Republic of Latvia Cabinet Regulation No. 720 Adopted 3 August 2010

Regulations Regarding Extended First Aid Training Course Programme for Soldiers, the Procedures for Ensuring the Training in Provision of Extended First Aid, and the Procedures for Recognising a Training Course Acquired Abroad in the Republic of Latvia, also the Procedures for Storage, Use, Record and Destruction of Equipment, Medical Materials and Medicinal Products Intended for the Provision of Extended First Aid

Issued pursuant to
Section 14¹ , Paragraph two
of the Military Service Law

I. General Provisions

1. This Regulation prescribes:

1.1. the extended first aid training course programme for soldiers (hereinafter - the training course programme);

1.2. the procedures for ensuring the training in the provision of extended first aid;

1.3. the procedures for recognising a training course acquired abroad in the Republic of Latvia;

1.4. the procedures for storage, use, record and destruction of equipment, medical materials and medicinal products intended for the provision of extended first aid.

2. Extended first aid is the aid that a soldier, while performing his or her service duties, provides to injured soldiers in life-threatening condition by using equipment, medical materials and medicinal products approved in this Regulation.

II. Training Course Programme and the Procedures for Ensuring the Training of Soldiers in the Provision of Extended First Aid

3. The Training course programme consists of two parts:

3.1. training course programme for an individual training course of a soldier (hereinafter - the individual course);

3.2. training course programme for a training course of a soldier-rescuer (hereinafter - the rescuer's course).

4. When implementing an individual course, the following conditions shall be observed:

4.1. an individual course shall be carried out in accordance with the description included in Annex 1 to this Regulation;

4.2. soldiers, when starting the service, shall complete an individual course;

4.3. after completing an individual course, a soldier shall receive a certificate for the completion of an individual course;

4.4. a certificate for the completion of an individual course shall indicate that a soldier has completed an individual course in extended first aid, passed a test, and is entitled to use soldier's individual set of medical materials and medicinal products (hereinafter - the individual set) (Annex 2), while performing his or her service duties. A certificate shall be valid for five years;

4.5. not less than once in two years, the National Armed Forces shall organise training for soldiers in order to maintain the practical skills acquired at an individual course;

4.6. prior to participation in international operations, soldiers who use an individual set shall receive repeated training, if necessary, in accordance with the description of an individual course and additionally taking into consideration the specifics of the international operation and the tasks to be performed therein;

4.7. instructors of an individual course shall be certified first aid instructors who meet the following requirements:

4.7.1. are certified medical practitioners (doctors, doctor's assistants, nurses);

4.7.2. have completed a rescuer's course or a training course abroad that is equivalent with regard to content and scope, which has been recognised in the Republic of Latvia in accordance with the procedures established in Chapter III of this Regulation;

4.8. at least 30 per cent of instructors of individual course shall be certified medical practitioners (doctors, doctor's assistants, nurses) who are in charge of, or who monitor studies on the use of medical materials and medicinal products.

5. When implementing a rescuer's course, the following conditions shall be observed:

5.1. a rescuer's course shall be carried out in accordance with the description included in Annex 3 to this Regulation;

5.2. soldiers who have completed an individual course or a training course abroad that is equivalent with regard to content and scope, which has been recognised in the Republic of Latvia in accordance with the procedures established in Chapter III of this Regulation, shall be entitled to participate in a rescuer's course;

5.3. after completing a rescuer's course, a soldier shall receive a certificate for the completion of the rescuer's course;

5.4. a certificate for the completion of a rescuer's course shall indicate that a soldier has completed a rescuer's course in extended first aid, passed a test, and is entitled to use soldier-rescuer's set of equipment, medical materials and medicinal products (hereinafter - rescuer's set) (Annex 4), while performing his or her service duties. A certificate shall be valid for an unlimited period of time, provided that a soldier, pursuant to the procedures established in Sub-paragraph 5.5 of this Regulation, completes training for the improvement of soldier-rescuer's qualification or a training course abroad that is equivalent with regard to content and scope, which has been recognised in the Republic of Latvia in accordance with the procedures established in Chapter III of this Regulation, once in two years.

