Emergency First Responder ONLINE COURSE

This 10 module online course is theory based and although does not intend replacing hands-on classroom style learning, it is a very comprehensive insight into the role of an Emergency First Responder.

Who is it for?

The course is aimed at anyone who wants to advance or update their medical knowledge as a first responder , and possibly embark on a career in pre-hospital care. There's 10 very comprehensive modules from basic life support to advanced airways management.

sample AoFAS EFR certificate

Modules Supported by Videos

Many of the modules have videos, produced by paramedics, nurses, doctors and other healthcare specialists. You can read the coursework and indeed watch the video so that the blended learning method really enforces each other.

Further down, in the list of modules, the videos are also listed.

It gives a good idea as to the quality of the content and one of the greatest benefits of watching videos presented by highly qualified and extremely experienced people is you are not reliant on the word or interpretation of an instructor.

The clinical grade and/or qualification where necessary is declared on the video.

So, either the presenter will introduce themselves with clinical grade or it is embedded on the video.

Some videos are produced or presented by academics from world leading universities, and official paramedic/nursing training centres.


AoFAS eLearning

Learn at your own pace

There’s no pressure, no time limits, no time zones!

The best campus facilities

Almost anywhere you like!

aofas members ebooks

Course Contents

The whole course is geared to suit everyone, no matter what their background or experience.

For even the most experienced first aiders and first responders, there’s a lot of in depth material that may not be covered in a class room environment.

Equally there’s much in a classroom, such as hands-on training, CPR, bandaging, immobilisation, extrication etc that cannot be experienced in our theory based online courses.

Nothing can replace the ‘hands-on’ learning experience and classroom learning is a great foundation for practicing CPR on a dummy for example, something that no online distance learning can ever do.

All professionals will testify that learning begins out on the job. This online course, is simply distance learning but very indepth and high quality content built up from a great many hours work over weeks and months.

There are plenty of high quality videos, presented by paramedics, nurses, doctors, consultants, academic leads, each support and reinforce the PDF coursework.

There’s also links to official websites with related information such as Government guidelines on chemical attacks (as an example).

Whereas basic first aid begins with ABC …airways, breathing, circulation… we extend this protocol to AB CDE.

AoFAS membership

We look at the First Responder as being the first person on scene and being in a position where important decisions need to be made and crucial, urgent actions need to be taken.

The sights, sounds and smells cannot be replicated in a classroom or online but we can focus on the theory aspect and guide the learner through the important process of navigation.

In a split second there could be chaos around you and as first responder you need to put things in order.

As well as casualties that need attending to, authorities need updating and if the scene is in lockdown, you may be the only person on the inside that can help until backup arrives.

With this in mind, in many cases we focus on you being alone and using whatever resources that are available.

Modules - First Responder Online Course

After the introductory modules that cover definitions, we focus on scenarios such as a blast, a live shooter, a traffic incident etc.
Below is the list of modules.

Module 1. Definition and role of first Responder

Videos in this module:

Yorkshire Ambulance Service Community First Responder

Anthony the first responder Barking & Dagenham

BBC News – First Responders lifeline service

The Military Helping The NHS Respond To Emergencies | (Forces TV)

How and where non-NHS first responders fit in the private sector.

Module 2. First Responder Essentials and basic kit

Videos in this module:

An informal introduction for the new Emergency Medical Response Kit and it’s associated equipment.

Senior aircraftman (SAC) Chris Wright RAF medic talks you through the equipment he carries in his RAF paramedic module.

University of Greenwich – Lifepak 15

How to use the LifePak 20

Rapaid (Emergency Bandages) Commercial – public access trauma bandage kits

To build or to buy a First Responder medical kit?

Module 3. Defining the incident (major?) and scene management

Videos in this module:

JESIP (Joint Emergency Services Interoperability Programme) Overview of a developing major incident

JESIP Major Incident Film

Northamptonshire Emergency  Services JESIP Exercise

JESIP Wider Responder Awareness Presentation

What or who defines a major incident?
The four stages:
The initial response;
The consolidation phase;
The recovery phase;
The restoration of normality.

