AML Skills Ltd

25/02/2026

For those who require more advanced training, our next FREC 3 course is on 20th - 24th April, being held in Heswall, Wirral. Places are limited. Click on the link to secure your place. https://amlskills.com/open-courses/

21/02/2026

17/02/2026

Did you know there is likely to be a Public Access Defibrillator near you? Would you know what to do in the event of a Cardiac Arrest? Do you know the chances of survival are considerably higher if a Defibrillator is used prior to the ambulance service arriving? Our Basic Life Support course can give you that peace of mind!
https://amlskills.com/course/basic-life-support/

15/02/2026

Book yourself on our next brilliant course at Heswall Hall, Wirral
https://amlskills.com/open-courses/firstaidtraining
A local business supporting our local community

12/02/2026

451 likes, 9 comments. “Whether you are a healthcare professional, first aid trainer, or community first responder, staying informed about changes to basic life support is essential to delivering and teaching evidence-based care. Dr Jessica Rogers breaks down the key updates you should know.”

12/02/2026

Our next FREC3 Course is on 20th-24 April in Heswall, Wirral. Reserve your place by clicking on the link

Recognised by Qualsafe, FREC3 is an advanced prehospital care qualification. Covers trauma, medical emergencies, and airway management.

10/02/2026

A new study out of Australia looked at what happened after a statewide EMS system stopped using semi-rigid cervical collars and transitioned to soft collars for trauma patients.

Ambulance Victoria made the switch in 2021. This paper examined downstream effects at a major trauma center.

Here’s what they found:

📊 Imaging & clearance
• CT C-spine rates increased (93.9% vs 88.4%)
• Patients were 4× more likely to have their cervical spine cleared in the ED
• Only 21.6% of patients in soft collars left the ED still immobilized vs 53.2% with semi-rigid collars

🧠 Patient outcomes
• No statistically significant difference in spinal cord injury
• No meaningful difference in pressure sores
• No meaningful difference in hospital-acquired pneumonia

📉 Important limitations
• Not powered to detect very small differences in spinal cord injury.
• Single-center trauma study
• More elderly and fall-related trauma in the soft-collar group

🔎 Why this matters
Read on its own, this study shows that moving away from rigid collars did not lead to worse patient outcomes in a real-world EMS system.

Read alongside The National Association of EMS Physicians - Naemsp Trauma Compendium by Dr. Mike Millin and colleagues, it becomes more interesting.

The NAEMSP paper challenges the long-held assumption that post-injury spinal movement is the primary driver of delayed neurologic injury, and highlights stronger evidence for hypoperfusion, hypotension, and secondary ischemia, while also detailing the very real harms associated with immobilization.

The Australian data doesn’t resolve every question, but it shows what happens when a system acts on that evolving evidence.

No safety signal emerged.
But downstream care changed.

This study doesn’t end the cervical spine debate, but it helps EMS leaders place theory next to practice as they rethink how spinal protection should look in modern prehospital care.

Read the full study here:https://www.handtevy.com/wp-content/uploads/2025/11/2024-Australian-Soft-Collar.pdf

27/01/2026

We have places on our upcoming local regulated courses at Heswall Hall and Commerce House, Birkenhead (Close to Cammell Laird). You can book your space by clicking on the link https://amlskills.com/open-courses/

09/01/2026

Wirral Based, Nationwide Coverage