S-223, Fireline Medic (EMTF/EMPF)

Transcription

1 Firel Fireline Medic (EMTF/EMPF) S-223, Fireline Medic (EMTF/EMPF) Course Plan Course Details Certification: CTS Guide: Description: Emergency Medical Technician, Fireline / Paramedic, Fireline (EMTF/EMPF) Emergency Medical Technician, Fireline / Paramedic, Fireline (EMTF/EMPF) This course is designed to provide the skills and knowledge needed to perform in the role of Fireline Medic. Topics include position overview; supplies and equipment; assignments; lessons learned; Medical Unit Leader expectations; communications; documentation; navigation; safety; and medical emergencies specific to the wildland arena. Designed For: Prerequisites: Standard: Hours: Lecture: 15:00 Testing: 1:00 Hours (Total): 16:00 Maximum Class Size: 20 Instructor Level: Instructor/Student Ratio: Restrictions: Designation: Emergency Medical Technician, Fireline / Paramedic, Fireline (EMTF/EMPF) Qualified Firefighter Type 1 (FFT1) Current California EMT certification or Paramedic license Current Local EMS Agency certification Basic ICS (I-200) NRF: An Introduction (IS-800) Complete all activities and formative tests. Complete all summative tests with a minimum score of 80%. MEDL or EMTF/EMPF None SFT Pending Required Resources 1:20 (lecture) 1

2 Instructor Resources To teach this course, instructors need: 1. The following publications: ICS-223 Fireline Medic Position Manual Incident Response Pocket Guide, PMS 461, January 2014, National Wildfire Coordinating Group ICS-420-1, Field Operations Guide Online Instructor Resources The following instructor resources are available online at: Field Operations Guide ICS (FOG Manual) Additional instructor resources are available online at: ISC-223, Fireline Medic Position Manual ICS-223, Appendices A, B and C Student Resources To participate in this course, students need: Incident Response Pocket Guide, PMS 461 Field Operations Guide, ICS The required textbook chosen by the instructor 2

3 Unit 1: Course Introduction Topic 1-1: Instructor Introductions At the end of this topic, a student will be able to describe the instructor s experience and how it impacts the expectations of this course; as well as, identify facility and classroom requirements. 1. Describe what the instructor s experience means to the expectations of this course Instructor provides name, background, experience, etc., to students Instructor expresses what he/she can provide to the students 2. Identify the students in the class 3. Identify the facility and classroom requirements during instruction Review facilities Restroom locations Exits Start and end times Breaks Electronic device policies Special needs and accommodations Other requirements as applicable 1. Are there any questions at this time? Topic 1-2: Course Description At the end of this topic, a student will be able to identify the EMTF/EMPF position within the Field Operations Guide, understand the expectations and class schedule during instruction. 1. Identify the EMTF/EMPF position within the Field Operations Guide EMTF/EMPF is a 16-hour course designed to meet the training needs as outlined in ICS Identify the instructors expectations during instruction The course is designed to be interactive Class participation is encouraged The course contains several exercises designed to facilitate group and class discussion 3. Review the course schedule Review class schedule 3

4 1. What is the total number of instruction hours? To be determined by the instructor. CTS Guide Reference: CTS 1-2 Topic 1-3: General Knowledge Requirements At the end of this topic, a student will be able to recognize how to qualify as an EMTF/EMPF based upon their Home agency requirements, and understand the need to complete additional FIRESCOPE recommended courses. 1. Identify Home Agency requirements for qualification as an EMTF/EMPF 2. Describe the FIRESCOPE recommendation for additional courses needed by the EMTF/EMPF State Certified Emergency Medical Technician State License Emergency Medical Paramedic Basic Firefighter Training S-130 or equivalent Introduction to Wildland Fire Behavior S-190 Intermediate Wildland Fire Behavior S-290 Single Resource Crew Boss S-230 Basic Air Operations S-270 GPS/Land Navigation Course PMS-475 Annual Fireline Safety Refresher RT Can your Home agency s Fire Chief approve your qualification as an EMTF/EMPF? 2. Why should you take the additional courses suggested by FIRESCOPE? Instructor Note 1. Instructor is encouraged to reference National Wildfire Coordinating Group NFES 2865, PMS 475 Basic Land Navigation. 2. In addition, the instructor is encouraged to reference the CICCS Qualifications Guide, Qualifications for Emergency Medical Technician, Fireline EMTF/EMPF. CTS Guide Reference: CTS 1-3 Topic 1-4: Course Requirements At the end of this topic, a student will be able to identify the classroom requirements, course objectives, assignments, activities, resources, evaluation methods and participation requirements for this course. 1. Identify successful course completion requirements 4