5.5. Not less than once in two years, the National Armed Forces shall organise refresher training for soldier-rescuer's, during which soldiers who use a rescuer's set for the provision of extended first aid, while performing their service duties, shall acquire the practical skills included in the description of a rescuer's course and take a test for examining the theoretical knowledge and practical skills;

5.6. following the acquisition of practical skills referred to in Sub-paragraph 5.5 of this Regulation and successful completion of a theoretical knowledge and practical skills test, a soldier shall receive a certificate for the completion of a soldier-rescuer's refresher training;

5.7. a certificate for the completion of a soldier-rescuer's refresher training shall indicate that a soldier has completed a soldier-rescuer's training for improving the qualification in extended first aid, passed a test, and is entitled to use a rescuer's set, while performing his or her service duties. A certificate shall be valid for two years;

5.8. prior to participation in an international operation, soldiers who use a rescuer's set shall receive repeated training, if necessary, in accordance with a description of a rescuer's course and additionally taking into consideration the specifics of the international operation and the tasks to be performed therein;

5.9. instructors of a training course shall be certified first aid instructors who meet the following requirements:

5.9.1. are certified medical practitioners (doctors, doctor's assistants, nurses);

5.9.2. have completed a rescuer's course or a training course abroad that is equivalent with regard to content and scope, which has been recognised in the Republic of Latvia in accordance with the procedures established in Chapter III of this Regulation;

5.10. at least 50 per cent of instructors of a training course shall be certified medical practitioners (doctors, doctor's assistants, nurses) who are in charge of, or who monitor studies on the use of medical materials and medicinal products.

6. Individual courses, rescuer's courses and soldier-rescuer refresher training shall be carried out by the National Armed Forces' units which perform training on the provision of first aid.

7. The National Armed Forces shall provide for maintaining the professional qualification of instructors of a training course.

8. If necessary, the National Armed Forces may engage in the provision of a training course programme specialists of those professional medical public organisations and higher education establishments that implement medical education programmes.

III. Procedures for Recognising a Training Course Completed Abroad in the Republic of Latvia

9. A soldier who has completed a training course abroad that is equivalent with regard to content and scope shall have the right to apply for the recognition thereof in the Republic of Latvia.

10. Recognition of a training course completed abroad shall be performed by the Education Recognition Commission (hereinafter - the Commission) of the Ministry of Defence. The Commission shall evaluate the adequacy of the content and scope of the equivalent training course completed abroad for the soldier to be entitled to provide extended first aid and use an individual set and rescuer's set, while performing his or her service duties.

11. A soldier shall submit to the Commission copies of documents certifying the completion of a training course that is equivalent with regard to content and scope, as well as all available information (for instance, information on the training content, duration of studies, number of hours, and list of subjects).

12. Following an evaluation of the content of a training course, the Commission shall have the right to recognise it as completely or partially conforming to an individual course, rescuer's course, or soldier-rescuer's refresher training in the Republic of Latvia. If the specific course is recognised as partially conforming, the Commission shall determine subjects that have to be studied additionally in order for the knowledge acquired in this course to be completely conforming to an individual course, rescuer's course, or a soldier-rescuer's refresher training.

13. The Commission shall take decisions by a simple majority vote. In the event of a tied vote, the vote of the Head of the Commission shall be decisive.

IV. The Procedures for Storage, Use, Record and Destruction of Equipment, Medical Materials and Medicinal Products Intended for the Provision of Extended First Aid

14. Storage, use, record and destruction of an individual set shall be performed in accordance with the following requirements:

14.1. the head of a medical sub-unit of a unit of the National Armed Forces shall be responsible for the storage, use, record and destruction of the medical materials and medicinal products included in individual sets;

14.2. the head of a medical sub-unit of a unit of the National Armed Forces shall perform the storage, use, record and destruction of the medicinal products included in an individual set in accordance with laws and regulations governing the procedure for purchasing, storing, using, recording and destroying medicinal products at medical treatment institutions and social care institutions;

14.3. individual sets shall be stored at a medical sub-unit of a unit of the National Armed Forces;

14.4. the responsible official of a medical sub-unit of a unit of the National Armed Forces shall issue individual sets, except for medicinal products included therein, to soldiers for use while performing their service duties;

14.5. the responsible official of a medical sub-unit of a unit of the National Armed Forces shall issue the medicinal products included in an individual set to a soldier who performs combat tasks in the territory of the Republic of Latvia;

14.6. following the completion of combat tasks, a soldier shall return the unused medicinal products to the responsible official of a medical sub-unit of a unit of the National Armed Forces;

14.7. a soldier shall inform the commander of a unit of the National Armed Forces in writing of the expiration of, damage to or loss of medical materials and medicinal products included in an individual set.

