Archive Page 2

EFR Success in Kona

Kona CPR is now a thriving CPR and first aid business in Kona, Hawaii, USA, but that wasn’t always the case. After becoming an Emergency First Response Instructor in 2007, Kara Osada issued just seven completion cards. But, since that modest start, her business has produced more than 230 Emergency First Responders and is on track to exceed that mark this year. In this interview, Osada shares her perspective and experiences implementing Emergency First Response programs.

The Responder (TR): To what do you attribute the success of your EFR business?
Kara Osada (KO):
Not just doing the basics, but making it a fun, enjoyable and quality class. Kona CPR fills a prefect niche in Kona, Hawaii. Kona CPR has been able to come in and provide quality training classes weekly for individuals or groups at business locations. I have started classes as early as 7 am or as late as 6 pm – depending upon the participants’ needs.

TR: Do you have a specific market that you target and if so, how did you identify that market?
When I started, I thought I would be teaching mostly fisherman and scuba groups, but I was so wrong. I teach massage therapy students, teachers, industrial workers, construction workers, tour operators, nurses, physical therapist, baby sitters, health care workers, day care centers and so many more. The people I have met through teaching tend to be the most amazing people as they have chosen careers that offer assistance and care to others.

TR: What is your marketing and advertising strategy? How do you attract new participants?
Build a great website. I have also used the paper, though word of mouth works wonders once you get started.

TR: What, if any, challenges did you encounter during the development of your business?
The biggest struggle I face is people not knowing the name of Emergency First Response. I have spent a lot of time getting Emergency First Response programs approved by companies for their employees. I have also run into problems because of the temporary card that is issued at the time of completion. Many people are applying for jobs that same day and need cards that don’t say temporary on them. I have found that keeping Certificates of Completion on hand is helpful in these cases.

TR: From a business perspective, what has been your most important lesson as an Emergency First Response Instructor?
As a new company, you have to find your niche. Here, it was providing quality training at times when people could make it. In other places, it may be as simple as having a large space for companies to send large groups when they cannot hold training at their site. It’s all about looking at your market and seeing what might work!

TR: What do you think is the ideal class size and participant to mannequin ratio?
I teach with one mannequin for every two people. I have found that with three to one ratios, participants grow tired at the length of the course. I think the most learning occurs with class sizes of six to eight. It’s big enough that one participant doesn’t feel pressured, yet small enough that I can watch and comment on technique.

TR: How do you use the EFR materials to efficiently teach your courses?
I hand out guides and books at the start of the course. For the participants I work with, it’s not practical for them to review material prior to the course. Participants fill in knowledge reviews while watching the video. We go through the knowledge review after the video. As participants go through the skills sets, I refer them to the book on sections for further reading and review.

TR: What are some of your favorite role-playing scenarios for the final exercise?
I can’t say I have a favorite. I try to pick scenarios they will be likely to see. For individuals who work as health care providers, we talk about how they can manage on their own. With large companies that have many employees getting certified, we talk about how they can best manage a scene without having everyone do the same thing. I really try to personalize the training with exercises for the group I’m training, which also makes it fun for me, as every class is unique.

EFR Training Saves a Life – by Jan Kmiecik

I was swimming in a lake with my then eight year old boy. We were starting the 320 metre/350 yard return journey from the dam to the western end of the reservoir when I saw my stepfather enter the water to swim. As we neared him I thought he was lying on his back, floating, but soon realized he was moving only in the slight eddy, and was face down in the water. I yelled for help, instructed my little boy to leave the water by the shortest route, and swam rapidly to my stepfather’s assistance. I rolled him onto his back, and used the recovery method to swim with him to the edge of the lake.

Thankfully there was a man passing with his wife, and a mobile telephone. He assisted me in extricating my stepfather from the water. After pulling him out of the water, I was unable to see any signs of self-sustained breathing, so I immediately began CPR and mouth to mouth resuscitation.  I was concerned whilst giving CPR of the sound of cracking, and thought I had broken/cracked his ribs. I then turned him onto his left side to aid in water egress from his mouth, as he recovered consciousness.

