifics, here’s a look back at my last ten calls:

  • sudden heart failure, helicopter evacuation after stabilisation – SAS crew request for assistance
  • motorbike crash, thankfully only minor injuries – SAS crew busy with another call
  • fall off a ladder, serious injuries, helicopter evacuation from scene – SAS crew request for assistance
  • cardiac arrest, unfortunately fatal – ‘dual response’ requested
  • cardiac arrest, unfortunately fatal – ‘dual response’ requested
  • haematemesis (vomiting blood) – SAS crew busy with another call
  • mountain bike crash, teenager with chest and head injuries – SAS crew busy with another call
  • unresponsive 2 week old baby – ‘dual response’ requested
  • chest pain, suspected heart attack – SAS crew busy with another call
  • 35 week old baby with breathing problems – SAS crew delayed response due to location

What about WildCat?

wildcatWildCat is an impressive programme to trial a co -ordinated system of response to cardiac arrests in rural Aberdeenshire.  Building on the lessons of TOPCAT – a project in Edinburgh which has revolutionised how medics respond to cardiac arrests – WildCat aims to translate those lessons into a useful system for rural areas.  It builds on the response already provided by Sandpiper responders, and aims to train folk from much wider backgrounds to get early defibrillation and quality CPR to patients in cardiac arrest.  You can read more about WildCat here.

Sounds amazing.  Can I help?

Donations are particularly necessary to enable the Sandpiper Trust’s work to continue.  You can find out more about how to donate here.  If you live in a rural area of Scotland, ask your GP or practice nurse if they have a Sandpiper Bag next time you’re in.  If you feel able and inspired to help with local fundraising, your local responders and the Sandpiper Trust will be keen to support you with that.

Over the next few months, we hope to raise awareness about the amount of Sandpiper Kit in rural Scotland.  You can post messages to the Sandpiper Trust Facebook Page – and also there will be some twitter activity including the hashtag #spkit.

You can also use the comments section below to chip in your experience of using or benefitting from Sandpiper-funded equipment.

Her Majesty The Queen recently presented the 1000th Sandpiper Bag to a responder.

Her Majesty The Queen recently presented the 1000th Sandpiper Bag on behalf of the Sandpiper Trust to another responder in Scotland.

 

 

splogo

Continue Reading · 1

14th September: Next BASICS Scotland Clinical Governance Meeting

basics_logo_new_large_csBASICS Scotland Clinical Governance Meeting

14th September 2016, 6.30pm – 8.30pm

Do you have a case that you would like to discuss at the next or future Clinical Governance Meetings?

Currently the cases we discuss are gathered from PRF’s that have been submitted to BASICS Scotland. We are keen for these Clinical Governance Meetings to be an open forum so if you have any case that you think would be of interest or you would like to discuss with your peers, contact us now at clinicalgovernance@basics-scotland.org.uk.

The BASICS Scotland Clinical Governance Meetings are held quarterly and are provided over internet based video conferencing allowing you to have a face to face meeting with your peers from the comfort of your own home or work place to share and discuss clinical cases that you may have been involved in or are interested in.

Each meeting consists of a selection of cases which are presented by the person involved and is then opened up for discussion giving you the opportunity to learn from others.

Join us at the next meeting

This is a free benefit to all BASICS Scotland members

If you haven’t been to one of our meetings before and would like to attend this or future meetings please email or call Craig Stewart at the BASICS Scotland office – cstewart@basics-scotland.org.uk or tel: 01764 663671.

Invites will automatically be sent out to everyone who has previously attended one of our Clinical Governance Meetings.

The programme for this meeting will be distributed in due course and invites will be sent out on the Tuesday before the meeting.

Not sure how it works?

Never attended one of our internet based video conference sessions using Adobe Connect and unsure of how it all works? Contact Craig at the BASICS Scotland office (cstewart@basics-scotland.org.uk or call 01764 663 671 ) and he will be more than happy to help you get set up.

You can also catch up on previous meetings which will give you a good idea of what is involved by logging into the members area of the BASICS Scotland website ( http://basics-scotland.org.uk/members/clinical-governance/recordings/ ).

Continue Reading ·

BASICS Scotland Paediatric Tele-Education Course

basics_logo_new_large_csNews just in from BASICS Scotland about their latest educational offerings…

We are pleased to announce the latest start date for our popular Paediatric Tele-Education Course

Book now for 5th September Start!

This course is specifically designed to refresh your knowledge of Paediatric Emergency Medicine

The 9 week 1 hour course will offer you the chance to refresh &/or advance your knowledge on a variety of topics. Run over 9 weeks with a 2 week break, the course starts on the 5th September 2016 and covers a different topic each week over 1 hour live web based tele-conferencing sessions using our Adobe Connect system.