5 Sign the roster each day Attend all 16-hours of instruction Participate in all activities Complete the Summative Exam with a minimum score of 80% Complete a Class Evaluation 1. Does everyone understand how to successfully complete this course? 1. To be determined by the instructor CTS Guide Reference: CTS 1-4 Unit 2: Position Overview Topic 2-1: Position Description At the end of this topic, a student will be able to describe the responsibilities of the EMTF/EMPF when assigned, describe to whom the EMTF/EMPF will report to while assigned; as well as, be able to discuss the relationships between the EMTF/EMPF, the MEDL, LEMSA and FEMP partner. 1. Describe the responsibilities of the EMTF/EMPF when assigned to an incident Assisting incident personnel with first aid, self-care and health management (e.g., blisters, eyewash, wound care) EMS providers may also serve to monitor and detect minor illnesses or injuries that require referral to definitive care The uniqueness and challenges associated with remote sites expands the EMTF/EMPFs roles Must be aware of medical regulations that may direct the EMTF/EMPF Medical Aid can be provided to personnel at the Incident Base or on the fireline Work within Scope of Practice while assigned to the incident 2. Describe to whom the EMTF/EMPF is assigned under the Incident Management System EMTF/EMPF works within the Logistics Section 3. Discuss the relationship between the EMTF/EMPF and the MEDL, LEMSA and FEMP partner Under the direction of the Medical Unit Leader Supervised while on the fireline by Division Group Supervisor EMTF/EMPF should be paired with another EMTF/EMPF while assigned on the fireline 1. What are some of the unique challenges with providing EMS care while working on the fireline? 2. Does the EMTF/EMPFs LEMSA direct the medical actions while deployed on an incident? 3. Give some reasons why an EMTF/EMPF should be paired while assigned on the fireline? 5

6 Instructor Note 1. Instructor is encouraged to reference the ISC-223 Fireline Medic Position Manual. 2. In addition, the instructor is encouraged to reference the, NWCG Limited Request for Recognition form. CTS Guide Reference: CTS 2-1 Topic 2-2: Position Requirements At the end of this topic, a student will be able to establish and maintain liaison with and respond to the requests from the fireline supervisor, operate a radio using assigned radio frequencies, provide medical care utilizing the required equipment, navigate using incident maps, assemble information from the Incident Action Plan, obtain briefing on assignment, and participate in a de-briefing when completed. 1. Describe the work relationship between the EMTF/EMPF and Operational Area supervisors Establish contact with the Division Group Supervisor to understand role while assigned Establish liaison with Line Safety Officer Make contact with assigned Strike Team Leaders and/or Crew Boss 2. Complete required documents and reports Incident ICS Forms LEMSA Patient Care Reports Home Agency documents/reports 3. Identify where to access assigned radio frequencies ICS Form 205 ICS Form Identify required equipment to be packed while on assignment FIRESCOPE ICS Appendix A BLS Gear FIRESCOPE ICS Appendix B ALS Gear FIRESCOPE ICS Appendix C Personal Gear 5. Demonstrate basic land navigation and map reading skills Review GPS/Land Navigation Course PSM Discuss the relevant information found within the Incident Action Plan Review Division Assignment List ICS Form 204 Recognize the resources assigned to the Division, the number of personnel, operational period, control objectives, special instructions, and Division communications Understand the Medical Plan ICS Form 206 Review the Safety Message Review the Fire Weather Forecast and Fire Behavior Forecast Review Incident maps 7. Discuss the incident task and briefing information necessary to carry out assignment Meet with MEDL to review assignment, how to implement the Medical Plan 6