A telephone call had been placed during the “excitement” and soon after my stepfather started to come around, the Municipal Police arrived to take notes. It was some 15 minutes or more after that the ambulance arrived. My stepfather was able to speak to me by the time the professionals arrived, and asked what had happened. Being aware of his age (71) and the likely onset of shock, I refrained from telling him what occurred, other than there had been “a bit of a flap”.

He was evacuated to hospital where he spent several days undergoing tests for the cause of his accident. Absolutely nothing was found to be wrong with him, other than the scratches sustained in removing him from the water, up the rocks, and onto the road, which although appeared bad, were trivial.

Looking critically at my actions, I was hasty in starting CPR, as I don’t remember checking for signs of life. The deep, angry purple/blue color of my stepfather’s head was enough to spur me into action immediately.  Thanks to my training with instructor Simon Hoekstra (EFR Instructor – 969857), from Phuket, Thailand, my stepfather is alive.

Improving Business with EFR Approvals

Using Approvals to Get Business

You might have come across the list of accredited organizations when browsing the Emergency First Response website. This is a list of organizations that have recognized Emergency First Response® programs and you can use it to your advantage and increase business? Start by browsing for approvals and target specific businesses or groups using the marketing materials available to you on the Emergency First Response Instructor site.

Here’s an example. Let’s say you decide you want to use the approval from the North Carolina Department of Health and Human Services Division of Child Development. First, pinpoint businesses you’d like to target. Since this is a Department of Child Development approval, you’ll likely solicit schools and day care facilities. Personalize the Preparedness and Compliance Made Easy handout (product no. 10277) from the EFR® marketing tool kit, then prepare a cover letter using the EFR letterhead. Tailor the copy so it speaks directly to the business. Then, send the two out and follow up with phone calls or additional mailers.

If you have questions or would like suggestions on gathering marketing materials, please contact

Manikin Features

Manikin Options For Your EFR Programs

Numerous companies sell adult, child and infant manikins at various price points. These range from the most basic models to those that are so life-like that they are used to help train doctors, paramedics and nurses.

So if you’re looking to purchase manikins for your EFR business, which is the best choice for you? It’s important to note that bulk purchases often offer a substantial discount over individual buys. Packages often also include necessary additional supplies such as manikin lungs.

Here is a partial list of what you might want to look at when considering your manikin purchase:

  • Lung/Mouth systems. If each participant has their own one-piece, disposable lung/mouth protection system, it reduces cross contamination and simplified manikin sanitization.

  • Low Cost Removable face. This allows each participant to have their own and minimize any cross contamination between participants.

  • Carrying bags. These bags often let you transport several fully-assembled manikins or have wheels to make transportation easier.

  • Clicker. A built-in click mechanisms provides positive reinforcement for hand placement and compression depth. If participants hear the click, they know that their hand placement and compression depth is correct. The instructor can also hear if the compression timing is within guidelines.

  • Facial features. A pliable nose and mouth makes sealing the airway a more lifelike experience.

  • Age selector. Some manikins allow instructors to change the compression depth so it is appropriate for children or adult CPR.

  • Materials and durability. Many manikins are constructed from durable materials suitable for outdoor use or near water.

  • Easy to clean. Many modern manikins are relatively simple and easy to clean up.

When choosing your manikin, assess your needs and compare them to the different options available. Oftentimes the more features you add, the more the manikins may cost, so be sure to balance out your budget with your needs and get the most manikin you can afford.

Relay for Life

Relay for Life2On 22 & 23rd August a team of Emergency Responders trained by Surrey Medics volunteered their EFR Skills by doing a 31 hour shift of first aid event cover for Cancer Research UK’s Relay for life in Crawley, West Sussex. The event went very well and £30,000 was raised in this relay. The Responders only dealt with minor incidents fortunately and were praised by the Mayor of Crawley – Councillor Brenda Burgess.

The Emergency Response Team were also praised by local parents at the event for the way they dealt with the children who needed a little first aid, ranging from wasp stings to bouncy castle injuries. One parent said, “I have visited first aid tents before at events but Team Emergency First Response led by Surrey Medics are the most organised and efficient team I have ever experienced.  My daughter was stung by a wasp along with others and they made the children feel at ease.  My daughter was even laughing away as they were treating her and she now wants to become a responder when she is old enough so she can help people.”

