Phx Fire Vol 2 (Deck 15) Flashcards
205.01 - 205.06A
Describe Extended Patient Transfer (EPT).
PT transfer from rescue personnel to the hospital that takes longer than 30 minutes.
What does Loss Stopped (LS) signify?
Salvage has been completed, and there should be no further damage to the building involved.
Define PAR.
Used to confirm that there are no missing fire personnel on the incident site by accounting for all personnel assigned to a particular work area or sector.
How is Under Control (UC) defined in the context of fire incidents?
Fire has been contained and will not extend, but it does not necessarily mean the fire is completely out. It may also be used during Haz Mat calls to indicate that a leak has been secured.
Where is the term “OFF” used?
Offensive: is used to indicate that units are operating in the offensive strategy during an incident.
Process for returning companies from an incident.
Only Command can release companies assigned to an incident, indicating the units to ‘HOLD’ at the scene, reporting the nature of the actual situation found, and releasing the remainder of the assignment. Returning units are responsible for placing their unit in an AOR status when available.
How are Sector Officers expected to communicate with assigned companies?
Face-to-face communications with assigned companies as much as possible, but should keep Command informed of progress via radio on any problems encountered and significant progress.
What are the CAD Sector Commands and how are they used?
The TRO ensures that each unit assigned to a Sector is documented using the Sector Commands. These commands designate a Sector Officer (SECTO), a Sector Member (SECTM), or remove a unit from a sector (SECTX), allowing tracking of unit assignments during the incident.
Responsibilities of staff members with fireground responsibilities.
Respond to Greater Alarms for assistance with various sector functions, report in person to the Command Post, and automatically assume sector duties in their area of responsibility unless ordered otherwise.
Purpose of an isolated Tac Ch?
Assigned by Deployment for each incident where applicable, and it allows for direct communications with sector officers in specific situations, enhancing overall scene safety.
Order model for radio comms.
Sender giving their unit ID and calling the receiver by their unit ID, the receiver indicating readiness to receive, the sender extending the message, order, etc., the receiver acknowledging receipt of the message, and deployment acknowledging all communications directed to it.
What is the significance of the term ‘May Day?’
Used only in the event of a lost or trapped FF, and it signifies a well-defined communications structure essential for effective rescue operations, with deployment playing a crucial role in ensuring the effective rescue of FFs.
How is ‘Emergency Traffic’ defined and initiated?
Utilized by any unit encountering an immediately perilous situation and receives the highest communications priority from Deployment, Command, and all operating units. Units may initiate emergency communications by depressing the red emergency button on their portable radio, MCT, or by verbally contacting Deployment.
Define the standard unit designations for radio comms.
Dispatch (Alarm), Deployment, Officer of any unit, Unit ID, Engineer of any pumper (Pump), and Engineer of any ladder (Truck).
Use of radio codes.
Prefers plain language radio messages over numerical codes, but may use police radio codes in sensitive situations.
Key principles of radio procedure?
Being short-specific, task-oriented/company-oriented, indicating objective, maintaining a clear tone/self-control effective rate, being well-timed/spaced, and not interrupting conversations without emergency traffic.
Term ‘Task Oriented/Company Oriented’ as mentioned.
Command’s orders to operating companies should indicate a specific task assigned to the company, which should be of a magnitude reasonably performed by a single company alone or in concert with other companies.
How is it recommended to maintaining effective communication over the radio during emergencies?
Speaking clearly at a practiced rate, controlling emotions and excitement deliberately, prioritizing messages, not interrupting conversations without emergency traffic, and pausing between consecutive messages.
Recommended approach for radio messages.
Before transmitting, it is recommended to know what to say, choose precise terms, and communicate the desired message clearly and briefly without wasting airtime. Messages should be task and company oriented, indicate an objective, and be well-timed and spaced.
Describe EMS Dispatch Policy.
Adequate, early, and pessimistic response of the closest units required to handle specific medical emergencies.
Cardiac/Resp arrest calls dispatch priority.
Dispatch of the closest fire & paramedic unit.
Circumstances under which an additional company will be dispatched when a 4-person paramedic unit is the closest unit.
Determined by the judgment/experience of the dispatch personnel.
Included in diabetic emergencies dispatch?
Insulin shock and diabetic coma.
Types of injuries or emergencies warrant a dispatch of the closest fire suppression unit backed up by a paramedic unit?
Near drowning, C/P, DB, symptomatic high or low blood pressure, serious blunt or penetrating injuries, shootings, stabbings, etc.
Dispatch procedures for a child under 18 months exhibiting specific symptoms.
Dispatch is required for symptoms such as dehydration, hypothermia/hyperthermia, poor muscle tone, or failure to feed.
Protocol for any other medical emergency according?
Judgment suggests dispatch of the nearest fire suppression unit for patient assessment and Tx, and to determine the need for an ALS unit, Rescue, or both.
Purpose of Vol 2 for EMS.
Provide guidelines and protocols for emergency medical services dispatch and response.
205.02
EMS Dispatch Procedures
How are medical emergencies not defined for EMS handled?
Receive a dispatch of the nearest fire suppression unit for PT assessment and Tx, and to determine the need for an ALS unit, Rescue, or both.
Dispatch procedures for children over 18 months exhibiting specific symptoms?
Only children under 18 months exhibiting certain symptoms are mentioned.
Responsibilities of the Dispatch Center in dispatching assignments to medical incidents.
