Fundamental Interventions, Referral and Safe Transfer (FIRST)
Initial Release: 2009
Current Edition: 2nd, 2009
Publisher: Canadian Network for International Surgery
Guide Book (Second Edition, 2009):
The purpose of the FIRST course is to enable health officers, clinical officer and midwives to assess patient risk and prepare appropriate priority management plans for these patients and to obtain fundamental skills in first line obstetrical and surgical care.
During the course, participants will learn to perform the following skills:
1. Scrubbing, gloving and draping techniques
2. Knot tying
3. Suturing lacerations
4. Small procedures
5. Field block
6. Basic airway, breathing and circulation support
7. Casting and splinting of fractures
8. Normal and breech delivery
9. Vacuum extraction
10. Inserting tubes – rectal, Foley catheter, gastric

