Podcast
Questions and Answers
Under what condition should a formal rehabilitation group be considered during initial emergency response planning?
Under what condition should a formal rehabilitation group be considered during initial emergency response planning?
What specific heat index and time duration combination mandates the establishment of a rehabilitation group?
What specific heat index and time duration combination mandates the establishment of a rehabilitation group?
What specific criteria related to SCBA use dictates that a crew undergo formal rehabilitation?
What specific criteria related to SCBA use dictates that a crew undergo formal rehabilitation?
What is the minimum rest time required for crew members entering rehabilitation for the first time?
What is the minimum rest time required for crew members entering rehabilitation for the first time?
Signup and view all the answers
What is the minimum rest time required for subsequent trips to rehabilitation for crew members?
What is the minimum rest time required for subsequent trips to rehabilitation for crew members?
Signup and view all the answers
What is the maximum duration that the Rehabilitation Group Supervisor can allocate for rehabilitation, before requiring a medical evaluation?
What is the maximum duration that the Rehabilitation Group Supervisor can allocate for rehabilitation, before requiring a medical evaluation?
Signup and view all the answers
Which of the following is NOT a vital sign that is assessed during the medical evaluation in the rehabilitation area?
Which of the following is NOT a vital sign that is assessed during the medical evaluation in the rehabilitation area?
Signup and view all the answers
What is the minimum oxygen saturation level, measured by a pulse oximeter, that a crew member must achieve before being released from rehabilitation?
What is the minimum oxygen saturation level, measured by a pulse oximeter, that a crew member must achieve before being released from rehabilitation?
Signup and view all the answers
What is the maximum allowable carbon monoxide oximeter reading for a crew member to be released from rehabilitation?
What is the maximum allowable carbon monoxide oximeter reading for a crew member to be released from rehabilitation?
Signup and view all the answers
What is the maximum heart rate a crew member can have to be released from rehabilitation?
What is the maximum heart rate a crew member can have to be released from rehabilitation?
Signup and view all the answers
What action must be taken if, after a one-hour rehabilitation period, a crew member still does not meet all medical release criteria?
What action must be taken if, after a one-hour rehabilitation period, a crew member still does not meet all medical release criteria?
Signup and view all the answers
Who is responsible for determining a proper disposition for a crew member after the medical evaluation in rehabilitation?
Who is responsible for determining a proper disposition for a crew member after the medical evaluation in rehabilitation?
Signup and view all the answers
What information is NOT required to be documented on the Emergency Incident Rehabilitation Form by the Rehabilitation Group Supervisor?
What information is NOT required to be documented on the Emergency Incident Rehabilitation Form by the Rehabilitation Group Supervisor?
Signup and view all the answers
When should CISM/incident stress debriefing be activated?
When should CISM/incident stress debriefing be activated?
Signup and view all the answers
What is the required minimum work time without an SCBA cylinder before formal rehab is required?
What is the required minimum work time without an SCBA cylinder before formal rehab is required?
Signup and view all the answers
What is the primary responsibility of the Incident Commander regarding personnel rehabilitation at an incident?
What is the primary responsibility of the Incident Commander regarding personnel rehabilitation at an incident?
Signup and view all the answers
According to the provided procedures, what is an important component of pre-hydration for all crew members?
According to the provided procedures, what is an important component of pre-hydration for all crew members?
Signup and view all the answers
What is the correct procedure for personnel during rehabilitation to effectively cool down, as outlined in the document?
What is the correct procedure for personnel during rehabilitation to effectively cool down, as outlined in the document?
Signup and view all the answers
If a Logistics Section Chief is not assigned to the incident, to whom does the Rehabilitation Group Supervisor report?
If a Logistics Section Chief is not assigned to the incident, to whom does the Rehabilitation Group Supervisor report?
Signup and view all the answers
Which of the following is NOT a recommended location characteristic for a Rehabilitation Area?
Which of the following is NOT a recommended location characteristic for a Rehabilitation Area?
Signup and view all the answers
What is the effect of wearing PPE on the Heat Index?
