8.1 In-flight Emergency Scene Management (Including Universal Precautions)

Training Objective:

The crew member will be able to define/demonstrate the principles of first aid and emergency scene management required to effectively handle an in-flight medical emergency situation.


Principles of First Aid
Principles of Safety When Giving First Aid
Knowledge of First Aid Equipment and Materials
Principles of Emergency Scene Management
Scene Survey
Primary Survey
Secondary Survey
Ongoing Casualty Care
Suspected Death

8.1A Principles of First Aid

8.1A.1 Name the objectives of first aid.

8.1A.2 List the priorities of first aid.

8.1B Principles of Safety When Giving First Aid

8.1B.1 Describe how first aid training promotes safety consciousness in a flight attendant.

8.1B.2 State the reasons for universal precautions.

8.1B.3 Describe the use, care, removal and disposal of gloves used for first aid.

8.1B.4 Describe the use, care, decontamination and disposal of personal protective equipment available onboard.

8.1B.5 State the disposal procedures for:

  1. Body fluids; and
  2. Contaminated first aid materials.

8.1C Knowledge of First Aid Equipment and Materials

8.1C.1 Describe the onboard location of first aid materials and conditions for use:

  1. First aid kit;
  2. Medical kit; and
  3. Improvised materials carried on the aircraft.

8.1D Principles of Emergency Scene Management

8.1D.1 Define emergency scene management.

8.1D.2 List the steps of emergency scene management.

8.1D.3 Name possible sources of help and describe how they may assist in an in-flight emergency situation, e.g.:

  1. Passengers;
  2. Crew members; and
  3. Medical personnel onboard.

8.1D.4 State the authorities that must be notified of an in-flight emergency, e.g.:

  1. In-charge flight attendant; and
  2. Captain who will advise the ground advanced life-support system.

8.1D.5 Describe the process for completing and submitting information to be reported on administrative forms following an in-flight emergency, e.g.:

  1. Medical kit;
  2. First aid kit; and
  3. Name and address of doctor in attendance or anyone providing assistance

8.1D.6 State the air operator's procedures for in-flight passenger control when dealing with a first aid emergency.

8.1D.7 Describe the effect of the aircraft environment on an in-flight emergency situation, e.g.:

  1. Cabin configuration of aircraft;
  2. Number of flight attendants onboard;
  3. Turbulence;
  4. Distance to ground life-support system;
  5. Cabin altitude; and
  6. Movement of the casualty while onboard.

8.1E Scene Survey

8.1E.1 Define the term history and describe its use.

8.1E.2 Define the term mechanism of injury and describe its use.

8.1E.3 Define the terms signs and symptoms and describe their uses.

8.1F Primary Survey

8.1F.1 Define the term primary survey.

8.1F.2 Demonstrate, on a simulated conscious casualty with suspected head/spinal injuries, the sequential steps of a scene survey followed by a primary survey.

8.1F.3 Demonstrate, on a simulated unconscious casualty without suspected injuries, the sequential steps of scene survey followed by a primary survey.

8.1G Secondary Survey

8.1G.1 Describe the steps of the secondary survey.

8.1G.2 List the vital signs used in aviation first aid.

8.1G.3 State why it is important to monitor and note the changes in the casualty's level of consciousness.

8.1G.4 State the responses used for assessing the levels of consciousness.

8.1G.5 State how a medical alert device can assist in assessing a casualty's condition.

8.1G.6 Describe effective breathing for a healthy adult casualty at rest.

8.1G.7 State the characteristics of the pulse for a healthy adult at rest.

8.1G.8 Demonstrate, on a simulated casualty, how to perform a secondary survey (including assessment of the vital signs).

8.1H Ongoing Casualty Care

8.1H.1 Describe ongoing casualty care.

8.1I Suspected Death

8.1I.1 Describe the procedures to be followed in the case of suspected death.