Palinkas Ashleigh, Vaughan Amelia M, Eldredge Shannon, Cyr Leann, Gladics Amanda
California Sea Grant, Scripps Institution of Oceanography at University of California, San Diego, California, USA.
Oregon State University, Corvallis, Oregon, USA.
J Agromedicine. 2025 Apr;30(2):221-226. doi: 10.1080/1059924X.2024.2434075. Epub 2024 Nov 26.
Immediate access to advanced medical care in the event of an emergency or injury is not equitable across socioeconomic, occupational, and environmental conditions. Research has shown that basic first aid techniques, when standardized and provided to the public, can significantly improve victim survival in a traumatic event. The Fishing First Aid & Safety Training (FFAST) considers these factors to provide accessible, low, or no cost training across coastal regions of the United States that is adapted specifically for commercial fisheries. The foundation for FFAST is rooted in the theory and practice of austere medicine, which is generally practiced where traditional medical infrastructure, resources, or facilities are absent. Austere medicine often requires decision-making with limited information and resources to optimize patient outcome. FFAST curriculum emphasizes regional adaptations to fit specific fishing audiences and hands-on training and skills practice. Training is delivered using in-person instruction by culturally competent instructors, embedded within fishing communities throughout the United States. To enhance training quality and sustain instructor capacity, we have established a nationally connected network of trainers who actively collaborate to build capacity to provide FFAST to the communities in their respective regions. We support the network through regular all-team meetings to exchange knowledge and report outcomes, and inter-regional train-the-trainer coordination so each partner benefits from best practices and lessons learned across the alliance. The collaborative network supports all partners to meet commercial fishing professional's growing demand for FFAST training.
在紧急情况或受伤时，能否立即获得先进医疗护理在社会经济、职业和环境条件方面并不公平。研究表明，基本急救技术若能标准化并提供给公众，可显著提高创伤事件中受害者的存活率。渔业急救与安全培训（FFAST）考虑到这些因素，在美国沿海地区提供可及的、低成本或免费的培训，且该培训是专门针对商业渔业量身定制的。FFAST的基础扎根于严峻医学的理论与实践，严峻医学通常在缺乏传统医疗基础设施、资源或设施的地方实施。严峻医学常常需要在信息和资源有限的情况下做出决策，以优化患者治疗结果。FFAST课程强调因地制宜，以适应特定的渔业受众，并注重实践培训和技能练习。培训由具备文化能力的教员进行现场指导，教员融入美国各地的渔业社区。为提高培训质量并维持教员能力，我们建立了一个全国联网的培训师网络，他们积极合作，增强各自所在地区向社区提供FFAST培训的能力。我们通过定期的全员会议来支持该网络，以交流知识和汇报成果，还进行区域间的培训师培训协调，以便每个合作伙伴都能从联盟内的最佳实践和经验教训中受益。这个协作网络支持所有合作伙伴满足商业渔业专业人员对FFAST培训日益增长的需求。
