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Station 55 Study Deck Flashcards

1
Q

What is the Address to the Firehouse (55)?

What map page is it on?

Where is the closest hydrant?

A

3716 Rhode Island Ave

Page 14

Side Charlie

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2
Q

What Battalion is 55 in?

Who is BC, EMS 800, EMS Duty Officer?

What are the other stations?

A

4th Battalion

BC - Habib
EMS 800 - Ola
EMS DO/North - Reedy

Stations - 12, 34, 44, 55

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3
Q

What Roads are

410
500
1
Alt - 1
769b
450
501
202

A

410 - East West Hwy

500 - Queens Chapel Road

1 - Baltimore Ave also Rhode Island Ave

Alt 1 - Bladensburg Road

769b - Edmonton Road

450 Annapolis Road

501 - Chillum Road

202 - Landover Road

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4
Q

Out of the Firehouse what are the hundred blocks

R out of the fire house -

L out of the fire house -

A

R out of the fire house - 38xx (goes down) to Eastern Ave

L out of the fire house - 47xx (goes up) to Baltimore Ave Page

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5
Q

Out of the firehouse:

  • Get to 34th street
  • Get to 38th street
A

Right - Get to 34th street

Left - Get to 38th street

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6
Q

From the firehouse:

  • Get to Bladensburg Road
A

Left out of the firehouse

Right on 38th (follow to Bladensburg Road)

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7
Q

From the Firehouse

  • Get to Baltimore Ave
A

Left out of the firehouse
(Rhode Island then Meets Baltimore Ave)

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8
Q

From the firehouse:

  • Get to 2400 Queens Chapel Road
A

Right out of the Firehouse

Right on Eastern Ave

Right onto Queens Chapel

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9
Q

From the fire house:

  • Get to 3104 Queens Chapel Road
  • What is there?
A

Left out of the fire house

Left on 34th St

Left on Queens Chapel Road

Answer: Giant Food 3104 Queens Chapel

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10
Q

Name the Streets behind the fire house on 38th Street

(In Order, on the left side of 38th) (10 Total)

A

Shepherd
Taylor
Tilden
Utah
Upshur
Varnum
Volta
Webster
Windom
Allison

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11
Q

What is the Range of the Numbered Streets in the First Due

A

21st Street - Near Corner of Queens Chapel and Eastern Ave (page 6)

To

47th Street - Near Baltimore Ave, Rhode Island Ave
(Page 19/20)

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12
Q

From the fire house:

  • Get to Thomas S. Stone Elementary School
  • Where is the Plug, FDC?
  • What is the Address?
  • What is the Map Page?
A
  • right out of the Firehouse, Right on 34th Street (at Circle)
  • Plug is on (right side of) Side A, no FDC
  • 4500 34th Street
  • Page 18
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13
Q

From the fire house:

  • Get to Mt. Rainier Elementary School
  • Where is the Plug, FDC?
  • What is the Address?
  • What is the Map Page?
A
  • Right out of the firehouse, right on 34th St (at the circle), Left on Bunker Hill Road, Right on 32nd Street (school on right)
  • Plug is across the street (side A) , FDC is on side A (left side)
  • 4011 32nd Street
  • Page 18
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14
Q

From the fire house:

  • Get to Avondale Overlook
  • Where is the Plug, FDC?
  • What is the Address?
  • How many Floors
  • What is the Map Page?
A
  • Right out of the Firehouse, Right on Eastern Ave, Right on Queens Chapel Road (Avondale on the Left)
  • Plug to the left 2302, FDC on A and D
  • 2400 Queens Chapel Road
  • 13 Floors
  • Map Page 7
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15
Q

From the fire house:

  • Get to Queenstown Apartments
  • Where is the Plug, FDC?
  • What is the Address?
  • What is the Map Page?
A
  • Right out of the firehouse, Right on 34th St (34th becomes Chillum Road) Apts on the Left
  • Plug on Corner of Chillum and Queenstown Drive, 5 total Plugs, No FDC (2nd Plug on Buchanan Street)
  • 3301 Chillum Road (3300 00-13)
  • page 13
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16
Q

From the fire house:

  • Get to Kings Park Apartments?
  • Where is the Plug, FDC?
  • What is the Address?
  • How many floors
  • What is the Map Page?
A
  • Right out of the firehouse, Right on Eastern Ave, Right on Queens Chapel Road (building on Left)
  • Side A, right side corner, FDC side A
  • 2600 Queens Chapel Road
  • 10 floors
  • page 12
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17
Q

From the fire house:

  • Get to Malta House
  • Where is the Plug, FDC?
  • What is the Address?
  • What is the Map Page?
A
  • Right out of the fire house, right on Eastern ave, cross Queens Chapel Road (Carson Cir) Left on Lasalle Road (building on the Left)
  • Plug on island side A, FDC on side A
  • 4916 Lasalle Road
  • Map page 8
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18
Q

From the fire house:

  • Get to Complete Care
  • Where is the Plug, FDC?
  • What is the Address?
  • What is the Map Page?
A
  • Right out of the fire house, right on Eastern ave, cross Queens Chapel Road (Carson Cir) Left on Lasalle Road (building on the Left)
  • Plug on island (in lot), FDC right side A
  • 4922 Lasalle Road
  • Map Page 8
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19
Q

From the fire house:

  • Get to Prince Georges Apartments
  • Where is the Plug, FDC?
  • What is the Address?
  • What is the Map Page?
A
  • Plug on left side Island Side A, no FDC
  • 3900 Hamilton St
  • Map Page 17 (middle of page)
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20
Q

From the fire house:

  • Get to Castle Manor Apartments
  • Where is the Plug, FDC?
  • What is the Address?
  • What is the Map Page?
A
  • Plug on 38th Ave/Jefferson Corner, No FDC
  • 5311 38th Ave (5300-5407)
  • Map Page 17 (middle of page)
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21
Q

From the fire house:

  • Get to Park Place Condos
  • Where is the Plug, FDC?
  • What is the Address?
  • What is the Map Page?
A
  • Left out of the firehouse, Left on 38th street, Right on Hamilton Street (another quick right)
  • Across the street?
  • 3829 Hamilton St
  • Map Page 17
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22
Q

From the fire house:

  • Get to DaVita Mt. Rainier Dialysis
  • Where is the Plug, FDC?
  • What is the Address?
  • What is the Map Page?
A
  • Right out of the firehouse, right on Eastern Ave, Right on Varnum Street
  • Plug on the corner of Varnum and Eastern Ave
  • 2303 Varnum Street
  • Map Page 6
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23
Q

From the fire house:

  • Get to Studio 3807
  • Where is the Plug, FDC?
  • What is the Address?
  • What is the Map Page?
A
  • Left out of the fire house (on right corner)
  • Plug across 39th
  • 3807 Rhode Island Ave
  • Map Page 15 (bottom)
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24
Q

From the fire house:

  • Get to Artisan 4100
  • Where is the Plug, FDC?
  • What is the Address?
  • What is the Map Page?
A
  • Left out of the firehouse, on the left (between Shepherd and Utah)
  • Plug on Shepherd
  • 4100 Rhode Island Ave
  • Map Page 15 (middle)
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25
Q

From the fire house:

  • Get to Compare Foods / CVS
  • Where is the Plug, FDC?
  • What is the Address?
  • What is the Map Page?
A
  • Left out of the firehouse, Right on 38th, Left on Bladensburg Rd (alt 1) on right
  • Plug side A parking, Side C, FDC Side A
  • 3831 - 3611 Bladensburg Road
  • Map Page 22
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26
Q

From the fire house:

  • Get to East West Highway
A

Left out of the fire house follow and veer left onto Baltimore Ave till you get to East West Hwy

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27
Q

From the fire house:

  • Get to Ager Road
  • What is the Map Page?
A
  • Right out of the firehouse, Right on 34th St, Right on Queens Chapel, Left on Ager Road
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28
Q

From the fire house:

  • Get to Kenilworth Ave
  • What is the Map Page?
A

Left out of the firehouse, right on 38th, Left on Bladensburg (cross water)
till Kenilworth

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29
Q

From the fire house:

  • Get to Hamilton Street
  • What is the Map Page?
A

Left out of the firehouse, left on 38th, Left onto Hamilton

Map page 16

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30
Q

From the fire house:

  • Get to Allison Street
A

Left out of the firehouse, Left on 38th, Left (32xx) or right (39xx) on Allison Street

Map page 19

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31
Q

From the fire house:

  • Get to Chillum Road
A

Right out of the firehouse, Right on 34th Street (follow till turns into Chillum Road)

Map Page 13

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32
Q

From the fire house:

  • Get to Decatur
  • Map Page?
A

Left out of the fire house, reach Baltimore ave turn right then immediately left onto Decatur Street

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33
Q

From Complete Care

Get to Washington Hospital Center

A

Curve around then Right on Lasalle Road, veer right (curve)
Right on Michigan Ave (follow)
Right into hospital (Hospital Center Dr)

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34
Q

From Thomas Stone Elementary
Get to Children’s Hospital

A

Take 34th (away from firehouse),
Left on Allison,
Right on 30th,
Left on Queens Chapel Road (Turns into Michigan Ave)
Right into Hospital

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35
Q

From Mt. Rainier Elementary
Get to Children’s Hospital

A

Right on 32nd, Right on Shepherd Street,
Right on 34th Street,
Right on Rhode Island (Circle),
Right on Franklin Street, Left on Michigan Ave,
Right into Hospital

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36
Q

From the fire house:

  • Get to Volta
  • What is the Map Page?
A
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37
Q

From the fire house:

  • Get to 40th Ave
  • What is the Map Page?
A
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38
Q

From the fire house:

  • Get to 31st Street
  • What is the Map Page?
A
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39
Q

From the fire house:

  • Get to Edmonton Road
  • What is the Map Page?
A
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40
Q

From the fire house:

  • Get to BW Parkway
  • What is the Map Page?
A
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41
Q

From the fire house:

  • Get to Med Star Trauma/Burn Center
A
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42
Q

From the fire house:

  • Get to Doctors
A

Turn left out of the fire house
left onto Baltimore ave

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43
Q

From the fire house:

  • Get to Cap Regional
A
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44
Q

From the fire house:

  • Get to 44
A
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45
Q

From the fire house:

  • Get to Riverdale Station
A
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46
Q

From the fire house:

  • Get to Howard University Hospital
A
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47
Q
A
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48
Q
A

From the fire house:

  • Get to Howard University Hospital
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49
Q

What’s the Height, Length, Weight of PE841?

A

Height: 9’7” Length: 29’5” Weight: 44,000 lbs

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50
Q

What kind of Engine does PE855 Have?

A

Cummins X12, 500HP

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51
Q

What is the Make Model of PE855?

A

E-ONE Tyhphoon

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52
Q

What is the Tank Size of PE855?

A

500 Gals

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53
Q

What type of Transmission does PE855 have?

A

Allison EVS 4000 Automatic

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54
Q

(PE855) Type of Trans Fluid, How much?

A

TES 295 Synth, 26 Quarts, (Refill at dip stick mid-engine)

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55
Q

(PE855) What type of Coolant, How much?

A

Oat ELC, 56 Quarts

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56
Q

(PE841) What type of Oil, How much?

A

15w 40, 40 Quarts

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57
Q

(PE855) What type of Fuel, How much?

A

Diesel, 50 Gals

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58
Q

(PE855) What type of Pump?

A

Hale Q Max, Single Stage
1500 GPM

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59
Q

Temp 32 Degrees or below, what should you do?

A

Bleed all air tanks on all apparatus, daily and after each use, slowly, partially, then close

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60
Q

(PE855) What type of primer?

A

Hale Electric

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61
Q

(PE841) What type of front intake?

A

5” Front Intake Valve ?

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62
Q

(PE855) How much DEF?

A

5 Gals

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63
Q

(PE855) Tire Size, PSI?

A

Wheel Dia 22.5”, 110 PSI

315/80r

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64
Q

(PE855) Tread Depth?

A

6/32nds Front, 4/32nds Rear

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65
Q

(PE855) What type of Breaks

A

Jacob’s Engine Brakes

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66
Q

(PE841) How do you tell when front breaks are due?

A

Front NOTCH measure lines up, call AMD

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67
Q

(PE841) How do you tell when rear breaks are due?

A

By “cotter” pin, when pin gets to last indicator, call AMD

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68
Q

(PE841) Proper Brake Procedure

A

30 stops, 30mph, 30 sec intervals, takes 5 seconds to stop, 30,30,30,5

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69
Q

(PE841) What are the ladder sizes?

A

10” attic, 14” roof, 28” extension, visual inspected once a month

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70
Q

What are the parts of the Halligan

A

Shaft, Fork, Pike, Bevel Adze

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71
Q

When does the Vibe alert go off on the SCOTT PAK

A

1800psi, 33%

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72
Q

(PE841) How many SCOTT PAK’s are on the Engine

A

8 Total, 1 Officer, 1 Driver, 3 in the Back, 6 Spares

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73
Q

(PE841) What are the lines in the back?

A

400” Leader Line -200 1 3/4 200” 3 inch

200” - 1 3/4

250” - 1 1/16th Straight (2 inch)

300” - 1 3/4

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74
Q

Whats the Nozzle Pressure for Straight Stream, Master Stream, Fog Stream

A

Straight - 50 psi

Master - 80 psi

Fog - 100 psi

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75
Q

Belts should have no more then ___ inch delfection at center point

76
Q

What is does CDLBS stand for?

A

Cracked
Damaged
Loose
Broken
Secured

77
Q

List Outside of Vehicle Check

A

1 Exterior Lights
2 Windshield
3 Doors

78
Q

PE841 Parts

A

Steering
Frame
Springs/Shocks
Wheels
Engine - Oil, Coolant, Belts
Transmission, Water Pump
Drive Shaft
Brakes
Exhaust/Fuel Tank, Reservoir
Power steering, Alternator, Radiator, Air Compressor

79
Q

When driving opposting traffic lane or one way street what is the max speed

80
Q

What is the max speed for driving with snow chains

81
Q

When road barrier how many warning devices (cones) should be used

82
Q

What is the Q formula for the
1 ¾” attack lines

83
Q

When calculating hydrant performance, if you open an additional line and get 10% drop how much residual water is still available

A

x1 or same amount

84
Q

What is the max gpm for 4” supply line

85
Q

Do not exceed __ mph when laying supply line

86
Q

Avoid drafting a height greater than __

87
Q

With a full tank flowing a fog nozzle how long until you run out of water

88
Q

What are the hose couplers aka Glad hands used for

A

Connecting airlines, and towing

89
Q

The Engine is governed to what max speed?

90
Q

What size are the fittings on the hard suction hose

91
Q

How many gpm does a Bresnan distributor flow?

92
Q

What is the friction loss on the wagon pipe

93
Q

What is Drivers job on first due fire

A

Flake line, to the door
Charge line
Obvious rescues
Prepare for defensive ops
Secure utilities
Throw ladders, lights
Maintain water supply

94
Q

How many seconds do you hold the Regen button

95
Q

Why do you pull the engine out of station for regen?

A

High exhaust temp, keep emissions out

96
Q

What is the diameter of the standpipe pack hose

97
Q

What psi is the intake pressure relief set to?

98
Q

Where is the manual override for the front intake valve?

A

OIC side, pump panel area, bottom corner door, has wheel to turn for valve

99
Q

In whlat situation is it ok to apply water to hot or overheating brakes?

100
Q

With red showing in the window of the crossfire air fittings what does that indicate?

A

Overpressure

101
Q

What is the Q Formula for the 4” supply line?

102
Q

What is the number of feet allowable on the discharge side of a foam eductor with 1.5” line

103
Q

What do you need when calling to have unit towed?

A

Hours, Miles
M Number
Location

104
Q

What is the formula for (customary) discharge rate on a solid stream nozzle?

A

GPM = 29.7 * d^2 * ✔️NP

GPM = Discharge in gallons per minute
29.7 = A constant 
d = Diameter of the orifice in inches
NP = Nozzle Pressure in pounds per square inch (psi)

p 195

105
Q

Master Stream Nozzles:
Smooth bore streams are generally operated at _____ psi nozzle pressure, while fog appliances are generally operated at _____ psi.

A

80 psi / 100 psi

p 199

106
Q

A simple guideline for the Customary system of measurement for approximate solid stream nozzle reaction is ?

A

NR = Q/3
Q equals the total flow of water in gpm flowing through the nozzle

p 203

107
Q

What is the formula for calculating nozzle reaction for fog stream nozzles?

A 
NR = 0.0505 * Q * ✔️NP
NR = nozzle reaction in pounds
0.0505 = A constant 
Q = Total flow through the nozzle in gallons per minute (gpm)
NP = Nozzle Pressure in pounds per square inch (psi)

p 204

108
Q

Which nozzles are best suited for wildland fires and are not recommended for structural fire fighting due to their low water flow of only 8 to 15 gpm?

A

High pressure fog nozzles

p 199

109
Q

The two basic pressurized water supply sources that a driver/operator will encounter are a ?

A

fire hydrant or supply hose from another pumper

p 339

110
Q

Pumping at a low residual pressure (below _____ psi) while being supplied by other apparatus is dangerous. This may cause the supply hose to __________, interrupting the supply of water. It may also lead to cavitation of the pump.

A

20 psi / collapse

p 339

111
Q

Driver/Operators should maintain a residual pressure of at least ______ psi on their master intake gauge at all times during pumping operations.

A

20 psi

p 340

112
Q

The initial water source is often the apparatus ________ _______.

A

water tank

p 337

113
Q

Typically the least desirable hydrants are those located on “________ ______ ________” that are served by smaller mains from only one direction.

A

“dead end mains”

p 340

114
Q
  • Water main that is not looped and in which water can flow in only one direction.
A

Dead End Mains

p 340

115
Q

One of the most common ways for a pumper to be supplied with water from a hydrant is by making a ?

A

forward hose lay

p 341

116
Q
  • Method of laying hose from the water supply to the fire scene.
A

Forward Lay

p 341

117
Q
  • Method of laying hose from the fire scene to the water supply.
A

Reverse Lay

p 344

118
Q

Load hose with a _________ coupling to come out of the bed first when using hose with threaded couplings for a reverse lay.

A

male

p 344

119
Q

Use double _________ adapters at the hydrant and double ________ adapters at the pump panel to execute a reverse lay using hose with threaded couplings if the hose bed has been set up for a forward lay.

A

female / male

p 344

120
Q

Executing a reverse lay is a common method for setting up a water supply operation or relay pumping using __________ diameter hose as a supply line.

A

medium

p 344

121
Q

With medium diameter hose, it is necessary to position a pumper at the ___________ to supplement the pressure to the supply hose.

A

hydrant

p 344

122
Q

The reverse lay is the most direct method of supplementing _____________ ____________ or performing ____________ _____________.

A

hydrant pressure or performing drafting operations

p 344

123
Q
  • 2 1/2 or 3 inch hose used for both fire fighting attack and relay supply purposes.
A

Medium Diameter Hose (MDH)

p 344

124
Q
  • (1) Pumper that is positioned at the fire scene and is directly supplying attack lines. (2) Light truck equipped with a small pump and water tank. Also know as Midi-pumper or Mini-pumper.
A

Attack Pumper

p 344

125
Q
  • Pumper that takes water from a source and sends it to attack pumpers operating at the fire scene.
A

Water Supply Pumper

p 344

126
Q

If water is allowed to enter the tank _________ _____________, the venting may not be adequate to allow the pressure to dissipate, resulting in damage to the tank.

A

under pressure

p 345

127
Q

Regardless of whether a particular apparatus is equipped with a check valve in the tank to pump line or a shutoff valve on the intake, the driver/operator should close the tank to pump valve after transitioning to an ?

A

external water supply

p 345

128
Q

When the pump is full of water and the pressure in the system has stabilized with no water flowing, a reading of the pressure on the master intake gauge indicates the ___________ _____________ in the water supply system. The reading is important for estimating the remaining _________ of the hydrant as the water begins to move.

A

static pressure / capacity

p 346

129
Q

Open all valves slowly, especially when using ________ ____________ hose. The hose must be __________ before pressure can be established.

A

large diameter / filled

p 346

130
Q

While observing the master intake and discharge gauges, the D/O should increase the engine ______. If the master intake gauge drops below _____ psi, the throttle must not be ____________ any further because the pump may begin to cavitate.

A

rpm / 20 psi / increased

p 346

131
Q

Several methods for preventing overheating are as follows:

  • Establish a continuous minimum _______ during intermittent use of water in fireground operations to keep the pump from overheating.
  • Pull a length of ___________ line or other _________ ___________ line off the reel and fasten it to a sturdy object.
  • Open the valve that supplies the booster reel and ___________ __________ in a direction that will not interfere with the operation or damage to other property. The booster line may also be directed back into the ________ to circulate water continuously.m
A
  • flow
  • booster / small diameter
  • discharge water / tank

p 347

132
Q

During prolonged pumping operations, a bypass circulator may not provide sufficient cooling under some conditions and additional measures will be required to avoid overheating.

  • Open a ____________ _________ valve.
  • Partially open the ______-______ valve or ______-___-_______ line. Even if the water tank becomes full and _____________ through the tank vent, this result is preferable to the pump overheating.
A
  • discharge drain
  • tank-fill / tank-to-pump / overflows

p 347

133
Q

When a pumper is connected to a hydrant and is not discharging water, the pressure shown on the intake gauge is __________ pressure. When the pumper is discharging water, the intake gauge displays the ___________ pressure. The difference between the two pressures is used to determine how much more water the ___________ can supply.

A

static / residual / hydrant

p 347

134
Q

Available Water from Hydrant Percent Method:

Percent Drop = ( _________ - ___________ )(100) / ___________

A

Percent Drop = (Static - Residual)(100) / Static

p 348

135
Q

Available Water from Hydrant Percent Method:
If the percent is ____ or less, three additional lines with the same flow as the line being supplied may be added. For ____-____ percent, two lines may be added, and for ____-_____ percent one line. When the result is over _____ percent, more water may be available, but not as much as is flowing through the first line.

A

10 / 11-15 / 16-25 / 25

p 348

136
Q

All fire department pumpers should be capable of pumping water from a _________ _________ supply source. In most cases, this source is located some distance below the level of the ?

A

static water / fire pump

p 352

137
Q

It is not possible to ______ water into the pump. However, it is possible to evacuate some of the air inside the pump creating a ____________ ___________ (__________ __________), which allows atmospheric pressure acting on the surface of the water to force the water into the fire pump.

A

pull / pressure differential ( partial vacuum)

p 352

138
Q
  • Effect of altering the atmospheric pressure within a confined space by mechanical means. When air is exhausted from within the space, a low pressure environment is created and replacement air will be drawn in; when air is blown into the space, a high-pressure environment is created and air within will to the outside.
A

Pressure Differential

p 352

139
Q

Severe Agitation - Adult

A

Treatment: Sedation with Midazolam (2.5-5 mg IV/IO)

140
Q

CHF

signs your looking for

treatment

A

Key Signs: Edema, Hypertension, PND, SOB, Wheezing, Crackles on Lung Auscultation.

Differentials: Rule out inferior STEMI with a 12-lead ECG.

Treatment: CPAP, Nitro 0.4 mg, Nitro Paste, Transport to Cardiac Center.

141
Q

Mild Allergic Reation - Adult

signs for mild

treatment

A

Signs: Rash, Itching, Hives.

Treatment: Diphenhydramine 25-50 mg IV/IM).

142
Q

Severe Allergic Reaction - Adult

signs for Severe

treatment

A

Signs: Respiratory Distress, Swelling.

Treatment: Epinephrine (0.3 mg IM) - may repeat every 5-15 minutes.

143
Q

Anaphylaxis - Adult

signs for moderate

treatment

A

Possible Causes: Allergic reaction to food, insect sting.

Key Signs: Urticaria, angioedema, respiratory distress.

Vital Signs: Hypotension.

Treatment: Epinephrine 0.5 mg IM; consider diphenhydramine and Dexamethasone

144
Q

Hypoglycemia - Adult

sign your looking for

treatment

A

Signs: Confusion, Sweating, Blood Glucose below 70 mg/dL.

Treatment: Dextrose 25 g IV/IO or Glucagon

145
Q

Hyperkalemia - Adult

signs your looking for

treatment

A

Possible Causes: Renal failure, some meds cause it like Beta blockers, Sartans, Prills, diuretics.

Key Signs: Muscle weakness, peaked T waves on ECG.

Vital Signs: Bradycardia, hypotension.

Treatment: Cal Chloride 0.5-1gram slow 5 mins IVP flush then Sodium BiCarb 50 mEq IV over 5 mins

146
Q

Seizures - Pregnancy

signs

treatment

A

Give 5mg IM Midazolam/Versed

then

4mg Mag Sulfate IV over 10mins mixed in 100mL LR

147
Q

Asthma Exacerbation

signs

treatment

A

Signs: Wheezing, accessory muscles, Shark fin capno

Treatment:

148
Q

CHF

signs your looking for

treatment

A

Signs: Crackles, PND, Edema, HTN, capno might be norm. Check 12 lead

Treatment: IV, CPAP, SL Nitro 0.4, check bp 150

Note: Check for Inf Wall MI before Nitro

149
Q

Croup - Peds

signs your looking for

treatment

A

Signs: Inspiratory Stridor, Barking Cough

Treatment: Neb Epi

150
Q

Opioid Overdose

signs your looking for /possible drugs

treatment

A

Signs: Pinpoint, resp depress, AMS

151
Q

Chest Pain

signs
&
treatment

A

S: chest pressure, discomfort, sob, diaphoretic (sys abv 90, hr 60-150)

T:
aspirin 325mg
12 lead EKG (asap)
IV access
Nitro 0.4mg SL
(may repeat 90 sys, hr 60-150bpm)
2 more tabs, max 1.2mg

note: watch for bp drop of 20
withhold nitro - Inf MI, ED drugs

152
Q

ST Elevation - MI STEMI

signs
&
treatment

A

Signs:
sob, cp, arm/jaw pain, diaphoretic, nausea
(st elevation, 1mm in 2 leads)

Treatment:
IV-Aspirin/Nitro
Cardiac Ctr/Transmit, STEMI Alert

Inferior (R) - get V4r - if elevation do NOT give nitro

if hypotensive/clear lungs -
give LR 250mL IV

note: depression in v1-v3, get posterior EKG

153
Q

Sync Cardio Vert

signs of when

and how

A

Hr over 150

UnStable

SVT - NARROW- 100, 200, 300, 360

Afib/Aflutter - 200, 300, 360

154
Q

Sepsis

A

Possible Causes: Infection, pneumonia, urinary tract infection.

Key Signs: Fever, altered mental status, hypotension.

Vital Signs: Fever > 100.4°F, heart rate > 90 bpm.

Treatment: Antibiotics; crystalloid fluid resuscitation; vasopressors if hypotensive.

155
Q

Ped patient is defined as

A

up to 40kg or up to 14 years of age

Appear, Wob, Circulation

156
Q

GCS M, V, E

A

M (6) Motor

Localizes - 5
withdraw - 4
core - 3

V (5) voice

confused - 4
inappropriate - 3
incomprehensible - 2

E (4) eyes

to speech - 3
to pain - 2
none - 1

157
Q

Stable SVT (nat registry)

A

Perform vagal maneuvers
Adenosine 6 mg IV (proximal site) followed by 10 mL fluid bolus

If tachycardia continues, give adenosine 12 mg IV
A third dose of adenosine, 12 mg IV, can be given

Diltiazem 0.25 mg/kg slowly IV over 2 minutes

fter 15 minutes, a second dose of diltiazem 0.35 mg/kg IV may be given

For patients older than 65 years old, recommend maximum initial dose of diltiazem 10 mg IV and a maximum second dose of 20 mg

Metoprolol 5 mg IV given over 1–2 minutes. May repeat as needed q 5 minutes for a total of 3 doses

Verapamil 2.5–5 mg IV given over 2 minutes. May repeat with verapamil 5–10 mg
after 15–30 minutes

158
Q

Stable Brady (nat registry)

A

HR less than 60 bpm with CP, AMS, CHF, Seizure, syncope, diaphoretic

VOMIT

O2 over 94%
12 lead
IV
BGL

Atropine 1 mg IV q 3–5 minutes (maximum total dose of 3 mg) 

then if that doesn’t work

Epinephrine IV drip 0.02–0.2 mcg/kg/min titrated to a MAP greater than 65 mmHg

159
Q

Stable Tachy - Afib, AFlutter

A

HR over 100, palpitations, dyspnea, syncope, ams, cp

O2 over 94%, 12 lead, IV (vomit)

Diltiazem (Cardizem) 0.25 mg/kg slowly IV over 2 minutes

After 15 minutes, a second dose of diltiazem 0.35 mg/kg IV may be given if needed

For patients older than 65 years old, recommend maximum initial dose of 10 mg IV and a maximum second dose of 20 mg

Metoprolol 5 mg IV given over 1–2 minutes. May repeat as needed q 5 minutes for a total of 3 doses

160
Q

Wide Complex Tachy - Stable

A

Amiodarone 150 mg IV over 10 minutes. May repeat once as needed

Procainamide 20–50 mg/min until arrhythmia suppressed, hypotension ensues, QRS duration increases greater than 50%, or maximum dose 17 mg/kg given Maintenance infusion: 1–4 mg/min, Avoid if prolonged QT or CHF

Lidocaine 1–1.5 mg/kg IV
May be repeated at 5-minute intervals for a maximum dose of 3 mg/kg IV

Adenosine 6 mg IV (proximal site) followed by 10 mL fluid bolus, If monomorphic tachycardia continues, give adenosine 12 mg IV

161
Q

Wide Complex Tachy - unstable

A

Synchronized cardiovert 100j

162
Q

ROSC Protocol

A

Obtain 12 lead
10 breaths a min
Titrate Fluids and or Vasopressors to 90 systolic / map 65
TARGET TEMP MANAGEMENT
H and Ts

163
Q

Name beta blockers and calcium channel blockers

A

Beta Blockers:

Atenolol
Metoprolol
Propranolol
Carvedilol

Calcium Channel Blockers:

Amlodipine
Nifedipine
Verapamil
Diltiazem

(may give for SVT)

Beta Blockers (e.g., Metoprolol): Decrease heart rate and contractility.

Calcium Channel Blockers (e.g., Diltiazem): Dilate vessels and slow AV node conduction.

164
Q

SVT hr and Tach hr

A

SVT - over 150

tachy - over 100

165
Q

Steps for Pacing

A

unstable under 50 bpm

set rate to 80
set CURRENT till both electrical capture and mechanical

166
Q

CP

A

if o2 is less than 90% give 4ltrs nc

no nitro if systolic less than 90
hr less than 50
Inferior wall MI Right sided involvement
PD drugs within 24 hrs

give nitro

then give Morphine: 2-4mg IV then 2-8mg after 5 mins

167
Q

Bradycardia how much Atropine can you give?

A

1mg IV Atropine

every 3-5 mins (total 3mg)

note: with hold on type II 2nd degree and 3rd degree

168
Q

What do you give for TCA over dose

what are signs

name some TCA drugs

A

give Sodium Bicarb

signs:
ams, seizures, wides QRS, hypotension, Dry, dilated

Amitriptyline

169
Q

What is the Ped dose for Dextrose D10

A

5 mL/kg IV

170
Q

what is the Ped dose for Benadryl

A

1mg /kg IV SLOWQ

171
Q

What is the Ped dose for Neb Epi and when

A

Croup treatment

0.01mg/kg EPI IM (max 0.5mg)

Dexamethasone 0.5mg/kg IV (max 10mg)

then neb epi 2.5mL of 1mg - 2.5mg

stridor, labored

Transport to the closest medical - neb epi

172
Q

Whats the compression rate for PED

A

30:2 - 1 person

15:2 - 2 people

173
Q

What is the Defib J setting for PED code

A

2, 4, 6, 8, 10

174
Q

PED svt, what is the bad hr for infant and Child

what is the J setting for cardioversion

what is the Drug and dose

A

infant - over 220

child - over 180

J setting - 1j/kg, then 2j/kg

Adenosine - 0.1mg/kg rapid

then 0.2 mg/kg rapid (max dose 12mg)

Regular Narrow Complex Tachycardia – Stable (SVT)
1. Perform vagal maneuvers
2. Adenosine 0.1 mg/kg (maximum of 6 mg)
a. If unsuccessful, may repeat with 0.2 mg/kg (maximum of 12 mg)
ii. Regular Narrow Complex Tachycardia – Unstable
1. Deliver a synchronized shock: 0.5–1 J/kg for the first dose
2. Repeat doses should be 2 J/kg
iii. Regular, Wide Complex Tachycardia — Stable
1. Consider adenosine 0.1 mg/kg (maximum of 6 mg) for SVT with aberrancy
2. Otherwise give amiodarone 5 mg/kg IV (maximum of 150 mg) over 10 minutes
iv. Regular, Wide Complex Tachycardia – Unstable
1. Synchronized cardioversion 0.5–1.0 J/kg

175
Q

CHF treatment

A

12 lead ekg (if inferior wall MI consult first)
IV
O2 less than 94% give O2
BP before each dose
nitro 0.4mg q 3-5mins max 1.2mg and 1 inch nitro paste
CPAP
if systolic drops below 90 give 250mL bolis may repeat once
if hypo still give 1mg of epi in 100mL 60 drops/min titrate to 90sys

geriatric, hypertension, sob, resp dis, wheezing,

176
Q

What is the Min age for CPAP

A

13 years old

177
Q

From the fire house:

  • Get to Rainier Manor
  • Where is the Plug, FDC?
  • What is the Address?
  • How many floors
  • What is the Map Page?
A
  • Right out of the firehouse, Right on 34th Street, Left on Rainier, Right on 30th, (Apt on Right)
  • Plug on 30th Side A, FDC on side A
  • 3001 Queens Chapel Road
  • 4 Floors
  • Page 13 (top left)
178
Q

How many intakes, how many discharges on PE855?

A

3 intakes (front, 2 sides)
6 discharges? (1 front, 4 rear, plus side)

179
Q

What is the priority when forcing a door with multi locks

A

highest lock first and work downward

180
Q

What should the driver do if the hydrant is not operational

A

notify command and attempt to establish an alternative water supply

181
Q

What must the driver do before engaging the pump

A

parking brake, neutral, pump gear

182
Q

What is the drivers role in standpipe operations during a high-rise fire

A

Connect to FDC, establish water flow and monitor system

183
Q

What steps must the Driver take when switching from tank water to hydrant water

A

open the intake valve slowly, close the tank to pump, and confirm water pressure from the hydrant

184
Q

What is the correct pump pressure for supplying a high rise Stand pipe?

A

150psi, plus 5psi per floor above the ground floor

185
Q

What is the formula for determining pump pressure when supplying an attack line, and how does it account for nozzle pressure, friction loss, special appliances, and elevation?

A

PP = NP + FL + SA +/- E,

186
Q

Discuss the friction loss calculation for a 2 ½” hose, focusing on the relationship between flow rate and hose diameter.

A

Friction loss in a 2 ½” hose is calculated using the formula FL = 2Q², where Q is the flow rate in hundreds of GPM. Larger diameters reduce friction loss for the same flow rate.

Fire Study (6 decks)

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