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Working Fire Training / Copyright 2005 / Volume 04-7 1 Working Fire Training 04-7 Training Materials FIRELINE Head-on Car Crash TGIFriday’s Fire Discussion.

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Presentation on theme: "Working Fire Training / Copyright 2005 / Volume 04-7 1 Working Fire Training 04-7 Training Materials FIRELINE Head-on Car Crash TGIFriday’s Fire Discussion."— Presentation transcript:

1 Working Fire Training / Copyright 2005 / Volume Working Fire Training 04-7 Training Materials FIRELINE Head-on Car Crash TGIFriday’s Fire Discussion HANDS-ON Ice Rescue, Pt. 2 (extended segment) Quiz FIRE MEDICS Head-on Car Crash/EMS Response Quiz EVOLUTIONS 2000 Kramer vs. Kramer TRAINING Click here to view show in its entirety

2 Working Fire Training / Copyright 2005 / Volume SIZE-UP: Responders arrived to find two vehicles involved –Eight occupants involved in all; four trapped in one car –That car was on fire; real fire, not just radiator coolant. Difficult to assess with smoke in car and partial ejection of one occupant. A Citizen was controlling car fire with garden hose. Other occupants were out of the other car Occupants of one car couldn’t speak English Narrow country road with poor access –No place to easily turn vehicles Fireline Incident: Head-on Car Crash/Old Kennett Road 04-7 Training Materials

3 Working Fire Training / Copyright 2005 / Volume STRATEGY/TACTICS: Used Incident Command System Executed preplan for this kind of incident – see video clip –Department SOP calls for advance incident-type preplans –Reviewed responders’ roles in apparatus on the way Extinguished car fire Began vehicle extrication –Used nearly every tool department had –Ended up removing the roof. Communicated with Hispanic occupants using prepared language cards Fireline Incident: Head-on Car Crash/Old Kennett Road 04-7 Training Materials Cpt. Drew Outten Click video to view

4 Working Fire Training / Copyright 2005 / Volume EVENTS: In car with trapped occupants, one person from the back seat was thrown forward and was partially ejected through the passenger-side window, covering another occupant beneath him. Other car held together; driver had injuries. Several occupants had severe injuries. –EMS responds with helicopters –See Fire Medics segment for more information Fireline Incident: Head-on Car Crash/Old Kennett Road 04-7 Training Materials

5 Working Fire Training / Copyright 2005 / Volume LESSONS LEARNED: : Some preplanning while responding can be valuable Review equipment on a regular basis Be prepared to communicate with citizens –especially if they don’t speak English. In areas with limited access or room to turn or move apparatus, stage your vehicles and bring them in as needed. Fireline Incident: Head-on Car Crash/Old Kennett Road 04-7 Training Materials

6 Working Fire Training / Copyright 2005 / Volume SIZE-UP: Upon arrival, heavy smoke showing Checked to be sure patrons were evacuated. Moved vehicles in parking lot to make room for apparatus. TRUSS-CONSTRUCTION ROOF! BEWARE! Fireline Incident: TGIFriday’s Restaurant Fire 04-7 Training Materials

7 Working Fire Training / Copyright 2005 / Volume STRATEGY/TACTICS: Interior attack with 2.5” hose line Placed ladders Opened up roof Attempted to reach fire in cockloft Had to go defensive; employed tower units Fireline Incident: TGIFriday’s Restaurant Fire 04-7 Training Materials

8 Working Fire Training / Copyright 2005 / Volume EVENTS: Gas was line turned off. 2.5” hose line of interior crew got hung up; called for 1.75” hose line Put out some fire; couldn’t get all of it Used regular water; didn’t know it was a grease fire Fire got to roof; crew called for evacuation Fireline Incident: TGIFriday’s Restaurant Fire 04-7 Training Materials

9 Working Fire Training / Copyright 2005 / Volume LESSONS LEARNED: Limited sprinkler system; only over storage area Truss-construction room demands extra caution – especially with roof ventilation! Coordination with police to handle patrons and vehicles in parking lot was a great help. Always be aware of the fire’s progress and how long you are into the event – see video clip Training Materials Fireline Incident: TGIFriday’s Restaurant Fire Robert Borkowski, Jr. Fire Chief Click video to view