Topics covered include:

  • Child with fever and Meningitis
  • Head Injury
  • Seizures
  • Allergy Anaphylaxis
  • Asthma
  • LRTI
  • Epiglottitis & Croup
  • Gastroenteritis & Dehydration
  • Pain Relief

Can’t make the live sessions?

Don’t worry, each live session is recorded and made available on our E-learning website for you to view in your own time – access to course materials ends 6 weeks after last live session.

Book Now as closing date for registration is Friday 19th August 2016!

What does it cost?

The cost for this course is:

  • £135 for BASICS Scotland members
  • £150 for non-members

To download the information flyers and application form, visit the BASICS Scotland Tele-education page.

Continue Reading ·

New Lifeline courses for volunteer responders

basicsIt is acknowledged that stress and psychological distress is a common reaction to the sorts of incidents that emergency responders encounter in the course of their duties.  This includes volunteer responder teams who have another ‘day job’ but who provide vital emergency services to their communities.

The effect of stress – and the importance of personal resilience – is recognised as an important consideration of overseeing an emergency care system.  So we’re pleased to hear about a new organisation – funded by Scottish and UK Governments from the proceeds of LIBOR fines – that aims to improve awareness of the stresses involved with, and offer a mechanism of support for emergency responders.

Across Scotland there are thousands of people who give emergency assistance to their fellow citizens. They provide a vital service to our communities, but their jobs can be emotionally and physically demanding. The Lifelines Scotland project supports the health and wellbeing of all emergency responders, and provides information for family and friends.

Lifelines Scotland is running a number of courses across Scotland to help teams and leaders support team-members and responders more effectively in dealing with traumatic and difficult events.  BASICS Scotland is one of several organisations who are promoting this initiative, and they are keen to increase awareness of it amongst the responders who they support.

For more information, see the flyer below, or visit the website at www.lifelinesscotland.org.

lifeline

Continue Reading ·

BASICS Scotland Clinical Governance 14th June – programme now available

BASICS Scotland will be holding its next Clinical Governance meeting on Tuesday 14th June 2016 from 18:30 – 20:00.

This meeting will be chaired by Catrina Hewitt and cases being discussed include:

  • A diving emergency (Skye) presented by Andrew Harris
  • RTC (Grampian) presented by Alan Clauson
  • Prolonged Arrest (Arran) presented by David Hogg

We also have Neil Sinclair discussing CPD: Capnography and Richard Price will be covering SPHERE reports.

You can download the programme for this meeting here.

basics_logo_new_large_csThese meetings – held quarterly – tend to attract more than 20-30 responders from across Scotland.

This is a service for members of BASICS Scotland, and you can join by contacting the BASICS Scotland office in advance.  All you need is a functioning webcam & microphone/speaker – and the BASICS office will provide details on how to join the meeting by Adobe Connect (a form of videoconferencing).

We hope to see you there – either to listen in the background, or in contributing your views!  Don’t forget that you can listen to previous BASICS Scotland clinical governance meetings by logging into the website and looking under member benefits.

More about these meetings…

Currently the cases we discuss are gathered from PRF’s that have been submitted to BASICS Scotland. We are keen for these Clinical Governance Meetings to be an open forum so if you have any case that you think would be of interest or you would like to discuss with your peers, contact us now at clinicalgovernance@basics-scotland.org.uk.

The BASICS Scotland Clinical Governance Meetings are held quarterly and are provided over internet based video conferencing allowing you to have a face to face meeting with your peers from the comfort of your own home or work place to share and discuss clinical cases that you may have been involved in or are interested in.

Each meeting consists of a selection of cases which are presented by the person involved and is then opened up for discussion giving you the opportunity to learn from others.

This is a free benefit to all BASICS Scotland members

If you haven’t been to one of our meetings before and would like to attend this or future meetings please email or call Craig Stewart at the BASICS Scotland office – cstewart@basics-scotland.org.uk or tel: 01764 663671.

Invites will automatically be sent out to everyone who has previously attended one of our Clinical Governance Meetings.

Not sure how it works?

Never attended one of our internet based video conference sessions using Adobe Connect and unsure of how it all works? Contact Craig at the BASICS Scotland office (cstewart@basics-scotland.org.uk or call 01764 663 671 ) and he will be more than happy to help you get set up.

You can also catch up on previous meetings which will give you a good idea of what is involved by logging into the BASICS Scotland members website and visiting the Clinical Governance section.

Continue Reading ·

BASICS Scotland Clinical Governance 14th June – sign up now

BASICSlogoBASICS Scotland will be holding its next Clinical Governance meeting on Tuesday 14th June 2016 from 18:30 – 20:00.

The programme for the next meeting is in the process of being developed.  BASICS Scotland is keen to hear from any members or responders who would like to contribute to this meeting – either about an interesting case or about a topic that has caused some discussion.

 

basicsThese meetings – held quarterly – tend to attract more than 20-30 responders from across Scotland.

