EMERGENY PROCEDURES DISENTANGLEMENT, STEAM,WATER RESCUE Flashcards
Disentanglement 1.1
What factors play a role in determining the appropriate ACTION TAKEN and the ORDER in which they are carried out?
TYPE of vehicle #of VEHICLE POSITION of vehicle # of PATIENTS CONDITION of patients Any EXTERNAL HAZARDS at scene
Disentanglement
What is know as the GOLDEN HOUR?
The FIRST HOUR from the BEGINNING of an accident with CRITICAL INJURIES.
A victim DELIVERED to a surgical team WITHIN the first hour has the best chance of survival.
Disentanglement 1.2
Today’s NEW TECHNOLOGY cars have as many as, how many AIRBAGS?
As many as
16 AIRBAGS
Disentanglement 2.1
What is PARAMOUNT to know,that plays a role and could possible affect our DISENTANGLEMENT and EXTRICATION operations?
SAFETY FEATURES
Disentanglement 2.1
Today’s cars save lives by?
wrapping occupants in
1) REINFORCED ALLOYS
2) IMPACT ABSORBING CRUMPLE ZONES
3) AIR BAGS
Disentanglement 2.2
Upon IMPACT, REINFORCED wheel and engine DEFLECTION systems will DEFLECT the wheels and motor which way?
UNDER the car AWAY from the PASSENGER COMPARTMENT
Disentanglement 2.3
What has drastically increased the ability of occupants to survive an IMPACT, but can COMPLICATE Disentanglement effort due to the STRENGTH of DEFORMED METAL STRUCTURE?
CRUMPLE ZONES that absorb impact, preventing it from being absorbed into the passenger compartment
Disentanglement 2.4
What has been developed to protect occupants from a FRONT or SIDE IMPACT?
REINFORCED DASHBOARDS
DISENTANGLEMENT 2.5
______-STRENGTH ______-ALLOY and ____STEEL is used in vehicles for improved strength to weight ratio?
HIGH
LOW
BORON
DISENTANGLEMENT 2.6
Where are AIRBAGS located?
Airbags are located: Steering wheel Dashboard Under dashboard AND ANY COMBINATION OF; DOORS SEATS ROOF RAIL and some SEATBELT SYSTEMS
DISENTANGLEMENT 2.6
How can AIRBAGS be deployed?
ELECTONICALLY
or
MECHANICALLY
DISENTANGLEMENT 2.6
T/F
Can AIRBAGS be deployed if battery is destroyed in an accident?
TRUE
DISENTANGLEMENT 2.6
What is the RULE that we go by when working around the area of AIRBAGS?
5-10-20 AT LEAST 5" from SIDE 10" from DRIVERS 20" from PASSENGER
DISENTANGLEMENT 2.8
Sheet metal on EXTERIOR of car is getting replaced by?
Aluminum
Composite materials
Carbon Fibers
Plastic (high impact)
DISENTANGLEMENT 2.9
REAR and SIDE WINDOWS are been replaced from tempered glass to ?
LAMINATED GLASS
Or
RIGID PLASTIC
(HIGHLY RESISTANT TO BREAKING)
DISENTANGLEMENT 2.15
Where can batteries be found?
1) Under the HOOD
2) Under the SEAT
3) wheel well
4) TRUNK
some vehicles have MORE THAN 1 battery
DISENTANGLEMENT. 3.1
Who will notify DISPATCH when a person is PINNED in the vehicle?
FIRST ARRIVING
OFFICER
DISENTANGLEMENT 3.1
What are SIZE UP considerations at MVA w/ victims pinned?
1) call ADDITIONAL UNITS (Rescue, EMS)
2) 10-75 for an emergency should be considered when SEVERAL VEHICLES w/ NUMEROUS PATIENTS
3) downed electrical wires, gasoline spill etc
4) TYPE of vehicle,# and TYPE of INJURIES
5) SECONDARY accident considerations
DISENTANGLEMENT 3.3.1
Define DISENTANGLEMENT?