Based on the reported scale and severity of the situation and upgrades the assignment as necessary based on the actual situation encountered.
Notification procedures for a medical disaster?
Dispatching all available rescues to a designated Staging Area, dispatching private ambulance companies as needed, determining ETA and number of rescues available, advising Command of the number of rescues responding, and activating all reserve rescues.
Handling a 1st alarm medical incident?
Determining the approximate number and triage classification of PTs, placing private medical helicopters and DPS Ranger on stand-by, contacting Level 1 hospitals when requested by Command, dispatching rescues and helicopters as requested by Command, and advising notified hospitals when the incident is terminated if they are not receiving PTs.
Responsibilities of Dispatch in notifying and activating other agencies for medical incidents.
Including hospitals, to provide needed support for management of the incident, and should use guidelines such as determining the approximate number and triage classification of patients, contacting hospitals when requested by Command, and advising hospitals of the situation and location.
Procedure for a Greater Alarm medical incident?
Beginning full-scale notification procedures and continuing until reports indicate the situation has been stabilized.
Procedure for dispatching private medical helicopters and DPS Ranger in a medical incident.
Place them on stand-by, determine their availability, dispatch as requested by Command, and advise them of the radio channel for Landing Zone coordination.
Steps involved in advising hospitals and emergency centers during a medical incident?
Advise them of the situation, location, and approximate number of patients involved, ask them to determine how many patients they can handle and to stand-by for call back, and call back to determine their ability to receive patients.
How are Level 1 and Level 2 medical facilities prioritized for notification during a medical incident?
Level 1 hospitals and specialty hospitals are called first, followed by Level 2 facilities according to geographic proximity to the scene.
Procedure for city buses in a medical incident?
Ask Command if buses are needed and dispatch Phoenix Transit buses to the Level 2 staging area, as they are radio dispatched.
Role of the TRx Sector in a medical incident.
Advised when medical facilities are ready to receive patients and is responsible for confirming the number of patients sent to each hospital.
Communication protocol for hospitals and emergency centers during a medical incident.
Advise them of the situation, location, and approximate number of PTs involved, ask them to determine how many PTs they can handle and to stand-by for call back, and call back to determine their ability to receive PTs.
How are medical facilities categorized and notified during a medical incident?
Level 1 and 2 medical facilities should be notified according to their specific categories as they relate to the incident, such as trauma, burns, pediatric, poisoning, etc.
Purpose of SOP for Rescue Communications.
Define the responsibilities of Dispatch employees in providing rescues.
Define a Rescue.
Vehicle that TRx medical PTs to a hospital, and can be a FD rescue or an ambulance owned by private companies.
How are Rescues and private-owned ambulances staffed?
FD Rescues are staffed with a minimum of 2 FFs who are EMT/paramedics, while private-owned ambulances are staffed with 2 EMTs or paramedics who are not fire fighters.
Do all cities use FD Rescues, or do some contract with private companies?
Some cities use fire department Rescues, including Phoenix, Sun Lakes, Sun City West, and Daisy Mountain, while others contract with private companies, such as Glendale, Tempe, Peoria, and others.
Circumstances under which a Rescue will be dispatched for PT TRx in a non-emergency.
Only if all private ambulance companies refuse to accept the call for TRx.
How does the PFD prioritize requests for emergency TRx from other valley departments?
Requesting the city’s current C.O.N. holder, then an air transport C.O.N. holder, and finally the PFD.
Dispatch policies for medical calls.
Rescue is dispatched initially on specific calls like gunshot wounds, stabbings, serious auto accidents, car/pedestrian accidents, code, and drowning. A Rescue will also be dispatched at the request of a field unit at any time.
Do Rescues respond to requests for emergency TRx if helicopter is not practical?
Will respond if TRx via helo is not practical or will cause a greater delay in TRx of a critically ill or injured person.
Certificate of Need (C.O.N.) and its impact on the service area.
Prohibits Rescues from providing service outside of the City of Phoenix.
Protocol for dispatching a Rescue when a private ambulance company’s response time is excessive.
Dispatch will send a Rescue if the above guidelines have been met and advise the private ambulance company of the situation.
Procedure for Dispatch to monitor Rescue status.
Make every effort to monitor Rescue status, and it is the responsibility of the Rescue crew to advise Dispatch of any status change.
Protocol for Dispatch when a Rescue has been at the hospital for approximately 20 minutes?
The Ch 1 operator will make contact with them to confirm their status and determine when they expect to go available.
What is the procedure for Rescue when returning to the first due?
Go available when within 10 min driving time to quarters and monitor Ch1 traffic while en-route for potential incidents.
Define Rescue Status 2 and Status 3.
Reflect a shortage of Rescue capability in a specific geographic area or the entire city, and during these statuses, Rescues should expedite hospital turnarounds and advise Dispatch of anticipated availability.
Rescue Status 2.
Shortage in a specific area of the city, which is divided into Central, North, South, West, and East regions.
Rescue Status 3.
Urgent message for all Rescues to return to service as quickly as possible, indicating a serious situation requiring immediate response.
Termination of Rescue Status 3.
Dispatch announces on Ch 1 and all Tac channels when it is terminated, and normal operating conditions resume when additional units are no longer required.
Use of MCT’s by Rescues.
To indicate themselves as ‘responding’, ‘on the scene’, ‘leaving the scene’, and ‘at the hospital’, checking for any ‘NOACK’ and using the radio if necessary.
