AUC 230/REHABILATION AND CARE PROCEDURES

Question 1

_____is responsible to assigned units to the Rehabilitation Group after they have completed their tasks..

Answer 1

INCIDENT COMMANDER

-when in use, this may be done via Incident Command application

Question 2

REHABILITATION MANAGER ..

Answer 2

• supervise RAC units ON SCENE at fire and emergencies
• assist in coordination of individual resources for the Rehabilitation Group
• maintain communications with Resource UNIT LEADER and assigned EMS OFFICER
• when size of operation or geographical barriers limit members access to the Rehabilitation area–consult with IC to ensure more than one Rehab area is established
• ensure members participate in MEDICAL SCREENING based on direction of IC AND /OR EMS MEMBERS’ S ASSESSMENT
• assist assigned EMS officer in ensuring members report to rehab area
• STAFFED BY BC OR CAPTAIN

Question 3

RAC unit assigned?

Answer 3

10-75 or greater (10-77, 10-76, 10-60, ) AND at LONG DURATION AND /OR PHYSICALLY DEMANDING INCIDENTS, ESPECIALLY DURING TIMES OF EXTREME TEMPS
–RAC FF in consultation with COMMAND AND EMS OFFICER will select location for RAC OPERATIONS

• RAC ff should notify dispatch if responding with 1 RAC FF and request second RAC unit
• members shall report to FORWARD RAC AREA for rehab and care

Question 4

REHABILITATION GROUP consists of ..

Answer 4

EMS OFFICER/BLS/ALS/RAC UNIT..at 2nd or greater alarms and prolonged incidents, the REHABILITATION (can be CAPTAIN)MANGER WILL SUPERVISE THE RAC UNIT and assist in coordination of additional resources for the REHAB GROUP

Question 5

MEMBERS entering rehab should normally rest for approx 20 minutes before being reassigned..

Answer 5

the IC, in consultation with REHAB GROUP MANAGER , medical branch director or designee , may modify time frame

Question 6

at 2ND or greater alarms or when special called, the RUL, RESOURCE UNIT LEADER shall assign units being relieved or released to the REHAB GROUP.

Answer 6

RUL and REHAB MANAGER should maintain radio contact and closely coordinate this assignment /release to and from rehab unit. uNITS shall be sent in manageable groups , usually 4 at a time, as not to overcrowd

Question 7

REHAB group is established, the rehabilitation process shall include:

Answer 7

• doffing of PPE
• rest and recover
• REHYDRATION
• calorie and ELECTROLYTE replacement
• active/passive cooling or warming
• medical assessment by EMS to all members exposed to products of combustion, SPO2, OXYHEMOGLOBIN AND SPCO , CARBOXYHEMOGLOBIN levels measured
• medical care as required
• relifef from climatic conditions

Question 8

During routine incidents, such as small non structural fires, companies can conduct rehab on their own..

Answer 8

can occur during an SCBA cylinder change, the transition from fire attack to overhaul or other similar situations

Question 9

EMS shall have the authority, as delegated by the IC, to use their professional judgement in recommending members remain in rehabilitation or transporting them for further medical evaluation or treatment .

Answer 9

if unit is assigned to REHAB , then ALL MEMBERS from that unit must take part in medical monitoring

Question 10

At signal 10-75 and greater alarms, 10-60, 10-76, 10-77, or as determined by IC, members will be considered patients if:

Answer 10

• COMPLAINING OF ILLNESS /INJURY
• HAVE SYMPTOMS OF CO EXPOSURE OR HYPOXIA
• SPCO OF 15% OR GREATER OR A SPO2 OF LESS THAN 90%

Question 11

Members identified as patients and treated for CARBON MONOXIDE exposure, where or not transported to hospital, shall include medical data on INJURY REPORT

Answer 11

members not considered patients , shall continue their rehab and no paperwork required

Question 12

Special units shall be give priority for medical monitoring, when unit’s release in pending completion of monitoring activities ..

Answer 12

squad/rescue/haz mat ops units

Question 13

Thermal gradient..

Answer 13

difference between member’s core body temp and the environment

active cooling- misting fans

passive cooling-sweating, moving to cool environment

wind will increase effect cold wether has on member–transfer of heat AWAY from member’s body

Question 14

hydration starts DAY before tour..

Answer 14

ACTIVITIES OF MODERATE TO HIGH INTENSITY WILL REQUIRE ELECTROLYTES, SPORTS DRINKS

Question 15

EARLY SIGNS OF DEHYDRATION..

Answer 15

NAUSEU AND LOSS OF THIRST

-all members should demonstrate the ability to take in some fluid, if a member cannot, he should be medically evaluated