Define EXTRICATION?
DISENTANGLEMENT
REMOVAL of wreckage from AROUND THE VICTIM
EXTRICATION
PHYSICAL REMOVAL of victim from vehicle
DISENTANGLEMENT 3.3.3
Where should the POWER UNIT be placed at an extrication?
FRONT or REAR
of VEHICLE
Can operate on BOTH SIDES w/ this placement
DISENTANGLEMENT 3.3.3
What are the TOOLS of choice to use at an extrication?
SPREADERS
and CUTTERS
**ALWAYS BE IN CONTROL of the tool and NEVER POSITION ANY PART OF YOUR BODY BTWN TOOL and VEHICLE
DISENTANGLEMENT 4.1
How many teams should the ENGINE be divided into?
What should they do?
2 teams
1 team
Boss
2 CFD trained FF (with trauma bag n collars)
Remaining MEMBER(s) STRETCH and CHARGE a precautionary line
When FIRE or HAZARDOUS conditions exists upon arrival STRETCHING and CHARGING is PARAMOUNT
DISENTANGLEMENT 4.2
Who will ENSURE car is in park,windows opened,seats moved back and seatbelts are removed BEFORE SHUTTING IGNITION DOWN ?
INSIDE TEAM
TRUCK members shall STABALIZE patient if NO ENGINE OR EMS are on the scene
DISENTANGLEMENT
Who will bring HURST tool to the scene of an accident?
ROOF n OV
DISENTANGLEMENT 4.2.4
When disconnecting battery which TERMINAL do you do FIRST?
NEGATIVE terminal (black)
Officer ENSURE IT
DISENTANGLEMENT 4.1
Assignments ENGINE n LADDER
ENGINE
Boss n 2 CFD trained to scene
Other members stretch n charge line
LADDER
Boss N INSIDE TEAM (CHOCK,shut down ignition)
Roof n OV Hurst tool
Chauffer (block traffic, bring additional equipment)
DISENTANGLEMENT 5.1
What are parts of the STABILIZATION process?
In other words how do we do to stabalize a car
1) step CHOCKS
2) shutting DOWN ENGINE
3) engaging PARKING BRAKE
4) putting transmission INTO PARK
5) disconnect the BATTERY
DISENTANGLEMENT 5.2
What 2 rules are ALWAYS considered for stabalizing a car?
1) Vehicles are stabilized as FOUND
2) NEVER right a vehicle w/ a victim INSIDE
BEFORE ANY STABALIZING CHECK UNDER VEHICLE
DISENTANGLEMENT 5.4
How do u STABALIZE a car on ALL FOUR WHEELS?
How do u STABALIZE a car on their SIDE or ROOF?
ALL FOUR WHEELS
STEP CHOCKS N WEDGES
BEHIND front wheels
FRONT of rear wheels
SIDE OR ROOF
STEPCHOCKS N WEDGES
UNDERSIDE of car and tires
SECURED TO SUBSTANTIAL OBJECT w/ utility rope
further stabalization by DEFLATING tireS use
VISE GRIPS REMOVE STEM
DISENTANGLEMENT 6.1
What are the 2 options on DOOR REMOVAL from a vehicle?
Nader Pin/Staple
OR
HINGE SIDE
Hinge side approach w/ new car construction
DISENTANGLEMENT 6.2.1
What HINGE do we CUT FIRST?
What MUST be removed prior to cutting the hinge?
TOP HINGE first
Then
BOTTON HINGE
if hinge has a spring it must be REMOVED before cutting
DISENTANGLEMENT 7.1
The THIRD DOOR REMOVAL will be used on what type of vehicle?
Where do we cut?
TWO DOOR VEHICLE
4 CUTS all together 1cut TOP of BPOST 1cut BOTTON of BPOST VERTICAL CUT rear of quarter panel HORIZONTAL CUT rear quarter panel at ROCKER PANEL
DISENTANGLEMENT 8.1
Total ROOF removal,where are we CUTTING ?
