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Firefighter rehabilitation is a vital firefighting service, providing firefighters and other emergency personnel with immediate medical attention including rehydration, treatment for smoke inhalation, and the prevention of life-threatening conditions such as heatstroke and heart attack [1] after working at the scene of an incident. [2] Firefighter rehabilitation can include a variety of things from a simple check up to deciding whether or not the firefighter needs to see a doctor. The rehabilitation area is set up in a safe location near the incident so that it can be accessible to any emergency responders who may need it.
Firefighter rehabilitation is designed to ensure that the physical and mental well-being of members operating at the scene of an emergency (or a training exercise) don't deteriorate to the point where it affects the safety of any other members. Firefighting is inherently dangerous in the best of circumstances, and any additional physical or mental stress increases the danger. Studies have shown that core body temperature and heart rate can rise dramatically during firefighting operations. [3] Without intervention, firefighters may be at risk for serious acute illness from the extreme conditions and high levels of exertion. [4]
The primary mission for personnel responsible for firefighter rehabilitation is to identify, examine, and evaluate the physical and mental status of fire-rescue personnel who have been working during the emergency incident or a training exercise. Following a proper survey, it should be determined what additional treatment, if any, may be required. The need to implement rehabilitation is based on many factors including, but not limited to, outside temperature, type of work being performed by firefighters, and use of Self-Contained Breathing Apparatus (SCBA). [5] [6]
A specially designated Rehabilitation Area is established at the discretion of the Incident Commander. If the Incident Commander determines that Rehab is necessary, firefighters may be instructed to "self-rehab" in the case of smaller-scale incidents, or qualified Paramedics or EMTs should be designated to manage the Rehab Area under the command of a fire or EMS officer or supervisor. [5] The site should be located away from any environmental hazards, or by-products of the fire, such as smoke, gases or fumes. During hot months, the ideal location might include a shady, cool area distant from the incident. In winter, a warm, dry area is preferred. Regardless of the season, the area should be readily accessible to EMS-Rescue personnel and their equipment, so they may restock the sector with supplies, or in the event that ambulance transport is required. [5] [7]
Rehab sites can take many forms, including lobbies of nearby buildings, parking lots, or grassy areas such as yards, parks, or fields. [6] Specially designed rehab vehicles are also used by many fire departments and EMS agencies. [8]
. During large-scale incidents, like multi-alarm fires, multiple Rehab Areas may be necessary. [6]
Command of the Rehab Area is assigned to a fire chief or company level officer, who is designated as the Rehab Officer under most Incident Command structures. [6] A minimum of two trained EMS personnel should initially be assigned to monitor and assist firefighters in the Rehab Sector, but more personnel may be necessary for larger incidents. Volunteer canteen or auxiliary members often assist EMS personnel in making firefighters as comfortable as possible. [9] [10]
It is important for command and company level officers to continually monitor personnel for telltale signs of exhaustion, stress, and or physical trauma. [6] Individual members are encouraged to report to the Rehab Sector at any time that he or she feels the need to do so. Symptoms may include weakness, dizziness, chest pain, muscle cramps, nausea, altered mental status, difficulty breathing, and others. [6] The U.S. Fire Administration recommends all fireground personnel (regardless of physical well-being) should report to the Rehab Sector immediately following strenuous activity, the use and depletion of two SCBA bottles (or failure of an SCBA), or forty (40) minutes of intense physical activity. [6]
When firefighters get to the rehabilitation tent, they are monitored to prevent life-threatening conditions such as heat stroke and heart attack. Medical monitoring includes: [11]
Heart rate should be measured as early as possible in the rest period. If the firefighter's heart rate exceeds 110 beats per minute, it is recommended that an oral temperature be taken. If body core temperature exceeds 100.6F, the firefighter should not be permitted to wear protective equipment or re-enter the active work environment, until temperature has been reduced and heart rate decreased. [12]
Some fire departments run their own fireground rehab, either by in house firefighters trained in the medical field or it may be provided by:
A firefighter is a first responder trained in firefighting, primarily to control and extinguish fires that threaten life and property, as well as to rescue persons from confinement or dangerous situations. Male firefighters are sometimes referred to as firemen.
The New York City Fire Department, officially the Fire Department of the City of New York (FDNY) is the full-service fire department of New York City, serving all five boroughs. The FDNY is responsible for fire suppression and fire prevention, and is a major provider of EMS services in New York City. Beyond fire suppression and EMS, the FDNY is responsible for a broad range of services, including technical rescue, CBRN defense, and structural collapse response and analysis. The FDNY is equipped with a wide variety of general-purpose and specialized Vehicles,Tools and Equipment to serve its varied missions.
A self-contained breathing apparatus (SCBA) is a respirator worn to provide an autonomous supply of breathable gas in an atmosphere that is immediately dangerous to life or health from a gas cylinder. They are typically used in firefighting and industry. The term self-contained means that the SCBA is not dependent on a remote supply of breathing gas. They are sometimes called industrial breathing sets. Some types are also referred to as a compressed air breathing apparatus (CABA) or simply breathing apparatus (BA). Unofficial names include air pack, air tank, oxygen cylinder or simply pack, terms used mostly in firefighting. If designed for use under water, it is also known as a scuba set.
A volunteer fire department (VFD) is a fire department of volunteers who perform fire suppression and other related emergency services for a local jurisdiction. Volunteer and retained (on-call) firefighters are expected to be on call to respond to emergency calls for long periods of time, and are summoned to the fire station when their services are needed. They are also expected to attend other non-emergency duties as well.
