Recently, the International Centre for Migration Policy Development (ICMPD) conducted training for the Lebanese Civil Defense (LCD) as part of the EU funded project Enhanced Capability for Integrated Border Management in Lebanon (IBM) Lebanon). The training of week 1 took place at the LCD station at Masna’a border crossing point (BCP) and was entitled Safe Operating of Rescue Equipment Instruction. LCD personnel from Masna’a were trained in the following skills

  • Basic Trauma instruction along with safe equipment operation techniques covering -
  • Severe Bleeding/Tourniquets
  • CPR and airway management techniques
  • Use of AED in resuscitation
  • Oxygen administration and blood monitoring with pulse oximeter
  • New equipment familiarisation including
  • Use of Thermal Image Camera and fire development overview
  • ranges of specific gases
  • New hydraulic and miscellaneous rescue equipment briefing with safe operating principles and practice both discussed demonstrated and practiced where possible

Several new personnel are now at the Masna’a BCP station and within that group knowledge and skills levels were low (non-existent in most cases) on even the most basic first aid and rescue skills. One or two do have some first aid knowledge however are unfamiliar with the EU funded equipment. Most of the attendees stated they had received little or no formal training on either subject despite attending incidents regularly with the exception of those students who attended the rescue training course run by ICMPD last year. The skills gap meant additional time was spent explaining basic foundation knowledge rather than being able to concentrate on specific safe operation techniques of the equipment. A clear need was identified to upskill a core team to be able to carry out ongoing training and assessment. General instructional skills, specific trauma instruction skills along with safe rescue operational skills should all be considered as essential to ensure the safety of LCD staff, the public and the longevity of the procured equipment. The larger number of attendees than originally programmed again caused some issues with not all students getting as much hands on practice as planned. Follow up action is needed to address concern over the lack of skills and knowledge witnessed during the training; it is recommended that an essential intermediate level training for selected LCD instructors should be conducted for the eastern border similar to that being conducted at the northern border. Formal skills assessments against standardised safe operating equipment criteria should be undertaken for all the above instructors. LCD should introduce regular refresher/requalification training to ensure both personnel and equipment are in top, delivered by their Intermediate Instructors. Additional formal assessments need to be conducted by LCD instructors once qualified, for all staff likely to be using the supplied oxygen and AED equipment.

The training of week 2 took place at Arida LCD station and was entitled Training of Trainers (module 2). The main objectives were:

  • To enhance and develop essential trauma lifesaving knowledge within the training team
  • To ensure safe operating and instruction techniques on IEU funded equipment
  • To provide opportunities for the students to demonstrate learning achieved on module 1
  • To bond and develop the training team formed during module 1 of the course

This training was designed to test and primarily develop the student’s skills knowledge and understanding of incidents involving trauma to a patient including control of major bleeding, use of oxygen administration equipment and the use of an AED during resuscitation. The levels of experience and exposure to incidents varied significantly throughout the group and this became very evident both during practical and theoretical sessions. Commitment and desire to gain knowledge and take an active part in those attending the course was clear from the start and this only accelerated during the week. The course was designed and paced to allow maximum time for students to develop their skills in delivering training and enhancing their confidence in the skills acquired. It was noted during assessment on the final day that there had been significant improvement in most students ability.  Module 3 of ToT (to be delivered in December) focuses on rescue instruction, primarily dealing with the complexities of these types of incidents in a safe and effective manner. Again this is to ensure students have the right knowledge base to be able to instruct further personnel and to enhance the use of the provided equipment. As casualty care in rescue cases is an essential part of scene management, further opportunities have been programmed for students to instruct and demonstrate the knowledge acquired in module 2. This will include additional one-to-one sessions where the need in students is identified. Consideration will be given to developing a similar trainer team for the eastern border region enhancing knowledge in both trauma and rescue subject areas and again ensure the supplied equipment is safely and skills learnt are passed on to future staff.