15. Storage, use, record and destruction of a rescuer's set shall be performed in accordance with the following requirements:

15.1. the head of a medical sub-unit of a unit of the National Armed Forces shall be responsible for the storage, use, record and destruction of the equipment, medical materials and medicinal products included in a rescuer's set;

15.2. the head of a medicine sub-unit of a unit of the National Armed Forces shall perform the storage, use, record and destruction of the medicinal products included in a rescuer's set in accordance with laws and regulations governing the procedures for purchase, storage, use, record and destruction of medicinal products at medical treatment institutions and social care institutions;

15.3. rescuer's sets shall be stored at medical sub-units of units of the National Armed Forces;

15.4. a rescuer's set, except for narcotic medicinal products included therein, shall be issued to a soldier-rescuer for use while performing his or her service duties;

15.5. following their issue, rescuer's sets, except for narcotic medicinal products included therein, shall be stored in a room, which can be locked by the responsible official assigned by the commander of a unit of the National Armed Forces, and which cannot be entered by unauthorised persons and which is intended for the storage of material and technical resources;

15.6. the responsible official of a medical sub-unit of a unit of the National Armed Forces shall issue the narcotic medicinal products included in a rescuer's set to a soldier-rescuer who performs combat tasks in the territory of the Republic of Latvia;

15.7. data on the circulation of narcotic medicinal products shall be registered in the strict accountability register of narcotic medicinal products of the medical sub-unit of a unit of the National Armed Forces;

15.8. following the completion of a combat task, a soldier-rescuer shall return the narcotic medicinal products to the responsible official of a medical sub-unit of a unit of the National Armed Forces;

15.9. a soldier-rescuer shall inform the commander of a unit of the National Armed Forces in writing on the expiration of, damage to or loss of equipment, medical materials and medicinal products included in a rescuer's set;

15.10. a soldier-rescuer shall provide for the storage of the equipment, medical materials and medicinal products included in a rescuer's set in accordance with the information stated on the labelling or in the instructions for use in order to ensure the preservation of the quality, efficacy, and safety thereof during the validity period;

16. For participation in an international operation, the head of a medical sub-unit of a unit of the National Armed Forces shall issue individual sets and rescuer's sets recorded with the specific unit to the responsible official assigned by the commander of a unit of the National Armed Forces (the Latvian contingent) or the head of a medical sub-unit of a unit of the National Armed Forces (the Latvian contingent).

17. Storage, use, record and destruction of individual sets during international operations shall be performed in accordance with the following requirements:

17.1. the commander of a unit of the National Armed Forces (the Latvian contingent) shall be responsible for the storage, use, record and destruction of the medical materials and medicinal products included in individual sets;

17.2. the responsible official assigned by the commander of a unit of the National Armed Forces (the Latvian contingent) shall issue individual sets, including medicinal products included therein, to soldiers for use while performing their service duties during an international operation;

17.3. following the completion of service duties during an international operation, a soldier shall return the individual set to the responsible official assigned by the commander of a unit of the National Armed Forces (the Latvian contingent);

17.4. a soldier shall inform the commander of a unit of the National Armed Forces (the Latvian contingent) in writing on the expiration of, damage to or loss of medical materials and medicinal products included in an individual set;

17.5. a soldier shall provide for the storage of medical materials and medicinal products included in an individual set in accordance with the information stated on the labelling or in the instructions for use in order to ensure the preservation of the quality, efficacy, and safety thereof during the validity period;

17.6. the commander of a unit of the National Armed Forces (the Latvian contingent) shall organise the destruction of the medicinal products included in an individual set in cooperation with representatives of armed forces of other countries. The responsible official assigned by the commander of a unit of the National Armed Forces (the Latvian contingent) shall destroy medicinal products whose packaging has been damaged or whose validity period has expired, and shall draw up a statement on the destruction of the medicinal products. The statement shall include the name, strength, form, quantity, and reason for the destruction of medicinal products, as well as the given name, surname and position of the responsible official.

