Marine Advanced First Aid (MAFA)

Canadian Red Cross
MAFA Certification
Transport Canada
MAFA Certification
Basic Life Support
(BLS) Included
Course Duration
50 hours

Marine Advanced First Aid Course Summary

Medi-Pro Response Solution's Canadian Red Cross Marine Advanced First Aid courses are intensive, interactive and learner centered programs which prepare you and provide you with BC EMALB MAFA Licensing eligibility. You will learn and practice a systematic but flexible approach to patient assessment, advanced medical interventions, and clinical decision making in a professional emergency medical response capacity.

The skills taught and principles introduced are nationally recognized for scientific, evidence-based credibility, with a strong emphasis on provincially relevant BCEHS Clinical Practice Guidelines and BC EMALB Licensing requirements.

Marine Advanced First Aid Certification
Upon successful completion of the Marine Advanced First Aid program you will recieve an MAFA certificate, as issued through the Canadian Red Cross, valid for 3 years. You will also receive a separate Basic Life Support (BLS) certificate valid for 1 year. Canadian Red Cross certificates are generated and issued electronically through the national MyRC database, and provided by email within 10 business days of completion of all course and examination requirements. More...

Transport Canada
Your Transport Canada certificate will be valid for 5 years from the date of completion, as compared to your Canadian Red Cross MAFA certificate which is valid for 3 years, and your Canadian Red Cross Basic Life Support certificate which is valid for 1 year. More...

Course Schedule
Marine Advanced First Aid courses are typically delivered over 1 week (Mon-Fri) with full-day classroom sessions and an additional Monday session for the practical scenario evaluations. The last few sessions include completion of the final written exams and practical scenario evaluations. There is also an online based Marine Advanced First Aid study guide, which participants are encouraged to complete prior to or during the MAFA course itself. Study Guide completion time will vary with each participant's individual study habits, learning style and schedule. However you should anticipate approximately 8-12 hours of independent, self-directed time to complete the Study Guide. More...

MAFA OVERVIEW

Marine Advanced First Aid Course Overview

Review the information in this section to make sure that Marine Advanced First Aid will meet your training and certification needs, and give yourself the tools to arrive fully prepared for success and enjoyment in your MAFA course. Marine Advanced First Aid certification training, and the corresponding BC EMALB Licensing process require a significant investment of time and effort, so you should make sure you know what you're getting, and what you're getting into.

What You Get

What's included with your Kelowna Canadian Red Cross Marine Advanced First Aid course and registration fees?

Transsport Canada Marine Advanced First Aid (MAFA) certification (valid for 5 years).
Canadian Red Cross Marine Advanced First Aid (MAFA) certification (valid for 3 years).
Canadian Red Cross Basic Life Support (BLS) certification (valid for 1 year).
Canadian Red Cross Emergency Care for Professional Responders reference manual (online access to the PDF version is included with your registration and you have the option to purchase a printed take-home copy).
Online Marine Advanced First Aid Study Guide.
Access to Medi-Pro's extensive library of online resources and support materials.

Canadian Red Cross MAFA Certification

Our Canadian Red Cross Marine Advanced First Aid programs are Nationally recognized for up to date protocols, and meet Transport Canada's certification requirements.

You'll learn and practice advanced emergency medical assessment and interventions which will help you make safe decisions in any emergency, and provide professional medical care to your patients.

Your Canadian Red Cross MAFA certificate, awarded to you upon completion of your Kelowna MAFA course and valid for 3 years, will indicate Canadian Red Cross Marine Advanced First Aid certification, and you will receive a separate Transport Canada MAFA certificate by mail. You will also receive a Canadian Red Cross Basic Life Support (BLS) certificate, valid for one year.

Canadian Red Cross certificates are generated and issued electronically through the national MyRC database, and provided by email within 10 business days of completion of all course and examination requirements. More than just a certificate, you'll have the confidence to act, and Be the Difference in your community.

Transport Canada

You will also receive Transport Canada Marine Advanced First Aid (MAFA) Certification, upon successful completion of your Canadian Red Cross MAFA course. Your Transport Canada MAFA certificate will arrive by mail to the mailing address you provide during registration. For this reason it's important to ensure that you can receive postal deliveries at the mailing address you provide to Medi-Pro.

Your Transport Canada certificate will be valid for 5 years from the date of completion, as compared to your Canadian Red Cross MAFA certificate which is valid for 3 years, and your Canadian Red Cross Basic Life Support certificate which is valid for 1 year. It is ultimately up to your employer and/or governing agency to determine exactly what certificates you are required to hold, and how often you must recertify or complete refresher/maintenance training, but your Transport Canada Marine Advanced First Aid certificate is valid for 5 years.

Basic Life Support

In addition to your 3 year Marine Advanced First Aid (MAFA) certificate, you will also receive a separate Basic Life Support (BLS) certificate which is valid for 1 year. Basic Life Support is essentially a high performance, "pit-crew" approach to Cardiopulmonary Resuscitation (CPR) and Automated External Defibrillation (AED) in a professional medical responder environment.

Basic Life Support principles form an integral part of your overall Marine Advanced First Aid training, and are also considered a standalone, portable skill set that can be transferred to work with any high performance team performing CPR in a clinical setting. Your Marine Advanced First Aid certification includes BLS protocols, and remains valid for 3 years, however the separate Basic Life Support certificate issued at the same time will only remain valid for 1 year. If you require a valid BLS certificate, you will need to complete a standalone BLS Recertification course yearly, but your MAFA certificate will remain valid for the full 3 year term regardless of whether or not you specifically renew the BLS certificate.

