WS224 said:asking a question is not an attack asshole.
WS224 said:asking a question is not an attack asshole.
WS224 said:I'll take that as a no. You should try carrying an extinguisher. They come with a handle made especially for that.
chief1565 said:Once again your responce is disrepectfulas always.
NYBLS said:I believe Chris started calling names and becoming defensive after others asked simple questions about the way his department runs to possibly learn why the did things. Take 1x chill pill, repeat as needed.
chrismartin1701 said:no thats not it. im completely fine with questions, as long as it aint from tool sheds like him. and im not the only one who feels that way.
WS224 said:I concur. There isn't anything that a guy making 250+ working fires a year for the last 18 years could have anything to offer about fires.
Jarred J. said:i beleive ws224 works in a city with a residence of over 1/2 million people...
250 fires with that many people seems kinda low.
heres the stats from 2010 census
Population, 2010 646,889 6,346,
Jarred J. said:Sure they are only 500 gallon tanks? thats small. here on the proerty i secure we have 2 18,000 gallon tanks. if they pop there is no more half of this town...
chrismartin1701 said:my dept gets maybe 2-6 real fires in a year. be it structure, brush or mutual aid(mostly brush). we dont normally get a large call volume. in fact, general call total per month(both fire and EMS) is around 1-3 a month. although we have a very large district(unsure of exact size but im gonna guess somewhere around 500 square miles) our area is mostly farm land with low density residential. one thing that we do have that could become an issue possibly in the future is a very large Pharmaceutical plant that houses a lot of volatile chemicals and 2 500 gallon propane tanks. oddly enough its right across the street from the fire house. however, the way we operate is not out of heroism but from years of experience and what was set in our SOP's a few decades ago.
in answer to your question WS224, we dont use fire extinguishers for the simple fact that a lot of the alarms we typically get is due to something overheating. if an object has no flames showing from it but has a high temp from our thermal imaging camera then we use water to cool it down, which is something that a ABC extinguisher or dry chemical extinguisher cannot do. thats why per our stations SOP's we bring in 1 small line uncharged and use it only if we need it.
NYBLS said:That's why we bring in a water based fire extinguisher.
chrismartin1701 said:they might be closer to 1000 i dont really remember without looking at our map of the facility.
unlisted said:(not trying to be critical or rude, I just work in Emerg Mgt) When was the last time the fire dept response plans were reviewed with the facility and/or updated? May be time for another.. (and a good time to ask them for a donation if you need to be able to offer a more specialized response.. Or ask the town/community/etc for additional funding...
Personally with a place like the one you mentioned, I'd want every FF @ the firehall knowing that plan and response in details.. Pharm plants are a fun place to have fire..
unlisted said:4 years ago? time for an update.
I'm for hire btw..
Seriously tho, time for an update.
Jarred J. said:i beleive ws224 works in a city with a residence of over 1/2 million people...
250 fires with that many people seems kinda low.
heres the stats from 2010 census
Population, 2010 646,889 6,346,
unlisted said:Not just the layout which could of changed. But hey, what do I know? I only did my post grad in EM and business continuity. ANY EM plan should be updated at least once a year, or after any incident, regardless of size.
Get in touch with your EM rep for your area.
The goal in the cardiac arrest patient is: rapid assessment, rapid intervention by establishing an adequate airway, ongoing CPR, application of an AED, and defibrillation. Transport should be started as soon as practical, and ALS intercept called for early. Treatment needs to be ongoing during all phases of transport. CPR and ventilation may need to be stopped to facilitate some phases of patient transport. These interruptions should be minimized as much as possible by evaluating all phases of patient extrication and transport prior to carrying out the individual steps. Early notification of the receiving emergency department and medical control is necessary. Although individual treatments are listed individually in practical application, many steps are carried out simultaneously when they can be.
1. Baseline care standards.
2. Establish that the patient is pulseless and breathless. Begin CPR.
3. If cardiac arrest was unwitnessed or EMS arrival to the patient is estimated to be more than 5 minutes since the patient went into arrest, complete 2 minutes of CPR prior to defibrillation.
• During initial administration of CPR, the AED should be attached to the patient.
