Responders in Action

When Emergency Responders use their skills to care for an injured or ill person, it’s significant and worth sharing. In this newsletter we’d like to share a good news story from Vanuatu.

If you know of any Emergency Responders who have used their Emergency First Response skills in an emergency situation, or if you’ve used your training to help someone in need, please send the information describing the action to Emergency First Response by using the Responder in Action Report form found in the Appendix of your EFR Primary and Secondary Care Instructor Guide and email it to so the Emergency Responders involved will receive formal recognition for their efforts.

This good news story from Vanuatu is a great example:

Last March PADI Master Scuba Diver Trainer / EFR Instructor Wilfred ‘Wills’ Tileya # 330494 and PADI Divemaster / Emergency Responder Luaky Nabanga # 466304 (both working at PADI Five Star IDC Resort Big Blue # S36279 in Port Vila, Vanuatu) were going out for a night dive around 6:30pm, just after sunset.

Half way out at the channel they noticed a catamaran with four people waving franticly, trying to attract their attention. The Big Blue boat was the only boat out on the harbour. As they got closer, they noticed a person in the water face down and in distress.

Luaky grabbed him and managed to pull the man into the boat where he lay on the floor, breathing but unable to speak. The patient was put into the recovery position and returned to base, still unable to give his name. Wills called emergency services and tended to the patient, keeping him warm, until EMS arrived. He was treated on the scene and taken to hospital where he was released the following day.

Congratulations to Wills and Luaky – this person’s luck would have run out had you not spotted the emergency and responded in such an effective manner; well done!

Expand into Instructor Training

Are you an experienced EFR Instructor? Would you like to help new instructor candidates become EFR professionals? Training other professionals is a demanding but rewarding job.

Helping new EFR instructor candidates to gain instructor level knowledge and skill and then pass that on through positive coaching to their own students is the role of the EFR Instructor Trainer. As an EFRIT your own skills will also be polished as you role model instructor level teaching. You’ll also consider opportunities outside your normal market as you guide instructors considering work in a wide range of environments.

If you would like to be an EFR Instructor Trainer you will need to:

  • Be a current, authorised EFR Primary / Secondary Care Instructor
  • Be an EFR Care For Children Instructor
  • Have registered at least 25 EFR students, or
  • Have conducted at least 5 separate EFR courses


  • Successfully complete an EFR Instructor Trainer Course

For dates and locations of these courses CLICK HERE. Please note that additional locations are added throughout the year so if you don’t see one that is convenient for you, contact our Instructor Development team to see if one can be scheduled (bearing in mind each course is subject to a minimum number of participants).

Emergency First Response Manuals Go Digital

The first EFR digital student manuals are planned for release during 2018. With more and more people using their tablets, phones and computers the option for online and offline digital study materials is increasingly popular and in demand.

The manuals will be accessed through the Adobe Experience Manager (AEM) platform which offers a great online and offline experience across various platforms. It also offers the ability to search for key words so that a learner can quickly find information to review or jump back to a specific topic or course content. Updates are almost seamless and each time the user logs in the most current content is available.

Watch out for further information and announcements with exact launch date.

ILCOR Updates 2015 & 2017

In 2015 ILCOR announced that updates would no longer be released in five year cycles, but as and when needed. In late 2017 their latest updates were released. The good news is that there were no changes that affect EFR courses – although they did publish further research that reinforces that current guidelines are indeed best practice.

So this seems a good time to review the changes we communicated in the 2016 Responder. If you’d like a reminder in webinar format, you can watch a webinar covering some of these points.

Late 2015 member organizations of the International Liaison Committee on Resuscitation (ILCOR) have begun to release new cardiopulmonary resuscitation (CPR) and emergency cardiovascular care (ECC) guidelines. Emergency First Response (EFR) and PADI courses follow these guidelines and implement changes whenever protocols are revised.

