Catastrophic Bleeding & Major Incident Management

With the increased need to be prepared for a major incident or a life threatening bleed in an urban situation, we have put together the following package of options, tailored to different scales of operation. These options will help you satisfy the requirements of Martyn’s Law, and know that you are doing the right thing to prepare for and respond to a serious situation.

Our experts at First Aid Training Co-operative have also created a user-friendly and free flowchart tool to help you navigate your potential responsibilities and suggested courses of action. It is in PDF format with embedded links to navigate you to the relevant pages on our website. Please click the button below which will open the PDF in a new window for you.

Martyn’s Law

Martyn’s Law is the more commonly recognised name for the new Terrorism (Protection of Premises) Act. The Act received Royal assent on 3rd April 2025 and the UK Government intends for there to be a 24 month implementation period prior to the Act coming into force. the Act has been drafted in response to the Manchester Arena bombing enquiry.

Martyn’s Law in it’s current form is aimed at those responsible for venues and premises or events, who are then divided into 2 tiers:

  • Standard Tier Premises – those with a capacity of between 200 – 799 individuals
  • Enhanced Tier Premises and qualifying public events – with a capacity of 800+ individuals

The bill will place a requirement on responsible persons to consider the threat from terrorism as part of their operational process. It will require them to take reasonable measures (in relation to the tier that they fall under) to mitigate the threat of terrorism. These may include implementing enhanced security systems, training staff more fully, and reviewing and updating Emergency Action Plans and protocols.

Once the Act comes into force the Regulator will have powers to inspect premises and events, with full powers of entry into an event or premises that qualifies, with sanctions enforced for non-compliance.

What should I do to satisfy the First Aid requirements of Martyn’s Law as a Standard Tier Premises?

Persons responsible for Standard Tier Premises and events of scale between 200 – 799 will require to have in place, as far as reasonably practicable, appropriate public protection procedures that could be reasonably expected to reduce the risk of physical harm if an attack occurs there or nearby.

They should consider what protocols should be followed in the event of such an incident taking place, and ensure that staff members are adequately notified of this

There is no specific requirement for First Aid provision for Standard Tier Premises, beyond that which would normally be covered by the First Aid Needs Assessment. However, best practice would include:

  • Refering to the First Aid Needs Assessment, premises and event organisers should ensure that it is still relevant and it’s findings have been satisfied.
  • Any first aid equipment must be fit for purpose and within its use-by date. They should also consider whether Public Access Trauma (PAcT) First Aid Kits should be acquired and made available at the premises.
  • Relevant workers (including volunteers) should be trained appropriately to use the equipment if it is available, and have refresher training sessions planned.

Our Managing Life Threatening (Catastrophic) Bleeding Module is designed specifically to train first aiders in the use of PAcT First Aid Kits. These kits usually contain emergency pressure bandages, some Haemostatic dressings or gauzes, a tourniquet, and other items such as gloves and shears. These items can be crucial in saving a life in the case of catastrophic, or severe, bleeding, but proper training in their use is essential.

Catastrophic Bleeding Module Content

practicing the management of catastrophic bleeding using prosthetic limbs
  • What is catastrophic bleeding?
  • The correct use of direct pressure
  • The effective use of pressure dressings and their limitations
  • The safe and effective use of Haemostatic gauze as per the ERC guidelines
  • The safe and effective use of Tourniquets as per ERC guidelines

The practical session includes prosthetic models with bleeding effects so learners get to manage haemorrhage in almost real time.  This allows learners to truly understand and experience the amount of pressure required, or how to apply a tourniquet properly, and what happens if you don’t.

Our Life Threatening (Catastrophic) Bleeding Module can be run as a standalone 3 hour course for organisations that want to up-skill already trained staff in response to Martyn’s Law. It is also very suitable for establishments such as schools and community centres who do not fall under the scope of Martyn’s Law, but have identified life threatening (catastrophic) bleeding as a risk and want to be best prepared for how to respond.  

A simplified version of our Life Threatening Bleeding Module can be added to a 3 day First Aid at Work course or 1 day Emergency First Aid at Work course as well, at no extra cost. This means that smaller organisations can ensure that they are best prepared for a serious incident, as part of doing their regular first aid training.

What should I do to satisfy the First Aid requirements of Martyn’s Law as an Enhanced Tier Premises?

As an Enhanced Tier Premises or Events, you must comply with everything required of the Standard Tier plus some additional responsibilities. Again there is no specific requirement for First Aid Training detailed in the Act, but the emphasis is about doing what would be reasonable for the context of your premises or event. It is therefore very likely that you will need to take your preparedness a step further than just adding our Catastrophic Bleeding Module to your usual first aid training, and that is where our Major Incident Management course comes in.

This was designed and is delivered by team members from the Scottish Ambulance Service’s Special Operations Response Team, along with our Training Manager and one of our Directors. The course not only trains you in the first aid aspects of a major incident, but also how to manage the incident, including the new Ten Second Triage protocol, also developed in response to the Manchester Arena attack.

Major Incident Management Course Content

The course itself is one day long and includes multiple large scale scenarios at your premises, where you’ll get to practice your response to a potentially stressful and traumatic event. It also includes a pre-course visit where one of our team will come and discuss your organisation with your senior team to best understand the context in which you operate.

Our Major Incident Management course is the gold standard of training for organisations that are serious about being prepared and being able to respond should they have to.

Major Incident Management course in action

Why Choose the First Aid Training Co-operative?

Our ISO9001 registration, robust Quality Assurance procedure, a large team of highly experienced trainers based across the country, and many years of experience across multiple sectors make us the best choice for your first aid training requirements.

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