There is an emphasis on the specific Basic Life Support protocols stipulated and outlined by the local authorities having jurisdiction (AHJ) in British Columbia including the Emergency Medical Assistant's Licensing Branch (EMALB) examination guidelines, BC Emergency Health Services (BCEHS) Clinical Practice Guidelines, and BC Ambulance Service (BCAS) response guidelines. Basic Life Support skills, tools and principles covered in your Marine Advanced First Aid course include...

Team based approach to CPR & AED with multiple rescuers/agencies on scene
Variable Compression to Ventilation ratios for patients in different age groups
Adult patients aged 9 and up (30:2/10:1/CCC)
Child patients aged 1 to 9 (15:2)
Infant patients under 1 year old (15:2)
Neonatal patients under 28 days old (3:1)
Bag-Valve-Mask (BVM)
Oxygen Therapy
Oropharyngeal Airways
Nasopharyngeal Airways
Automated External Defibrillators
CPR in Transport/Treatable CPR

Where to go

2011 Daimler Drive — *MAFA Course Locations*

Our Canadian Red Cross Marine Advanced First Aid courses are provided in multiple classroom locations in Kelowna, Vancouver, the Lower Mainland and throughout British Columbia. Most MAFA courses in the Okanagan area are conducted in our West Kelowna classroom at 2011 Daimler Drive. Click here for directions, maps and public transit options.

By request, we can schedule private courses for your group at specific location of your choosing. The location and directions for your particular Marine Advanced First Aid course will be indicated during the booking process, and included in the confirmation email you will receive upon completing registration.

Make sure the MAFA course you are registering for is in a location that works for you.
Our booking platform may show MAFA courses at different geographic regions on different course dates.
Check your confirmation email to ensure that the course location indicated is in the region you expected.
The link in your confirmation email will incude directions, but you should verify your intended route of travel ahead of time.
Allow ample time for traffic and unanticipated delays to ensure you arrive at your classroom in time for your scheduled course sessions.

MAFA Course Schedule

Get the most out of your Kelowna Marine Advanced First Aid course by familiarizing yourself with the MAFA course content, schedule, and classroom session structure. Your Canadian Red Cross MAFA course in Kelowna or Vancouver, BC, is structured into five 10-hour classes starting at 8 a.m. each morning. Kelowna and Vancouver MAFA courses are generally scheduled mid-week (Monday to Friday).

MAFA concepts, principles, and skills are introduced in a simplified context and logical sequence. The Marine Advanced First Aid course starts with basic drills, and builds towards more complex scenarios with an emphasis on clinical decision making as participant skill levels and confidence improve. Stand-alone skill components are introduced and reinforced, then integrated into realistic situations and circumstances. Intensity, workload and student responsibilities increase as the MAFA course progresses, with developing emphasis on clinical decision making abilities and adaptive skill application.

Each MAFA course session includes two short breaks and one longer lunch break throughout the day. Access to locals stores or restaurants may be limited, so you should arrive at each session with enough food and water/drinks to keep you nourished and hydrated the entire day. The daily course outline listed below is an estimated broad-strokes timeline for the MAFA skills, principles and topics and subject to change according to classroom logistics, participant needs and instructional necessity. Your Canadian Red Cross MAFA written exam, and two MAFA practical scenario evaluations will take place throughout the final classroom sessions.

MAFA Course Session 1

Scene Assessment
Primary Assessment
Secondary Assessment
Ongoing Assessment
Patient Care Reports

MAFA Course Session 2

Respiratory Distress
Rescue Breathing
CPR-AED
Basic Life Support (BLS)
Airway Emergencies

MAFA Course Session 3

Spinal Motion Restriction (SMR)
NEXUS
Basic Splinting
Deadly Bleeding

MAFA Course Session 4

Heart Attack
Diabetic Emergencies
Stroke/TIA
Seizures
Burns

MAFA Course Session 5

Amputations
Impaled Objects
Eviscerations
Chest Injuries
Overdose
Naloxone/Narcan Administration
Environmental Injuries
Review
Medical Scenarios
Trauma Scenarios

The closing sessions of your Marine Advanced First Aid course will focus on reviewing, practicing, and expanding on all the topics, skills and principles covered in previous the sessions. Performing a skill or reading a text passage once will not prepare you for success. In order to be successful in your final evaluations, and in providing patient care as a professional responder you need to have a reflexive familiarity, born of repetition and feedback, with all aspects of your MAFA training. The more you review the key concepts and practice the foundational skills, the more you can focus on problem solving the unique challenges of each patient and circumstance.

These final MAFA course sessions will be your opportunity to identify areas that you feel less comfortable with, and ask your Instructor to work with you on them to improve your confidence and skill levels. Most of the time spent in the classroom at this point will be dedicated to full simulation scenarios, and you can request specific topics or versions of these scenarios based on your own evaluation of your readiness and needs as a learner. You may feel comfortable performing CPR as a hands-on skill, but need more clarification on the criteria for Treatable CPR and CPR in Transport. You may have the NEXUS matrix memorized, but want to practice the hands-on application of a cervical collar. You will also have the opportunity to practice established skills in more complex scenarios and challenging circumstances to more accurately reflect real-life applications. MAFA principles, skills and concepts reviewed, practiced and reinforced throughout the review and practice sessions of your Canadian Red Cross Marine Advanced First Aid course include...

