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What is the purpose of the rehabilitation ?
ensure that the physical and mental condition of personnel operating at the scene of an emergency or training exercise do not deteriorate to a point that affects the safety of a member or jeopardizes the safety and integrity of the operation.
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When does the Rehabilitation guideline apply?
emergency operations and training exercises that involve strenuous physical activity or exposure to heat or cold
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The _________ _________ shall consider the circumstances of each incident and make adequate provisions early in the incident for the rest and rehabilitation of all members operating at the scene.
Incident Commander (IC)
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All ______ ________ shall maintain an awareness of the condition of each member operating within their span of control and ensure that adequate steps are taken to provide for each member’s health and safety
company officers
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How will the request of relief of crews or reassignment of fatigued crews be made?
Through the command structure
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During periods of hot weather, members shall be encouraged to do what throughout the work day?
drink water throughout the workday
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When should members notify their supervisor of their level of fatigue?
when they believe that their level of fatigue or exposure to heat or cold is approaching a level that could affect themselves, their crew, or the operation in which they are involved
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Who else should members be watching for their health and safety regarding rehabilitation?
health and safety of other members of their crew
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The ___ shall establish Rehabilitation _______ (hereafter referred to as Rehab) when conditions indicate that rest and rehabilitation are needed for personnel operating at an incident scene or training evolution
IC
Group
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This could range from simple ________ at small incidents to the utilization of a______ Group and support personnel at large incidents.
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Who does rehab typically report to?
IC
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At a large incident who does the rehab group supervisor report to?
Logistics Section Chief
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Where is the frame work for rehab at large incidents outlined at?
- National Incident Management Systems
- NIMS
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At a large incident who will designate the location of the rehab area?
Rehab group supervisor
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Complex incidents may need what, in regards to rehab?
More than one rehab area
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How far away should rehab area be established?
Far enough away from the scene that members may safely remove their turnout gear and Self-Contained Breathing Apparatus (SCBA) and be afforded mental rest from the stress and pressure of the emergency operation or training sessions
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How should rehab protect members?
- During hot weather, it should be in a cool, shaded area.
- During cold weather, it should be in a warm, dry area.
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What is a important consideration when setting up rehab in relation to running apparatus?
Allow members to be free of exhaust fumes from apparatus, air units, other vehicles, or equipment
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How large should rehab area be?
Large enough to accommodate multiple crews, based on the size of the incident
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Where should rehab area be in relation to medical units?
Easily accessible by Emergency Medical Services (EMS) units
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Rehab should allow prompt_______ into the emergency operation or training session following adequate recuperation of personnel.
re-entry
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Select an area large enough to handle all personnel on scene, ________ of exhaust fume sources, relatively quiet, and within ________ distance.
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What other area should rehab be near during large incidents?
Staging area
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Who shall secure all resources required to adequately staff and supply the Rehab Group?
Rehab Group Supervisor
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The primary apparatus charged with assistance with rehab will be ?
Rehab Unit
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Rehab units are equipped with what resources?
- Fluids
- foods
- medical
- others: awnings, blankets, dry clothes, cones,fireline tape
- Built in toilet facilities
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A Rehab Group concept will be utilized whenever possible to establish and manage the Rehab. The Group will consist of:3
a.An Advanced Life Support (ALS) company.
b.Designated Group Supervisor with crew.
c.Additional Cooperating Agencies as needed: Tri Met, Red Cross Canteen, Critical Incident Stress Debriefing (CISD) Team, etc.
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How shall the rehab area be defined?
Fireline tape with one exit/entry point
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What are the 3 components to a rehab area?
- Entry/ exit
- Hydration and replenishment
- Medical treatment and transport
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What shall be done by rehab group personel upon entry at rehab area?
- Collect passports
- measure pulse
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If pulse rate is greater than _____ bpm shall report directly to Medical Treatment and Transport Unit.
120
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Members that do not require medical attention shall report to the _________ __________ Unit.
Hydration and Replenishment
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What will be done by all members when leaving the exit point of rehab area?
retrieve their passports from rehab supervisor
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Who will staff the medical treatment and transport unit?
An ALS crew
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A critical factor in the prevention of heat injury is adequate _________
hydration
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Members shall re-hydrate (at least _______ ounces) while their SCBA cylinders are being changed
eight
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Hydration is important even during _____ _________ operations when, despite the outside temperature, heat stress may occur during firefighting or other strenuous activity when protective equipment is worn.
cold weather
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What is recommended to be eaten at a fire scene because it can be digested quickly?
cup of soup
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A Red Cross Canteen should be requested for extended incidents and any ___ or greater alarm.
3rd
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Firefighters who have expended ____full SCBA cylinders shall be assigned to Rehab for rest and evaluation.
two
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What is the criteria for the amount of time a member will spend in rehab?
objective evaluation of a member’s fatigue level
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The rest period shall not be less than _______ minutes, and may exceed an ______ if determined necessary by the Rehab Supervisor.
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Fresh crews, or unassigned crews released from Rehab, shall be available in _________ to ensure that fatigued members are not required to return to duty before they are rested, evaluated, and the Rehab Group releases them
Staging
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Is it a okay to move a member from a hot environment to a directly into an air conditioned area?
No, body’s cooling system could shut down in response to the external cooling
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When is okay for a member to be moved from a hot environment to a cold environment?
after a cool-down period at ambient temperature with sufficient air movement.
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Certain drugs impair the body’s ability to sweat. Extreme caution must be exercised if the member has taken antihistamines such as _________ or _________, or if the member has taken diuretics or stimulants.
Actifed™ or Benadryl™
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Rehab medical personnel shall evaluate vital signs including ?6
- carbon monoxide (CO) levels (utilizing CO monitors carried on battalion
- chief’s apparatus
- flow reference values attached to the monitors)
- body temperature
- mental status
- make a disposition
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Who shall be updated concerning the status of injured/ill personnel?
The Rehab Supervisor
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EMS personnel shall be assertive in an effort to find potential medical problems ______?
early
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If a member’s heart rate exceeds _____ they shall be directed to the Medical Treatment and Transport Unit, where their temperature will be taken.
120
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If a member’s heart rate exceeds 120 they shall be directed to the Medical Treatment and Transport Unit, where their temperature will be taken. After allowing____ minutes for a cooling down period, vitals and body temperature shall be rechecked.
20
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Any member with the following results shall receive further medical evaluation and possibly be transported:3
- a.A pulse rate greater than 100.
- b.A temperature greater than 101° F.
- c.A blood pressure less than 100 systolic.
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Members assigned to Rehab shall enter and exit the Rehab Area as a ?
crew
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The crew designation, number of crew members, their pulses, and the times of entry to and exit from the Rehab Area shall be documented by who?
Rehab Supervisor or his/her designee
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Crews shall not leave the Rehab Area until _________.
authorized
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When necessary, the Rehab Supervisor will update Command with pertinent information through what route of communication?
(via the chain of command)
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What kind of information would the rehab group supervisor have to tell command?3
- identities of companies in Rehab
- the companies available for reassignment
- the status of injured personnel
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Who is typically responsible for setting up rehab and being in charge of medical?
The company that takes the Rehab apparatus to the scene
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What should the rehab supervisor do if the medical component of the incident is complex and more help is needed?
Request another ALS company from command
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How will rehab members be identified?
Rehab unit vests
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Who should be conferred with during a incident concerning a specialty team that coincides with rehab?
Rehab Supervisor should consult the Specialty Team Leader
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