I would say that there would more likely be legal recourse from the coworker to the company. Canada Occupational Health and Safety regulations require that workers be trained in first aid. Be that one worker per unit or the entire staff is up to the companies policies. However, I could see that if the person trained in first aid refused to help, the company could be sued for not having someone properly trained.
It's a tricky situation you bring up though. I would think if you have in your work contract that you have to be trained in first aid, then actually get trained and refuse to help in a first aid situation, you could be sued for negligence. If however you are just a worker who is trained in first aid, but it isn't a requirement of your job position, you wouldn't be liable if you refused.
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