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VERDUGO FIRE ACADEMY. FIREFIGHTER REHABILITATION Robert Sepulveda, VFA Instructor. Objectives. Define emergency incident rehabilitation. Describe why fire fighters need emergency incident rehabilitation.

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VERDUGOFIRE

ACADEMY

FIREFIGHTER REHABILITATION

Robert Sepulveda, VFA Instructor

VERDUGO FIRE ACADEMY


Objectives
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.

VERDUGO FIRE ACADEMY


Objectives1
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.

VERDUGO FIRE ACADEMY


Objectives2
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.

VERDUGO FIRE ACADEMY


Introduction
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.

VERDUGO FIRE ACADEMY


Introduction1
Introduction

  • Without rest and recovery:

    • Fatigue

    • Headaches

    • Gastrointestinal problems

VERDUGO FIRE ACADEMY


Factors cause and need for rehabilitation
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

VERDUGO FIRE ACADEMY


Factors cause and need for rehabilitation1
Factors, Cause, and Need for Rehabilitation

  • Environmental job stressors:

    • Adverse weather conditions

    • Unfamiliar locations

    • Smoke-filled environments

VERDUGO FIRE ACADEMY


Factors cause and need for rehabilitation2
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

VERDUGO FIRE ACADEMY


Factors cause and need for rehabilitation3
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

VERDUGO FIRE ACADEMY


Factors cause and need for rehabilitation4
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

VERDUGO FIRE ACADEMY


Factors cause and need for rehabilitation5
Factors, Cause, and Need for Rehabilitation

  • A well-rested, well-conditioned person has more endurance and can tolerate the stresses of firefighting.

VERDUGO FIRE ACADEMY


Types of incidents affecting fire fighter rehabilitation
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.

VERDUGO FIRE ACADEMY


Types of incidents affecting fire fighter rehabilitation1
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.

VERDUGO FIRE ACADEMY


Types of incidents affecting fire fighter rehabilitation2
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.

VERDUGO FIRE ACADEMY


Other types of incidents requiring rehabilitation
Other Types of IncidentsRequiring Rehabilitation

  • Hazardous materials incidents

  • Long-duration search -and -rescue activities

  • Large-scale training activities

VERDUGO FIRE ACADEMY


Other types of incidents requiring rehabilitation1
Other Types of IncidentsRequiring Rehabilitation

  • Non-emergency events

    • Athletic events

    • Stand-by assignments

VERDUGO FIRE ACADEMY


Other types of incidents requiring rehabilitation2
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.

VERDUGO FIRE ACADEMY


How does rehabilitation work
How Does Rehabilitation Work?

  • Six Functions:

    • Medical monitoring

    • Revitalization

    • Medical monitoring and treatment

    • Transportation

    • Critical incident stress management

    • Reassignment

VERDUGO FIRE ACADEMY


Physical assessment
Physical Assessment

  • Signs and symptoms of fatigue

  • Crew should be observed for signs of emotional stress.

VERDUGO FIRE ACADEMY


Revitalization
Revitalization

  • Rest

    • Opportunity to disengage from stressful activities and remove PPE

VERDUGO FIRE ACADEMY


Revitalization1
Revitalization

  • Fluid replacement

    • Rehydrate with water.

    • Restore electrolytes with diluted sports drinks.

    • Avoid caffeinated and sugar-rich drinks.

VERDUGO FIRE ACADEMY


Revitalization2
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

VERDUGO FIRE ACADEMY


Revitalization3
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

VERDUGO FIRE ACADEMY


Revitalization4
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.

VERDUGO FIRE ACADEMY


Revitalization5
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.

VERDUGO FIRE ACADEMY


Revitalization6
Revitalization

  • Temperature stabilization

    • Remove turnout gear as soon as possible.

    • Move to climate-controlled environment.

    • In cold conditions, use a heated rehabilitation center.

VERDUGO FIRE ACADEMY


Medical monitoring and treatment
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.

VERDUGO FIRE ACADEMY


Transportation to a hospital
Transportation to a Hospital

  • Ambulance available at rehabilitation centers to:

    • Transport ill fire fighters

    • Transport injured fire fighters

VERDUGO FIRE ACADEMY


Critical incident stress management
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.

VERDUGO FIRE ACADEMY


Reassignment
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

VERDUGO FIRE ACADEMY


Personal responsibility in rehabilitation
Personal Responsibility in Rehabilitation

  • “Safety Begins and Ends with You”

  • Take care of yourself first, your team second, others third.

  • Know your own limits.

  • Be responsible: participate in emergency incident rehabilitation.

VERDUGO FIRE ACADEMY


Summary
Summary

  • Rehabilitation centers are special designated areas where emergency personnel can rest.

  • Rehabilitation helps prevent injuries and illness.

  • Rehabilitation centers are often required at wildland fires and structure fires that are large or continue for long periods of time.

VERDUGO FIRE ACADEMY


Summary1
Summary

  • Six parts of revitalization:

    • Medical monitoring

    • Revitalization

    • Medical monitoring and treatment

    • Transportation

    • Critical incident stress management

    • Reassignment

VERDUGO FIRE ACADEMY


Summary2
Summary

  • Replace fluids before signs of dehydration become obvious.

  • Meet nutritional needs during minor incidents with low-sugar, high-protein sports bars.

  • During longer incidents, eat small frequent meals that contain the appropriate nutritional balance.

VERDUGO FIRE ACADEMY


Summary3
Summary

  • Know your limits, listen to your body, and use rehabilitation facilities.

  • Safety begins and ends with you.

VERDUGO FIRE ACADEMY



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