Table 1

Topics and skills covered in the BEC course

Didactic topicsPractical skills
ABCDE
  • Personal Protective Equipment

  • Scene Safety

  • Airway

    • Obstruction

  • Breathing

    • Tension Pneumothorax

    • Opiate Overdose

    • Asthma/Chronic Obstructive Pulmonary Disease (COPD)

    • Pleural Effusion/Haemothorax

  • Circulation

    • Pulselessness

    • Shock

    • Severe Bleeding

    • Pericardial Tamponade

  • Disability

    • Hypoglycaemia

    • Increased Pressure on the Brain

    • Seizure/Convulsion

  • Exposure

    • Snake Bite

    • Hypothermia

  • SAMPLE History

    • Signs and Symptoms

    • Allergies

    • Medications

    • Past Medical History

    • Last Oral Intake

    • Events Surrounding Illness or Injury

Airway Skills Stations
  • Basic Airway Manoeuvres

    • Opening the Airway—Adult Head-Tilt/Chin-Lift

    • Opening the Airway—Paediatric Head-Tilt/Chin-Lift

    • Opening the Airway—Adult Jaw Thrust

    • Opening the Airway—Paediatric Jaw Thrust

  • Management of Choking

    • Management of the Choking Adult and Larger Child

    • Management of the Choking Infant and Small Child

  • Airway Suctioning

  • Basic Airway Device Insertion

    • Oropharyngeal Airway Insertion

    • Nasopharyngeal Airway Insertion

  • Recovery Position

Trauma
  • Trauma Primary Survey

    • Scene Safety

    • Cervical Spine Immobilisation

  • Trauma Secondary Survey

  • Head Injury

  • Facial Fractures

  • Penetrating Eye Injury

  • Penetrating Neck Wound

  • Chest Injury

  • Abdominal Injury

  • Spinal Cord Injury

  • Internal Bleeding

  • Pelvic Fracture

  • Extremity Fracture

  • Open Fracture

  • Open Wound

  • Crush Injury

  • Blast Injury

  • Burn Injury

  • Trauma in Pregnancy

Breathing Skills Stations
  • Giving Supplemental Oxygen

  • Bag-Valve-Mask Ventilation

  • Emergency Needle Decompression

  • Management of Open Pneumothorax (Sucking Chest Wound)

  • How to Make a Spacer from a Plastic Bottle

  • Breathing assessment

Difficulty in Breathing
  • Airway Causes

    • Airway Foreign Body

    • Severe Allergic Reaction

    • Airway Swelling from Inflammation or Infection

    • Airway Burns

  • Lung Causes

    • Pneumonia

    • Asthma/COPD

    • Pneumothorax

    • Haemothorax

    • Pleural Effusion

    • Acute Chest Syndrome in Sickle Cell Disease

  • Heart Causes

    • Heart Attack

    • Heart Failure

    • Pericardial Tamponade

  • Systemic Causes

    • Anaemia

    • Opioid Overdose

    • Diabetic Ketoacidosis

Circulation Skills Stations
  • Circulation examination

  • External bleeding control

    • Direct Pressure for External Bleeding

    • Deep Wound Packing for External Bleeding

    • Tourniquet Technique for Uncontrolled External Bleeding

  • Uterine Massage for Postpartum Haemorrhage

  • IV Cannulation

    • Insertion of IV Cannula (Adult)

    • Insertion of IV Cannula (Paediatric)

    • IV Fluid Adjustment for Special Considerations

    • IV Fluid Administration for Shock

Shock
  • Due to Dilated Blood Vessels

    • Severe Infection

    • Spinal Cord Injury

    • Severe Allergic Reaction

  • Due to Fluid Loss

    • Diabetic Ketoacidosis

    • Severe Dehydration

    • Burn Injury

  • Due to Blood Loss

    • External Bleeding

    • Large Bone Fracture

    • Abdominal Bleeding

    • Bleeding in the Stomach or Intestines

    • Haemothorax

    • Ectopic Pregnancy

    • Postpartum Haemorrhage

  • Due to Problems with the Heart

    • Heart Failure

    • Heart Attack

    • Abnormal Heart Rhythm

    • Heart Valve Problem

    • Pericardial Tamponade

    • Tension Pneumothorax

Extended Physical Examination Skills Station
  • Neurological Assessment

    • Glasgow Coma Scale

    • Alert/Verbal/Pain/Unresponsive (AVPU) Scale

  • Secondary Survey (Head-to-Toe) Trauma Assessment

Altered Mental Status
  • Rapidly Reversible Causes

    • Hypoglycaemia

    • Severe Dehydration

    • Heat Stroke

    • Hypoxia

  • Infection

    • Cerebral Malaria

    • Inflammation or Infection around the Brain

    • Severe Infection

    • Rabies

  • Metabolic

    • Diabetic Ketoacidosis

  • Toxic

    • Alcohol or Drug Intoxication or Withdrawal

    • Pesticide Poisoning

    • Snake Bite

    • Medication Reaction or Dosing Issue

    • Gaseous Poisoning

  • Other Causes

    • Seizures/Convulsions

    • Increased Pressure on the Brain

    • Liver Disease

    • Kidney Disease

    • Head Trauma

    • Ingestions of Chemicals or Toxins

Immobilisation Skills Station
  • Cervical Spine Immobilisation

  • Log Roll

    • Spinal Immobilisation

    • Positioning of the Pregnant Patient

  • Fracture Immobilisation

    • Closed Fracture Immobilisation

    • Open Fracture Immobilisation

  • Applying a Pelvic Binder

Transfer and Handover
  • Destination Planning

  • Transfer

    • Patient Positioning

    • Ongoing Care during Transport

  • Handover

    • Situation, Background, Assessment, Recommendations

Wound Management Skills Stations
  • General Wound Management

  • Burn Management

    • Determine Total Body Surface Area

    • Estimate Depth of Burn

    • Fluid Resuscitation in Burn Injury

  • Snake Bite Bandaging and Immobilisation

Medications
  • Epinephrine

  • Acetylsalicylic Acid (Aspirin)

  • Diazepam

  • Glucose (Dextrose)

  • Magnesium Sulfate

  • Naloxone

  • Oxytocin

  • Paracetamol (Acetaminophen)

  • Salbutamol (Albuterol)

  • Tetanus Vaccine

  • BEC, Basic Emergency Care; IV, intravenous.