7 Obtain items prior to leaving for assignment Discuss re-stocking procedures Discuss de-briefing at the conclusion of assignment 1. How does the EMTF/EMPF work for both the MEDL and the DVIS? 2. Where is the tactical frequency for the assigned Division found? 3. How are the Drop Points for the assigned Division identified on the incident map? 4. Why is it important to understand the number and type of personnel and resources assigned to the Division? 5. Give some examples of information that should be de-briefed with the MEDL? 1. To be determined by the instructor Instructor Notes CTS Guide Reference: CTS 2-2 Unit 3: Medical Supplies & Personal Equipment Topic 3-1: Medical Supplies At the end of this topic, a student, will be able to assemble a FIRESCOPE Appendix A BLS and/or FIRESCOPE Appendix B ALS inventory pack, restock additional medical supplies from MEDL, Provide treatment while assigned to the Medical Unit.. 1. Discuss the contents of the medical supply pack to be assembled for deployment FIRESCOPE recommends FIRESCOPE Appendix A BLS and/or FIRESCOPE Appendix B ALS Inventory Additional supplies and equipment based upon Home agency protocol requirements Assemble supplies based upon type of assignment 2. Describe how to obtain additional medical supplies while on assignment Medical Unit tracked Sharing medical supplies and equipment with FEMP!0-Man Pack 3. Discuss the role of EMTF/EMPF while assigned at the Incident Base Medical Unit Established to treat large numbers of ill and injured incident personnel Become familiar with the medical supplies available within the Medical Unit 4. Discuss the FEMP restocking procedures at the incident Completed in accordance with Home agency policies and procedures Incident S numbers are used as tracking mechanism Controlled Substances must be restocked based upon Home agency/lemsa policies and procedures Coordinate shared packs with EMTF/EMPF partners 1. What considerations should be given when adding additional supplies and equipment to the EMTF/EMPFs BLS inventory pack? 7

8 2. Why is it important to share medical supplies and equipment when paired with an FEMP? CTS Guide Reference: CTS 3-1 Topic 3-2: Personal Safety Equipment At the end of this topic, a student will be able to assemble all Personal Protective Equipment (PPE) and additional personal safety equipment. 1. Discuss Home agency policies and procedures regarding Personal Protective Equipment (PPE) PPE should be approved by Home agency policies and standards Review suggested Personal Protective Equipment 1. There are no designed questions for this topic CTS Guide Reference: CTS 3-2 Topic 3-3: Personal Equipment Line Packs At the end of this topic, a student will be able to assemble personal equipment utilizing the items from FIRESCOPE Appendix C. 1. Discuss the contents of the personal equipment inventory to be assembled for deployment 2 types of line packs: configured for your comfort and the type of incident assigned FIRESCOPE Appendix C inventory list 2. Discuss the considerations for packing personal items when assignment includes: hiking, spiking, coyote tactics, day or night Reconfiguring inventory based upon possible assignment Night shift: warmth and lighting 3. Discuss pre-deployment issues EMTF/EMPF should be prepared to be deployed with limited access to restock or purchasing personal items Follow Department financial procedures while deployed 1. Give examples of nice to-have personal equipment? 1. To be determined by the instructor Instructor Notes 1. Instructor is encouraged to reference FIRESCOPE Appendix C CTS Guide Reference: CTS 3-3 8