First responder/first on scene at a major incident


Module 4. Triage and Mass casualty triage

Videos in this module:

Dr. John Campbell discusses Manchester Triage system

Dr. John Cambell discusses Primary and Secondary Survey ABCDE

The Primary Survey Trauma

The Primary Survey Medical

The Secondary Survey Trauma

The Secondary Survey Medical

The AVPU Scale

Checking CSMs – perform a basic check of circulation, sensation and motor 

Vitals – Checking the temperature

Measuring the Respiratory Rate

Dr. John Campbell discusses head injuries

Checking the pupils

Traumatic Brain Injury scenario – Paramedic assesment

Dr. John Campbell discusses Chest injuries and pneumothorax

Dr. John Campbell discusses Tension pneumothorax

Dr. John Campbell discusses the definition and physiology shock

Types of Shock – Hypovolemic, Cardiogenic, Obstructive Shock, Septic, Anaphylactic, & Neurogenic Shock

Treating Hypothermia

EMT Training video presents chest trauma, including open and closed chest injuries and their common causes and mechanisms of injury. Describes flail segment and open pneumothorax. Demonstrates how to assess chest trauma and how to provide emergency care for chest injuries, including impaled objects in the chest.

Dr. John Campbell discusses hypovolaemic, cardiogenic and obstuctive Shock

Blood pressure by palpation

Blood Pressure by Auscultation

Dr. John Campbell discusses brain and head injuries – Introduction, intracranial pressure and level of consciousness and Introduction to lateralising signs.

O2 Delivery with Non Rebreather Mask

O2 delivery with nasal prongs

Dr. John Campbell presents a lesson on pulse oximetry, monitoring blood oxygen saturation with implications for clinical practice.

Use of a pulse oximeter

Head Tilt Chin Lift

Dr. John Campbell  looks at respiratory System, Airways, chest wall and lungs

Trauma Jaw Thrust

Insertion of an Oropharyngeal Airway

Insertion of Nasopharyngeal Airway

Insertion of a Supraglottic Airway

Suctioning with a pump

Use of a Manual Suction Device

University of Greenwich – Basic airway management

Use of a Bag Valve Mask

Adult Ventilation Technique

Use of Pocket Face Mask

University of Greenwich -Basic Life Support with a defibrillator

Paediatric Advanced Life Support (PALS)

Video made for Paramedic students covering the main points of Paediatric Advanced Life Support based on the UK Resuscitation Council Guidelines

NHS Ambulance service video shows two student paramedics acting in the roles of an emergency care assistant and a paramedic. They perform resuscitation during a mannequin simulated advanced life support scenario. Students were given limited information prior to the start of the scenario to ensure realism.

RC (UK) Cardiac Arrest Management Demo

Administration of Aspirin


In-depth overview of the major elements of the videos, topic by topic and in preparation of the question sheets.

Module 5. Blast incident

Videos in this module.

Dr. Anna Pickens of University of Wisconsin School of Medicine and Public Health explains blast injuries and what to look for.

Othopaedic Trauma Association Blast Injuries 1 to 4.
Dr. Christopher Born
Dr. Mark McAndrew
Christian Mamczak Do
Dr. Eric Pagenkopf
Dr. Mark Richardson
Dr. David Teague
Dr. Philip Wolinsky

Dr. Anand Veeravagu explains how a blast causes a swift change in pressure that generates a wave of wind, sound, and/or debris that, in turn, can damage a person’s brain through a microtrauma or microbleed.

Video.  how to treat patients who have suffered an inhalation injury.

Module 6. Live shooter

Videos in this module:

Dr.Neel Ware. Trauma Surgeon – Stopping the bleed

Special Forces veteran and emergency MD Mike Shertz takes us step by step through proper technique for packing an actively bleeding gunshot wound.

Gun shot vs Shotgun
Gauges (bore) and calibre
Velocity, point blank and distant.
Wound extent

Module 7. Traffic incident

Videos in this module:
UK Surgeon Toby Branfoot offers first aid advice when a motorcycle rider is involved in a road traffic collision.

UK Training company demonstrates the procedure for the safe removal of a motorcyclist’s helmet following a collision.

UK Ambulance service – Open University – Extracting the patient from a road traffic accident 1/2

UK Ambulance service – Open University – Extracting the patient from a road traffic accident 2/2

Introduction to Crash Scene Management

These videos would not constitute proper training and is merely meant to illustrate the technique.