LOW on A POST (cut a portion of WINDSHEILD)
HIGH on B POST
HIGH on C POST
HIGH on D POST (cut a portion do REAR window)
cut POST ON ONE side of vehicle before starting the other side
DISENTANGLEMENT 8.2.2
What tools can be used to CUT the WINDSHEILD?
1) SAWZALL w/ WOOD cutting blade
2) WINDSHEILD hand saw
3) Axe (last resort) firm but NOT FULL STROKES
DISENTANGLEMENT 8.2.3 After all CUTS are made on total ROOF REMOVAL,which way should the roof be carried? Toward the FRONT OR Toward the BACK
Toward the FRONT slowly
DISENTANGLEMENT 11.2
What are a good choice of protection against AIRBORNE GLASS DEBRIS?
SALVAGE PLASTIC
OR
YELLOW EXPOSURE BLANKETS
Fabric blankets tend to keep pieces of glass in the fabric causing secondary injuries to victim and rescuer
DISENTANGLEMENT 11.4 What TOOL(s) can be used to break TEMPERED GLASS?
CENTER PUNCH
or
HALLIGAN
DISENTANGLEMENT 14.14
How long should a member flush there EYES out if HYDRAULIC FLUID enters them?
20 mins
W/ clean water
Seek MedicL attention
STEAM 1.1
How many MILES of BURIED,HIGH PRESSURE STEAM PIPE does CON ED supply building to,from 96strt to the Battery?
100 miles
STEAM 1.1
Where do STEAM PIPES run under?
How to we access them if there is an emergency?
RUN under
STREET and SIDEWALKS
ACCESS them thru
MANHOLES
STEAM 1.1
CONCRETE SLABS typically cover what?
STEAM VAULTS
w/ access MANHOLES in PAIRS
STEAM 1.2
DISTRICT steam systems (other than CON ED) when discovered should be?
These are HIGH PRESSURE Steam system some hospital, housing complexes and commercial locations have them.
Entered
INTO CIDS
STEAM 2.1
T/F
STEAM can be seen from as little a few inches away UPTO a few Feet away?
FALSE
STEAM IS INVISIBLE
the white mist we see at manhole and stuff is the CONDENSATION that form when STEAM COOLS
STEAM 2.2
Steam pressure in GENERATING PLANTS can be as high as _____ psi with a temperature reaching how much?
2000psi
900 degrees
STEAM 2.2
Steam pressure in BURIED SUPPLY PIPING that are supplying building can be as high as ___psi and can reach temps as high as___?
170 psi
350 degrees
Steam 2.3
What is HIGH PRESSURE STEAM used for in buildings?
HEAT
HOT WATER
HEAT FOOD
RUN AIR CONDITIONERS
Steam 3.1
What does CON ED workers refer to as a steam pipe RUPTURE?
HELB
HIGH ENERGY LINE BREAK
these ruptures can happen in the:
1) generating plant
2) in the street
3) in the building
Steam 3.1
What is the causes of a STEAM pipes rupture?
1)WATER coming in contact w/ the OUTSIDE of a HIGH PRESSURE STEAM PIPE.
THIS WATER cools down the pipe,
STEAM in pipe now condensate into WATER
if not DRAINED a WATER SLUG forms
THE water slug can be PUSHED at speeds of 200 mph
If there’s a BEND in PIPE
PIPE RUPTURE release of HIGH PRESSURE STEAM
ANOTHER WAY
2)THAT SLUG of water CAN SUDDENLY FLASH TO STEAM
pipe rupture release of High pressure steam
ANOTHER WAY
3)Contractors causing physical damage to the pipe
Steam 4.1
What are the FDNY tactics at a HELB in a GENERATING PLANT?
1) Respond to OUTSIDE the plant
2) NEVER ENTER PLANT w/out CON ED PERSONNAL
3) FDNY ONLY enters to perform rescue n search for missing personal,stay close w/ PROVIDED ESCORT
CON ED WHITE HAT provides:
a) critical info
b) escort if necessary
c) personal accountability report to see if anyone is missing
d) remain at COMMAND POST as technical specialist
Steam 4.2
What are the FDNY tactics for a HELB in the STREET?