MAFA Assessment Model review
Glasgow Coma Scale review
NEXUS Spinal Motion Restriction criteria review
FAST VAN Stroke Assessment review
Manual SMR stabilization practice
Naloxone (Narcan) Inidications and Contraindications review
Glucogel Indications and Contraindications review
Respiratory Distress management practice
Respiratory Arrest management practice
Verbal and written patient care hand-over practice
Pit Crew CPR-AED review
CPR with Airway Obstruction review
Review & Practice Medical and Trauma based scenarios

MAFA Exams & Remediation

The final session of your Marine Advanced First Aid course will include your formal Canadian Red Cross MAFA Certification exams. Successful completion of our Canadian Red Cross Marine Advanced First Aid course includes meeting minimum performance requirements in the Written Evaluation and two Practical Scenario Evaluations. The Canadian Red Cross MAFA written exam involves answering 50 multiple choice questions in a proctored and timed environment. One practical scenario exam will emphasize providing patient care for a medical condition such as myocardial infarction, hypoglycemia, anaphylaxis, or congestive heart failure. The other practical scenario exam will emphasize providing patient care for a traumatic physical injury such as femur fracture, spinal cord injury, concussion, or tension pneumothorax.

The minimum score required for successful completion of the Canadian Red Cross Marine Advanced First Aid written knowledge evaluation is 75%, which coincides with local BC EMALB evaluation practices. The practical scenarios evaluations follow a more subjective grading process involving minor, major, or critical point deductions assigned to individual patient care deficits, with an overall outcome of successful or unsuccessful based on several coinciding factors. You will be permitted up to two attempts at the written knowledge evaluation, and the practical scenario evaluations. If you are successful on your first attempt at each evaluation component, you will be marked successful for that specific component regardless of your performance in any subsequent components.

Not everyone is successful in receiving MAFA certification on their first attempt. In the event that you are unsuccessful in your first attempts at the formal MAFA Certification evaluations, you will be afforded a second opportunity to demonstrate the required skills and knowledge. Your MAFA Instructor will work with you and Medi-Pro to formulate a remediation plan that will maximize your chances for success as a professional medical responder. Most of the time, this will involve scheduling a re-testing session near the end of our next scheduled MAFA course, as well as the opportunity to participate in some practice and review beforehand. Every remediation plan will be unique to each participant's particular needs, so the process may be different for each individual. We want you to be successful in your initial MAFA certification exams and in your career as a professional medical responder.

MAFA principles, skills and concepts reviewed, practiced and reinforced throughout the formal evaluation portion of your Canadian Red Cross Marine Advanced First Aid course include...

Final Canadian Red Cross Marine Advanced First Aid Written Exam
Trauma-based Canadian Red Cross Practical Scenario Evaluation
Medical-based Canadaian Red Cross MAFA Practical Scenario Evaluation
Canadian Red Cross MAFA Certification process
Marine Advanced First Aid next steps

Frequently Asked Questions

Frequently Asked Questions about Canadian Red Cross Marine Advanced First Aid certification courses in Kelowna and Vancouver BC. Take a look through the Q & A topics listed below, to find answers to your Marine Advanced First Aid course questions. If you don't see the answers to your questions in this FAQ section, you may still find the information you're looking for in the other sections of this page, including Marine Advanced First Aid Overview, Marine Advanced First Aid Resources, and Marine Advanced First Aid Course Skills.

Of course, Medi-Pro First Aid is happy to answer all your questions if you choose to contact us directly through our Contact Us form, by email (training@mediprofirstaid.com), or over the phone (778-724-9054). We do our best to respond to all enquiries as quickly as possible during normal business hours from 9am to 5pm, Monday-Friday.

Q. When will I get my MAFA Certificate?

Canadian Red Cross Marine Advanced First Aid certificates are generated on the national MyRC course management platform and provided to Marine Advanced First Aid course participants electronically, in PDF format. Upon successful completion of your Marine Advanced First Aid course, Medi-Pro will upload and process your certification, and you will recieve your MAFA certificate by email. Medi-Pro administration do their best to ensure this process is generally completed within 48 hours of course completion, but it in some circumstances it can take up to 10 business days. You will also receive a separate Marine Advanced First Aid certificate directly from Transport Canada. Your Transport Canada MAFA certificate will arrive by mail, and remain valid for 5 years. If you require immediate proof of Marine Advanced First Aid course completion, your Instructor can provide you with a temporary certificate before you leave the classroom. However it is up to each individual employer/regulatory agency to decide whether or not they accept temporary certificates. It is usually simplest to just forward your official Marine Advanced First Aid certificate and/or your Basic Life Support certificate as soon as you receive it.

Q. Can I get a refund if I cancel my Marine Advanced First Aid course registration?

Medi-Pro's baseline policy is no refunds for last minute cancellations. However, we will do our best to work with you if circumstances beyond your control make it impossible for you to attend your scheduled course. In most cases, we can find an alternative course date for you and just move your existing registration to the new date. Depending on circumstances, and the number of previous cancellations, there may be a small re-booking charge, but we're compassionate people who understand that life can be messy.

Q. How long is an Marine Advanced First Aid course?

In British Columbia, the minimum classroom time required for a Canadian Red Cross Marine Advanced First Aid course is 30 hours. Medi-Pro generally schedules Marine Advanced First Aid courses over six 10-hour days, building an additional 20+ hours into your training over and above the minimum requirement. This additional time plays a crucial role in allowing you enough time to not only learn MAFA principles for the first time but also perform multiple repetitions of the skills and scenarios and build lasting confidence and leave you prepared for success in your EMALB Licensing exams. If your group requires a different timeframe, such as multiple weekends or a specific day of the week broken up across multiple weeks, you can make arrangements with Medi-Pro for a private booking that works for your group's scheduling needs.