Module 8. Chemical attack

Videos in this module:

Videos looking at Weapon of Mass Destruction (WMDs). This video introduces us to chemical weapons.

Topics Covered:
•What does CBRN stand for
•What is the definition of Chemical Weapons
•What is the difference between Chemical Weapons and Toxins
•What are the categories of Chemical Weapons

This video looks at blister agents and mustard gas. Topics Covered:
What are blister agents
What are the signs and symptoms of blister agents (chemical weapons)
What are Mustard Agents/Mustard Gases

In this video, we continue our look at chemical weapons by explaining what nerve agents are, the history of nerve agents etc.

Topics Covered:
What are nerve agents
What are the signs and symptoms of nerve agents (chemical weapons)
What is Tabun
What is Sarin

What are the different categories of nerve agents:
G series, GA series, GB series, and V series.


Public Health England. Chemical, biological, radiological and nuclear incidents handbook

Public Health England. Briefing notes. Management of suspected Novichok poisonings

Public Health England. Printable cards help healthcare staff recognise symptoms of chemical, biological, radiological and nuclear (CBRN) incidents and emerging diseases.

British Medical Journal – BMJ – Prehospital management and medical intervention after a chemical attack.

Module 9. Types of injuries and First Response

Videos in this module:

Control of Haemorrhage

Administration of Entonox

Administering Penthrox

Abdominal Trauma:

Basic Abdominal Trauma Care

Dressing Abdominal Evisceration (protrusion of the organs outside the abdominal wall)

Arm Injuries:

Application of an elevated sling

How to construct a sling and immobilise a patient’s arm using a triangular bandage.

Catastrophic Bleed and Amputation:

Use of a Combat Application Tourniquet (CAT)

Treatment of a traumatic amputation, demonstrates how to clean, dress, package and manage a limb that has been amputated traumatically.

Applying an Olaes® Modular Bandage – demonstrating how to assess a bleeding wound and apply a pressure dressing to control the bleeding. Where one dressing fails to stop the flow of blood, another may be applied using the same technique. These dressings can be used to apply enough pressure on the wound to stop even arterial blood flow, and therefore must be used with care and only if indicated. 

Applying an Israeli dressing – demonstrating how to assess a bleeding wound and apply a pressure dressing to control the bleeding. Where one dressing fails to stop the flow of blood, another may be applied using the same technique. These dressings can be used to apply enough pressure on the wound to stop even arterial blood flow, and therefore must be used with care and only if indicated.

This video demonstrate the technique of applying pressure bandage only.

Wound packing, this video reviews the way to pack a wound when a tourniquet is not an option. Injuries to the axilla, neck, and groin are reviewed.

Haemostatic dressings – this video demonstrates how to assess a bleeding wound and apply a haemostatic dressing to control the bleeding

Chest Injuries:

Application of a chest seal

Dressing of a Flail Chest Segment

Head and Face Injury:

Eye Irrigation

Spinal injury:
Spinal board, collar and head blocks

Fitting a Cervical Collar

Manual Cervical Spine Stabilisation

Using a Kendricks Extrication Device

Performing a Standing Take Down

Use of a Scoop Stretcher

Use of a Spinal Board and Blocks

Logrolling a patient

Dressing an Impaled Object

Major Flesh Wound Leg Injury


Use of Penthrox UK
Tourniquets comparison
Haemostatic Agents
Trauma dressings
Sanitary towels and Tompons for catastrophic bleed – a discussion.

Module 10. Splints and Improvising splints
and immobilisation

Videos in this module:

Use of a SAM Splint

Using a traction splint

Using a Full Body Vacuum Splint

Using a Limb Vacuum Splint

Use of a Pelvic Splint

How to Make an Improvised Splint for a Broken Arm

Long Bone Immobilisation making an Improvised Splint from cardboard.

Making an Improvised Splint from cardboard for the wrist.

Within each module, where a specific treatment or course of action, it will be covered in depth just once and not comprehensively repeated in other modules.

For example, in any one of those modules, the first opportunity to focus on suspected spinal injury, we will cover everything from survey to extrication with all the elements such as spinal boards, collars and head blocks.

