Emergency Incident Rehab Flashcards
1
Q
Who tracks the nature/causes of firefighter fatalities?
A
United States Fire Admin (USFA)
2
Q
What are the leading causes of death for firefighters?
A
- Heart attacks/stress and overexertion (59.2%)
- trauma (14.8%)
- asphyxiation and burns (7.4%)
3
Q
Who partnered to formulate the wellness-fitness initiative?
A
IAFF and IAFC
4
Q
What is the Wellness-Fitness Initiative?
A
- improves medical screening
- physical fitness programs
- healthier diet, rest, proper hydration (rehab)
5
Q
What is the NFPA Standard for Rehab?
A
NFPA 1584: Standard on the Rehabilitation Process for Members During Emergency Operations and Training Exercises
6
Q
What is the goal of NFPA 1584?
A
mitigating the physical, physiological, and emotional stress of firefighting in order to sustain a member’s energy, improve performance, and decrease the likelihood of on-scene injury or death.
7
Q
Rehab Requirements - Training Evolutions
A
- pre-entry screening:
— everyone involved in training medically screened against rehab criteria
— if they fail, participation barred until they have passed/met the criteria
— continued failure = referral to SAFO - ongoing screening:
— all persons participating are provided a rehab period after each two evolutions in which the person participated
8
Q
Responsibilities of IC for Rehab
A
- make adequate provisions early in the incident for rest/rehab, including: medical evaluation, treatment and monitoring, food and fluid, replenishment, mental rest, and relief from extreme climatic conditions/environmental parameters
- ensure ALS resources are on scene / available to be committed to rehab at all times
- be cautious/aware if there is only one ALS resource on scene (if a patient is identified, you lose your unit!)
9
Q
Company OIC’s Responsibilities
A
- maintain an awareness of the physical/mental condition of members operating within their span of control
10
Q
ER Services Personnel Responsiblities
A
- hot weather = drink water and full strength activity beverages
- emergency incident/training evolution = maintain hydration; advise company officers when level of fatigue/exposure to heat or cold is impacting them/could impact the event
- look out for health/safety of the other members of the crew
11
Q
ESTB of Rehab Ops
A
- IC assigns responsibility of rehab to appropriate unit; they report to IC
- EMS provider is in charge of rehab (ALS provider preferred)
12
Q
Location of Rehab
A
- provides physical rest, shelter from environmental conditions
- far enough away for removal of bunker gear
- free of exhaust fumes
- large enough to accommodate multiple crews
- easily accessible by EMS units (egress considered)
- allow for prompt reentry for crews
13
Q
Resources (Rehab)
A
- fluids
- food
- medical
- admin supplies
- other
14
Q
Staffing of Rehab
A
- 1:5 ratio (rehab personnel : members being evaluated)
15
Q
Level One Rehab
A
- single, dedicated EMS unit (ALS or BLS)
- incidents up to and including a first alarm assignment / incident
- units operating less than one hour
16
Q
Level Two Rehab
A
- multiple dedicated resources with a designated supervisor
- incidents greater than first alarm
- also need to consider increasing number of providers AND supervisors
17
Q
Level Three Rehab
A
- multiple dedicated resources with a designated supervisor
- long term/campaign incidents (hazmat, large brush fires)
- should be managed under logistics section of the ICS
18
Q
Forms associated with Rehab
A
- Check in/Check Out Form
- Rehabilitation tracking form
19
Q
Rehab Group Establishment
A
- any activity / incident large in size, long in duration, labor intensive merits consideration of rehab
- heat stress index > 90 degrees
- wind chill index < 10 degrees
20
Q
Hydration
A
- critical factor in the prevention of heat injury (electrolytes + water)
- avoid caffeine and carbonated beverages
21
Q
Nourishment
A
- consider when > 3 hours
- soup, broth or stew highly recommended
- avoid fatty/salty foods
22
Q
Rest
A
- 30 mins SCBA use or 45 min work time, rest recommended
- worked two 30 min bottles or 45 minutes = required rehab
23
Q
Recovery
A
- don’t move from any extreme to another (hot to cold)
- antihistamines/diuretics/stimulants interfere with body’s ability to sweat.
24
Q
NFPA 1584 recommended guidelines for passing rehab
A
- Pulse = < 100 bpm
- BP = <160 mmHg systolic / <100 mmHg diastolic
- temp = greater than 98.6; less than 100.6
- SPCO = < 5%
- SPO2 = > 95%
- RR = < 20
25
Documentation
- must track all employees who go through rehab (either form, or survey123)
- turned over to IC once incident completes
26
Accountability
- track units via passport
- document: crew designation, number of crew members, times of entry to and exit from rehab
- cannot leave until rehab sup says so
27
Failed Rehab
- considered “failed” when unable to be released back to full ops status
- failed criteria:
— altered LOC, persistent headache, chest pain, trouble breathing/respiratory hunger, etc.
— any vital signs that remain outside the range identified earlier
— any emerging/progressing injury (burns, soft tissue injury, cramping/spasming) despite rehab
— evidence of injury from environmental extremes / any minor injury that requires monitoring prior to return to duty