Other incidents included, dressing minor burns, cutting rings off fingers, nose bleeds, sprains and strains and quite a few blisters.

If you would like to become an EFR volunteer at charity events please email  or contact Emergency First Response.

Having the Confidence to Care really does make a difference!

MBF in Australia Refunds EFR Courses

Emergency First Response workplace first aid training conducted through PADI Asia Pacific’s Registered Training Organisation (RTO) has been approved for benefits purposes under the private health fund of MBF’s Living Well Programmes in Australia. Providers don’t have to register individually – but the programme name will be included MBF’s internal reference information for staff. MBF policy holders need to submit their claim by mail for benefits to be paid. If MBF customers have any queries regarding the benefits they will be paid, contact MBF directly on 131 137.

EFR thanks Yvonne Davis of Redcliffe Training Centre in Queensland for her initiative in achieving this fantastic benefit!

Knowing When to Seek Medical Attention

It seems like it’s always difficult to determine when you should see a doctor. With flu season right around the corner, it wise to be reminded of the when we should seek medical attention. The Center for Disease Control offers the following recommendations for determining when you should seek immediate medical attention.

 In children, emergency warning signs that need urgent medical attention include:

 · Fast breathing or trouble breathing

· Bluish or gray skin color

· Not drinking enough fluids

· Severe or persistent vomiting

· Not waking up or not interacting

· Being so irritable that the child does not want to be held

· Flu-like symptoms improve but then return with fever and worse cough

In adults, emergency warning signs that need urgent medical attention include:

· Difficulty breathing or shortness of breath

· Pain or pressure in the chest or abdomen

· Sudden dizziness

· Confusion

· Severe or persistent vomiting

· Flu-like symptoms improve but then return with fever and worse cough

Emergency Preparedness Tip #1

September is National Preparedness month. Over the next few weeks, look for helpful tips on this blog on how you can become better prepared. This blog’s topic is fire extinguishers.

Fire protection experts recommend storing fire extinguishers in your home and to be familiar with how your extinguishers work.  Since there are many different types of fires and extinguishers you should have several on hand so you are prepared for any type of fire that may occur.  It is vital to know which type of extinguisher you are using.  The wrong extinguisher can lead to a life threatening situation.  When choosing a fire extinguisher, make sure you choose the one that is right for the items you might need to protect. To learn more visit

Avoiding the “Swine Flu”


We continue to hear a lot about the “Swine Flu” or H1N1 virus in the media.  What has concerned healthcare professional regarding this strain of the flu is that it has continued to grow and spread even though it is not the flu season. Now that we are nearing the flu season, there is concern that H1N1 virus will spread exponentially. Although they have been working on a vaccine, we are still weeks away from it becoming available. The Center for Disease Control and Prevention (CDC) offers the following advice for avoiding this flu virus:

  • Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.
  • Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective.
  • Avoid touching your eyes, nose or mouth. Germs spread this way.
  • Try to avoid close contact with sick people.
  • If you are sick with flu-like illness, CDC recommends that you stay home for at least 24 hours after your fever is gone except to get medical care or for other necessities. (Your fever should be gone without the use of a fever-reducing medicine.) Keep away from others as much as possible to keep from making others sick.
  • Follow public health advice regarding school closures, avoiding crowds and other social distancing measures.
  • Be prepared in case you get sick and need to stay home for a week or so; a supply of over-the-counter medicines, alcohol-based hand rubs, tissues and other related items might could be useful and help avoid the need to make trips out in public while you are sick and contagious

You can obtain additional information on the Center for Disease Control’s website at

Reminder: U.K. Health and Safety Executive Advice for First Aiders Responding to Harness Suspension Incidents

As a result of published medical literature, the Health and Safety Executive offers guidance on the first aid management of a fall leading to suspension in a harness which may result in suspension trauma. You can read the most recent recommendations here.

If you encounter participants on your Emergency First Response courses who work in an environment in which suspension trauma injury may be a risk, then be prepared to answer questions on how to handle this type of incident and consider customizing scenarios to include such incidents.

Emergency First Response

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July 2020