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Certification by the ASHI is generally accepted as valid and equivalent to similar certification given by the American Red Cross or American Heart Association in CPR and First Aid. Certification training programs include CPR and AED, Emergency Medical Responder, Basic Life Support, and Advanced Cardiac Life Support.
Importantly, this training can be conducted by an EMT-Basic with some field experience—which is a resource available "in-house" for many volunteer fire departments who do not have the resources for full EMT training. The first responder training is intended to fill the gap between First Aid and Emergency Medical Technician.
They are trained in CPR, advanced first aid, automated external defibrillator usage, and patient assessment. Most police and fire services require their employees to be emergency medical responders at a minimum. This course is usually 40–60 hours in length. [14]
Cardiopulmonary resuscitation (CPR) is an emergency procedure consisting of chest compressions often combined with artificial ventilation, or mouth to mouth in an effort to manually preserve intact brain function until further measures are taken to restore spontaneous blood circulation and breathing in a person who is in cardiac arrest.
EMR training is intended to fill the gap between first aid and EMT. The American Red Cross conducts a course titled "emergency medical response" that fits this definition. In the US the term "emergency medical responder" has largely replaced the term "certified first responder" or "medical first responder" beginning in 2012.
For this reason, lay rescuers proceed directly to cardiopulmonary resuscitation, starting with chest compressions, which is effectively artificial circulation. In order to simplify the teaching of this to some groups, especially at a basic first aid level, the C for Circulation is changed for meaning CPR or Compressions. [17] [18] [19]
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