18. Storage, use, record and destruction of rescuer's set during international operations shall be performed in accordance with the following requirements:

18.1. the commander of a unit of the National Armed Forces (the Latvian contingent) shall be responsible for the storage, use, record and destruction of the equipment, medical materials and medicinal products included in rescuer's sets;

18.2. the responsible official assigned by the commander of a unit of the National Armed Forces (the Latvian contingent) shall issue rescuer's sets, including narcotic medicinal products included therein, to soldiers-rescuers for use while performing their service duties during an international operation;

18.3. data on the circulation of narcotic medicinal products during an international operation shall be registered in the strict accountability register of narcotic medicinal products of a unit of the National Armed Forces (the Latvian contingent);

18.4. rescuer's sets shall be stored at a medical sub-unit of a unit of the National Armed Forces (the Latvian contingent), if the rescuer's sets have been received by the head of a medical sub-unit of a unit of the National Armed Forces (the Latvian contingent) pursuant to Paragraph 16 of this Regulation, or in a room, which can be locked by the responsible official assigned by the commander of a unit of the National Armed Forces (the Latvian contingent), and which cannot be entered by unauthorised persons, and which is intended for storage of material and technical resources;

18.5. following their issue, the rescuer's sets, except for the narcotic medicinal products included therein, shall be stored in a room referred to in Sub-paragraph 18.4 of this Regulation;

18.6. the narcotic medicinal products included in a rescuer's set shall be stored in a strongbox, lockable metal cabinet, or a lockable water-proof and impact-proof plastic box that is located in the room referred to in Sub-paragraph 18.4 of this Regulation;

18.7. a soldier-rescuer shall inform the commander of a unit of the National Armed Forces (the Latvian contingent) in writing on the expiration of, damage to or loss of equipment, medical materials and medicinal products included in a rescuer's set;

18.8. the responsible official assigned by the commander of a unit of the National Armed Forces (the Latvian contingent) shall compare the actual balance of the narcotic medicinal products registered in the strict accountability register of narcotic medicinal products once a month and enter the results of the inspection in the strict accountability register of narcotic medicinal products by stating the date of inspection and confirming such entry with a signature;

18.9. a soldier-rescuer shall provide for the storage of the equipment, medical materials and medicinal products included in a rescuer's set in accordance with the information stated on the labelling or in the instructions for use in order to ensure the preservation of the quality, efficacy, and safety thereof during the validity period;

18.10. following the completion of service duties in an international operation, a soldier-rescuer shall return the rescuer's set and the narcotic medicinal products included therein to the responsible official assigned by the commander of a unit of the National Armed Forces (the Latvian contingent) who shall hand it over to the medical sub-unit of a a unit of the National Armed Forces (the Latvian contingent);

18.11. the commander of a unit of the National Armed Forces (the Latvian contingent) shall organise the destruction of the medicinal products, except for narcotic medicinal products, included in a rescuer's set in cooperation with representatives of armed forces of other countries. The responsible official assigned by the commander of a unit of the National Armed Forces (the Latvian contingent) shall destroy medicinal products whose packaging has been damaged or whose validity period has expired, and shall draw up a statement on the destruction of the medicinal products. The statement shall include the name, strength, form, quantity, and reason for the destruction of the medicinal products, as well as the given name, surname and position of the responsible official;

18.12. in order to ensure the destruction of those narcotic medicinal products included in a rescuer's set whose packaging is damaged or whose validity period has expired (hereinafter - the non-quality narcotic medicinal products), the commander of a unit of the National Armed Forces (the Latvian contingent) shall establish a commission comprising three soldiers;

18.13. the non-quality narcotic medicinal products shall be destroyed in the presence of the commission;

18.14. the commission shall draw up a statement in two copies on the destruction of the non-quality narcotic medicinal products. The statement shall state the name, strength, form, and quantity of the medicinal product, serial number of the medicinal product manufacture, manufacturer of the medicinal product, and reason for the destruction thereof, as well as given names, surnames and titles of the commission members. The responsible official assigned by the commander of a unit of the National Armed Forces (the Latvian contingent) shall deliver both copies of the statement to the unit of the National Armed Forces, in the record of which the narcotic medicinal products are registered within 10 days after returning from an international operation;

18.15. an entry on the destruction of narcotic medicinal products shall be made in the strict accountability register of narcotic medicinal products of a unit of the National Armed Forces (the Latvian contingent) by stating the number of the statement of destruction.