9 Unit 4: EMTF/EMPF Assignments Topic 4-1: Preparing For The Assignment At the end of this topic, a student will understand the ordering process, and preparing for the deployment. 1. Identify the activities and tasks prior to receiving the deployment Correct information in the ROSS system Understand the roles and responsibilities of the EMTF/EMPF Prepare for arduous activity 1. Give some examples of how your Department measures the Arduous standard? Instructor Notes 1. Instructor is encouraged to reference the The Pack Test Work Capacity Testing for Wildland Firefighters: Ensuring Wildland Firefighter Safety US Forest Service. CTS Guide Reference: CTS 4-1 Topic 4-2: Receiving The Assignment At the end of this topic, a student will be able to take the Resource Ordering and Status System (ROSS) resource order and obtain the Order number, Request number, Incident name and location, Incident phone number(s), request time, and Incident frequency(s). 1. Review the information contained within the ROSS order Review Department procedures for accessing the ROSS order 2. Describe the importance of the Order number Individual tracking number while assigned to an incident 3. Describe the Request number The agency requesting assistance incident number 1. What is the purpose of the Order and Request number? CTS Guide Reference: CTS 4-2 Topic 4-3: Travel To The Incident At the end of this topic, a student will be able to secure an approved means of transportation to the incident, determine a travel plan, communicate the travel plan, and monitor the Incident s radio frequencies. 9

10 1. Discuss Home agency procedures on how to travel to the incident Review Department s procedures for accessing an approved means of transportation 2. Discuss the types of vehicles needed while assigned as EMTF/EMPF 4X4 type Personal vehicle Ground Support unit Rental 3. Discuss travel plan to get to the incident Utilize maps, GPS Plan stops 4. Describe what to communicate to your Dispatch Center while traveling to the incident 5. Discuss what radio frequencies to monitor while traveling to the incident CESRS California Emergency Service Radio System Incident frequencies 6. Discuss traveling to an incident when covering long distance Department policies 1. What are your Department procedures for securing an approved vehicle? 1. To be determined by the instructor CTS Guide Reference: CTS 4-3 Topic 4-4: Reporting To The Incident At the end of this topic, a student will understand where to check in at an incident, where to report to the MEDL, be able to know where the Supply Unit, Finance Unit, Training Specialist, OES Representative are located at the Incident Base; as well as understand the purpose of developing information and intelligence gathering while at the Incident Base. 1. Discuss locations for reporting to the Incident 2. Discuss checking in with the MEDL Expectations for the assignment 3. Discuss locating the Supply Unit 4. Discuss locating the Finance Unit 5. Discuss checking in with the Training Specialist Open Task Book Request Incident Personal Performance Rating form (ICS Form 225) 6. Discuss checking in with the OES Representative (Local Government) Meet with the Assistant Chief Check in and begin documentation procedures 7. Discuss intelligence and information gathering at the Incident Base Further locations of important units within the Incident Base to aid the EMTF/EMPF while at the Incident Base 8. Describe checking in with your Home agency 10

11 1. Where can the EMTF/EMPF check in when first arriving to an Incident? 2. What is the importance to the EMTF/EMPF about locating the OES Representative? 3. What is the importance to the EMTF/EMPF about gathering intelligence and information at the Incident Base? CTS Guide Reference: CTS 4-4 Topic 4-5: Operational Briefing At the end of this topic, a student will understand the purpose for attending an Operational Briefing, Division breakout session; meeting with Division Supervisor, assigned personnel and crews; as well as, Line Safety Officer. In addition, the EMTF/EMPF will be able to know how to communicate during an Incident within an Incident. 1. Discuss items presented at the Operational Briefing /IAP IAP review Division maps 2. Discuss items presented at the Division Breakout session Meet the Division Supervisor Review plan for the Division 3. Describe the purpose for contacting all Crews and Personnel assigned to your Division assignment Determine medical experience and equipment carried by crews Individual needs 4. Discuss information exchanged with the Line Safety Officer assigned to your Division 5. Discuss what radio frequencies to monitor while traveling to the incident Safety areas of concern Crew or personnel history 6. Discuss incident within an incident How to make contact in the event of notification 1. What information is provided during an Operational Briefing? 2. What information is provided during the Division Breakout session? 3. Why is it important to make contact with crews and/or personnel assigned within your Division? 4. What is an Incident within an Incident? Instructor Notes 1. Instructor is encouraged to reference an Incident Action Plan as an example. CTS Guide Reference: CTS