10 Working Fire Training / Copyright 2005 / Volume Department Discussion The departments involved in this month’s training pose some discussion questions that you can use as discussion-starters in your own department’s training sessions. How will your department handle these scenarios? 04-7 Training Materials

11 Working Fire Training / Copyright 2005 / Volume Captain Drew Outten, Hockessin Fire Co.: Do you do a quick discussion of roles or preplan while en route to an incident? Do you have sizable ethnic groups in your jurisdiction who may not speak English? Will you be able to communicate with them? How do you handle an incident in a remote location with limited access. Do you review your equipment and insure its readiness on a regular basis? 04-7 Training Materials Fireline Incident Discussion

12 Working Fire Training / Copyright 2005 / Volume Chief Robert Borkowski, Hurffville Fire Dept.: Upon noticing that the structure has truss construction, do you command the incident differently? If patrons or citizens are involved, do you call for police assistance and/or extra EMS? What is the code in your jurisdiction for sprinklers? Do you know which buildings don’t have them? 04-7 Training Materials Fireline Incident Discussion

13 Working Fire Training / Copyright 2005 / Volume LIVE SCENARIOS Skilled evolutions; rescuer decides which method to use based on assessment of situation and patient. PREPARATION: Rescuers on ice Haul team on shore Have haul ropes ready; usually 75’ long – Have longer lengths ready One haul rope on each rescuer Additional shore team further back on bank (in this case, up the hill) 04-7 Training Materials Hands-On: Ice Rescue, Part 2

14 Working Fire Training / Copyright 2005 / Volume RESCUER ON ICE: Shuffle across ice Observe condition: thickness, water coming through, cracks that extend out; – be prepared to go to a knee. As you will see, non-uniform ice that’s 2-4” thick may still not support a rescuer Training Materials Hands-On: Ice Rescue, Part 2

15 Working Fire Training / Copyright 2005 / Volume REACH TOOL RESCUE: In this scenario, we’re using a Pike pole. Approach low and wide using reach tool; extending body over the ice distributes weight Communicate with haul team using hand signals – Communicate to take up slack so rescuer won’t slide into hole when patient grabs pole Haul team then pulls rescuer and patient out of the hole, maintaining a safe 8’ distance Training Materials Hands-On: Ice Rescue, Part 2

16 Working Fire Training / Copyright 2005 / Volume LOOP ROPE RESCUE: In this scenario, rescuer approaches patient using ice awls. It’s the rescuer’s choice in a real incident. Communicate with patient: “Are you okay?”, “Don’t panic”, “Don’t grab on to me”, etc. The challenge is to encircle patient with the loop of rope and get close enough without the ice failing. On shore, there’s a length of rope problem. Normal 75’ rope wasn’t long enough. – Advanced preparation meant another length of rope was available; it was connected to rescue rope with very little delay in the rescue Training Materials Hands-On: Ice Rescue, Part 2

17 Working Fire Training / Copyright 2005 / Volume LOOP ROPE RESCUE (cont.): Rescuer gives patient his rope to hold on to. Rescuer then swims a large circle around patient and forms a tension loop around patient Communicates with haul team using hand signals to take up slack. Rescuer positions himself behind patient; with hand between the legs he/she assists in lifting patient up on the ice. As it happens, the ice breaks – rescuers should be prepared for this. Rescuer continues to kick and push/lift patient from behind until patient slides up and across good ice. – You may need a second rescuer to help with the lift Training Materials Hands-On: Ice Rescue, Part 2

18 Working Fire Training / Copyright 2005 / Volume LOOP ROPE RESCUE – PANICKED PATIENT: Rescuer doesn’t communicate well with patient; Patient grabs rope from rescuer. Rescuer communicates with haul team to take up slack. PREPLAN THE RESPONSE – ANTICIPATE SUCH ACTIONS! Since patient is preoccupied with holding the rope, rescuer makes closer contact with patient from behind. Rescuer communicates with shore to haul; lifts from behind as patient is pulled out; rescuer comes with patient Training Materials Hands-On: Ice Rescue, Part 2