19. Following participation in an international operation, the responsible official assigned by the commander of a unit of the National Armed Forces (the Latvian contingent) or the head of a medical sub-unit of a unit of the National Armed Forces (the Latvian contingent) shall hand over the individual sets and rescuer's sets to the head of a medical sub-unit of a unit of the National Armed Forces.

20. The National Armed Forces shall provide for the updating of individual sets and rescuer's sets.

Prime Minister V. Dombrovskis

Minister for Defence, acting for the Minister for Justice I. V. Lieģis

 

Annex 1
Cabinet Regulation No. 720
3 August 2010

Description of the Training Course Programme for an Individual Course of a Soldier in Extended First Aid

1. The goal of the training course is to provide soldiers with knowledge and skills, which are necessary for providing extended first aid while performing their service duties.

2. The tasks of the training course are:

2.1. to provide soldiers with theoretical knowledge in the provision of extended first aid;

2.2. to teach soldiers the skills necessary for the provision of extended first aid;

2.3. to teach soldiers skills in using an individual set of medical materials and medicinal products while performing their service duties;

2.4. to provide soldiers with knowledge on the procedures for storage and use of an individual set of medical materials and medicinal products.

3. The minimum duration of a training course is 30 hours (theory - 12 hours and practical lessons - 18 hours).

4. The content of the training course:

No.	Topic of the lesson	Sub-topic	Theory (number of hours)	Practice (number of hours)
1.	Tactics of providing aid and resources to be used	1.1. Action in the place of accident. Safety of the rescuer. Minimum medical materials necessary for providing first aid.	2	-
		1.2. Tactics and phases of providing aid in combat and in emergency situations. Individual set of medical materials and medicinal products of a soldier.
		1.3. Rights and duties of the person providing aid.
2.	Providing aid to an unconscious victim	2.1. Airway management (restoration of permeability): head-tilt and chin-lift; jaw-thrust manoeuvre; removing foreign bodies from the airways.	1	3
		2.2. Airway management (ensuring of permeability): nasopharyngeal airways, recovery position.
		2.3. Reanimation. ABC mnemonics.
3.	Providing aid to an injured person	3.1. Surveying an injured person and providing aid.	3	13
		3.2. Shock and anti-shock therapy for an injured person.
		3.3. Stopping of life-threatening bleeding. Tactics of using tourniquet. Compress. Packing of a wound. Use of local haemostatic agents. Wounds with foreign bodies. Dressing of a wound.
		3.4. Closed and open pelvic and extremity injuries. Traumatic amputation. Immobilisation.
		3.5. Head injuries. Eye traumas and foreign bodies in the eye. Aid and placement of an injured person.
		3.6. Spinal injuries. Immobilisation and transporting.
		3.7. Closed and open chest injuries. Aid and placement of an injured person.
		3.8. Closed and open abdominal injuries. Aid and placement of an injured person.
		3.9. Car accident. Pulling a victim out of a car. Removing a motorcycle helmet.
		3.10. Use of individual set of medicinal products of a soldier. Pain relief and wound infection prevention in case of combat injuries.
4.	Health disorders caused by environmental factors	4.1. Health disorders caused by heat. Overheating. Dehydration. Burns.	3	-
		4.2. Health disorders caused by cold. Freezing Frost-bites
		4.3. Drowning.
		4.4. Bites of animals, snakes, and insects.
		4.5. Accidents caused by chemical substances.
		4.6. Electrical injuries.
		4.7. Diseases
5.	Tactics of allocation and evacuation of victims	5.1. Large number of victims concurrently. Allocation of victims according to priorities of providing aid.	2	1
		5.2. Evacuation of victims. Procedure for requesting medical evacuation. Filling out of a victim's card. Determination of evacuation priorities. Moving and transporting of victims.
6.	Test	6.1. Test of theoretical knowledge	1	1
		6.2. Test of practical skills

Note. The number of students in a group may not exceed 12 persons. The number of instructors per group: theoretical lessons shall be conducted by one instructor, while practical lessons shall be conducted by two instructors.