The 2015 updates from ILCOR indicate relatively small changes to the way CPR and first aid is conducted by lay-people; this is a reflection of the success of CPR in modern times.
Please update your Emergency First Response courses to include the following information (and please take due note of the implementation date near end of this article):


  • Perform chest compressions at a rate of 100 – 120 per minute for adult, child, and infant.
  • Perform compressions to a depth of 5 centimetres/2 inches for an average adult while avoiding excessive chest compression depths (greater than 6 centimetres/2.4 inches).
  • Do not interrupt chest compressions for more than 10 seconds.
  • Always call EMS immediately for anyone with chest pain or other signs of a heart attack, rather than trying to personally transport the person to healthcare facility.
  • The use of mannequins that provide feedback on depth and rate of compressions are now encouraged. However, other mannequin types are still acceptable. Also, consider using auditory guidance (metronome or music) to improve compression rate.

Diabetic Problems (low blood sugar, hypoglycemia)

  • If a person with diabetes reports low blood sugar or exhibits signs or symptoms of mild hypoglycemia and is able to follow simple commands and swallow, oral glucose should be given to attempt to resolve the hypoglycemia. If these tablets are not available, you may provide the patient with fruit juice, soda or candy if available.
  • Symptoms may not resolve until 10 to 15 minutes after ingesting glucose tablets or dietary sugars. Emergency responders should wait at least 10 to 15 minutes before calling EMS and retreating a diabetic with additional oral sugars. If the diabetic’s status deteriorates during that time or does not improve, call EMS.

Serious Bleeding

  • A tourniquet may now be considered for initial care when an emergency provider is unable to use direct pressure to control bleeding, such as during a mass casualty incident, with a person who has multisystem trauma, in an unsafe environment, or with a wound that can’t be accessed. Tourniquets can be effective for severe external limb bleeding.
  • Note the time that a tourniquet is first applied and communicate this information to EMS providers.
  • Tourniquets used in the prehospital setting have been found to control bleeding effectively in most cases and have a low rate of complications.


If cool or cold water is not available, a clean cool or cold but not freezing, compress can be useful as a substitute for cooling burns. Care should be taken to monitor for hypothermia when cooling large burns.

Guidelines from Other Associations


For detailed references, see the full 2015 American Heart Association Guidelines for CPR and ECC and the ILCOR document in the journal Circulation and view the ERC Guidelines 2015.


Following the 2015 ILCOR Guidelines release, the Australian and New Zealand Committee on Resuscitation (ANZCOR) released its new guidelines mid-January 2016; these now replace all previously existing Australian and New Zealand Resuscitation Council guidelines and are endorsed by both Councils.

The only change to ANZCOR basic life support guidelines is related to the rate of chest compressions, which changed from “approximately 100” to a range of “100 to 120 compressions per minute”.

The other fundamentals remain the same: to manage emergencies, use the DRS ABCD S approach; early defibrillation is still emphasized; the ratio is still 30 compressions to two rescue breaths; and the depth of compressions remains at approximately one third of the chest depth, i.e. more than 5cm in adults, approximately 5cm in children and 4cm in infants (ANZCOR has elected not to put an upper limit on compression depth as the risk of too shallow compressions outweighs the risk of compressions that are too deep).

If you’re teaching in Australia or New Zealand, you can implement these ANZCOR changes into your courses immediately – this also applies to Nationally Recognised Training (workplace approved) first aid courses offered through PADI RTO. For detailed references, please refer the new ANZCOR guidelines when teaching in Australia and when teaching in New Zealand.

Required Implementation

The required implementation date for this was 31 March 2016. To keep EFR and PADI courses current and internationally applicable, course materials are being revised to reflect these recent guidelines.

Instructor Manual Errata

EFR CPR & AED Instructor Guide Errata 13 Dec 2016

2016 EFR Primary and Secondary Care Instructor Guide Errata

EFR Care for Children Instructor Guide Errata 13 Dec 2016

Alternatively, contact your Regional Training Consultant to be emailed any of the above errata’s.

Upcoming EFR Instructor Trainer Courses in Asia Pacific

We are excited to announce a range of EFR Instructor Trainer Courses across the Asia Pacific region in the coming months.