12 Topic 4-6: Fireline Assignment At the end of this topic, a student will obtain a briefing from the MEDL and fireline supervisor prior to going on assignment, scout assigned area for possible hazards, Landing Zones, and Evacuation sites, identify personal safety zones, escape routes, trigger points; as well as, meet with crews and personnel to determine medical needs and prepare for Spike Camp assignment. 1. Discuss the information provided by the MEDL prior to going on assignment Accident reporting procedures Medical Forms used Evacuation and Care procedures Radio procedures Transportation needs Any special needs 2. Discuss who to check in with when assigned to the assignment Check in and Out with Division Supervisor 3. Identify key tasks when assigned on the fireline Dive and mark Division roads on your map Locate and GPS Landing Zones Identify possible evacuation areas 4. Discuss working with crews while on the fireline Make contact to determine medical needs Rules when working with Inmate Crews Be aware of all resources in the Division 5. Discuss Spike Camps Definition Understand roles and tasks while assigned to a Spike Camp 1. What information is needed from the MEDL prior to going on assignment? 2. Who does the EMTF/EMPF check in with when arriving to the fireline assignment? 3. Give examples of key tasks when assigned to the fireline? 4. Who is responsible for Inmate personnel s medical care? Instructor Notes 1. Instructor is encouraged to reference the GPS/Land Navigation Course PMS-475. CTS Guide Reference: CTS

13 Topic 4-7: Medical Emergency On The Fireline At the end of this topic, a student will be prepared to respond to requests for medical aid and an Incident within an Incident while on assignment. 1. Describe how a call for medical aid can be requested while on the fireline Requests come from any number of resources on an incident 2. Describe the notification requirements for the EMTF/EMPF when providing medical aid Notify Division Supervisor Report on situation and needs 1. List who can request medical aid while on the fireline? 2. List what information should be given to the Division Supervisor during an Incident within an Incident? 2. To be determined by the instructor. Instructor Notes 3. Instructor is encouraged to reference Injury/Fatality Procedures NWCG Incident Response Pocket Guide PMS 461. CTS Guide Reference: CTS 4-7 Topic 4-8: After Each Shift At the end of this topic, a student will be able to debrief the assignment with the MEDL, perform restock from the Medical Unit to the BLS Inventory Pack, complete Patient Care records, and ICS Form Describe the debrief information for the MEDL Report injuries and treatments performed Report needs Communicate with other EMTF/EMPFs 2. Restock from the Medical Unit the BLS inventory pack Follow required restocking procedures 3. Discuss the documentation procedures upon return to the Medical Unit Patient Care Records ICS Form What information should be given to the MEDL during your debriefing? CTS Guide Reference: CTS

14 Topic 4-9: Medical Unit Assignment At the end of this topic, a student will be able to provide treatment to ill or injured incident staff, make available approved medications to incident staff as needed, track and inventory medical supplies, as well as complete the required documentation. 1. Discuss the duties while assigned to the Medical Unit Provide treatment of incident staff Make available Over-The-Counter medications Track and inventory supplies and caches Document injury reports and treatments 1. Where is the Medical Unit located at the incident? CTS Guide Reference: CTS 4-9 Unit 5: Lessons Learned And Tools Of The Trade Topic 5-1: Lessons Learned By The EMTF/EMPF At the end of this topic, a student will discuss the lessons learned from EMTF/EMPF deployments, misconceptions by the EMTF/EMPF, and recommendations for a successful deployment. 1. Identify the arduous activities of the assignment Hiking uneven terrain Extreme weather conditions Heavy equipment Limited rest/sleep 2. Discuss pre-deployment preparation Take care of your family needs Take care of your personal needs Brush up on your rural/wilderness EMS skills Be financially prepared 3. Discuss typical MEDL expectations Arrive ready to go Complete the assignment given Be prepared to extend your assignment, if necessary Stay physically prepared 14

