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Provide primary emergency care/first aid as an advanced first responder (Level 3)


Unit Standard (SAQA Reg. No 254220)

This course is intended to enable the first responder in an emergency situation to react to health emergencies at an advanced first aid otherwise known as Level 3 first aid course is designed for those who are looking for more comprehensive and deeper understanding into first aid events and emergencies, until the arrival of more qualified emergency personnel.

Successful candidates credited with this unit standard are able to:

  • Explaining the principles of advanced primary emergency care in all health emergencies
  • Demonstrating an advanced level of preparedness to deal with potential emergencies
  • Assessing and managing a complex emergency scene/disaster
  • Explaining the applied anatomy and physiology of the human body systems and describing the emergency care management of disorders and diseases relating to each physical system
  • Applying primary emergency life support for all age groups according to international and/or national protocols
  • Explaining and managing shock




Quality Assured Partner: Construction Education And Training Authority



The certificate of competency associated with this unit standard will only be valid for three years only to ensure relevancy with rapidly changing internationally researched emergency care protocols. The area of focus of this course will be;

The aims of emergency care

  • Emergency telephone calls aim
  • The chain of survival
  • Action at an emergency
  • Approach
  • Assessing the situation
  • Getting others to help you
  • Universal precautions to standards of infections
  • Why do we need Standard Precautions

Determining the priorities of treatment

  • Airway and breathing
  • Bleeding
  • Unconsciousness
  • Shock
  • Other needs

Calling for assistance

  • Multiple casualties and injuries
  • Diagnosis
  • History
  • Symptoms
  • Signs


  • Head
  • Mouth
  • Nose
  • Eyes
  • Face
  • Ears
  • Skull
  • Neck
  • Spine
  • Trunk
  • Arms
  • Legs

Level of responsiveness

Aids to diagnosis

External clues


Preserve life

Prevent the condition worsening

Promote recovery

Disposal of the casualty


  • Checking breathing
  • Clearing the airway
  • Mouth- to-mouth ventilation
  • Artificial ventilation
  • Circulation
  • External chest compression
  • Checking for circulation
  • The carotid pulse
  • The carotid pulse
  • Chest compression

Resuscitation with two first aiders

Reporting on the casualty

  • Take care of any property
  • Dealing with clothes and helmets

Advanced level of preparedness to deal with potential emergencies

  • Objectives
  • The need for preparedness planning
  • Emergency equipment storage and maintenance
  • The level of preparedness demonstrated is applicable to the specific risk site
Assess and manage a complex emergency scene/disaster
  • What is Emergency Management
  • Potential disasters are identified in terms of their likelihood of occurrence
  • Before a flood
  • Before a landslide
The principles and implementation methods of the situational disaster management plans
  • Taking care of the most vulnerable first
  • Foster a culture of prevention
  • Integration into development
Equity disaster
  • Community involvement
  • Must be driven in all spheres of government
  • Transparent and inclusive
  • Must accommodate local conditions
  • Must have legitimacy
  • Flexible and adaptable
  • Efficient and effective
  • Affordable and sustainable
  • Must be needs-orientated and prioritised
based on a multi-disciplinary and integrated approach
New model for disaster management
  • Awareness and mitigation can reduce disaster impacts
Key elements of disaster management
  • Prevention
  • Mitigation
  • Preparedness
  • Response and relief
  • Rehabilitation
The potential health hazards that may result from a complex emergency scene/disaster
  • Damage to health infrastructure
  • Increased demands for medical attention
  • Population displacement
  • Major outbreaks of communicable diseases

The method of triage


Mobilization activities for emergency services, relevant to the place of occurrence and the specific needs


Secondary patient assessment and continual care
  • Secondary Assessment – Objectives
  • Overview
  • Patient Interview
  • Vital signs

Applied anatomy and physiology of the various human body systems

  • Anatomy
  • Physiology
  • Application
  • Hierarchy
  • Life Processes

Common disorders and diseases relevant to each system of the body

  • Skin Disorders
  • Nervous System Disorders
  • Cardiovascular Disorders
  • Infections and Immune Disorders
  • Digestive Disorders
  • Disorders of the nervous system
  • Doctors who treat nervous system disorders
  • Diseases & Disorders of the Muscular System

Circulatory System Diseases and Disorders

  • Chest discomfort and pain (Angina)
  • Cardiac (Arrhythmia)
  • Blood circulation problem (Atherosclerosis)
  • Disorders of the circulatory system (Cardiomyopathy)
  • Congenital Heart Defect
  • Coronary artery disease
  • High blood pressure (Hypertension)
  • High cholesterol (Hypercholesterolemia)
  • Blood circulation (Peripheral Vascular Disease)
  • Rheumatic Heart Disease

Immune System Diseases/disorders (Immune Deficiency Conditions)

  • SCID
  • Allergies
  • Anaphylaxis
  • Asthma
  • Autoimmune Diseases
  • Chediak-Higashi Syndrome
  • Common Variable Immunodeficiency
  • Hay Fever
  • Hives
  • HTLV: Human T-cell lymphotropic viruses
  • Hyper-IgE Syndrome
  • Hyper-IgM Syndrome
  • Primary Immune Deficiency
  • Selective IgA Deficiency
  • Skin Allergies
  • X-Linked Agammaglobulinemia a genetic disorder

Apply primary emergency life support for adults in an emergency

  • Check airway
  • Check breathing

Methods of managing airway obstruction/choking

One/two rescuer CPR is explained and demonstrated with the use of barrier ventilation devices, utilizing appropriately sized manikins

The patient is transported in terms of availability according to the conditions under which the incident occurred

The need for oxygen therapy is explained, the administration is demonstrated and the dangers of open oxygen elaborated

  • Oxygen therapy
  • What is oxygen
  • How do I know I need oxygen
  • How much oxygen should I take

Pulse sites and pulse monitoring

Explain and manage shock

The Body’s Compensation Mechanism

Signs and Symptoms of Shock

Treatment of Shock

Different types of shock

  • Hypovolaemic
  • Cardiogenic
  • Distributive
  • Obstructive

.Entry Level Requirements Into This Programme?

  • Certified copy of your ID document
  • School certificate Grade 10 or Skills certificate equivalent NQF Level 2
  • In order for the learner to achieve this unit standard the learner must already be competent in SAQA ID 120496: “Provide risk-based primary emergency care/first aid in the workplace”.

Learning Assumed To Be In Place And Recognition Of Prior Learning:

  • Communication at NQF Level 2.
  • Mathematical literacy at NQF Level

Target Audience

All companies that want to ensure their employees are equipped to deal with any emergency situations that will require first aid, and ensure legal compliance


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