Q. Is there an age requirement for Marine Advanced First Aid courses?

The Canadian Red Cross does not have any age requirements to complete an Emergency Medical Repsonder course or to receive MAFA certification. Participants of any age are welcomed in our Marine Advanced First Aid courses, provided they are capable and willing to actively participate throughout the entire course. Of course, there are some considerations that might make it inappropriate for a very young participant, but there is no minimum age specification.

Q. Can I renew/recertify my old Marine Advanced First Aid certificate?

In accordance with Transport Canada requirements for Marine Medical training regulations, the Marine Advanced First Aid program is only available in the complete course format. Transport Canada guideline TP13008E does not allow for shortened "Recertification" courses at the Marine Advanced First Aid certification level. If your most recent MAFA certificate has already expired, you will need to re-complete the full Marine Advanced First Aid course to obtain a new MAFA certificate.

Q. I can't find my Marine Advanced First Aid Certificate. How can I get a replacement?

If you took your last Marine Advanced First Aid course with Medi-Pro Response Solutions or Frontline First Aid, we likely have a record of your certificate on file. Just let us know that you need a replacement copy and we'll send it out to you by email. Make sure to tell us if your email address has changed since your last Marine Advanced First Aid course registration, or if you need the copy sent to a different email.

Q. Where do Marine Advanced First Aid guidelines come from?

The International Liason Committee on Resuscitation (ILCOR), and the corresponding Consensus on Science and Treatment Recommendations (CoSTR) task force groups constantly review and evaluate current Professional Medical Responder and Basic Life Support practices from data collected around the globe. ICLOR and CoSTR periodically produce documents which summarize their most recent findings, as well recommendations on what current emgergency paramedical practices should be continued, which should be changed, and what new practices should be adopted. Based on the findings in these documents, as well as other scientifically credible sources, individual Marine Advanced First Aid and Paramedic training providers such as the Canadian Red Cross produce their own evidence-based guidelines and educational delivery models.

Transport Canada is the authority having jurisdiction for all marine/nautical based first aid and medical training across Canada. As such your Marine Advanced First Aid course will include some skills and protocols which are specific to Transport Canada requirements.

Q. Should I take an Marine Advanced First Aid course?

Marine Advanced First Aid is an appropriate and relevant certification training course for any person designated to provide first aid on board a vessel engaged on a near coastal voyage, class 1, or unlimited voyage. This includes candidates working on a boat/ship/marine vessel who want to obtain a master or officer certificate or endorsement.

You should always confirm specific course and certification requirements with your employer, educational institution or governing body before making your course selection. Medi-Pro First Aid can provide you with best practice recommendations based on industry standards, but cannot make a blanket guarantee that any particular First Aid/Medical Responder course will meet your individual requirements.

Q. What is Hands-Only CPR?

The baseline performance of bystander CPR includes continuous cycles of chest compressions combined with alternating ventilations/rescue breaths. The chest compressions pump blood from the heart and circulate it to vital organs. The rescue breaths put oxygen back into the lungs and bloodstream so that the blood being circulated is keeping cells alive. Ideally, an AED should be used as soon as possible as well.

Hands-Only CPR (also known a Compresssions-Only CPR) is an alternative which takes into account that a bystander may not feel safe or comfortable performing the rescue breathing component. Performing the chest compressions continuously, without providing rescue breaths, can still produce a positive outcome without the real or perceived risks associated with rescue breathing. Although not as statistically effective as traditional CPR, the application of Hands-Only CPR has been proven vastly superior to doing nothing, and can help ensure the patient is still viable when emergency crews arrive to perform more advanced procedures.

Table of Contents ▲

MAFA PREPARATION

Marine Advanced First Aid Course Preparation

You will maximize your opportunities for success enjoyment through your Canadian Red Cross Marine Advanced First Aid course in Kelowna and Vancouver, BC (and the subsequent BC EMALB MAFA Licensing Evaluations) if you review the basic expectations and arrive fully prepared, with your MAFA Study Guide completed.

The more familiar you are with the online resources, educational supplements, printed text books, and MAFA support materials at your disposal, the more likely you are to enjoy your MAFA course and be successful in obtaining MAFA certification and licensure.

MAFA Study Guide

Access and complete our Marine Advanced First Aid Study Guide to help prepare you for your Marine Advanced First Aid course in Kelowna and Vancouver, BC. The MAFA Study Guide has been developed to help prepare you for success and enjoyment in your BC Marine Advanced First Aid course.

There are two significant sources of information and MAFA protocols for Marine Advanced First Aids training and practicing in British Columbia. The Canadian Red Cross provides you with a Nationally recognized MAFA Program and Certification, following the content in the Emergency Care for Professional Responders reference manual. BC EMALB has jurisdiction over Provincial MAFA Licensing in BC, and has a few BC specific protocols, based on the EMALB Examination Guidelines and BCEHS Treatment Guidelines, that differ slightly from the national Canadian Red Cross program.

Completing the MAFA Study Guide before starting your Marine Advanced First Aid course will help make sure you arrive familiar with the information and resources available to you. Your Marine Advanced First Aid course classroom sessions will center primarily on physical skills and hands-on practice and application, so the Study Guide will also help ensure that you have the background information and theory needed.