15 1. What is the definition of ROA and what does that mean to the EMTF/EMPF? CTS Guide Reference: CTS 5-1 Topic 5-2: Misconceptions By The EMTF/EMPF At the end of this topic, a student will discuss the misconceptions experienced by the EMTF/EMPF while assigned at the incident. 1. Identify the conditions with vehicle use while at the incident Vehicles will be at the incident for the EMTF/EMPF to use Assignment may not include vehicle use Night operations 2. Discuss arriving to the incident with the necessary supplies and/or equipment MEDL requirements ALS supplies availability Controlled Substance exchange/restock 3. Discuss off-shift expectations with MEDL Hotels? Home agency expense requirement Transitioning to another incident? Being released home 1. Can the FEMP restock Controlled Substances at the incident? CTS Guide Reference: CTS 5-2 Topic 5-3: Recommendations At the end of this topic, a student will discuss the recommendations important for the EMTF/EMPF to have a successful deployment. 1. Identify the courses and study materials that will enhance the EMTF/EMPF preparation in the wildland incident setting Purchase and study GPS navigation Purchase and study compass and map reading Be familiar with radio equipment and frequency use 2. Discuss recommended pack/equipment items for deployment Boots/Foot care Bags Tools Documentation 15

16 3. Discuss Home agency communication/contact requirements Cell phone Base Camp/OES Rep/AREP 1. What recommendations does the class have to share? 2. To be determined by the instructor. CTS Guide Reference: CTS 5-3 Unit 6: Medical Unit Duties And Expectations Topic 6-1: Medical Unit - Expectations At the end of this topic, a student will understand the responsibilities of being assigned to a Medical Unit and the expectations of the Medical Unit Leader. 1. Identify the Medical Unit expectations Provide appropriate medical care to all personnel assigned to the incident Maintain supplies and inventories Prevent illness through surveillance and early treatment Maintain records and reports Injury Logs, Injury Summary, PCRs 2. Identify the Medical Unit Leader expectations Discuss duties and responsibilities prior to shift Provide treatment based on Home LEMSA policies and protocols (Title 22) Notification of local jurisdiction authority Resolve problems at the lowest level Understand how to properly refuse risk and use the Turn Down procedures Maintain records and reports 3. Describe off-shift expectations of the EMTF/EMPF Monitor work-rest cycles Clean, repair and restock your equipment Hydrate, eat and rest Locate sleep areas Complete ICS-225 Incident Personnel Performance Rating Form 1. List some of the duties the EMTF/EMPF will perform while working at the Medical Unit? CTS Guide Reference: CTS

17 Unit 7: Communications Topic 7-1: Communications At the end of this topic, a student will understand the importance of radio operations and communications; as well as, an understanding of the incident s communication plan, radio interference and signal loss, and familiarization of common radios used at the incident. 1. Identify communication requirements Checking out a radio at the Incident Cloning a radio at the COML 2. Describe the Incident Communications Plan Where to find the Communications Plan Interpreting the ICS 205 Incident Communications Plan Connecting the ICS 205 to the ICS 204 Assignment List for the EMTF/EMPF 3. Describe the causes and effects of radio interference and signal loss Terrain and environmental factors Mechanical and electrical interference Weather impacts Line of site and out of site transmissions Human repeater Simplex vs. Duplex Use of clear text while transmitting 4. Describe common models of radio Bendix King features 1. What is the ICS Form number for the Incident Communications Plan? 2. Why is it important for the EMTF/EMPF to have their radio cloned at the COML? 3. What is a Human Repeater? 4. What is the difference between Simplex vs. Duplex? CTS Guide Reference: CTS 7-1 Unit 8: Incident Action Plan & ICS Forms Topic 8-1: Incident Action Plan At the end of this topic, a student will understand the purpose of the Incident Action Plan, become familiar with the ICS Forms contained within the IAP, and where to get a copy of the IAP prior to assignment. 17