1) approach OUTDOOR,HELB from UPWIND
2) establish STAGING AREA(away from asbestos)
3) consult w/ CON ED WHITE HAT (supervise shutting down of numerous steam valves)
4) ISOLATE exposed responders,civilians and equipment
5) PREVENT occupants from EXITING building
6) CONSIDER evacuating building from REAR or SIDE
7) PREPARE for DECON, civilian, FF, bunker gear, tools,vehicles
8) CONSIDER shutting down HVAC of nearby buildings
Steam 4.2
A STEAM main break is considered what type of incident?
HAZ MAT INCIDENT
presence of ASBESTOS
Steam 4.3
What color are the STRIPES of a VENT PIPE that CON ED puts over a MINOR steam leak in the street?
BLUE STRIPES on TOP
this is a WATER LEAK not A LEAKING STEAM MAIN
STEAM 4.4
In an EMERGENCY what VALVE can the FDNY shut down for a HELB in a BUILDING?
INSIDE SERVICE VALVE
valve WILL BE labeled and sealed
(If possible wait for CON ED)
STEAM 4.4
Responding to a RUPTURED STEAM MAIN, what should units monitor?
MONITOR:
A)Radiation devices upon receipt of an alarm
B)Presence of radiological contaminants
We treat a RUPTURED STEAM MAIN as A TERRORIST ATTACK
STEAM 5.1
Who will the IC consult with to consider the use of Air Purifying Respirators?
HAZMAT GROUP SUPERVISOR
SCBA must be ENFORCED B4 decision is made
Water Rescue 1
T/F
Engine COMPANYS are equipped with ICE/COLD water and SURF RESCUE equipment? 1.3
TRUE
Some ENGINES
Some LADDERS
ALL SPECIAL UNITS
Water Rescue 1
Cold Water Suits are designed for ABOVE water operations?
TRUE
COLD WATER SUIT and PERSONAL FLOATATIONS DEVICE are not designed for underwater operations.
Water Rescue
Assigning a PRIMARY RESCUER at a WATER RESCUE to a certain riding positions should be protocol?
Negative
Determine at Roll Call who s doing what, may have a member that feels more comfortable more trained
Water Rescue 4.1
What is the PRIMARY CONCERN at water rescue?
SAFETY OF RESCUERS
Water Rescue 4.2
What are some decisions that may affect on entering the water for a rescue situation?
1) Water/Weather Conditions
2) Location of victim
3) skill level of Rescuer
4) Night operation (rescuer should not be allowed past the line of sight)
Water Rescue 4.3
Members w/ BUNKER GEAR on can be can be TOTALLY SUBMERGED in water, in how long?
UNDER
1 MINUTE
BUNKER GEAR DOES NOT FLOAT
WATER RESCUE 5.1.1
What are symptoms of COLD WATER EXPOSURE?
1) intense SHIVERING
2) Loss of COORDINATION
3) MENTAL CONFUSION
4) CYANOTIC (cold blue) skin
5) LOW pulse rate
6) irregular heartbeat
7) fixed dilated pupils
WATER RESCUE 5.1.2
Medical CONDITIONS to consider w/ removed victim
Remove Victim to a WARM shelter CAREFULLY Do NOT massage or rub VICTIM Remove WET CLOTHES wrap in WARM BLANKETS PATIENT ASSESSMENT
WATER RESCUE 6.1
How many TIDES are in a 24hr period?
4 TIDES
2 HIGH (tide coming IN)
2 LOW. (tide going OUT)
SLACK TIDE is 45 mins btween HIGH n LOW TIDES
WATER RESCUE 6.2.1
How do you escape a RIP CURRENT?
Swim Parallel to shore line
WATER RESCUE 6.3.2
T/F
Rescuers should enter the water DOWNSTREAM of the sweep?
FALSE
UPSTREAM
Water Rescue 2.1
What size hose?
What COLOR are FITTINGS?
