Position Statement on Life-Threatening Bleeding

Introduction

As an Ofqual-regulated awarding organisation committed to delivering high-quality first aid qualifications, we recognise the critical importance of ensuring that training reflects current best practice in managing life-threatening bleeding. In response to the First Aid Quality Partnership (FAQP) Position Statement on Life-Threatening Bleeding, we wish to outline our position on this matter and the steps we are taking to align our qualifications with the latest evidence-based practices.

Uncontrolled, severe bleeding is a medical emergency that can lead to fatality within minutes if not managed promptly and effectively. The inclusion of catastrophic bleeding management techniques in first aid training is therefore essential in equipping learners with the necessary skills to respond confidently and competently in emergencies.

Position Statement

We fully support the recommendations set out by the First Aid Quality Partnership (FAQP) regarding the management of life-threatening bleeding. Our position is based on current clinical evidence, international best practices, and industry guidance, ensuring that first aid training remains both relevant and effective.

Accordingly, we adopt the following principles in the development, delivery, and assessment of our first aid qualifications:

1. Recognition of Life-Threatening Bleeding

First aiders must be trained to:

  • Quickly assess and differentiate between minor bleeding and catastrophic haemorrhage.
  • Identify key risk factors that increase the likelihood of severe blood loss (e.g., arterial bleeding, limb trauma, deep wounds).
  • Understand the time-critical nature of life-threatening bleeding and act decisively.

2. Use of Direct Pressure and Wound Packing

  • The first line of response to any bleeding should be the application of direct pressure to the wound using dressings or improvised materials.
  • Where direct pressure is ineffective or impractical due to the nature of the wound, wound packing with appropriate dressings should be considered, particularly for junctional wounds (e.g., groin, armpit, neck).

3. Use of Tourniquets

  • Tourniquets should be applied where direct pressure is insufficient to control life-threatening bleeding from a limb.
  • Training should include the correct application of tourniquets, ensuring proper placement and tightening to fully occlude arterial blood flow.
  • Learners should be made aware of tourniquet time limits, the importance of recording application time, and the potential risks associated with prolonged use.

4. Use of Haemostatic Dressings

  • Where available, haemostatic dressings may be used in conjunction with wound packing to enhance clot formation and improve bleeding control.
  • Learners should be introduced to the indications, limitations, and application techniques for these dressings.

5. The Importance of Early Emergency Services Activation

  • While first aiders play a crucial role in immediate bleeding control, early activation of emergency medical services (EMS) is essential.
  • Learners should be trained to ensure rapid 999/112 call activation, providing clear and concise information about the casualty's condition.

6. Alignment with National and International Guidance

  • Our qualifications will align with best practices outlined by the First Aid Quality Partnership (FAQP), the Resuscitation Council UK, and international bodies such as the European Resuscitation Council (ERC) and The American College of Surgeons' STOP THE BLEED® campaign.
  • We will continuously monitor updates from these organisations to ensure our qualifications remain aligned with the latest recommendations.

7. Training and Assessment Considerations

  • Training providers delivering our qualifications will be required to incorporate practical skills development in the management of life-threatening bleeding.
  • Learners should demonstrate competency in applying direct pressure, wound packing, tourniquets, and haemostatic dressings (where appropriate).
  • Assessment should be practical-based, ensuring learners can apply their knowledge effectively in simulated real-world scenarios.

8. Qualification Review and Updates

  • We are reviewing our first aid qualifications to ensure they reflect these principles and meet the latest industry expectations.
  • Where necessary, updates will be made to learning outcomes, assessment criteria, and training guidance.
  • We will engage with subject matter experts, training providers, and industry stakeholders to ensure that any revisions maintain high-quality standards.

Commitment to Best Practice

As an awarding organisation, we are committed to ensuring that our first aid qualifications equip learners with the skills and confidence to manage life-threatening bleeding effectively. By aligning our training content with evidence-based guidelines and industry recommendations, we ensure that first aiders are prepared to take immediate and appropriate action in an emergency.

We will continue to work collaboratively with regulatory bodies, training providers, and industry experts to uphold best practices in first aid education and maintain the integrity of our qualifications.