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Firefighter Rehab

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by

Jon Pannunzio

on 15 June 2016

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Transcript of Firefighter Rehab

BREAK EVEN = 7 MONTHS IN
Cascade Financial Analysis
Cascade Financial Analysis
WE
What do these Professions have in common?
Bakers
Athletes
Firefighters
Controls to Minimize Heat Stress
REHABILITATON
Fluid intake (hydration)
Active & Passive Cooling
Work rotation
Passive cooling
Will not alleviate Heat Stress!
Active Cooling
Forearm immersion is the most effective cooling strategy to be used in firefighter rehabilitation.

Can effectively double the duration time that each firefighter will be able to continue to work when combined with full hydration.

Portable
Lowers core temperature quickly
Easy to use
Not affected by environment
WFES
REHAB PROGRAM
WFES Training Division
R
E
H
A
B


Why is this important
to you?
Duty to Protect Health and Safety
6 R's
of Rehab
REST
removal of stress
out of contaminated air
away from noise
away from decisions








Firefighter Rehab
HEAT STRESS
OSHA "general duty" clause places a duty on employers to take reasonable precautions to protect the health and safety of workers.

NFPA Standards require Rehabilitation
Rehab to be provided where required (1500)
Is part of
tactical
level management (1561)
Provides a "Recommended Practice" for rehab (154)
Benefits of Providing Rehabilitation
Protect firefighters health and safety
Maximize cumulative work times
Provide better customer service
Is the right thing to do
Will protect Department against potential liability
Defining 'REHAB"
An attempt to restore (a person) to normal physical functioning.
Efforts used to:
-Ensure adequate hydration
-Limit core temperature heating with "Active Cooling
-Provide rest
-Sustain a firefighters energy




Heat Stress Factors
Air Temperature
Humidity
Radiant Heat
Air Movement
Physical Demands of Work
Physical fitness and body composition
Psychological/Perception















Scientific Study: Making the Connection






HEAT to HEART

Firefighting stresses the heart
-generates heat built-up
-fluid loss through sweating

Stroke volume is decreased, heart stress is increased

Blood "thickens" increases heart stress

Need to provide effective rehabilitation to minimize potential
for loss










Heart rate recovery and subjective feelings of comfort cannot be used to determine when it is safe to return to work. Core temp continues to rise following heavy work and during rest period even though HR decreases
Rest
Rehydration
Rx/Medical Monitoring
Restoration
Relief
Refueling
NEW EQUIPMENT

O2 Pulse Oximetry >92%

C0 Pulse Oximetry 0-10%


Misting


Fan
Dual Mode Infrared
Thermometer
"JOEY ON THE SPOT"
Portable Toilet

Medical Treatment: Injuries and Illnesses


Traumatic Injuries:
cuts, sprains, strains, debris in eyes, etc

Thermal Injuries

Stress-related illnesses:
psychological and/or physiological (MI, Stroke)


Respiratory illnesses:
smoke inhalation, HCN, CO

Rehab is everyones Responsibility
Please go to link on the Training Notice to watch the Pulse Oximetry Video
Full transcript