5. Materials and resources necessary for the implementation of a training course:

5.1. airway permeability dummies;

5.2. dummies for reanimation measures;

5.3. respiratory protective masks for dummies;

5.4. disinfectants;

5.5. napkins;

5.6. nasopharyngeal airways (with lubricant);

5.7. disposable medical gloves;

5.8. first aid kits;

5.9. motorcycle helmets;

5.10. off-road vehicle;

5.11.soldier's individual sets of medical materials and medicinal products;

5.12. modular bags;

5.13. mats;

5.14. tactical tourniquets for stopping arterial bleeding;

5.15. compresses for stopping life-threatening bleeding;

5.16. compresses for dressing large wounds;

5.17. gauze bandages;

5.18. triangular scarves;

5.19. local haemostatic agents;

5.20. scissors;

5.21. elastic bandages;

5.22. sticking plaster rolls;

5.23. dressings for open chest wounds;

5.24. long boards for spine immobilisation;

5.25. materials for improvised splints;

5.26. make-up and cast kit for reproducing wounds and injuries;

5.27. polyethylene bags;

5.28. space blankets;

5.29. stretchers;

5.30. materials for making improvised stretchers;

5.31. victim cards;

5.32. computer with multimedia projector;

5.33. screen;

5.34. whiteboard;

5.35. training and visual materials;

5.36. individual soldier protection systems;

5.37. reproductions of automatic rifles.

Minister for Defence, acting for the Minister for Justice I. V. Lieģis

 

Annex 2
Cabinet Regulation No. 720
3 August 2010

Soldier's Individual Set of Medical Materials and Medicinal Products for Providing Extended First Aid while Performing his or her Service Duties

1. Modular bag.

2. Scissors.

3. Disposable medical gloves.

4. Tactical tourniquets for stopping arterial bleeding.

5. Compress for stopping bleeding.

6. Gauze bandage.

7. Roll of sticking plaster.

8. Triangular scarf.

9. Nasopharyngeal airway (with lubricant).

10. Victim card.

11. Local haemostatic agent.

12. Non-narcotic anaesthetic for peroral use.

13. Non-steroidal anti-inflammatory agent for peroral use.

14. Anti-infective agent for peroral use.

Note. A soldier who has completed an individual training course in extended first aid in accordance with the training programme laid down by the Cabinet is entitled to use soldier's individual set of medical materials and medicinal products.

Minister for Defence, acting for the Minister for Justice I. V. Lieģis

 

Annex 3
Cabinet Regulation No. 720
3 August 2010

Description of the Soldier-Rescuer Training Course Programme in Extended First Aid

1. The goal of the training course is to provide soldiers-rescuers with knowledge and skills, which are necessary for providing extended first aid while performing their service duties.

2. The tasks of the training course are:

2.1. to provide soldiers-rescuers with theoretical knowledge in the provision of extended first aid;

2.2. to teach soldiers-rescuers the skills necessary for providing extended first aid;

2.3. to teach soldiers-rescuers skills in using the equipment, medical materials and medicinal products of an extended first aid set while performing their service duties;

2.4. to provide soldiers-rescuers with knowledge on the procedures for storage, use, record and destruction of the equipment, medical materials and medicinal products included in the extended first aid set.

