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Questions and Answers
What is the primary consideration for Officers responsible for Rehab Operations when setting up a rehab group?
When should firefighters be assigned to rehab?
What should be monitored and recorded for all fire incidents?
What is the recommended amount of oral fluid replacement for each 20 minutes of activity?
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What is the minimum amount of sodium required in an electrolyte solution?
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Who should be advised of any fire personnel sent to rehab for any reason?
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What is the purpose of the Universal Initial Adult Patient Assessment?
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What should be referred to if a firefighter exhibits signs and symptoms suggestive of significant CO exposure?
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Why should firefighters be assigned to rehab if ANY member has ANY medical complaint?
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What is the primary goal of firefighter rehabilitation?
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What is the minimum required duration for a seated rest interval in firefighter rehabilitation?
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What is the primary purpose of removing bunker gear in firefighter rehabilitation?
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Which of the following is NOT a vital sign that should be assessed in firefighter rehabilitation?
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What is the recommended treatment for a firefighter with nausea or intolerance to oral fluids?
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What is the minimum amount of oral hydration fluids that should be provided to a firefighter with heat-related emergency symptoms?
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What is the recommended temperature for cold normal saline administration in rapid cooling treatments?
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What is the maximum amount of morphine sulfate that can be administered to a firefighter with heat-related emergency symptoms?
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What is the recommended frequency for providing nutritional supplementation to firefighters during operations lasting longer than 2 hours?
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What should be done after a firefighter has been seen in rehab?
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What should be done for any other medical complaint that arises during firefighter rehabilitation?
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What is the purpose of assessing altered mental status in firefighter rehabilitation?
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What is the recommended treatment for a firefighter with a temperature of 104°F (40°C) or higher?
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What is the purpose of administering midazolam (Versed) in firefighter rehabilitation?
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What is the recommended frequency for reevaluating firefighters in rehab?
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What is the purpose of providing nutritional supplementation to firefighters during operations lasting longer than 2 hours?
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What is the recommended action for firefighters with abnormal vital signs?
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What is the purpose of establishing vascular access in firefighter rehabilitation?
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What is the recommended treatment for a firefighter with nausea and/or vomiting?
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What is the purpose of removing bunker gear in firefighter rehabilitation?
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What is the recommended action for firefighters with muscle cramps?
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What is the primary reason for firefighters to be assigned to rehab after 30 minutes of strenuous operations?
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What is the purpose of monitoring CO levels during fire incidents?
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What should be done if a firefighter exhibits signs and symptoms suggestive of significant CO exposure?
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What is the minimum amount of sodium required in an electrolyte solution for oral fluid replacement?
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Why should firefighters be assigned to rehab if ANY member has ANY medical complaint?
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What is the primary goal of the Universal Initial Adult Patient Assessment?
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What should be recorded for all fire incidents?
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What is the recommended frequency for oral fluid replacement?
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What should be done if a firefighter is sent to rehab for any reason?
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What is the purpose of shaded locations for rehab group set-up?
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Study Notes
Firefighter Rehabilitation
- Firefighter rehabilitation is crucial in preventing heat-related emergencies, over-exertion emergencies, and toxic conditions during Fire Department operations.
- The most appropriate location for rehab group set-up should be shaded, away from the immediate operational area.
Assignment to Rehab
- Firefighters are assigned to rehab based on departmental S.O.G.s.
- They are also assigned to rehab if:
- They use 2 SCBA tanks or work for 30 minutes in strenuous operations.
- Any member feels that another member needs evaluation by the rehab group.
- Any member exhibits abnormal physical or mental functioning.
- Any member has a medical complaint.
Incident Commander Notification
- The Incident Commander should be advised of any fire personnel sent to rehab for any reason.
Treatment
- Standard rehabilitation includes:
- Universal Initial Adult Patient Assessment / Care.
- CO levels monitored and recorded for all fire incidents.
- Oral fluid replacement of up to 20 ounces for each 20 minutes of activity.
- Electrolyte solution containing at least 100 mg of sodium and 8-14 mg of carbohydrate per 12 fluid oz.