What is the effect of wearing PPE on the Heat Index?
Signup and view all the answers
In addition to the basic fluids, what sort of food should be available in the Rehabilitation Area?
In addition to the basic fluids, what sort of food should be available in the Rehabilitation Area?
Signup and view all the answers
Which of the following is NOT part of the seven basic functions of rehabilitation?
Which of the following is NOT part of the seven basic functions of rehabilitation?
Signup and view all the answers
What action should crew members take when they feel their fatigue or exposure to the elements is unmanageable?
What action should crew members take when they feel their fatigue or exposure to the elements is unmanageable?
Signup and view all the answers
What is the role of a Company Officer within the rehabilitation group?
What is the role of a Company Officer within the rehabilitation group?
Signup and view all the answers
What equipment would you expect to find in the Medical resources section of the Rehabilitation Area?
What equipment would you expect to find in the Medical resources section of the Rehabilitation Area?
Signup and view all the answers
What condition is likely with prolonged exposure and/or physical activity when the Heat Index reading is in the middle category, according to the chart?
What condition is likely with prolonged exposure and/or physical activity when the Heat Index reading is in the middle category, according to the chart?
Signup and view all the answers
What actions should crew members take to wipe off their face, neck, ears and hands within the rehabilitation area following an incident?
What actions should crew members take to wipe off their face, neck, ears and hands within the rehabilitation area following an incident?
Signup and view all the answers
What is the effect of direct sunlight on the Heat Index?
What is the effect of direct sunlight on the Heat Index?
Signup and view all the answers
What function does using a tympanic thermometer fulfil?
What function does using a tympanic thermometer fulfil?
Signup and view all the answers
What is the primary purpose of the Southern Nevada Fire Operations rehabilitation procedures?
What is the primary purpose of the Southern Nevada Fire Operations rehabilitation procedures?
Signup and view all the answers
According to the provided document, under what circumstances is self-rehabilitation and personnel assessment required?
According to the provided document, under what circumstances is self-rehabilitation and personnel assessment required?
Signup and view all the answers
Besides rehydration, what else should Company Officers ensure for crew members during self rehabilitation?
Besides rehydration, what else should Company Officers ensure for crew members during self rehabilitation?
Signup and view all the answers
What is the main difference between self-rehabilitation and formal rehabilitation as defined in the document?
What is the main difference between self-rehabilitation and formal rehabilitation as defined in the document?
Signup and view all the answers
What specific actions are crew members expected to perform as part of the personnel assessment during self rehabilitation?
What specific actions are crew members expected to perform as part of the personnel assessment during self rehabilitation?
Signup and view all the answers
In the context of formal rehabilitation, when might extended procedures be implemented?
In the context of formal rehabilitation, when might extended procedures be implemented?
Signup and view all the answers
What happens to a crew member who displays signs of illness or injury during self-rehabilitation?
What happens to a crew member who displays signs of illness or injury during self-rehabilitation?
Signup and view all the answers
Which of these factors would indicate that a crew member is in need of a personnel assessment during self-rehabilitation?
Which of these factors would indicate that a crew member is in need of a personnel assessment during self-rehabilitation?
Signup and view all the answers
Study Notes
Fire Operations Rehabilitation Procedures
- Purpose: To ensure fatigued personnel recover safely, reducing physical/mental injury during prolonged/hazardous incidents or training. Adheres to NFPA 1584 standards.
- Application: Applies to all emergency operations & training with strenuous activity/environmental exposure.
Rehabilitation Types
- Self-Rehabilitation: One unit, self-assessment focused. Company officers ensure crew health and readiness.
-
Formal Rehabilitation: Multi-unit, involving a designated rehabilitation group & medical evaluation.
- Extended: For incidents needing extended resources/duration (usually several hours/multiple periods).
Self-Rehabilitation Procedure
- Responsibility: Company officers conduct self-rehab.
- Triggers: Physically demanding activities (e.g., extrication, hose deployment, breaching), SCBA use, or when deemed necessary.
- Assessment: Crew members self-assess for illness, injury, or fatigue affecting operations.