In this instance it will be supported by a video, paramedic explaining and demonstrating with a pre-hospital care team.

It may be that the Traffic Incident Modules also relates to spinal injury, the whole procedure is not repeated but you can obviously return to it.

Aofas UK



To non-members

Is It Accredited?

The truth of the matter is, if you are seeking accreditation, some  formal recognition to prove to others that you are competent to perform specific medical processes, procedures and even life changing actions, after skimming through a self-assessed online course, then you are sadly looking in the wrong place…sorry for being blunt and direct.

How reliable is the information?

The videos in the modules give a good idea as to the quality of the content and one of the greatest benefits of watching videos presented by highly qualified and extremely experienced people is you are not reliant on the word or interpretation of an instructor.

Most of AoFAS members have first aid experience but the course raises the bar from basic first aid and delves into scenarios.

Let;s take the module on Chemical Attacks – the first aid part is …first aid.

However, there’s a whole new world of ever-changing chemical weaponry, so a separate module covers the many known chemicals, the damage they do and if the injuries can be safely treated as a safe first aid measure or what protocol should be undertaken as recommended by the relevant specialist Government departments and there will be official PDFs to support the protocol as well as links to that Government department’s web page – so it will be as up to date as Her Majesty’s Government wants us to know!

In the case of immobilising a patient due to suspected spinal injury, there will be one or more video by a paramedic and pre-hospital care team to physically demonstrate the procedures.

Advanced airways management for example will also have paramedics demonstrating and explaining.

Some videos will be by doctors, nurses, professors and consultants.

It is as reliable as that, but with the best will in the world things change and we try to keep up with changes.

If you really are seeking a free accredited course, or indeed one for less than £50 which has so much information and resources as this does, then, I’m deeply sorry but you need to look further – not here.

Is it Certificated?

sample AoFAS EFR certificate

Yes it is, there are ten parts to the course, (ten modules).

It is a massive course with a lot of in-depth information.  Each module is sent one at a time and after study, the recipient will request the question sheet.

Let’s be clear about this, if you have the worksheet (the module) and then have the questions, it doesn’t make it a true exam in the real sense of the word.

There are pros and cons to this method.

Pro’s being you can self-assess, this means you can do a ‘mock exam’ by writing down your answers and then checking them with the work sheet (module).

If you have written the wrong answer, you have every opportunity to re-study that part and get it right.

That’s what learning is all about.

The cons to this are you can skim through the worksheet (module), request the questions, look them up and hey presto!

Is this cheating?

It absolutely is and the reality is, that person is not only cheating themselves, but they can put themselves into a very dangerous situation or even commit  malpractice.

So, if you’re looking for a quick certificate from an online course – you are gaining nothing apart from kidding yourself and perhaps embarrassing yourself!

Emergency First Responder Course is Drip-Fed

This means you start at Module One and study. When you are confident to proceed with the questions, you request them, allow 24/48 working hours and you can self assess the results.

Then you move to the next module, simply by requesting it. Allow 12/48 working hours. The process continues. Because of the in depth study and time it take to thoroughly complete the course.

In terms of response and exchange of emails, we say 24/48 working hours but you may get response by return, almost instantly. It all depends on workload.

What are the qualifications of the instructor?

Most people are likely yo ask this question before reading this page.

It’s a good question if you are carrying out due diligence to see if the person who is presenting a course is qualified in the topics.

You may have noticed now that the course is curated of videos presented by qualified professional people.
Their qualifications are there on the video for all to see.

Be mindful that even a video presented by the highest skilled clinician that ever walked this earth, demonstrating a procedure whether it be helmet removal, extrication, jaw thrust manoeuvre  and hundreds more examples cannot truly be considered ‘training’ in any sense of the word and training is part and parcel of hands-on practice.

The videos are representative demonstrations, presented by respective professionals.

If you watched a world renowned heart specialist presenting a video on heart by-pass or transplant, would that make you a skilled heart specialist? If the person standing next to a Powerpoint presentation of the video read the captions, would that make him a qualified cardiac specialist?

This course is fantastic as a pre-learning tool for a classroom course where you can do hands-on training, it is fantastic for experienced first aiders and first responders because it goes above and beyond many classroom courses but it is theory, not practice.