This is a service for members of BASICS Scotland, and you can join by contacting the BASICS Scotland office in advance.  All you need is a functioning webcam & microphone/speaker – and the BASICS office will provide details on how to join the meeting by Adobe Connect (a form of videoconferencing).

We hope to see you there – either to listen in the background, or in contributing your views!  Don’t forget that you can listen to previous BASICS Scotland clinical governance meetings by logging into the website and looking under member benefits.

More about these meetings…

Currently the cases we discuss are gathered from PRF’s that have been submitted to BASICS Scotland. We are keen for these Clinical Governance Meetings to be an open forum so if you have any case that you think would be of interest or you would like to discuss with your peers, contact us now at clinicalgovernance@basics-scotland.org.uk.

The BASICS Scotland Clinical Governance Meetings are held quarterly and are provided over internet based video conferencing allowing you to have a face to face meeting with your peers from the comfort of your own home or work place to share and discuss clinical cases that you may have been involved in or are interested in.

Each meeting consists of a selection of cases which are presented by the person involved and is then opened up for discussion giving you the opportunity to learn from others.

This is a free benefit to all BASICS Scotland members

If you haven’t been to one of our meetings before and would like to attend this or future meetings please email or call Craig Stewart at the BASICS Scotland office – cstewart@basics-scotland.org.uk or tel: 01764 663671.

Invites will automatically be sent out to everyone who has previously attended one of our Clinical Governance Meetings.

Not sure how it works?

Never attended one of our internet based video conference sessions using Adobe Connect and unsure of how it all works? Contact Craig at the BASICS Scotland office (cstewart@basics-scotland.org.uk or call 01764 663 671 ) and he will be more than happy to help you get set up.

You can also catch up on previous meetings which will give you a good idea of what is involved by logging into the BASICS Scotland members website and visiting the Clinical Governance section.

Continue Reading ·

BASICS Scotland conference: 3rd September 2016

basics_logo_new_large_csDetails have been announced about the 14th BASICS Scotland annual conference and AGM.

Building on the success of previous conferences, and with a stimulating line-up of speakers and workshops, this year’s conference offers a great learning and networking opportunity for all those involved and interested in prehospital care in Scotland – whether from a medical, nursing, paramedic or other background.

 

air-shotThe conference will return to the Newton Hotel in Nairn, just 30 minutes drive from Inverness.  Entitled ‘The Evidence: The Practice” the programme aims to highlight how latest evidence has been translated into best practice, and how you can ensure that you are offering the most up-to-date intervention in your local area.

Featuring topics such as the new NICE Guidelines on major trauma and building on TOPCAT evidence of prehospital cardiac arrest management, to the new Search & Rescue helicopter arrangements in the UK and paediatric trauma… it will be easy for participants to link these updates back to their own practice.

 

Master BedroomThere will also be the customary BASICS Scotland dinner and ceilidh, with accommodation available at the Newton Hotel to make the event a potential weekend away.

Early bird rates are available until 31st May.

You can download the programme and booking form by following the links below.

Conference Brochure (2.1 MB)   Booking Form

Continue Reading ·

Register now for the BASICS Scotland Tele-Education course in Adult Emergencies

BASICSlogoBASICS Scotland are launching the next round of their acclaimed Tele-education Course in Adult Emergency Care.

Who’s it for?

This Course is primarily for doctors, nurses & paramedics delivering care in the pre-hospital environment.

How do I take part?

New evidence based topics are delivered by weekly 1 hour sessions over 9 weeks for the paediatric course and 10 weeks for the adult course. These are presented live through our internet based video conference system using Adobe Connect which can be accessed anywhere in the world that you have a computer with an internet connection and up-to-date web browser with the latest Flash Player plugin installed.

Can’t make the live sessions? Don’t worry. Each live session is recorded and made available on our E-learning website along with supporting materials so you can view them in your own time.

teleed

The BASICS Scotland Tele-education studio

The adult course covers topics such as:

Allergy & Anaphylaxis; Asthma; LVF – Adult Pneumonia; Stroke & TIA; Chest Pain & Thrombolysis; Head Injury; ENT Emergencies; Wounds, Burns & Tetanus; Pain Relief; Seizures

The first session starts on Friday 22nd April 2016.  Apply by Friday 1st April 2016.

Course cost: £150 for non-members / £135 (BASICS Scotland members) 

For more information on this course, please visit the BASICS Scotland website or contact Leah at admin@basics-scotland.org.uk or call her on 01764 663671.

basics

Feedback from previous courses:

I picked up lots of useful tips, particularly regarding the range of drugs that I should consider using in a remote pre-hospital environment and the management of wounds and minor injuries.

Excellent course, loved been able to do it online, like structure of a topic each, 2 week break worked well. I enjoyed that the sessions were interactive, learned lots of useful information, thank you,

A very useful course that has increased my confidence in emergency situations.

Continue Reading ·