- Treatment: Personnel with symptoms are treated per Southern Nevada Health District protocols with documented patient records.
Formal Rehabilitation Procedure
- Purpose: Used with large-scale incidents (second alarm), long durations (over two hours), operations requiring special tactics (Hazmat, TRT), high safety/health risks, and intense work that depletes energy.
-
Triggers:
- Incidents lasting 30+ minutes with a heat index of 90+
- Completion of two work cycles using SCBA
- Completion of 40 minutes of work without an SCBA cylinder.
Hydration
- Each engine company maintains a 5-gallon water cooler with ice and water. Water can be mixed with activity beverages. Rescues have 1000mL of drinking water per SNHD regulations.
Nourishment
- Department provides food (energy bars, sandwiches, soups, etc.) for major incidents. Incident Commanders for extended incidents can request Red Cross assistance; smaller incidents are addressed by the Rehabilitation Group Supervisor.
Rest
- First-time rehabilitation: minimum 10 minutes rest. Subsequent trips: 20-minute minimum, with longer durations based on individual fatigue assessment (up to 1 hour).
- Released personnel return to the staging area.
Stress Management
- Critical Incident Stress Management (CISM)/Incident Stress Debriefing activated when mental stress is a factor.
Medical Evaluation
- Performed by EMT-level or higher firefighters or assigned personnel.
- Evaluation parameters: Observing signs/symptoms, fatigue, respiratory/heart rate, blood pressure, tympanic temperature, pulse oximetry, and carbon monoxide oximetry.
-
Medical criteria for release:
- Respiratory rate (12-20 bpm)
- Heart rate (≤ 100 bpm)
- Systolic/Diastolic blood pressure (≤ 160/≤100)
- Tympanic temperature (≤100.6°F)
- Pulse oximeter (≥95%)
- Carbon monoxide oximeter (<5%)
- Subjective feelings concerning fitness factored into release decisions.
- Continued rehabilitation/transport/physician evaluation determined based on meeting or failing to meet criteria within an hour of evaluation.
Accountability
- Personnel enter/exit rehabilitation as crews.
- Group supervisor notifies appropriate officers about detained personnel. Remaining crew members await reassignment at staging area.
- Comprehensive records are documented on the Emergency Incident Rehabilitation Form (including crew designation, member names, vital signs, problems, and times of entry/exit).
Incident Commander Responsibility
- Ensures adequate provisions for rest and rehabilitation at the incident scene. This includes the seven basic functions of rehabilitation.
Responsibility of Company Officers
- Use command structure to request relief and reassignment of fatigued crews. Should staff rehabilitation group with a complete engine company & assign the company officer to the Rehabilitation Group Supervisor (where resources allow).
Personnel Responsibility
- Pre-hydration with 16 oz of fluids 2 hours before response.
- Inform supervisors of unmanageable fatigue/exposure to elements.
- During rehabilitation, remove outer clothing for better cooling.
- Use handi-wipes/towels to clean face, neck, ears, and hands after incidents.
Rehabilitation Group
- Assigned by Incident Commander or designee.
- Meets site characteristics, including physical rest, distance from incident scene, protection from environmental conditions, and minimal exhaust exposure. Space should accommodate all crews at the incident.
- Designated rehabilitation area should be easily accessible by EMS.
- Resources: Water, beverages, food, medical equipment (blood pressure cuffs, stethoscopes, thermometer, pulse oximeter, carbon monoxide oximeter, oxygen, IVs), and others. (EZ-Ups, fans, tarps, lights, blankets, chairs, cones/tape.)
Heat Index Chart
- Heat index, based on air temperature and humidity, with additional calculations for impacts of sun exposure and PPE and wind. Elevated heat indexes increase risk of heatstroke.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
This quiz covers the essential procedures for rehabilitating fatigued fire personnel, focusing on both self-rehabilitation and formal rehabilitation protocols. It follows the NFPA 1584 standards, ensuring safety and readiness during strenuous emergency operations. Understand the triggers and responsibilities involved in effective personnel recovery.