This year courses will be taking place in Sydney, Australia, as well as Koh Tao, Phuket and Pattaya, Thailand; Taipei, Taiwan; Cebu, Philippines; Semporna, Malaysia; and Hong Kong.

As an Emergency First Response Instructor Trainer you’ll have the opportunity to expand your passion of teaching and increase your income by training others to become Emergency First Response Instructors.

To be eligible to participate in the Emergency First Response Instructor Trainer Practical Session, you must meet the following requirements:

  • Be a Teaching Status Emergency First Response Primary Care/Secondary Care and Care for Children Instructor.
  • Have issued 25 Course Completion Authorization cards OR taught at least 5 separate Emergency First Response courses.
  • Have no verified Quality Assurance cases on file within the past 12 months.

To find out more or to register visit the EFR Instructor Trainer Course Eventbrite page.

If you have further questions please email or call +61 2 9454 2853.

Product Announcement – EFR® Materials Update

efr2Emergency First Response® Materials are now available in the following languages:

English, Russian, Spanish, Korean, Dutch, French, German, Italian, Japanese and Chinese.

All our products, in every language, are current and up-to-date with the latest first aid protocols.

On top of being able to offer this course in so many languages, you can also offer this to anyone!

So if you have any customers with partners, friends or family who are non-divers but are interested in gaining some first aid skills, this course can be enjoyed and completed by all. The participants do not have to be divers to complete the Emergency First Response® Course and receive a certification.

Remember this course can be tailored to suit the needs and lifestyles of those you are teaching, so make sure this is mentioned when marketing your courses!

For more information and to order – contact the PADI Sales Department (tel + 61 2 9454 2888) or you can order anytime from the online shopping cart – log onto the PADI Pros’ Site and click Shop Online.

During the CPR portion of the class – try playing the Bee Gees song “Stayin’ Alive” Not only will participants enjoy it, but the song also has the perfect tempo for delivering chest compression at the correct rate!


More Emergency First Responders Certified in Vanuatu

Transperancy-EFR-28.6.13Transparency Vanuatu, through its Duke of Edinburgh Award programme has launched a first aid initiative for Vanuatu youth.

With the assistance of PADI Asia Pacific and Nautilus Watersports, they can now offer internationally recognised Emergency First Response Primary and Secondary First Aid training courses to local youth, providing vital skills to communities in the event of an emergency.

Since its launch in March 2013, 22 Ni Vanuatu youth have received their certification as Emergency First Responders, including 5 visiting community based provincial facilitators,  Johnny Avock, Ps Jean Paul Polycap, Horman Gigina, Shina Timothy and Tom Kohua.  The group were in Port Vila this month for a training series to assist them in delivering EFR workshops throughout Vanuatu’s most remote communities.

Nautilus Watersports in Vanuatu generously offered to facilitate this initiative by providing volunteer EFR Instructors to conduct this course. All participants to date have been most impressed with the level of professionalism which these young instructors bring, and they have made the learning environment enjoyable and easy to pick up, ensuring these young Ni-Vanuatu not only learn, but maintain these vital skills to the benefit of their communities. The course itself is designed to create a fun and relaxed learning experience, allowing students of all levels and backgrounds to easily grasp the material.

Rebecca Solomon, Youth Coordinator for Transparency Vanuatu says; “This course is fun and to our level, which means we not only learn these skills in the classroom, but we keep them in our communities.”

First Aid skills are enormously lacking amongst Vanuatu communities, and it is hoped that these youngsters will now be in a position to provide potentially lifesaving assistance to someone in need in their communities.

The board of Transparency Vanuatu approved the inclusion of this initiative to extend the benefits to all youth within Vanuatu and as it is being incorporated into the facilitators’ training presently being undertaken.  This will ensure that they take these skills into the provinces, making this a Vanuatu wide initiative.

Not only does this training cover essential skills such as CPR, it also promotes an overall healthy lifestyle message, which these youths will hopefully spread throughout their communities. With the growing prevalence of illnesses such as diabetes, it is timely for this message to be given priority throughout Vanuatu.