- Seated rest interval of at least 10 minutes in air-conditioned or shaded area.
- Assessment for heat-related emergency signs and symptoms.
Heat-Related Emergency Symptoms
- Symptoms include:
- Altered Mental Status.
- Fatigue and weakness.
- Nausea and/or vomiting.
- Headache.
- Dizziness.
- Muscle cramps.
- Irritability or CNS dysfunction.
Fluid Management
- If nausea or intolerance to oral fluids is present, establish vascular access and administer normal saline, 500 mL IV.
- Repeat normal saline administration once if additional fluids are indicated after reassessment of vital signs.
Cooling Treatment
- If heat-related emergency symptoms are present and/or the firefighter has abnormal vital signs:
- Cool rapidly and give ample oral hydration fluids.
- Remove as much clothing as possible.
- Move firefighter to a cooler environment and/or fan blowing on them.
- Use ice packs in the neck, axillae, and groin areas if available.
- Administer cold normal saline, 30 mL/kg IV/IO (maximum 2 Liters).
- Administer midazolam (Versed) and/or morphine sulfate if indicated.
Reevaluation and Nutritional Supplementation
- Any firefighter seen in rehab should be reevaluated after recovery.
- Nutritional supplementation should be provided at a rate of at least 500 calories per hour for each member during operations lasting longer than 2 hours.
- Treat any other medical complaint as per the appropriate protocol.
Firefighter Rehabilitation
- Firefighter rehabilitation is crucial in preventing heat-related emergencies, over-exertion emergencies, and toxic conditions during Fire Department operations.
- The most appropriate location for rehab group set-up should be shaded, away from the immediate operational area.
Assignment to Rehab
- Firefighters are assigned to rehab based on departmental S.O.G.s.
- They are also assigned to rehab if:
- They use 2 SCBA tanks or work for 30 minutes in strenuous operations.
- Any member feels that another member needs evaluation by the rehab group.
- Any member exhibits abnormal physical or mental functioning.
- Any member has a medical complaint.
Incident Commander Notification
- The Incident Commander should be advised of any fire personnel sent to rehab for any reason.
Treatment
- Standard rehabilitation includes:
- Universal Initial Adult Patient Assessment / Care.
- CO levels monitored and recorded for all fire incidents.
- Oral fluid replacement of up to 20 ounces for each 20 minutes of activity.
- Electrolyte solution containing at least 100 mg of sodium and 8-14 mg of carbohydrate per 12 fluid oz.
- Seated rest interval of at least 10 minutes in air-conditioned or shaded area.
- Assessment for heat-related emergency signs and symptoms.
Heat-Related Emergency Symptoms
- Symptoms include:
- Altered Mental Status.
- Fatigue and weakness.
- Nausea and/or vomiting.
- Headache.
- Dizziness.
- Muscle cramps.
- Irritability or CNS dysfunction.
Fluid Management
- If nausea or intolerance to oral fluids is present, establish vascular access and administer normal saline, 500 mL IV.
- Repeat normal saline administration once if additional fluids are indicated after reassessment of vital signs.
Cooling Treatment
- If heat-related emergency symptoms are present and/or the firefighter has abnormal vital signs:
- Cool rapidly and give ample oral hydration fluids.
- Remove as much clothing as possible.
- Move firefighter to a cooler environment and/or fan blowing on them.
- Use ice packs in the neck, axillae, and groin areas if available.
- Administer cold normal saline, 30 mL/kg IV/IO (maximum 2 Liters).
- Administer midazolam (Versed) and/or morphine sulfate if indicated.
Reevaluation and Nutritional Supplementation
- Any firefighter seen in rehab should be reevaluated after recovery.
- Nutritional supplementation should be provided at a rate of at least 500 calories per hour for each member during operations lasting longer than 2 hours.
- Treat any other medical complaint as per the appropriate protocol.
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Description
This quiz covers the protocols for firefighter rehabilitation, including heat-related emergencies and strenuous conditions. It is part of the 2022-24 Common EMS Protocols for Coral Gables, Hialeah, Miami, Miami Beach, and Key Biscayne.