3. The minimum duration of a training course is 160 hours (theory - 42 hours and practical lessons - 118 hours).

4. The content of the training course:

No.	Topic of the lesson	Sub-topic	Theory (number of hours)	Practice (number of hours)
1.	Tactics of providing aid and resources to be used	1.1. Action in the place of accident. Safety of the rescuer. Minimum medical materials necessary for providing first aid.	2	6
		1.2. Tactics and phases of providing aid in combat situations.
		1.3. Soldier-rescuer's set of equipment, medical materials and medicinal products. Individual set of medical materials and medicinal products of a soldier.
		1.4. Rights and duties of the person providing aid.
2.	Ensuring of vital functions of an unconscious victim	2.1. Anatomy and physiology of the respiratory system.	4	14
		2.2. Airway management (restoration of permeability): head-tilt and chin-lift; jaw-thrust manoeuvre; removing foreign bodies from the airways.
		2.3. Airway management (ensuring of permeability): oropharyngeal airways, nasopharyngeal tracheas, cricothyroidotomy, recovery position.
		2.4. Reanimation. ABC mnemonics.
3.	Primary survey of an injured person	3.1. ABCDE mnemonics for primary survey of an injured person.	3	20
		3.2. High energy traumas and their impact on a human body. Traumas caused by shots and explosions.
4.	Providing aid to an injured person	4.1. Anatomy and physiology of the cardiovascular system.	12	38
		4.2. Shock
		4.3. Stopping of life-threatening bleeding. Tactics of using tourniquet. Compress. Packing of a wound. Use of local haemostatic agents.
		4.4. Closed and open chest injuries. Open pneumothorax, closure thereof. Tension pneumothorax. Puncture of pleural cavity in a victim with tension pneumothorax.
		4.5. Anatomy of head.
		4.6. Head injuries. Eye injuries.
		4.7. Anatomy of abdomen.
		4.8. Closed and open abdominal injuries.
		4.9. Anatomy of spine and extremities.
		4.10. Spinal injuries. Immobilisation and transporting.
		4.11. Closed and open pelvic and extremity injuries. Traumatic amputation. Immobilisation.
		4.12. Wounds. Wounds with foreign bodies. Dressing of a wound.
		4.13. Car accident. Pulling a victim out of a car. Removing a motorcycle helmet. Removing a helmet of an injured soldier.
5.	Use of medication	5.1. Basic principles for using and administration of medicinal products. Safety techniques.	8	20
		5.2. Administration of intravenous liquids. Equipment
		5.3. Intramuscular injections. Equipment
		5.4. Anaesthetic agents. Narcotic anaesthetics and administration thereof. Non-narcotic anaesthetics. Non-steroidal anti-inflammatory agents. Anti-infective agents. Use of set of peroral medicinal products. Administration of atropine in cases of poisoning with neuroparalytic substances.
6.	Health disorders caused by environmental factors	6.1. Health disorders caused by heat. Overheating. Dehydration. Burns.	5	-
		6.1. Health disorders caused by cold. Freezing Frost-bites
		6.3. Drowning.
		6.4. Bites of animals, snakes, and insects.
		6.5. Altitude sickness.
		6.6. Accidents caused by chemical substances.
		6.7. Electrical injuries.
		6.8. Acute illnesses. Basis for restricting infectious diseases. Basic principles of hygiene.
7.	Tactics of allocation and evacuation of victims	7.1. Large number of victims concurrently. Action in the place of accident and organisation of aid. Allocation of victims according to priorities of providing aid.	3	14
		7.2. Evacuation of victims. Procedure for requesting medical evacuation. Filling out of a victim's card. Determination of evacuation priorities. Moving and transporting of victims. Equipment for moving and transporting of victims.
		7.3. Tactics for providing aid during transporting and evacuation.
8.	Stress reactions and psychological assistance	8.1. Stages of stress reaction. Basic principles of psychological assistance.	3	-
		8.2. Death.
9.	Final examinations	9.1. Test of theoretical knowledge	2	6
		9.2. Test of practical skills

Note. The number of students in a group may not exceed 12 persons. The number of instructors per group: theoretical lessons shall be conducted by one instructor, while practical lessons shall be conducted by three instructors.

5. Materials and resources necessary for the implementation of a training course:

5.1. airway permeability dummies;

5.2. dummies for reanimation measures;

5.3. dummies for performing puncture of pleural cavity;

5.4. dummies for performing cricothyroidotomy;

5.5. dummies for performing venous injections;

5.6. dummy for performing muscular injections;

5.7. respiratory protective masks for dummies;

5.8. surface disinfection agents;

5.9. napkins;

5.10. nasopharyngeal airways (with lubricant);

5.11. oropharyngeal airways;

5.12. bag valve masks;

5.13. venous tourniquets;

5.14. intravenous administration systems;

5.15. peripheral venous catheters (with protection mechanism);

5.16. mandrels for closing of catheters;

5.17. plasters for fixing of catheters;

5.18. tapes for fixing of intravenous systems;

5.19. plasters for injection sites;

5.20. disinfection napkins;

5.21. disposable syringes with needles;

5.22. electrolyte solutions for infusions;

5.23. physiological solutions for injections;

5.24. cricothyroidotomy sets;

5.25. sets for performing puncture of pleural cavity;

5.26. containers for collecting biological waste;

5.27. sticking plaster rolls;

5.28. disposable medical gloves;

5.29. first aid kits;

5.30. individual sets of medical materials and medicinal products;

5.31. modular bags;

5.32. soldier-rescuer's set of equipment, medical materials and medicinal products;

5.33. emergency backpacks;

5.34. mats;

5.35. tactical tourniquets for stopping arterial bleeding;