In firefighting, the policy of two-in, two-out refers to United States Occupational Safety and Health Administration (OSHA) policy 29 CFR 1910.134(g)(4)(i). The respiratory protection standard requires that workers engaged in fighting interior structural fires work in a buddy system; at least two workers must enter the building together, so that they can monitor each other's whereabouts as well as the work environment. There must also be at least two standby personnel outside the fire area prepared to rescue the inside firefighters should the need arise. One of these outside firefighters must actively monitor the status of the inside fighters but the second outside firefighter may perform a variety of other duties, such as pump operations, incident commander or outside hose line operation. There are no provisions in the standard to waive the requirements for either the "two-inside firefighters" or the "two-outside firefighters", although the circumstances under which this provision applies are more limited than generally understood.
A PASS device, also known as a distress signal unit (DSU) or ADSU, is a personal safety device used primarily by firefighters entering a hazardous or "immediately dangerous to life and health" (IDLH) environment such as a burning building. The PASS device sounds a loud (95 decibel) audible alert to notify others in the area that the firefighter is in distress. On a fireground, the sound of an activated PASS device indicates a true emergency and results in an immediate response to rescue the firefighters in distress. In the United States, the National Fire Protection Association sets standards for PASS devices in NFPA 1982.
Firefighting jargon includes a diverse lexicon of both common and idiosyncratic terms. One problem that exists in trying to create a list such as this is that much of the terminology used by a particular department is specifically defined in their particular standing operating procedures, such that two departments may have completely different terms for the same thing. For example, depending on whom one asks, a safety team may be referred to as a standby, a RIT or RIG or RIC, or a FAST. Furthermore, a department may change a definition within its SOP, such that one year it may be RIT, and the next RIG or RIC.
This is a glossary of firefighting equipment.
A hazmat suit is a piece of personal protective equipment that consists of an impermeable whole-body garment worn as protection against hazardous materials.
A firefighter assist and search team (FAST), also known as a rapid intervention team/rapid intervention crew/rapid intervention group/rapid intervention dispatch (RIT/RIC/RIG/RID) or breathing apparatus safety teams (BAST), is a team of two or more firefighters dedicated solely to the search and rescue of other firefighters in distress. Firefighter Assist and Search Team personnel shall have no other operational assignment during any incident. Multiple-alarm fires may require multiple FAST/RIC teams.
Fire prevention is a function of many fire departments. The goal of fire prevention is to educate the public on the precautions that should be taken to prevent potentially harmful fires from occurring. It is a proactive method of preventing fire-based emergencies and reducing the damage caused by them. Fire prevention education can take the form of videos, pamphlets, and banners. Often, the messages and lessons are simple tips. Many fire departments will have one or more Fire Prevention Officers, which may also be a routine duty of firefighters.
A rescue vehicle is a specialised vehicle designed to transport and provide the equipment necessary for technical rescue. Vehicles carry an array of special equipment such as the jaws of life, wooden cribbing, generators, winches, hi-lift jacks, cranes, cutting torches, circular saws and other forms of heavy equipment unavailable on standard trucks. This capability differentiates them from traditional pumper trucks or ladder trucks designed primarily to carry firefighters and their entry gear as well as on-board water tanks, hoses and equipment for fire extinguishing and light rescue. Most rescue vehicles lack on-board water tanks and pumping gear, owing to their specialized role. A rescue vehicle is typically operated by a rescue squad, but in some areas it may be integrated with emergency medical services or fire departments.
For centuries, firefighters have worn helmets to protect them from heat, cinders and falling objects. Although the shape of most fire helmets has changed little over the years, their composition has evolved from traditional leather to metals, to composite helmets constructed of lightweight polymers and other plastics.
Bunker gear is the personal protective equipment (PPE) used by firefighters. The term is derived from the fact that the trousers and boots are traditionally kept by the firefighters bunk at the fire station to be readily available for use.
A thermal imaging camera is a type of the thermographic camera used in firefighting. By rendering infrared radiation as visible light, such cameras allow firefighters to see areas of heat through smoke, darkness, or heat-permeable barriers. Thermal imaging cameras are typically handheld, but may be integrated with other pieces of equipment such as helmets and SCBAs. They are constructed using heat- and water-resistant housings, and ruggedized to withstand the hazards of fireground operations, often meeting the requirements of NFPA 1801, Standard on Thermal Imagers for the Fire Service.
The Detroit Fire Department (DFD) provides fire protection and emergency medical services to the U.S. city of Detroit, Michigan.
Firefighting in the United States dates back to the earliest European colonies in the Americas. Early firefighters were simply community members who would respond to neighborhood fires with buckets. The first dedicated volunteer fire brigade was established in 1736 in Philadelphia. These volunteer companies were often paid by insurance companies in return for protecting their clients.
The Baltimore City Fire Department (BCFD) provides fire protection and emergency medical services to the city of Baltimore, Maryland, United States. Founded in 1797 and established in 1859, the Baltimore City Fire Department covers an area of 81 square miles (210 km2) of land and 11 square miles (28 km2) of water, with a resident population of over 640,000 and a daytime population of over 1,000,000. The BCFD responds to approximately 235,000 emergency calls annually. There are two International Association of Fire Fighters (IAFF) locals; IAFF 734 for firefighters and IAFF 964 for officers.
A Special operations firefighter, also known as Fire Service Special Operations, is a specialist firefighter who has been specially trained to execute tasks other than standard firefighting operations. The National Fire Protection Association's Standard for the Organization and Deployment of Fire Suppression Operations, Emergency Medical Operations, and Special Operations to the Public by Career Fire Departments defines special operations as "Those emergency incidents to which the fire department responds that require specific and advanced training and specialized tools and equipment". The NFPA 1710 further defined special operations as "Special operations include water rescue, extrication, hazardous materials, confined space entry, highangle rescue, aircraft rescue and fire fighting, and other operations requiring specialized training".
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