18 1. Identify the purpose of the IAP Contains the objectives that reflect the strategy and control actions for the operational period EMTF/EMPF should be familiar with the components of the IAP Identify the ICS Forms within the IAP Where is the IAP distributed and review 1. Which ICS Form found within the IAP identifies where the EMTF/EMPF will be working during the assigned Operational Period? 2. Which ICS Form is known as the Medical Plan? 3. Where can the EMTF/EMPF get a copy of the IAP? Topic 8-2: Components Of The IAP At the end of this topic, a student will be able to discuss the components of the IAP, understand the relevance of each ICS Form to the EMTF/EMPFs assignment and role while assigned at the Incident. 1. Discuss the components of the IAP and their relevance to the EMTF/EMPF ICS 202 Incident Objectives ICS 203 Organization Assignment List ICS 204 Division Assignment List Anticipate the needs of the assignment Resources within the assignment Control objectives Special Instructions Communications Summary Adjacent Division resources Fire Weather Forecast Safety Message ICS Form 215A Incident Safety Analysis ICS 205 Incident Radio Communications Plan ICS 206 Medical Plan ICS 220 Air Operations Summary Incident Maps ICS 214 Unit/Activity Log 1. What is the purpose of the ICS 214 Log? 2. Why is it important for the EMTF/EMPF to understand the Control Objectives found in the ICS 204? 3. Who develops the ICS 206 Medical Plan? 18

19 CTS Guide Reference: CTS 8-2 Topic 8-3: Additional ICS Forms And Miscellaneous Forms At the end of this topic, a student will understand the purpose of additional ICS Forms used at the Incident; specifically these ICS Forms assist the EMTF/EMPF to demobilize from the Incident as well as obtain the required evaluation form from the MEDL 1. Discuss the components of the IAP and their relevance to the EMTF/EMPF ICS 221 Demobilization Check Out Form ICS 225 Incident Personnel Performance Rating Form OES Form F-42 Emergency Activity Report CTR Crew Time Report 1. What is the purpose of the ICS 225 Form? 2. How receives the OES Form F-42? CTS Guide Reference: CTS 8-2 Unit 9: GPS And Land Navigation Topic 9-1: Topographic Maps At the end of this topic, a student will understand the features, key information, and ICS symbols found on incident topographic maps. 1. Identify contour lines used to show natural features of a topographic map Up slope vs. Down slope Contour spacing indicates slope Elevation symbols 2. ICS symbols found on Incident Topographic Maps Open fireline Completed fireline Dozer line Water source Division breaks Spot fire 3. Additional reference information found around the border of a topographic map Upper left corner Upper right corner 19

20 Lower left corner Lower center Lower right corner 1. How do you determine up slope vs. down slope on a topographic map? 2. What is the ICS symbol for open fireline on an incident topographic map? 3. Where would you find the scale on a topographic map? CTS Guide Reference: CTS 9-1 Topic 9-2: Introduction To Coordinate Systems & Datums At the end of this topic, a student will be able to recognize the coordinates systems used on topographic maps; as well as, which datum that the incident map has been based upon. 1. Discuss the geographic coordinates of Latitude and Longitude Latitude coordinates from the horizontal grid system Longitude coordinates from the vertical grid system 2. Discuss coordinate systems/datums Coordinate systems are ways to display a particular location Map datums describe the model that was used to match the location of features on the ground to coordinates on the map NAD83 used topographically NAD27 also used topographically WGS84 used by aircraft Topo maps use degrees, minutes, seconds as coordinates Aviation uses degrees, decimal, minutes as coordinates Check with incident GIS to determine which datum is being used 1. What datum is used on topographic maps? CTS Guide Reference: CTS 9-2 Topic 9-3: Introduction To Global Positioning Systems At the end of this topic, a student will have a basic understand of how to use Global Positioning System devices while assigned to the fireline; in addition the EMTF/EMPF will understand the purposes for using Waypoints and Tracklogs while working within the fireline assignment. 1. Describe the four primary functions of GPS Position and coordinates The distance and direction between to points 20

