The concept of a Community First Responder (CFR) scheme

The scheme is made up of groups of volunteers who either live or work, within the community of Halstead. Responders have been trained to attend emergency calls received by the NHS ambulance service, providing first aid until an emergency ambulance arrives.

The ambulance service will liaise with the responder group using their local knowledge to decide on what area can be responded to in less than eight minutes. Halstead first responders provide cover to Halstead, the surrounding villages and outlying areas

 

The primary role of the CFR is to provide early defibrillation, oxygenation and CPR in patients in cardiac arrest . The role of the CFR has evolved into responding to life threatening medical emergencies, responding to a wide variety of situations. The main interventions used, are oxygenation, repositioning to assist breathing and circulation; fortunately cardiac arrest remains a very small part of the workload for the CFR, nevertheless vital in terms of providing early resuscitation and maximising the potential for a successful outcome.

Why do we need CFR schemes?

Dr Richard Cummins, from Seattle, USA, discovered that if a series of events took place in a set sequence, a heart attack victim has a greater chance of survival.  These events are known as the Chain of Survival.

 

  • Early Access
  • Early Resuscitation
  • Early Defibrillation
  • Early Advanced Life Support
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    When put into practice, and with increasing public awareness, training in basic life support and community based Automated External Defibrillators, these actions have improved the pre hospital survival rate to between 25% and 30% in cardiac arrest.

    East of England Ambulance Service Trust believes that HCFR will provide the first three links in the ‘Chain of Survival’ and therefore significantly improve the patient’s chance of survival.