Part 3 ( Lessons and Best Practices) Chapter 18: Lessons for First Responders Flashcards

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1
Q

A number of lessons came from research outside of emergency services such as

A

Military, medicine, nuclear power, and aviation

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2
Q

Lesson 1) Responders with poor SA can still have a good outcome, if only by luck.

A

They make good decisions (by luck) while operating with flawed SA and never know their SA was flawed in the first place

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3
Q

Lesson 2) A decision made with good SA can still have a bad outocme

A

Not every bad outcome can be linked with SA. Emergency services work in a highly unpredictable environment when unexpected bad things can happen that can lead to bad outcomes

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4
Q

Lesson 3) Maintaining SA requires a physical, mental, and emotional commitment to paying attention

A

Paying attention means capturing the clues/cues and applying Level 1, 2, and 3 SA. It means being consciously aware you’re taking all the necessary steps to develop and maintain your SA. Are you meta-aware? Are you paying attention to the big picture? Are you checking up to make sure you’re not losing SA

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5
Q

Lesson 4) What you should pay attention to is not always intuitive or obvious.

A

This requires a commander to be alert for subtle clues/cues that help build strong SA. Your primal instinct tells you that things that are moving and things that are close to your are dangerous which can take your attention away. Your primal instinct also draws your attention to loud noises, bright lights, and fast moving things

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6
Q

Lesson 5) Responders rarely realize they’re losing their SA until it’s too late -until that catastrophic incident or near-miss occurs

A

Realizing the loss of SA is not uncommon, but you may not always know it. It’s plausible to surmise that for some, the intuitive gut feeling becomes so overwhelming that it serves as their alarm system.

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7
Q

Lesson 6) It’s critically important to be able to form mental models of both the past and the future

A

Rarely is an emergency incident static; rather, the incident conditions are dynamic and rapidly changing. Taking a rear-view mirror approach of the incident is critical to forming SA of what took place prior to arrival. This helps draw on tacit knowledge and develop a plan of action

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8
Q

It can be extremely challenging for ____ to extract accurate and timely information from civilian callers who are upset.

A

dispatchers

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9
Q

A critical question is: Can my resources overwhelm the incident, slow down, and eventually stop the progression of undesirable events. If the answer is yes, an offensive operation can be deployed. If the answer is no, then

A

a defensive operations should be deployed until sufficient resources arrive on scene

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10
Q

If you deploy offensively when you are _______, you’re taking grave chances with the lives of the responders in your charge

A

under-resourced

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11
Q

Forming a mental model for predicting FUTURE events entails asking yourself 3 essential questions:

A

1) Where is the incident headed?
2) How long will it take to get there?
3) Can the resources I have at this moment change the course of the incident in a favorable way without jeopardizing any lives

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12
Q

Those most at risk are the ones who believe every incident can be managed with ______ ______. This is simply not true

A

aggressive tactics

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13
Q

In your mental model, you should envision what a ___ ____ would look like. This prediction of the future becomes the expectation against which you compare your progress

A

successful outcome

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14
Q

The leadership principle taught by Steven Covey from his best seller “Seven Habits of Highly Effective People” is:

A

Begin with the end in mind

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15
Q

If things are not going well, they wont align and this should set off major alarm bells in your head. The alarm may come as explicit (______) knowledge that things aren’t going well or more subtly as a gut feeling - your intuition (_________) alerting you that what is happening doesn’t match your tacit knowledge ( mental library of training and experiences)

A

conscious knowledge, unconscious knowledge

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16
Q

Common themes that resulted in near-miss reports and LODD investigations and case studies are what the author refers to as ______. There are 5 sure ways (red flags) to get into trouble

A

Red Flags

17
Q

Red Flag 1) Failing to process the meaning of the critical clues/cues

A

responders to not see what’s happening right in front of them

18
Q

For a structure fire, one of the most important clues is the _____

A

smoke

19
Q

This is generated from decomposing hydrocarbon-based products and is fuel - as explosive and dangerous as gasoline

A

smoke

20
Q

The color, volume, velocity, and density of smoke are critical ______

A

clues

21
Q

If you miss a vital sign (clue) you’re far more likely to _____ the root problem

A

misdiagnose

22
Q

Red Flag 2) Underestimating the speed of the incident

A

Whereas the initial size-up may need to be quick, it’s vitally important to watch the incident for a period of time to het a sense of how fast it is moving. The speed of the incident helps determine if there are enough resources available to overwhelm the incident and stop the progression. Tied closely to this red flag - overestimating the abilities of personnel

23
Q

Red Flag 3) Overestimating the abilities of personnel

A

Every responder is not created equal. Predicting the crew’s abilities to perform certain tasks in predictable amount of time is essential to understand the characteristics that influence the time it will take to accomplish a task which are training, experience, age, fitness, stamina, coupled with crew size

24
Q

_______ are analogous to little movies that play forward in your head to help predict the future of an incident

A

Mental Models

25
Q

Commanders where asked to estimate how long it would take for certain tasks to be accomplished. Consistently, the commanders estimates were ____ to _____ the time it actually took to complete

A

1/2 to 1/3

26
Q

Allocating more resources to the problem could be a viable option as love as the back up resources adequate enough to

A

overcome the situation

27
Q

Red Flag 4) Feeling the pressure to take heroic action without considering the risk and benefit

A

We can never be certain that a victim is alive in an environment, but we can assess the probabilities vs the risk of FF’s

28
Q

Many protocols prohibit CPR in trauma patients because the survivability of cardiac-arrest patients, secondary to multisystem trauma is ____

A

low

29
Q

Decision making becomes _____ when the emotional component of a high risk/consequence decision is balanced against the impact of losing a civilian life or the consequence of losing a responder

A

safer

30
Q

When aggressive tactics are not accompanied by negative consequences, it may lead to a false sense of ____ that such behavior is acceptable.

So it becomes the norma - the standard. This phenomenon is also known as the standardization of deviance, drifting toward failure, or error creep

A

behavior

31
Q

____ can have strong influence on FF behavior. Especially for new responders who want to fit in with their senior counterparts. This may cause them to take risks beyond their capabilities

A

Peer Pressure

32
Q

People will do things to get ______. Good or bad

A

attention

33
Q

There is distinct difference between assuming the risk of an incident and creating the risk through reckless behavior

A

true

34
Q

Red Flag 5) Focusing on the wrong things or trying to process too much information

A

The number of unrelated pieces of information a person can recall is 7 +/- 2.
As a 1st responder you can improve you chances of capturing the right information through practice. Medical personnel are arguably some of the best-trained responders for this skill. Just knowing you are vulnerable may be sufficient enough for you to consciously weigh the importance of data

35
Q

Sometimes facts are ________ -changed in order to make more sense in the mind of the participant

A

confabulated