MAFA Study Guide Sections:

Section A: Text Book Corrections
Section B: Certification and Licensing
Section C: BC EMALB Jurisprudence
Section D: EMALB Examination Guidelines
Section 1: The Professional Responder
Section 2: Responding to the Call
Section 3: Infection Prevention and Control
Section 4: Anatomy and Physiology
Section 5: Assessment
Section 6: Airway Management and Respiratory Emergencies
Section 7: Circluatory Emergencies
Section 8: Shock
Section 9: Hemorrhage and Soft Tissue Trauma
Section 10: Musculoskeletal Injuries
Section 11: Chest, Abdominal and Pelvic Injuries
Section 12: Head and Spinal Injuries
Section 13: Acute and Chronic Illness
Section 14: Poisoning
Section 15: Environmental Illnesses
Section 16: Pregnancy, Labour, and Delivery
Section 17: Special Populations
Section 18: Crisis Intervention
Section 19: Reaching, Lifting, and Extricating Patients
Section 20: Transportation
Section 21: Multiple Casualty Incidents
Section 22: Pharmacology
Section 23: Marine Environment
Section 24: Workplace

Emergency Care for Professional Responders

Canadian Red Cross Emergency Care for Professional Responders reference manual. Utilized by Marine Advanced First Aid course participants in Kelowna and Vancouver, BC.

The vast majority of the emergency medical skills, principles, guidelines and metrics you will learn and practice in your Canadian Red Cross Marine Advanced First Aid course are based on the Emergency Care for Professional Responders text book, which follows the Paramedic Association of Canada's (PAC) National Occupational Competency Profiles (NOCP).

The Canadian Red Cross Emergency Care for Professional Responders reference manual is a 453 page, full-color text book with a soft red and white cover. Emergency Care for Professional Responders is available as a downloadable PDF, and in a printed edition. Electronic access to the PDF version is included with your Marine Advanced First Aid course registration, and you have the option to purchase a take-home printed copy as well.

The Canadian Red Cross Emergency Care for Professional Responders reference manual can also be purchased by anyone with an interest in the most current and scientifically valid evidence-based Emergency Medical Care practices in Canada.

Emergency Care Manual Contents:

1. The Professional Responder

Professional Responder Training Levels
Preceptorship
Medical Oversight
Communicating with the Medical Director
Professional Responder Responsibilities
Interpersonal Communication
Self-Care
Critical Incident Stress and Post-Traumatic Stress Disorder
Legal and Ethical Issues
Duty to Act
Scope of Practice
Abuse and Neglect
Consent
Refusal of Care
Transfer of Care
Documentation
Communication
Medical Terminology

2. Responding to the Call

Preparing for the Emergency
Response
Equipment
Plan of Action
Communications
Training
Psychological Preparation
Managing Hazards at the Emergency Scene
Personal Safety
Safety of Others
Special Emergency Scenes
Specific Scene Hazards

3. Infection Prevention and Control

How Infections Occur
Disease-Causing Pathogens
How Diseases are Transmitted
Epidemics and Pandemics
Diseases that Cause Concern
Immunization
Preventing Disease Transmission
Personal Hygeine
Personal Protective Equipment (PPE)
Engineering and Work Practice Controls
Cleaning and Disinfecting Equipment
Spill Management
Exposure Control Plans
If an Exposure Occurs

4. Anatomy and Physiology

Anatomical Terminology
Body Cavities
Body Systems
The Cell
Respiratory System
Circulatory System
Lymphatic System
Immunological System
Nervous System
Musculoskeletal System
Integumentary System
Endocrine System
Digestive System
Genitourinary System
Interrelationships of Body Systems
How Injuries Occur

5. Assessment

Scene Assessment
Primary Assessment
Reassessment
Secondary Assessment
Treatment/Interventions
Documentation of Findings
Ongoing Assessment

6. Airway Management and Respiratory Emergencies

Respiratory Pathophysiology
Airway Obstruction
Respiratory Conditions
Assisted Ventilation
Resuscitation Devices
Resuscitation Masks
Bag-Valve-Mask (BVM) Rescusitators
Supplemental Oxygen
Airway Adjuncts
Oropharyngeal Airways
Nasopharyngeal Airways
Supraglottic Airways
Suction
Care for Respiratory Distress
Care for Respiratory Arrest

7. Circulatory Emergencies

Cardiovascular Disease
Angina
Myocardial Infarction (MI)
Congestive Heart Failure
Cardiac Arrest
Cardiopulmonary Resuscitation
Compressions
Team Approach
Using a Defibrillator
Special Resusciation Situations
Post-Cardiac Arrest Care
Cerbrovascular Accident (Stroke)
Transient Ischemic Attack (TIA)
CVA Assessment Scales

8. Shock

Pathophysiology of Shock
Types of Shock
Stages of Shock
Care for Shock

9. Hemorrhage and Soft Tissue Trauma

Infection
Dressings and Bandages
Stitches and Sutures
Tourniquets
External Bleeding
Internal Bleeding
Open Wounds
Closed Wounds
Burns
Major Soft Tissue Trauma

10. Musculoskeletal Injuries

Types of Musculoskeletal Injuries
Splints
Slings
Signs and Symptoms of Musculoskeletal Injuries
Upper Extremity Injuries
Lower Extremity Injuries

11. Chest, Abdominal and Pelvic Injuries

Chest Injuries
Rib Fractures
Hemothorax
Pneumothorax
Subcutaneous Emphysema (SCE)
Penetrating Chest Injuries
Abdominal Injuries
Evisceration
Abdominal Aortic Aneurysm (AAA)
Pelvic Injuries
Pelvic Binding
Genital Injuries

