We use this tool to secure an airway in a conscious patient with a gag reflex.
What is a nasopharyngeal airway?
A timeless symbol of the fire service, once helped calm the horses that pulled the cart.
What is the dalmation?
Over 700 of these exist in Minnesota, but Pennsylvania has the most with over 2,200.
What is volunteer or paid-on-call fire departments?
Along with protecting a patient's privacy, HIPAA stands for this.
What is Health Insurance Portability and Accountability Act?
You are E11. Give your IRR to Dispatch:
(example)
Dispatch from Excelsior Engine 11. (Go ahead)
Engine 11 arriving to a medium, two-story, single-family home. There is a working fire on the Alpha/Delta corner, first floor, extending up to the second floor. Engine will pull an attack line for fire attack. We will be in the offensive strategy and Engine 11 will have Excelsior Command.
With a respiratory rate of 30, this should be our first intervention.
What is coaching the patient's breathing?
Once used by firefighters to filter out the smoke, these are now frowned upon because they prevent a good seal.
What is a beard?
500' of LDH, fully charged should hold this many gallons of water.
What is 510 gallons (or so)?
This system defines the operational systems that guide how personnel work together during incidents.
What is the National Incident Management System (NIMS)?
Everywhere I go, somebody is staring at me. Now I wear a bag on my head, so they can't tell it's me.
Scenario #1
This tool can be used for a blood pressure and for heart and lung sounds.
What is a stethoscope?
Founded the first volunteer fire company in the American Colonies in 1736.
Who was Benjamin Franklin?
Ranging from 824' to over 4,600', Excelsior has a wide variety of these for the fire department to "square" up to.
What are single family homes? (square footage)
If we need to breath for them, we use this. But, if they are breathing on their own and just need 6-10lpm, we use this. They both have acronyms, but give us the full terms.
What is the BVM (Bag-valve Mask) and the NRB (Non-rebreather Mask)?
Breaking News: NASA to visit sun; will go at night to avoid sunburn.
Scenario #3
Where the upper airway stops and the lower airway begins.
What is the larynx?
What is the fire hydrant?
The average amount of time it takes for a fire to double in size.
What is 60 seconds, Alex?
Recent flight or knee surgery followed by infrequent movement can make a patient susceptible to this. Blood thinners can help.
What is a DVT (Deep Vein Thrombosis)?
When I think of you and what we had, I vomit.
Scenario #2
O2 SAT is 98%, RR is rapid and fingers are tingling and claw-like.
What is hyperventilation?
This is the largest fire department in the world, with over 18,000 employees.
What is the Tokyo Fire Department?
In the event of a heart attack, this begins to die within 20 to 30 minutes.
What is heart tissue?
IDLH
You arrive on scene to find a working fire in a home. Fire is exiting a window on the alpha side, completely filling the frame of the window. Considering flowpath, what does this presentation suggest?
That somewhere on the structure, there is an intake of oxygen, supplying the fire.