Once awareness has been realized and the decision to train considered, it remains to be established which training will be best suited to one's private objectives or professional needs. Here we will address the subject of choosing among the multitude of training courses available today and try to give you keys to know where to situate yourself.
I: CHOOSE PRAGMATICALLY, ACCORDING TO YOUR PRIVATE OR PROFESSIONAL SETTING
Emergency care training is divided into two main families, one adapted to "tactical" environments, the other to the "civilian" environment.
We will distinguish here the professional environments such as military, APR in crisis zone, maritime security, anti-poaching ... all areas of evolution where the risk of violent action by the weapon is high, where the injuries potentially inflicted will be inflicted by firearm, explosion, or the extraction of the wounded or wounded may be done under fire and where the management by a medical-surgical center can not be immediate.
Any type of environment that the citizen is confronted with in his daily life, brought to encounter the pathologies inherent in domestic risks, road, physical violence and aggression, potentially mass victims during events such as attacks or natural disasters and where a medicalization team will be available on very short notice.
II: LEGAL FRAMEWORK FOR CARE
A primordial but often overlooked point of the action of the rescuer is the complex legal framework encompassing his action... Saving a life is worth many risks, but we must keep in mind that in our latitudes the legislator is very down to earth and that the penalties incurred are important because the victims and their families will systematically go to court in case of physical or aesthetic (or even moral) damage caused by the actions you are going to perform...
It is imperative to keep in mind that on the national territory for each training the employment framework of each speaker and the details of the gestures are governed by the public health code, and that although some training courses offer invasive gestures in their methodology that may be relevant in some cases, it will be unthinkable to perform an intraosseous infusion, a cricothyroidotomy, or a chest exultation on French soil for someone who is not a doctor.
III: MAKING YOUR CHOICE
The reflection on the choice of training will be posed in this way: by showing maximum pragmatism regarding my profile and the environment in which I will evolve, which training family and what methodology will allow me to protect, rescue and transmit a wounded person to the next level with maximum efficiency while remaining within the law?
If you have a profile type APR, MSO, intervener for NGO, in short if you are required to operate in hostile or degraded areas, where the risk of injury by weapon or explosion is important, a TCCC type training will make sense, the gestures taught allowing, while managing the tactical context, to ensure the maintenance of the vital functions of the wounded and his evacuation to a safe area, or medical/surgical care will then be possible. However, as these training courses are not recognized on the national territory, be aware that the application of certain gestures will inevitably have criminal consequences.
If you are a simple citizen aware and wishing to be able to intervene in any emergency, vital or light, from the wounded by bullet or shrapnel during an attack through the infarction, drowning or fracture (and even the safe birth of a newborn baby!), in a civilian environment where the emergency services will take care of the victim in the minutes that follow, PSE1/2 type training will be the most suitable, ensuring the safety and integrity of the victim, and ensuring your legal coverage (you always remain responsible for the actions made, but will be covered if you remain within your prerogatives, keep it in mind).