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VERDUGO FIRE ACADEMY

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Describe four other types of incidents where fire fighters would benefit from emergency incident ... and Need for Rehabilitation Personal protective equipment ... – PowerPoint PPT presentation

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Title: VERDUGO FIRE ACADEMY


1
VERDUGO FIRE ACADEMY
FIREFIGHTER REHABILITATION Robert Sepulveda,
VFA Instructor
2
Objectives
  • Define emergency incident rehabilitation.
  • Describe why fire fighters need emergency
    incident rehabilitation.
  • List and describe the types of extended fire
    incidents where fire fighters need emergency
    incident rehabilitation.
  • Describe four other types of incidents where fire
    fighters would benefit from emergency incident
    rehabilitation.

3
Objectives
  • Describe the functions of a rehabilitation
    center.
  • List the four parts of revitalization.
  • Describe the types of fluids that are well suited
    for fire fighters to drink during emergency
    incident rehabilitation.

4
Objectives
  • Describe the types of food that are well suited
    for fire fighters to eat during emergency
    incident rehabilitation.
  • Describe the personal responsibilities related to
    emergency incident rehabilitation.

5
Introduction
  • You must take care of yourself so you can help
    others.
  • Rehabilitate To restore to a condition of health
    or to a state of useful and constructive
    activity.

6
Introduction
  • Without rest and recovery
  • Fatigue
  • Headaches
  • Gastrointestinal problems

7
Factors, Cause, and Need for Rehabilitation
  • Physiological job stressors
  • From sleep to full activity in seconds
  • Not enough time to eat or drink
  • Physical demands

8
Factors, Cause, and Need for Rehabilitation
  • Environmental job stressors
  • Adverse weather conditions
  • Unfamiliar locations
  • Smoke-filled environments

9
Factors, Cause, and Need for Rehabilitation
  • Personal protective equipment (PPE)
  • Contributes to heat stress
  • Can weigh up to 40 lbs.
  • Increases energy needed to move
  • Traps body heat
  • Acts as vapor barrier

10
Factors, Cause, and Need for Rehabilitation
  • Dehydration
  • State in which fluid losses exceed intake
  • Fire fighter in action can lose up to 2 quarts of
    fluid in less than 1 hour
  • Fluid loss reduces strength, endurance, and
    mental judgment

11
Factors, Cause, and Need for Rehabilitation
  • Energy Consumption
  • During strenuous activity, the body burns
    carbohydrates and fats for energy.
  • Essential to refuel energy sources with
    nutritious food

12
Factors, Cause, and Need for Rehabilitation
  • A well-rested, well-conditioned person has more
    endurance and can tolerate the stresses of
    firefighting.

13
Types of Incidents Affecting Fire Fighter
Rehabilitation
  • Rehabilitation required at all incidents
  • Small incidents may require only water for
    rehydration.
  • Major incidents may require a full rehabilitation
    center.

14
Types of Incidents Affecting Fire Fighter
Rehabilitation
  • Structure fires
  • Intense heat and stressful conditions cause rapid
    dehydration and fatigue.
  • High-rise fires
  • Energy resources are drained quickly.

15
Types of Incidents Affecting Fire Fighter
Rehabilitation
  • Wildland fires
  • Crews need to work in shifts so their bodies can
    recover.
  • Large fires may require hundreds of fire fighters
    and take weeks to extinguish.

16
Other Types of IncidentsRequiring Rehabilitation
  • Hazardous materials incidents
  • Long-duration search -and -rescue activities
  • Large-scale training activities

17
Other Types of IncidentsRequiring Rehabilitation
  • Non-emergency events
  • Athletic events
  • Stand-by assignments

18
Other Types of IncidentsRequiring Rehabilitation
  • Nourishment and fluid replacement are essential
    whenever fire fighters must be ready for action.
  • Weather conditions
  • Heat causes rapid dehydration and fatigue.
  • High humidity reduces evaporative cooling.
  • Cold weather can cause hypothermia.

19
How Does Rehabilitation Work?
  • Six Functions
  • Medical monitoring
  • Revitalization
  • Medical monitoring and treatment
  • Transportation
  • Critical incident stress management
  • Reassignment

20
Physical Assessment
  • Signs and symptoms of fatigue
  • Crew should be observed for signs of emotional
    stress.

21
Revitalization
  • Rest
  • Opportunity to disengage from stressful
    activities and remove PPE

22
Revitalization
  • Fluid replacement
  • Rehydrate with water.
  • Restore electrolytes with diluted sports drinks.
  • Avoid caffeinated and sugar-rich drinks.

23
Revitalization
  • Nutrition
  • Glucose needed to burn fat and release energy
  • Need to balance glucose levels for the body to
    work properly
  • Too low weakness, shaking
  • Too high sluggishness

24
Revitalization
  • Nutrition (continued)
  • Carbohydrates
  • Major source of fuel
  • Readily used by the body during high-intensity
    activities
  • Proteins
  • Used by the body to grow and repair tissues

25
Revitalization
  • Nutrition (continued)
  • Fats
  • Used for energy, insulating and protecting
    organs, and breaking down vitamins
  • Simple sugars stimulate insulin production.
  • Sugar consumption can lead to lower energy
    levels.

26
Revitalization
  • Nutrition (continued)
  • During short incidents
  • Consume low-sugar, high-protein sports bars.
  • During extended incidents
  • Eat smaller, balanced meals that include complex
    carbohydrates.
  • Proper nutrition is part of a healthy lifestyle.

27
Revitalization
  • Temperature stabilization
  • Remove turnout gear as soon as possible.
  • Move to climate-controlled environment.
  • In cold conditions, use a heated rehabilitation
    center.

28
Medical Monitoring and Treatment
  • Medical monitoring and treatment
  • Abnormal vital signs, pain, and injury
    necessitate further medical treatment.
  • Signs of illness or injury should be checked in
    the rehabilitation center to prevent later
    disruption on the fire scene.

29
Transportation to a Hospital
  • Ambulance available at rehabilitation centers to
  • Transport ill fire fighters
  • Transport injured fire fighters

30
Critical Incident Stress Management
  • CISM
  • Confronts critical incidents, defuses them, and
    directs the fire fighter toward physical and
    emotional balance
  • Team members may meet with companies or
    individual fire fighters.

31
Reassignment
  • Fire fighters released to reassignment following
  • Rest
  • Rehydration
  • Refueling
  • Rechecking that they are fit for duty
  • May return to the same or different tasks

32
Personal Responsibility in Rehabilitation
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