For an inflatable water rescue
2 1/2” HOSE
YELLOW FITTINGS
Male fitting 2 1/2 w/ shackle n CHECK VALVE
Female fitting 2 1/2 w/shackle n SNAP BOLT
Water Rescue 2.1
Where can we get the AIR SUPPLY for the INFLATABLE WATER RESCUE HOSE?
SCBA
FAST PAK
APPARATUS AIR OUTLET
Water Rescue 3.2
Which hose from the SCBA will be used to inflate the water rescue hose?
LOW PRESSURE HOSE
At the HANSEN FITTINGS
Water Rescue 3.2
One 45min cylinder can fill ____ lengths of 2 1/2” hose in approximately how long?
5 lengths
2 mins and 30 seconds
Water Rescue 3.3
The APPARATUS AIR OUTLET can fill 2 lengths in how long?
20 seconds
Water Rescue 4.1
A Length of 2 1/2 can keep afloat how many people?
10 people APPROXIMATELY
Water Rescue 4.1
The 2 ways that u can deploy the INFLATABLE WATER RESCUE HOSE are:
STRAIGHT LINE
or
LOOP
STraight line/few individuals/close to shore
LOOP/multiple victims
Water Rescue 4.3
Inflatable water hose will be secured with kind of rope?
Life Saving Rope (LSR)
Water Rescue 2
Cold Water Rescue
How many COLD WATER SUITS will be donned at a cold water/ice rescue ?
2 suits PRIMARY RESCUER and SECONDARY RESCUER these guys are TETHERED by PRIMARY TETHER and (wearing PFD) SECONDARY TETHER (wearing PFD)
Water Rescue 2
Ice and Cold Water Rescue
Who do we notify once a VICTIM is CONFIRMED to be RESCUED?
DISPATCH and
REQUEST ADDITIONAL RESOURCES
Water Rescue 2
Ice and Cold Water Rescue
What are generally the 3 methods used 4 cold water/ice rescue?
Reach (using a pole,hook to reach victim)
Throw(when reach method does not work) throw a rope to victim
Go(RESCUER enters water to get victim) LAST RESORT
Water Rescue 2
Ice and Cold Water Rescue 5.1
Where is the TETHER line attached to the RESCUER for a WATER RESCUE?
Attached to
D RING on the REAR HARNESS
of COLD WATER SUIT (CWS)
Water Rescue
Ice and Cold Water Rescue 5.2
What is attached to the FRONT of the COLD WATER SUITs Harness?
Water Rescue TORPEDO
Passes TORPEDO to victim at a SAFE DISTANCE
Water Rescue 2
Ice and Cold Water Rescue 5.5
Where is TORPEDO placed upon reaching a NON AMBULATORY victim?
TORPEDO on VICTIMS CHEST
Water Rescue 2
Ice and Cold/Water Rescue 6.1
Where is the TETHER placed on the CWS using the REACH METHOD for an ICE RESCUE?
FRONT of SUITS chest HARNESS
Rescuer is equipped w/ pole or hook AND a THROW ROPE
Water Rescue 2
Ice and Cold Water Rescue 8.1.1
When the RESCUER is WAVING ONE ARM in the air,what would that indicate to the person w/ the TETHER?
STOP PULLING
Water Rescue 2
Ice and Cold Water Rescue
When RESCUER places ONE HAND ON TOP OF HIS HEAD, what would that indicate to the person w/ the TETHER?8.1.2
READY to be PULLED to shore
Water Rescue 2
Ice and a Cold Rescue
When do we inspect ICE and COLD WATER equipment?
When do we hang the CWS up?
INSPECT EQUIPMENT
January,April,July,and October
HANG SUIT
January n JUly
For at LEAST 48hrs
Lubricate ZIPPER w/candle wax
Water Rescue 2 Ice and Cold Water Rescue How do we store the CWS's zipper in: Closed position Or Open position
OPEN POSITION
open n close zipper 2-3 times before repacking
Suit is rolled from FEET UPWARDS