4. If cardiac arrest was witnessed and EMS arrival to the patient is estimated to be less than 5 minutes since the patient went into arrest, attach the AED to the patient and check rhythm prior to beginning CPR. Follow prompts given by AED.
5. After the first and all subsequent defibrillations, immediately begin CPR for 2 minutes.
• CPR should not be delayed for rhythm or pulse checks unless signs of circulation have returned.
6. A maximum of 3 defibrillations may be delivered on scene prior to initiating transport.
7. If the AED advises no shock, initiate transport with rhythm checks by the AED occurring approximately every 2 minutes.
8. Manage airway per Airway/Breathing Management protocol.
9. Transport per protocol.
All patients found in cardiac arrest will receive resuscitative efforts per protocol. If you are unsure, begin resuscitation until you are certain that you may stop. The EMS provider may choose not to resuscitate or discontinue resuscitation in the following circumstances.
1. Do Not Resuscitate (DNR) order is presented to the ambulance crew. A DNR is a valid physician’s order to forgo resuscitative efforts. The DNR must be signed by a physician. If the EMS provider is unsure as to the validity of the DNR contact medical control for orders.
2. An advanced directive, otherwise known as a living will or health care directive is presented to the ambulance crew. An advanced directive is essentially a letter to a physician from the patient or responsible party outlining what care they wish to receive or not receive in the event they are incapacitated. To honor an advanced directive for a patient in cardiac arrest the EMS provider must:
• Verify that the advanced directive specifically states that the patient does not want resuscitation in the event of cardiac arrest.
• Contact medical control and explain the situation. The physician may give a DNR order based on the advanced directive.
3. Do not attempt resuscitation in the cardiac arrest patient with:
• Rigor Mortis.
• Livor Mortis (lividity).
• Decapitation.
• Injuries incompatible with life.
• Traumatic Asystole (ALS only).
4. EMS may discontinue resuscitative efforts in the event:
• The EMS crew is too exhausted to continue CPR, or
• 30 minutes of ALS resuscitation without producing a pulse, and
• Concurrence of medical control to discontinue resuscitation.
• Under direction of medical control.
vc859 said:not treating verbal domestics the same as shootings and armed robberies.
11b101abn said:ALL domestics should be approached as high-risk, priority calls. Always.
Not to say that a code 3 response is required as that should be determined by policy and / or information given at the time of the call. To say, though, that a domestic, verbal or not, does not have all of the potential in the world to go sideways rapidly is disingenuous.
vc859 said:I'm not saying that domestics shouldn't be high priority, but like you said, I was questioning whether they all need a code 3 response; and also, questioning some departments that send 4 or 5 officers for a 8 year old who refuses to get out of bed to go to school.
Also the main point of this topic is about EMERGENCY services that seem to think nothing qualifies as an emergency anymore.
Whether it is a police department that won't run code 3 for anything less than a shooting/stabbing or officer needs help. (I have heard of some officers/departments than won't even go code 3 to a fight in progress, unless there are weapons involved)
Or a fire department that barely goes interior even on room and contents fires
Or EMS agencies who have turned "every second counts" into "minutes don't matter" (i.e. "running code 3 ONLY saves you 1 minute and 30 seconds on average" types)
I'm guessing you're talking about vollies with this one? Here, Australia and more specifically Canberra, NO ONE responds in POV. And not every vollie, Ambo, fire or police is cleared for urgent duty, response, driving. Heck some of the vehicles are not cleared for urgent duty, they run lights and sirens but can't run at high speed due to safety reasons.vc859 said:Also, I understand that code 3 driving has inherent risks, but I like to know where the idea came from that driving code 3 means letting a sixteen year old with a one-month old learners permit drive at 90 MPH down the wrong side of the road
unlisted said:there are very sound reasons you don't run into a building on fires..
WS224 said:There are also good reasons to go in them. To not go in any because there probably isn't anyone in there, if there is they are already dead, you think the building might fall down, because it's scary, etc. is exactly what I despise - "firefighters" and chiefs who look for more reasons to not do their job because they lack the actual knowledge and balls that the job requires.