In the words of one Transparency Vanuatu staff member “The Youth are the future of our country. I believe healthy youth will become healthy leaders, in mind, body and soul.”

Lyndsey Wilson-Akers from Transparency Vanuatu adds,

“On behalf of all 22 now certified EFR participants, Transparency Vanuatu are eternally grateful to PADI and Nautilus Watersports for your commitment to this initiative and hope that this partnership can continue long into the future. Nautilus instructors Colin Bartkowiak and Sean Chung deserve special commendation for this effort, as in spite of the difficulties which arise in the case of language barriers, they delivered this course at a level which all visiting facilitators could understand.”

As this is an ongoing initiative of Transparency Vanuatu, anyone interested in completing this course is encouraged to contact the office on telephone: (+678) 25715, Email: or visit the office located in the centre of Port Vila, 1st  Floor, (at rear) C&K Real Estate. All are welcome.

Emergency First Response courses held at Transparency Vanuatu

Transparency Vanuatu _ EFR Instructors and participants 19.6Earlier this year Transparency Vanuatu, a chapter of the global organisation Transparency International, began to offer courses in First Aid with Emergency First Response Primary and Secondary Care programs to the nationals and citizens of Vanuatu.

With the help of Emergency First Response Instructors, Alexa Ballentine and Damien Manfre from Nautilus in Vanuatu, 5 new Emergency First Responders were certified  – Rebecca Solomon, Deffnie Thompson, Daniel William, Rebecca Crosby and Analyn Gilbert, who were also participating in the Duke of Edinburgh Awards scheme.

Lyndsey Wilson-Akers from Transparency Vanuatu reports that they all thoroughly enjoyed the course and in spite of the language barrier, Instructors Alexa and Damien delivered the material flawlessly and in a manner which enabled all participants to not only thoroughly grasp the material and concepts, but also to retain the information and skills.

One participant who had previously completed a first aid course through a different organisation commented that she didn’t really learn anything before because the instructor was disinterested and the material too complex.  Through the Emergency First Response program and its delivery, she now feels confident that she can be of real assistance to somebody in need.

Lyndsey adds, “It was a job well done by all and we are extremely grateful for the assistance of Nautilus and their Instructors, who are enormously committed educators and who were also very excited to be given the opportunity to train local Ni Vanuatu”.

During April and May, 2013 Transparency Vanuatu ran additional Emergency First Response First Aid programs and will continue with extensive EFR training through the month of June.

Transparency Vanuatu

Transparency Vanuatu is a chapter of Transparency International, the global coalition against corruption. Transparency International consists of more than 100 chapters – locally established, independent organisations – that fight corruption in their respective countries.  For more information, visit

Bumrungrad Hospital chooses Emergency First Response

DEMAkoreanchinese 23.10.12Bumrungrad International located in centre of Bangkok has been described as the best hospital in Thailand.

For years Catherine Harsono, Senior Manager of Expat Marketing at Bumrungrad had received requests for an English language certified CPR class but was unable to provide one until Laurie Colyer came along 4 years ago.

After researching other programs, Catherine and Laurie found the Emergency First Response (EFR) curriculum to be the best with a high standard of quality that offered an internationally recognised certification.

Laurie was certified as an EFR Instructor to begin with and in the first year, taught a total of 14 Emergency First Response Adult and Child CPR and First Aid classes to both public and private corporate companies.  Recognising a huge demand, Catherine then also became certified as an Instructor.

Last year Catherine and Laurie saw the need to certify more instructors to relieve teaching duties.  Laurie then became an EFR Instructor Trainer and by the end of 2012, had certified an additional 4 EFR Instructors. To date they have taught over 30 classes.

Emergency First Response at Bumrungrad Hospital #1With the EFR courses going from strength to strength, often students have to join a wait list, as there is a limit of 12 people per class to enable each student to receive the attention they deserve.

Classes are promoted through monthly e-newsletters, their email database and at main Bumrungrad Hospital events with students mainly consisting of teachers from international schools, company employees and Mums and Dads with young children.

For more information visit: