Emergency Services, LLC / Copyright 2007 / Volume 07-4 1 TRAINING Click anywhere on page to view show in it s entirety FIRE MEDICS • Medforce Emergency Transport • Quiz EVOLUTIONS 2000 • Kramer vs. Kramer • Program Quiz Answers FIRELINE • Illinois Extrications • Trapped Firefighters’ Esca pe • Discussion Questions HANDS-ON • Mezzanine Training Space(E xpanded Segment) • Quiz Working Fire Training 07-4 Training Materials
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Emergency Services, LLC / Copyright 2007 / Volume 07-41 TRAINING Click anywhere on page to view show in its entirety Click anywhere on page to view show.
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Working Fire Training07-4 Training Materials
All training methods and procedures presented in this Working Fire Training (WFT) video program and training materials are based on IFSTA, NFPA, NIOSH, OSHA and all other relevant industry regulations and standards and are presented as a part of generally accepted and acknowledged practices in the U.S. Fire Service. WFT should be used under the supervision of certified trainers in conjunction with national, state, and local training standards and protocols, and the standard operating guides and procedures of the Subscriber. WFT is intended to be an ancillary source of training information and should not be used as the sole source of training for any emergency service organization. WFT accepts no responsibility for how the Subscriber implements or integrates this program into the Subscriber’s own training program, nor does the use of this program by the Subscriber imply that WFT approves or endorses any specific training methods presented by the Subscriber to its own organization. WFT accepts no responsibility for the correct understanding or application of its training methods and procedures by emergency service personnel who view this program; nor for any performance or lack of performance by emergency service personnel who may view this program and use or apply these training methods and procedures incorrectly; nor does it accept any liability for injuries or deaths of emergency service personnel who may view this program and use or apply such training methods and procedures incorrectly. By presenting this program for viewing to its organization’s members, the Subscriber, and by viewing or reading materials presented by WFT, the members and students of the Subscriber, agree to hold harmless WFT, the University of Cincinnati, VFIS, and any persons or organizations who participate in the creation and/or presentation of this training material from any legal action which might result from any line-of-duty injuries or deaths of the Subscriber’s members or any other emergency service personnel who view this program and who may use or apply such training methods and procedures incorrectly.
STRATEGY/TACTICS – MONMOUTH EXTRICATION • Since the passenger was face-down in the vehicle,
responders took him out face-down on a backboard with a C collar.
– They removed him in a stokes basket to get him up to level ground so they could actually secure him to the board instead of working in the muddy water.
EVENTS – MONMOUTH EXTRICATION • Found the car upside down in a creek.• Stabilized the car initially with a winch.• Driver was seat-belted with one arm out the
window. She was airlifted with multiple fractures.
• Passenger was extricated using spreaders and cutters and transported via helicopter.
STRATEGY/TACTICS• An interior fire attack was begun.
• While Engineer Burrows continued his job at the truck, the Lyndon crew of Cpt. Baker, Firefighter Dunlany and Sgt. Leffler went upstairs to the second floor.
• The Middletown crew entered the first floor.
• A ventilation crew went to the roof to cut a vent hole.
The departments involved in this month’s training and WFT pose some discussion questions that you can use as discussion-starters in your own department’s training sessions.
Illinois Extrications / Monmouth/Cordoba, IL Asst. Chief Patrick Spears, Monmouth (IL) Fire Department Chief Chuck Smalley, Cordova (IL) Fire Department Asst. Chief Don Carey, Port Byron (IL) Fire Dept.
• An overturned vehicle in a creek with six inches of water was something we hadn’t seen before. I suggest departments try to rig such and evolution and train on it. Get a wreck from a salvage yard and dump it upside-down in a creek or ditch somewhere.
• Work hard at finding ways to disconnect batteries and/ or airbags when you can’t get good access to them.
– It’s possible you could access the battery through the grill, if it’s in the engine compartment, even if the vehicle is upside-down.
– In the Port Byron incident, the battery was under the back seat. It’s possible access could have been gained by removing the back seat through the trunk. We’re going to work on that.
Trapped Firefighters’ Escape / Louisville, KY Captain Kevin Baker, Lyndon Fire Department
• During size-up, try to make a mental picture of where exterior windows, doors, and other points of egress are.
– Once you’re inside the structure, you can translate the positions of those egress points and determine which ones are closest to your position.
• On the outside, firefighters should be breaking and laddering windows, providing for means of egress.
– In this case, since a ventilation hole was cut in the roof, opening windows on the first floor should help clear the smoke.
• Consider the use of Positive Pressure Ventilation (PPV) to clear smoke even before attack crews enter the structure.
– Though it might initially fuel the fire depending on its location (it might also blow the fire out!), the interior will be a lot safer with better visibility for firefighters if they do make an entry attack.
HISTORY• We designed a training facility when we built our new fire
station with the intent of having room for additional training in the building.
• We ended up with the mezzanine area which is 81 feet long and 16 feet wide.
• The guys looked at the plans and decided that we could build a confined space prop into the facility and over time, we've come up with more ideas in ways we could use the facility.
07-4 Training Materials
Hands-On:Mezzanine Training Space (Expanded Segment)
DYNAMIC CONFIGURATION• There are three walls that all pivot. (cont.)
– The training area offers a simulated smoke and ventilation system run by fan and vent at each end of the mezzanine. In the event of an emergency, the entire mezzanine can be cleared of smoke in about two minutes.
07-4 Training Materials
Hands-On:Mezzanine Training Space (Expanded Segment)
– Finally, both plywood covers can be removed, revealing the opening to the next level. This allows below-grade rescue evolutions to be practiced, confined space props, etc.
07-4 Training Materials
Hands-On:Mezzanine Training Space (Expanded Segment)
EVOLUTIONS• Forcible entry can also be practiced using wooden or
metal doors that are mounted to a 4” metal strip attached to the hinges.
– As the door becomes banged up, it can be removed from the metal strip and turned for around and reused or replaced entirely.
– Additional scenarios make use of various kinds of door jambs made either of wood or metal depending on whether the simulation is residential or commercial. These can also be replaced out as they become used or beaten up.
07-4 Training Materials
Hands-On:Mezzanine Training Space (Expanded Segment)
GROWTH THROUGH NEW IDEAS• Blackjack Fire Protection District gets lots of new
ideas from other departments who use the facility and who specifically asked for a particular kind of training prop or suggest that that the department create one.
• There is a real interchange of information.
07-4 Training Materials
Hands-On:Mezzanine Training Space (Expanded Segment)
Date___________ Firefighter/PM____________________ Chief/T.O.___________________ Education Credits _____1. True or False: When thinking about finding space to build
such a prop, it’s a good idea to look up.
2. True or False: Blackjack demands that only their props and evolutions be used. Other departments may not practice using their own ideas.
3. True or False: Real furniture provides obstacles to search & rescue drills, especially in smoked-up environments.
07-4 Training MaterialsQuiz: Mezzanine Training Space (Expanded Segment)
OBJECTIVES/OUTCOMESAfter watching this segment, the student shall:• Know the latest in working with helicopter responses• learn the issues of coordination between EMS and helicopter
transport teams.
CODES, STANDARDS & REGULATIONS• Check local department protocols and guidelines in working
with helicopter transport facilities.
• See Working Fire Training issues 96-5 through 96-9 for Safe Helicopter Landing Zones training.
PREPARATION FOR LANDING• The fire/police department should select and prepare a
helicopter landing zone.– The pilot has the right to call the site off, if he is not
comfortable with it.– This could be the result of an obstruction, a road sign, or
debris which may not be apparent to the ground crew but which can be seen from the air and which could jeopardize the safety of agencies on the ground.
– The pilot will have special needs and considerations the ground crew may not be sensitive to, not having airborne experience. For example, prop wash might disturb things which the ground crew might not think about.
THIS MONTH’S FIRELINE CALLS: MONMOUTH• Two different extrications with patient care.• Fire, police, sheriff, and EMS were all on scene.• Car was upside-down in a creek• Coordination among all agencies went very smoothly
ON-SCENE CARE RESPONSIBILITIES• Speed is always an issue.
– Golden Hour considerations are always present.– But air transport can “stretch” the Golden Hour since they fly
directly to trauma centers – and quickly – leaving more time for rescue on-scene.
– In addition, ground transport in report areas may bring patients to a smaller hospital where they are triaged and transported on to a larger trauma center. Air transport skips that middle step, gaining more time.
– Sometimes, because of the helicopter’s speed, they can arrive at the trauma center TOO quickly – before the hospital is ready for them. This is important for incident commanders and medical branch officers, too!
ON-SCENE CARE RESPONSIBILITIES• Speed is always an issue. (cont.)
– Communicate with the receiving hospital as early as possible as to patent condition and extent of injuries so that the hospital will be ready for the patient.
AIR TRANSPORT OPTIONS• Sometimes the element of speed is mitigated by the
severity of the extrication.– Air Transport tries to spend no more than 10 minutes on the
ground rendering care, knowing they can continue giving care while in the air.
– This is similar to ground EMS who would rather not spend more than 10 minutes at the scene before beginning transport.
– Sometimes the pilots kill the engines if the wait will be extensive. They have waited for up to two hours for a patient to be removed from a horrific extrication.
1. As auto safety has evolved, how well do you feel victim survivability has been improved? What are the implications for rescuers?
2. As auto safety has evolved, do you feel the job of victim extrication has become easier or more difficult? Briefly explain.
3. Briefly list the subjects that should be covered in a modern-day vehicle extrication course. Which of these are new because of advances in auto safety?
If you’re enrolled in the Open Learning Fire Science Program at the University of Cincinnati, complete written responses to the following three essay questions to earn one college credit hour for watching Working Fire Training.
Kramer vs. KramerAuto Response Safety
07-4 Training MaterialsEvolutions 2000 – Continuing Education
For more information on enrolling in the Open Learning program to gain college credit, call Working Fire Training at 800-516-3473 for a brochure or, to register directly, call the University of Cincinnati at 513-556-6583. Associates and Bachelors programs are available. Call to have your transcripts evaluated.
Send your responses to:
Professor Bill KramerUniversity of Cincinnati
College of Applied Science2220 Victory Parkway, ML #103
Cincinnati, Ohio 45206
07-4 Training MaterialsEvolutions 2000 – Continuing Education