12. Head and Spinal Injuries

Mechanism of Injury for Head and Spinal Injuries
Head Injuries
Skull Fractures
Objects Impaled in the Skull
Injuries to the Brain
Cerebral Hematoma
Spinal Injuries
Spinal Motion Restriction (SMR)
Care for Serious Head and Spinal Injuries
Rapid Extrication
Removing Helmets and Other Equipment

13. Acute and Chronic Illnesses

Altered Mental Status
Syncope
Diabetic Emergencies
Seizures
Types of Seizures
Epilepsy
Peritonitis
Appendicitis
Bowel Obstruction
Gastroenteritis
Kidney Stones
Peptic Ulcers
Gastrointestinal Bleeding (GI)
Urinary Tract Infection (UTI)

14. Poisoning

Poison Control Centres
Recognizing Poisoning
General Care for Poisoning Emergencies
Ingested Poisons
Inhaled Poisons
Absorbed Poisons
Injected Poisons
Substance Misuse and Abuse
Crowd Management Agents

15. Environmental Illnesses

Temperature Homeostasis
Heat-Related Illness
Heat Cramps
Heat Exhaustion
Heat Stroke
Cold-Related Illness
Hypothermia
Frost Nip
Frostbite
Drowning
Cold-Water Immersion and Drowning
High-Altitude Illness
SCUBA-Related Illness
Physiology
Barotrauma of Descent
Barotrauma of Ascent

16. Pregnancy, Labour, and Delivery

Pregnancy
The Birth Process
Assessing Labour
The Labour Process
Preparing for Delivery
Assisting with Delivery
Caring for the Neonate and Mother
Care and Assessment for the Neonate
Caring for the Mother
Midwives and Home Births
Complications during Pregnancy
Spontaneous Abortion
Premature Labour
Ectopic Pregnancy
Third Trimester Bleeding
Complications During Childbirth
Prolapsed Cord
Breech Birth
Limb Presentation
Multiple Births

17. Special Populations

Pediatric Patients
Stages of Development
Anatomical and Physiological Differences
Assessing the Pediatric Patient
Other Pediatric Conditions
Geriatric Patients
Dementia and Alzheimer's Disease
Osteoporosis
Bariatric Patients
Palliative Patients
Patients with Disabilities

18. Crisis Intervention

Psychological Crisis
Suicide
Assault
Death and Dying
Mental Health Crises
Anxiety
Depression
Psychosis

19. Reaching, Lifting, and Extricating Patients

Gaining Entry to Buildings
Motor Vehicles
Stabilizing Vehicles
Accessing the Patient
Moving Patients
Body Mechanics
Stretchers and Lifting Devices
Lifting and Moving a Stretcher
Bariatric Patients

20. Transportation

Emergency Vehicle Maintenance and Safety Check
Removing a Vehicle from Service
Beginning and Ending a Shift
Safe Vehicle Operation
Air Medical Transportation
Patient Considerations
Landing Site Preparation
Ground Safety Precautions
Medical Evacuation from a Ship
Preparing the Patient for Transfer

21. Multiple Casualty Incidents

Organizing Resources
Caring for the Ill or Injured
Triage
CBRNE Emergencies
Types of Agents
Methods of Dissemination
Scene Assessment
Establishing Perimeters
Triage in a CBRNE Incident
Control of Contaminated Casualties
Transporting CBRNE Patients
Psychological Impact of CBRNE Events

22. Pharmacology

Assisting with Medication vs Administering
Six Rights of Medication
Pharmacological Terminology
Routes of Drug Administration
Pharmacokinetics
Pharmacodynamics
Intravenous (IV) Therapy Maintenance
Preparing a Drip Set and Solution
Calculating IV Flow Rates
Changing an IV Bag
Complications
Discontinuing an IV Bag
How to Administer Medication Intranasally
Guidelines for Injections
Disinfection

23. Marine Environment

Maritime Occupational Health and Safety Regulations (MOHS)
Sterilization Techniques
Managing Dangers at the Scene
Toxicological Hazards on Board a Ship
Psychological Well-Being of Seafarers
Medical Care of Rescued Persons
Radio Medical Advice
Transfer and Transport
Marine Pharmacology
Medications and Health Supplies Carried on Board
Drugs Requiring Medical Advice

24. Workplace

Roles and Responsibilities of the Advanced First Aid Attendant
Responsibilities of the Employer and Other Employees
Return-to-Work Protocol
Workplace First Aid Equipment
Workplace First Aid Transportation
Regulations and Documentation
Workplace Occupational Health and Safety Regulations
Workplace Hazardous Materials Information System
Documentation
Typical Workplace Injuries
Workplace Injuries

Appendices

Appendix A: Abbreviations for Documentation
Appendix B: Sample Ambulance Equipment List
Appendix C: The Phonetic Alphabet
Appendix D: Medical Terminology

Basic Life Support Field Guide

Canadian Red Cross Basic Life Support Field Guide. Utilized by BLS, MAFA, MAFA, Oxygen Therapy and Airway Management course students in Kelowna and Vancouver, BC.