19 Working Fire Training / Copyright 2005 / Volume SELF-RESCUE WITH ICE AWLS: Use ice awls located in the sleeve of rescue suit. – Used to advance a rescue without ropes pulling rescuer backwards Rescuer can plant awls, kick the feet, and pull him-/herself back up on the ice shelf. – Take small bites at a time and scoot forward like an inchworm Once out of the hole, stay kneeling to keep weight distributed – don’t stand up! When finished, tuck ice awls back into sleeves of rescue suit Training Materials Hands-On: Ice Rescue, Part 2

20 Working Fire Training / Copyright 2005 / Volume SUBMERSION DRILL: In this drill, assume a submerged patient. The local dive-rescue team has been called but prior to their arrival, rescuers can search for the patient using tools: use pike poles if the water is fairly shallow. Start where the patient was last scene. – Don’t jump around with the pole. – Use small movements, to the right and the left. Lie on the ice at the edge of the hole and probe with the pike pole using small circular motions in a systematic search. You can do this from a position in the water as well Training Materials Hands-On: Ice Rescue, Part 2

21 Working Fire Training / Copyright 2005 / Volume SUBMERSION DRILL (cont.): Probe under the ice shelf; you may or may not be able to search directly in front of where the patient was last seen, depending upon the condition of the ice. Wrap a noodle or some flotation device connected the tool in case you drop it. Upon finding the victim, communicate with the shore team. – In this scenario, we are using a five-gallon paint can as our simulated victim. This makes for a heavy patient. To lift the patient, the rescuer may want to employ a flotation device or a second rescuer Training Materials Hands-On: Ice Rescue, Part 2

22 Working Fire Training / Copyright 2005 / Volume SUBMERSION DRILL (cont.): As customary, communicate with haul team to take up slack and haul. Be secured to patient when he/she comes out; should the ice break, you’ll have a line on the patient. Up Close: tips and reactions from scenarios participants – see video clip 04-7 Training Materials Hands-On: Ice Rescue, Part 2 Cpt. Larry Roberts Click video to view

23 Working Fire Training / Copyright 2005 / Volume SHORE OPERATIONS: Several people on shore supporting just two people in the water. Usually wouldn’t wear turnout gear; it depends on the weather; wear hoods and stocking caps if necessary. Wear Personal Flotation Devices (PFDs) must be worn by all personnel within 15’ of the water; regardless of any other PPE or gear worn 04-7 Training Materials Hands-On: Ice Rescue, Part 2

24 Working Fire Training / Copyright 2005 / Volume Ice Rescue, Part 2: Quiz Date___________ Firefighter/PM____________________ Chief/T.O.___________________ Education Credits _____ Select the best answer: 1. True or False: If a patient grabs your rope, you may be able to execute a Loop Rescue. 2. True or False: Cold weather shouldn’t demand more personnel because people sweat less in the cold. 3. True or False: Probing under the water may come up with a lot of “false positives.”

25 Working Fire Training / Copyright 2005 / Volume Ice Rescue, Part 2: Quiz Date___________ Firefighter/PM____________________ Chief/T.O.___________________ Education Credits _____ Select the best answer: 4. Multiple Choice: Which of the following would you NOT need on an ice rescue? a. Tape to repair cracks in the ice b. Warm, water-tight, PPE c. Communication with shore crew d. Ice awls e. None of the above

26 Working Fire Training / Copyright 2005 / Volume Ice Rescue, Part 2: Quiz Date___________ Firefighter/PM____________________ Chief/T.O.___________________ Education Credits _____ Select the best answer: 5. Multiple Choice: According to the video, what is one of the hardest maneuvers for an ice rescuer? a. Ascertaining ice conditions b. Controlling water temperature c. Probing with a Pike pole d. Lifting the patient on to the ice shelf e. None of the above (Answers on Slide 36)

27 Working Fire Training / Copyright 2005 / Volume Training Materials Fire Medics: Head-on Car Crash/Old Kennett Road SIZE-UP: There were a total of eight occupants between the two vehicles. – Four were trapped (see Fireline account of crash) – Five were initially triaged as Priority 1.

