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Questions and Answers
What should TFS Incident Commander ensure is communicated to the TFS Communications Centre?
What should be announced over the radio when crews make patient contact?
What is the responsibility of the Paramedic Services CACC?
What should personnel use during communication between Paramedic Services and fire personnel?
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What should TFS Communications Centre personnel do after receiving an update from on-scene personnel?
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What is included in the medical update that is communicated to the TFS Communications Centre?
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Why does the Paramedic Services CACC notify the TFS Communications Centre?
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What is the purpose of the Tiered Response Agreement?
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What is the responsibility of the TFS Communications Centre in emergency situations?
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What information must TFS Communications Centre personnel determine when a call is received for medical assistance?
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When will the TFS Communications Centre notify Paramedic Services CACC in fire events?
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What is the purpose of providing additional patient information to Paramedic Services CACC?
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What is the minimum number of trained and certified crew members required for every patient?
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What is the responsibility of Paramedic Services personnel when they arrive on scene?
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What is the purpose of the primary assessment?
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What should on-scene personnel do to ensure no patients are missed?
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What should firefighters do when Paramedic Services personnel arrive?
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What should TFS personnel do when accompanying a patient in an ambulance unit to hospital?
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Study Notes
TFS Communications Centre Updates
- The TFS Incident Commander ensures updates are communicated to the TFS Communications Centre, including:
- Patient contact ("Arrived at the Patient Location")
- Safety issues
- Medical update (chief complaint, incident type, patient's approximate age, level of responsiveness/alertness, breathing, and uncontrollable bleeding)
- Entry issues (e.g., entry codes)
- Action underway by fire personnel
- Approximated rescue duration time
Communication Between Paramedic Services and Fire Personnel
- Personnel should use clear language to describe circumstances and avoid jargon during communication
- The Paramedic Services CACC is responsible for:
- Notifying the TFS Communications Centre for TFS response (as per the Tiered Response Agreement)
- Confirming with TFS that fire personnel are responding as per Tiered Response Agreement
TFS Communications Centre Responsibilities
- Notification of Paramedic Services for:
- Emergency events with potential patients
- Fire events with known or suspected persons in a confined space with smoke or flames
- Fire events with confirmed Working Fire in a structure
- Determining relevant information for medical assistance calls, including:
- Number of patients at the scene
- Safety issues
- Medical information (chief complaint, incident type, patient's approximate age, conscious/alert, breathing, and severe bleeding)
- Entry issues (e.g., entry codes)
Toronto Fire Services First on Scene
- The provision of additional patient information assists the Paramedic Services CACC in prioritizing responses and upgrading Paramedic response
- Patient updates are immediately relayed to Paramedic Services CACC by the TFS Communications Centre if different from initial dispatch
- Requests by personnel at scene for a high priority response by Paramedic Services should include an appropriate update
Scene Survey and Assessment
- On scene personnel conduct a scene survey (EMCAP: Environment, Mechanism of injury, number of Casualties, Additional resources, Personal Protective Equipment) and search of the scene to ensure no patients are missed
- Assessment and treatment of the patient(s) are carried out according to approved training, medical directives, and protocols for the TFS
Fire Resources and Patient Care
- The fire resources needed solely for patient care are two (2) trained and certified crew members for every patient
- Additional apparatus should be requested as necessary by the Incident Commander
Paramedic Services Arrival and Responsibility
- When Paramedic Services arrives, Paramedic Services personnel assume responsibility for the patient
- Firefighters continue to apply treatment until otherwise directed by Paramedic Services personnel
Transportation and Retrieval
- When TFS personnel accompany a patient in an ambulance unit to hospital, the apparatus the Firefighter was aboard may proceed to the hospital for retrieval provided it is within the response district of the apparatus and the TFS Communications Centre is notified and approves
- If outside of the apparatus response district, the Firefighter shall contact the TFS Communications Centre from the hospital to arrange pickup and transportation by other means
- NOTE: The primary assessment is intended to assess and intervene rapidly for lifethreatening conditions in critically ill or injured patients. This includes determining the adequacy of airway, breathing and circulation as well as the acquisition of the patient’s oxygen saturation (SpO2), blood pressure and tympanic temperature.
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Description
Learn about the updates that the TFS Incident Commander should communicate to the TFS Communications Centre, including patient contact, safety issues, and medical updates.
