Rehabilitation

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Questions and Answers

Who should be assigned as the Rehabilitation Group Supervisor if resources permit?

The Company Officer of the complete engine company

What is NOT a recommended action for members during rehab according to the text?

Keep the coat and trousers on during cooling down

To whom will the Rehabilitation Group Supervisor report if there is no Logistics Section Chief assigned?

Incident Commander or designee

Which crew member should typically be in charge of the Rehabilitation Group when resources are available?

Engine company officer Signup and view all the answers

What action should all crew members take regarding hydration before an event, according to the text?

Drink an additional 16oz (500 mL) of fluids within 2 hours prior to the event Signup and view all the answers

Where does the Incident Commander designate the location for the Rehabilitation Area?

Incident Commander's decision Signup and view all the answers

Which section does the Rehabilitation Group Supervisor report to if no Operations Section Chief is formally established?

Incident Commander or designee Signup and view all the answers

What should members use to wipe off their face, neck, ears, and hands during rehab according to the text?

Handi-wipes/moist towels Signup and view all the answers

What is the minimum rest time required for Crew members entering rehabilitation for the first time?

10 minutes Signup and view all the answers

Who is responsible for allocating additional rehabilitation time as needed, up to 1 hour?

Rehabilitation Group Supervisor Signup and view all the answers

What is the criteria for determining the rehabilitation time for crew members?

Objective evaluation of fatigue level Signup and view all the answers

Where are crews sent after being released from the Rehabilitation Group?

To the Staging Area Signup and view all the answers

When should CISM/incident stress debriefing be activated?

When mental stress is a factor Signup and view all the answers

Who may staff the Triage position for Medical Evaluation?

Firefighter at the EMT level or higher Signup and view all the answers

What does the Triage evaluate during Medical Evaluation?

Vital signs like heart rate, blood pressure, and temperature Signup and view all the answers

What should be considered when selecting a location for the Rehabilitation area?

Distance from the scene for mental rest Signup and view all the answers

What type of protection should the Rehabilitation area provide according to the text?

Protection from prevailing environmental conditions Signup and view all the answers

Which of the following resources should be available in the Rehabilitation area?

Water, activity beverage, and ice Signup and view all the answers

Why should the Rehabilitation area be large enough to accommodate multiple crews?

Based on the size of the incident Signup and view all the answers

What type of equipment should be provided for medical purposes in the Rehabilitation area?

Blood pressure cuffs and stethoscopes Signup and view all the answers

Why is it important for the Rehabilitation area to be easily accessible by EMS units?

For quick access to medical assistance and transportation Signup and view all the answers

What is one key purpose of the Rehabilitation area according to the text?

To provide physical and mental rest to members Signup and view all the answers

How can members in the Rehabilitation area be free of exhaust fumes?

By ensuring good ventilation systems are in place Signup and view all the answers

What physically taxing activities may trigger self-rehabilitation and personnel assessment procedures?

Auto extrication and hose line deployment Signup and view all the answers

When is crew required to don and use SCBA as per the text?

Any time the Company Officer or Incident Commander deems necessary Signup and view all the answers

What responsibility do Company Officers have during self-rehabilitation as per the text?

Providing every crew member with an opportunity to rehydrate and obtain nourishment as needed Signup and view all the answers

What should crew members check for during a brief personnel assessment on each other?

Signs of fatigue or injury Signup and view all the answers

What will be done if crew members show signs of illness or injury during a personnel assessment?

They will be treated in accordance with Southern Nevada Health District protocols Signup and view all the answers

When should Formal Rehabilitation be considered for personnel according to the text?

During the initial planning stages of an emergency response Signup and view all the answers

Who has the authority to deem the necessity of donning and using an SCBA?

The Company Officer or Incident Commander Signup and view all the answers

What does 'SCBA' stand for in the context mentioned in the text?

Self-Contained Breathing Apparatus Signup and view all the answers

What is the consequence for a crew member unable to meet all objective criteria after a one-hour rehabilitation period?

Evaluation by a physician and obtaining a medical release Signup and view all the answers

Who is responsible for determining the disposition after a crew member's medical evaluation?

Rehabilitation Group Supervisor Signup and view all the answers

What documentation is required for all medical evaluations according to the text?

Emergency Incident Rehabilitation Form Signup and view all the answers

In what form must all Medical Evaluations be submitted to the Incident Commander?

Emergency Incident Rehabilitation Form Signup and view all the answers

How should personnel report to the Rehabilitation Group according to the SOP?

In teams as crews Signup and view all the answers

What action should the Rehabilitation Group Supervisor take if a crew member is detained in Rehabilitation for evaluation or medical treatment?

Notify that crew member's superior officer Signup and view all the answers

What options are available to the Rehabilitation Group Supervisor for determining a proper disposition?

Transportation to airport Signup and view all the answers

Study Notes

Rehabilitation Group

The Incident Commander should staff the Rehabilitation Group with a complete engine company and assign the Company Officer as the Rehabilitation Group Supervisor when resources permit.

Responsibilities

The Rehabilitation Group Supervisor reports to the Logistics Section Chief, or Operations Section Chief, or directly to the Incident Commander if neither is assigned.
The Rehabilitation Group Supervisor is responsible for rehabilitation operations.

Rehabilitation Process

Members entering rehabilitation for the first time shall rest for a minimum of 10 minutes.
Subsequent trips to rehabilitation require a minimum of 20 minutes of rest.
Additional rehabilitation time is allocated by the Rehabilitation Group Supervisor up to 1 hour.
An objective evaluation of a member's fatigue level determines rehabilitation time.

Medical Evaluation

The triage position is staffed by a Firefighter at the EMT level or higher.
Triage evaluates signs/symptoms of illness or injury, fatigue, respiratory rate, heart rate, blood pressure, tympanic temperature, and pulse oximetry.

Rehabilitation Area

The Rehabilitation Area should provide physical rest, be far from the scene, and offer suitable protection from environmental conditions.
The area should be free from exhaust fumes, large enough for multiple crews, and easily accessible by EMS units.

Resources

Resources include fluids (water, activity beverages, and ice), food (nutritional energy bars, cold sandwiches, soups), and medical equipment (blood pressure cuffs, stethoscopes, etc.).

Self Rehabilitation and Personnel Assessment

Self rehabilitation and personnel assessment procedures are performed during physically taxing activities or when using an SCBA.
Company Officers ensure crew members rehydrate and obtain nourishment as needed.

Formal Rehabilitation

Formal Rehabilitation is considered during initial planning stages of an emergency response.
If a crew member cannot meet objective criteria after a 1-hour rehabilitation period, they must be evaluated by a physician and obtain a medical release prior to returning to full duty.

Disposition and Documentation

The Rehabilitation Group Supervisor determines disposition: return to duty, continued rehabilitation, or transport to a medical facility.
All Medical Evaluations are recorded on the Emergency Incident Rehabilitation Form and submitted to the Incident Commander after the incident.

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