The Canadian Red Cross Basic Life Support Field Guide reference manual is a pocket-sized, spiral bound 52 page, full-color text book with a soft red and white cover. The exterior cover and interior pages of the BLS Field Guide are made of a water resistant paper material, so you can keep it with you in the rain or wet environments without worry. The Basic Life Support Field Guide is available in PDF format as a downloadable resource for your mobile device, and in printed edition for Basic Life Support, Marine Advanced First Aid, Marine Advanced First Aid and Advanced First Aid course students.

The BLS Field Guide can also be purchased or downloaded by anyone with an interest in the most current and scientifically valid high-performance team based CPR-AED practices in Canada.

BLS Field Guide Contents:

Part 1. Introduction to Basic Life Support

Basic Life Support Terminology
Legal Issues
Consent
Implied Consent
Responsive Patients
Unresponsive Patients
Children
Abandonment
Advance Directives

Part 2. Basic Life Support Skills

Glove Removal
Primary Assessment
CPR
Airway Obstruction
Assisted Ventilation

Part 3. Airway Management

Anatomical Terminology
Opening the Mouth
Airway Adjuncts
Suction

Part 4. Oxygen Therapy

Pulse Oximetry
Pulse Oximeter Ranges and Values
Supplemental Oxygen
Oxygen Cylinders
Oxygen Regulators
Duration of Flow
Oxygen Delivery Devices
Administering Oxygen

Part 5. Basic Life Support

Special Considerations
Trauma
Hypothermia
Opioid Overdose
Anaphylaxis
Six Rights of Medication
High-Performance CPR
Post-Cardiac Arrest Care
High-Performance Team Communication
Post-Event Debrief

MAFA Cheat Sheet

Cheat Sheet for Canadian Red Cross Marine Advanced First Aid courses, with BC EMALB Licensing eligibility in Kelowna and Vancouver, BC. Medi-Pro First Aid's Marine Advanced First Aid (MAFA) Cheat Sheet will provide you with quick and easy access to some of the most critical and frequently referred to information throughout your Kelowna MAFA Course.

The visually compelling Charts and Summaries can simplify the more complex principles and procedures you'll need to be familiar with as an Marine Advanced First Aid operating in British Columbia.

While most of the MAFA Cheat Sheet is based on information extrapolated from the Canadian Red Cross Emergency Care for Professional Responders MAFA text book, some of the information is based on the BC specific policies and guidelines stipulated by the British Columbia Emergency Medical Assistant's Licensing Board (BC EMALB) and BC Emergency Health Services (BCEHS). The MAFA Cheat Sheet can be an invaluable resource for you to keep track of the specific local protocols that will help ensure sucess in your MAFA course and throughout your corresponding EMALB Licensing examinations.

Marine Advanced First Aid Cheat Sheet contents include...

MAFA Patient Assessment Model
CPR Compression to Ventilation Ratios
High Performance "Pit Crew" CPR
CPR in Transport (Treatable CPR)
Oxygen Cylinder Calculations
Oxygen Flow Rates
Glasgow Coma Scale
APGAR Assessment for Newborn Infants
The 6-Rights of Medication
Common Units of Measurement
Assisted Ventilations
BCEHS Treatment Guidelines Compared to National Occupational Competency Profiles
Critical Findings
Kendrick Extrication Device (KED) Strapping Sequence
Glucogel Administration Guidelines
Head-to-Toe Assessment Mnemonics
Relevant SAMPLE and Mechanism of Injury Data
Medical Terminology
NEXUS Spinal Motion Restriction Decision Matrix
Naloxone (Narcan) Administration Protocols

MAFA Downloads & Resources

Downloads and online, web-based resources for Marine Advanced First Aid courses and BC EMALB Licensing eligibility in Kelowna and Vancouver, BC. Marine Advanced First Aid certification training, EMALB Licensing preparation, and the provision of emergency medical care as a professional responder all involve far more that simply learning something once in the classroom. The paramedic profession is extremely dynamic and requires a lifetime committment to remaining up to date on the most current MAFA protocols, guidelines, science, and practices.

This means that you will need to learn how to find the documented information and guidelines related to your Marine Advanced First Aid training and verify that what you remember learning is still considered a current practice. In addition to the documents and textbooks already outlined above, you will need to access and refer to several other online resources as you prepare to be successful throughout your Marine Advanced First Aid training and BC EMALB Licensing Evaluations.

Many of these resources can be downloaded and printed or saved, and some are only available online, through a desktop computer, laptop, or mobile web browser. Although you may find it convenient to download many of these documents and print them for easy reference, you should make a habit of frequently revisiting the source material online to make sure you are utilizing the most current materials.

MAFA Certification Requirements

Medi-Pro First Aid's Marine Advanced First Aid courses are facilitated in a friendly, learner-centered environment, with the skills and principles presented in a simple and straight forward manner. Your Marine Advanced First Aid course Instructor will do everything possible to ensure that you meet national Canadian Red Cross, and provincial BC EMALB benchmarks for Marine Advanced First Aid certification and provincial Licensure.

Key Marine Advanced First Aid and Basic Life Support topics are presented in a distilled and relevant context, which makes them easy to understand and remember. A mix of interactive group activities and self-application make the paramedical principles easy to understand and fun to learn. Most of the course is dedicated to physical skills and hands-on learning which involve clear demonstrations immediately followed by opportunities to apply, practice, repeat and reinforce the Marine Advanced First Aid skills with realistic equipment.

In order to receive Canadian Red Cross Marine Advanced First Aid certification, which is valid for 3 years from date of completion, you must meet the following course attendance, performance and participation requirements.