5.36. compresses for stopping life-threatening bleeding;

5.37. compresses for dressing large wounds;

5.38. gauze bandages;

5.39. triangular scarves;

5.40. local haemostatic agents;

5.41. scissors;

5.42. elastic bandages;

5.43. plasters for open chest wounds;

5.44. short devices for spinal fixation;

5.45. long boards for spine immobilisation;

5.46. U-shaped stretchers;

5.47. splints for immobilisation of extremities (universal);

5.48. materials for improvised splints;

5.49. compact immobilisation collars (universal);

5.50. space blankets;

5.51. sets for preventing hypothermia;

5.52. artificial blood concentrate;

5.53. make-up and cast kit for reproducing wounds and injuries;

5.54. set for an amputated body part;

5.55. military stretchers;

5.56. stretcher sheets;

5.57. materials for making improvised stretchers;

5.58. off-road vehicle;

5.59. military medical transport;

5.60. individual soldier protection systems;

5.61. reproductions of automatic rifles;

5.62. victim cards;

5.63. human body dummies;

5.64. "actors" for victim "roles";

5.65. "do not cross" tape;

5.66. fuel;

5.67. computer with multimedia projector;

5.68. screen;

5.69. whiteboard;

5.70. laser pointer;

5.71. handout materials;

5.72. training and visual materials;

Minister for Defence, acting for the Minister for Justice I. V. Lieģis

 

Annex 4
Cabinet Regulation No. 720
3 August 2010

Soldier-rescuer's Set of Equipment, Medical Materials and Medicinal Products for Providing Extended First Aid while Performing his or her Service Duties

1. Emergency backpack.

2. Bag or box (small) for medicinal products.

3. Disposable medical gloves.

4. Bag valve mask.

5. Oropharyngeal airways.

6. Nasopharyngeal airways (with lubricant).

7. Cricothyroidotomy set.

8. Sets for performing puncture of pleural cavity.

9. Plasters for open chest wounds.

10. Compresses for dressing large wounds.

11. Compresses for stopping bleeding.

12. Gauze bandages.

13. Tactical tourniquets for stopping arterial bleeding.

14. Local haemostatic agents.

15. Triangular scarves.

16. Set of cooling materials for treating burns:

16.1. compress for treating burns (for face);

16.2. compress for treating burns (for palm);

16.3. compress for treating burns (universal).

17. Set of materials for ensuring intravenous access:

17.1. venous tourniquets;

17.2. intravenous administration systems;

17.3. peripheral venous catheters (with protection mechanism);

17.4. mandrels for closing of catheters;

17.5. plasters for fixing of catheters;

17.6. tapes for fixing of intravenous systems;

17.7. gauze bandages;

17.8. disinfection napkins.

18. Disposable syringes - 5 ml (with needles).

19. Disposable syringes - 10 ml (with needles).

20. Plastic container for injection needles.

21. Roll of sticking plaster.

22. Saline solutions for injection (in flasks, 10 ml).

23. Electrolyte solutions for infusions (in polyethylene bags, 500 ml).

24. Colloidal solutions for infusions (in polyethylene bags, 500 ml).

25. Narcotic anaesthetics (for intramuscular injections), solutions in automatic syringes.

26. Narcotic anaesthetics for peroral use.

27. Atropine sulfate (for intramuscular injections), solution in an automatic syringe.

28. Anti-infective agents (for intramuscular injections), effective against gram-negative, gram-positive, and anaerobic bacteria.

29. Non-narcotic anaesthetics for peroral use.

30. Non-steroidal anti-inflammatory agents for peroral use.

31. Anti-infective agents for peroral use.

32. Scissors.

33. Compact immobilisation collar (universal).

34. Splints for immobilisation of extremities (universal).

35. Elastic bandages.

36. Set for preventing hypothermia.

37. Set for an amputated body part.

38. Waterproof stationery.

39. Victim cards.

40. Glow sticks.

41. Small torch.

42. Stretcher sheets.

Note. A soldier who has completed a soldier-rescuer's training course in extended first aid in accordance with the training programme laid down by the Cabinet shall be entitled to use soldier-rescuer's set of equipment, medical materials and medicinal products.

Minister for Defence, acting for the Minister for Justice I. V. Lieģis

 

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Translation © 2015 Valsts valodas centrs (State Language Centre)