28 Working Fire Training / Copyright 2005 / Volume Training Materials Fire Medics: Head-on Car Crash/Old Kennett Road STRATEGY/TACTICS: Additional resources responded based on size-up A second EMS IC to handle resources Staging was established. Language barrier was dealt with. – Interpreters were used. Code Delta was activated – A preplan for mass-casualty incidents – see video clip Lawrence E. Tan Deputy Chief Click video to view

29 Working Fire Training / Copyright 2005 / Volume Training Materials Fire Medics: Head-on Car Crash/Old Kennett Road EVENTS: Additional resources responded based on size-up and initial triage A second EMS IC added to handle resources Access to accident scene was limited. – Road was narrow; hard for ambulances to turn around – Impacted staging of ambulances Life Flight helicopter was used.

30 Working Fire Training / Copyright 2005 / Volume Training Materials Fire Medics: Head-on Car Crash/Old Kennett Road LESSONS LEARNED: Don’t wait to call for additional resources; you can always send them back. Develop a plan similar to Code Delta which instantly puts certain initiatives in motion during an MCI. Need for continuity in command during an MCI; transfer command as incident grows Transport patients using appropriate personnel & equipment

31 Working Fire Training / Copyright 2005 / Volume Head-on Car Crash/Old Kennett Road : Quiz Date___________ Firefighter/PM____________________ Chief/T.O.___________________ Education Credits _____ Select the best answer: 1. True or False: Always bring ambulances straight to the scene. 2. True or False: If some patients are trapped, first triage those who aren’t. 3. True or False: If helicopter transport will help meet Golden Hour need for some patients, call one in.

32 Working Fire Training / Copyright 2005 / Volume Head-on Car Crash/Old Kennett Road : Quiz Date___________ Firefighter/PM____________________ Chief/T.O.___________________ Education Credits _____ Select the best answer: 4. Multiple Choice: Which of the following did this incident NOT reinforce? a. A good size-up, both rescue and medical, including number of patients and severity. b. On-going communications with hospital via Code Delta c. Hispanics are harder to treat than other ethnicities. d. An operations plan that permits relocation of resources

33 Working Fire Training / Copyright 2005 / Volume Head-on Car Crash/Old Kennett Road : Quiz Date___________ Firefighter/PM____________________ Chief/T.O.___________________ Education Credits _____ Select the best answer: 5. Multiple Choice: Based on this incident, which triage process is correct? a. Assessed non-entrapped patients first – communicated with hospital – Found 4 patients trapped – transported patients b. Found 4 patients trapped – Assessed non- entrapped patients first – communicated with hospital – transported patients c. Assessed non- entrapped patients first – transported patients – found 4 patients trapped – communicated with hospital d. All of the above (Answers on Slide 36)

34 Working Fire Training / Copyright 2005 / Volume Continuing Education Kramer vs. Kramer: Health Department Notifications Complete written responses to the following three essay questions: 1. Should the Fire Department be involved with Health Department notifications at restaurant fires? Why or why not? 2. Is concern for “public health” a logical extension of the Fire Department Mission? Why or why not? 3. Provide some protocol guidelines regarding Health Department notifications that are used or should be used by fire departments. …CONT. If you’re enrolled in the Open Learning Fire Service Program at the University of Cincinnati, here’s your opportunity this month to earn one college credit hour for watching Working Fire Training.

35 Working Fire Training / Copyright 2005 / Volume Continuing Education ENROLLMENT INFORMATION: For more information on enrolling in the Open Learning program to gain college credit, call Fire at for a brochure or, to register directly, call the University of Cincinnati at Associates and Bachelors programs are available. Call to have your transcripts evaluated. Send your responses to: Professor Bill Kramer University of Cincinnati College of Applied Science 2220 Victory Parkway, ML #103 Cincinnati, Ohio 45206

36 Working Fire Training / Copyright 2005 / Volume Training Materials Thanks so much for viewing Working Fire Training! See you next month – stay safe! Answers to Hands-On Quiz on Slides 24-26: 1. True 2. False 3. True 4. a. 5. d. Answers to Fire Medics Quiz on Slides 31-33: 1. False 2. True 3. True 4. c. 5. b.


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