If you want to question the clinical skills of the curator, the person who researched and collated the videos, you may as well ask a public librarian what their qualifications are in Allotments, Bread making, Crimes and thrillers, Dentistry through the ages, England’s History, French Revolution, Gardening in your Underpants, How to be a Social Media Troll and Cyber Bully, Indian Recipes, Jewellery making for beginners …. etc and I’m sure you get the point.

There are links are to official sources and resources. Government websites, official emergency services, some overseas videos and websites where there is a direct connection to the topic. This does not qualify the author as being a Government official.

All articles are written as a discussion point relating to the videos for the purpose of questions and self assessment.

As a Search Technician Team Leader and SAR Medic for a number of years with The Association of Lowland Search And Rescue, it wasn’t unusual for Search and Rescue personnel to locate a missing person under precarious, sad and distressing circumstances.

The author shares experience and knowledge of rescue scenarios.

SAR teams are called upon by police to assist the emergency services in the search for missing persons.

ALSAR is part of the UKSAR operators group appointed by the Department for Transport.

Search technicians undergo constant mandatory training, not just in search techniques but police protocols relating to crime scenes and preservation of evidence.

The author is also a former accredited FPoS (First Person on Scene) instructor and a lot of information in this course is shared from that experience and knowledge.

It is worth bearing in mind that almost every classroom course instructor, in the private sector is qualified in the sense that they have either done the course they are teaching or they have attended a train the trainer course. That’s all!!

In this case there is no tutor. It is is an incredibly useful resource put together to save many hundreds of hours and brain numbing time in researching them, and that is a lot of man-hours’ for less than your mechanic or plumber charges for one hour of banging things.

There are people out there, even in this caring profession, acting like immature trolls and cyber bullies, some are vile, nasty characters, some are ‘sheeple’ keyboard warriors, copying the troll activity of other bullies because they so dearly want to be part of the troll and bullying culture, thinking it makes them look good. 

All of these horrible, nasty bullies will pick fault with everyone or everything except their own ego.  Social media brings out the worse in people. There is no room in AoFAS for these trolls and bullies.

I say this for no other reason like many people on social media, I too have been trolled and bullied and AoFAS is proud to promote the fact that there is no room in AoFAS for trolls and bullies.

It's a Great Preparation for an Accredited Course

If you are planning on embarking upon an accredited course such as FREC or indeed a standard first aid course, pre-learning is a good way to get an idea of the many elements.

Hands-on training in these classroom environments and on training sessions/assignments is the only way to achieve proper physical contact such as CPR, bandaging etc.  No online course will ever replace that form of practical learning.

Also, to be able to ask a tutor or instructor a question is something that cannot be done online unless there is a video conferencing type teaching.

A great benefit of this course is you can keep watching a video as any time you like, as many times as you like without being concerned about the students around you and time limitations.

For a small investment, or even free to AoFAS members, you gain access to a massive content in this Emergency First Responder Online Course.

A lot of time and effort has gone into developing the course, it complements any classroom course on the same topic, it has added value in that you can study at your own pace. There is no pressure, no expiry date and you can study almost anywhere at any time.

The bottom line...

We all have options in life.
If you want a fully accredited course for free or at very low cost then this isn’t for you but you can take away the fact that we don’t pretend it is anything other than what it is. A good solid, quality content course for Emergency First Responders. This option is for you to move on in your quest and not dwell here.

If however, you are simply seeking a course that becomes an excellent resource package that does reference and link to official sources, guidelines, rules, regulations, law and legislation where necessary.

A course that provides articles as well as topic related videos by healthcare professionals such as Doctors, Nurses, Paramedics, academic leaders and the like, then it probably is for you.

The choices are yours, there’s many a troll in social media that will gladly force upon you their worldly learned advice and even tell you how wrong all the video presenters are or bang their fists about accreditation.

Most are are trainers who want you to go on their course and if that is their attitude to extended learning, it is your choice to book yourself on one of their courses!

Whatever choice you take, I genuinely hope you find the right course that suits you.

Available Mid July 2020

AoFAS members will be the first to receive the course, then it will go on sale for £49.95 and there will be a link to purchase here.

Sales are going to be limited so that we can attend to our clients and members, it will be first come, first served.