Attendance in 100% of the course (this includes arriving, and returning from all breaks, on time)
Earnest and mindful participation in all activities, skills, and scenarios
Respectful behaviour towards the Instructor all other participants Adherence to all classroom/facility health and safety guidelines
Legible, accurate submission of your First & Last name and your preferred email address (this is required for Medi-Pro to process your MAFA Certification through the Canadian Red Cross)
Minimum 75% on a multiple choice Written Exam
If required and appropriate, a second attempt at the Written Exam may be permitted on a case-by-case basis
Successful completion of one Medical-based practical scenario Evaluation
Successful completion of one Trauma-based practical scenario Evaluation
If required and appropriate, a second attempt at the Practical Exams may be permitted on a case-by-case basis

Personal items to bring to your MAFA course

Bringing a few essential items with you to class can make the entire Marine Advanced First Aid course more enjoyable. This added level of comfort can also help ensure you learn and retain the MAFA and BLS skills, as well as meeting all the certification requirements as you participate.

Making sure you can see and hear your instructor, classmates and multi-media presentations is important. Although our Instructors will speak clearly and our video/projector screens are large enough to ensure full classroom visibility, you must bring any corrective eyewear or hearing aides (with fresh batteries) that you might need with you in your first aid course. In some cases you might need reading glasses for your MAFA text book and reading-based activities, or you may need corrective lenses to clearly view the videos, slideshows and instructor-led Marine Advanced First Aid skill demonstrations.

If you normally require daily medications, you should definitely bring them with you to class, and adhere to your normal schedule. You might also find that your active participation in the first aid skills and activities throughout the day can increase your metabolic demands and the corresponding medication amounts. Basically, bring extra medications in case your needs increase throughout the day. It's better to have these with you and not end up needing them, rather than leaving them at home and wishing you had brought them. A few other suggestions include...

All relevant books and printed resources
Clean indoor footwear
Reusable mug
Refillable water bottle
Food for meals and snacks through the duration of the course
Clothing which allows for modesty, professionalism and comfort during physical activity
Spare shirt and sweater in case of temperature changes or excessive sweating
Medications that you might need throughout the day
Glasses or contact lenses if required for reading
Pen and notepad
Kneepads if prolonged and repeated physical activities in a kneeling position may cause you discomfort.
Lightly scented deodorant

MAFA course Breaks & Lunch

MAFA Breaks and Lunch — *Breaks & Lunch*

Your Marine Advanced First Aid course will be conducted in an "Adult Learning" format, which means that you will be free to excuse yourself from the classroom at any time, if you need to use the washroom, answer an urgent phone call/text, or attend to any other emergent matter that can't wait until the next scheduled break.

Medi-Pro administration and Instructors recognize that unanticipated circumstances may occur outside the classroom which require your immediate attention, but will ask that you limit these distractions to only those that are essential, and to minimize the disruption to other participants.

If you become thirsty or hungry, you are encouraged to keep yourself nourished and hydrated in the classroom, provided this does not interrupt hands-on activities or interfere with others' safety, participation and learning. There will also be formal breaks scheduled throughout the day, which can be utilized for communications, snacks, lunch and beverages.

There will be a 15 minute break approximately every 2 hours, depending on classroom progress and participant pacing.
You will need to arrive with enough food and drinks to remain hydrated and nourished for the duration of each session
There will be one 30-minute Lunch break every day at or around noon.
Access to local stores and restaurants may be limited.
Use of electronics is discouraged except during breaks or when the Instructor specifically deems it appropriate
Smoking is prohibited except for designated times and areas
The use of vaporization products and devices is prohibited except for designated times and areas
Consumption of alcohol in the classroom and grounds is prohibited
Consumption of cannabis in the classroom and grounds is prohibited, except where medically required
Impairment, as observed or presumed by the Instructor, will preclude you from participation and certification, regardless of the legality of any substances involved

MAFA course Hygeine and Attire

MAFA Hygeine and Attire — *Hygeine & Attire*

Participating in your Canadian Red Cross Marine Advanced First Aid course in Kelowna or Vancouver, BC will involve working in close proximity with your classmates. Respectful physical contact is an unavoidable component of hands-on First Aid training. Out of consideration for your classmates, please arrive with hygeine, professionalism, and the comfort of others in mind.

Although it is impossible to define the term "appropriate" when it comes to clothing choices, there are few universal considerations. Slogans, logos, or images that could reasonably be categorized as objectively offensive or controversial must not be worn or displayed. Clothing which is soiled to the point that incidental contact may contaminate other clothing, equipment or furnishings are not acceptable in the classroom. Cothing or hygeine products which emit a strong odor may make it difficult for other participants to concentrate or enjoy the lessons and activities.

The health of all participants and staff is of paramount importance, so if you are feeling sick, or suspect that you may be contagious of any viral or bacterial infection, you must not attend the classroom. In cases of last minute cancellations related to unpredicted illness, Medi-Pro will make reasonable efforts to reschedule your course for a later date, when you are no longer sick/contagious.

Hygeine and beauty products should be unscented or lightly-scented only
Jewellery or accessories that could cause injury or entanglement may need to be removed (please do not bring expensive jewellery or irreplaceable heirlooms)
Longer hair needs to be secured in a way that prevents it from getting into others mouths and eyes
Your clothing should allow you to participate with comfort and consideration for others
Slogans or images that might be considered controversial, disrespectful or confrontational should be avoided
Some types of clothing may restrict your ability to participate or compromise your classmates' comfort.
Although it is impossible to define every aspect of the term "inappropriate" ahead of time, we ask that you take this into consideration when making your choices