21 Travel progress reports Accurate time measurements 2. Discuss the sources to GPS interference 3. Reading maps with GPS Determine the correct datum used on the map 4. Discuss basic GPS Terminology Waypoints identify a geographic point Tracklogs starting point and ending point 5. Discuss when to use Waypoints Starting/stopping locations Safety Zones Temporary Refuge Areas (TRAs) Crew locations Fireline changes Roads 6. Discuss when to use Tracklogs Firelines Escape routes Trails Roads 1. Why is it important for the EMTF/EMPF to use Tracklogs to determine Escape Routes? 2. What are some examples of Waypoint features that can be scouted while assigned to the fireline? CTS Guide Reference: CTS 9-3 Unit 10: Fireline Safety Topic 10-1: Risk Management Process At the end of this topic, a student will have an understanding of the essential risk management guidelines designed to protect the EMTF/EMPF in the wildland fire setting; as well as, where these guidelines are located in firefighting publications. 1. Discuss the Ten Standard Fire Orders The fundamental directives that all wildland firefighters should base their decision upon Developed by the US Forest Service in 1957 to study ways to prevent firefighter injuries and fatalities The identification of 10 common factors that contributed to fatalities Located inside the front cover of FIRESCOPE ICS Field Operations Guide (FOG) Located on the back cover of the Incident Response Pocket Guide (IRPG 2014) 21

22 2. Discuss the 18 Watch Out Situations Developed after the Ten Standard Fire Orders and are more specific to cautionary activities 3. Discuss the Downhill Indirect Line Construction Guidelines It provides guidelines for constructing downhill or indirect lines in steep terrain or fast burning fuels Located in the IRPG page 9 4. Discuss Common Denominators of Fire Behavior on Tragedy Fires Developed in the 1970s and identified four common denominators of fire behavior that cause fatalities on wildland fire Located in the IRPG page 5 5. Discuss LCES Lookouts, Communications, Escape Routes, Safety Zones Complements the Ten Standard Fire Orders Lookout Communications Escape Routes Safety Zones 6. Discuss the term Temporary Refuge Area (TRA) Not a substitute for a Safety Zone Temporary area for firefighters to use in the event that egress to a safety zone is compromised 7. Discuss the Fire Danger Pocket Guide May be available at the incident Used when assigned to areas where EMTF/EMPF have limited local knowledge 8. Discuss how to Properly Refuse Risk Turn Down procedures Located in the IRPG 1. What are the Ten Standard Fire Orders? 2. What are the 18 Watch Out Situations? 3. Will the EMTF/EMPF be responsible for LCES while assigned to the fireline? CTS Guide Reference: CTS 10-1 Topic 10-2: Fireline Hazards At the end of this topic, a student will be able to describe hazardous fireline situations and understand the relevance to the role of the EMTF/EMPF while assigned to the fireline. 1. Discuss fireline hazards and how they affect the role of the EMTF/EMPF while assigned Firing Operations Snags & Tree Falling Operations Fireline Explosives Aircraft Operations 22

23 Power Lines Review the IAP Safety Message for incident hazard information 1. Why should the EMTF/EMPF be concerned about fireline hazards? CTS Guide Reference: CTS 10-2 Topic 10-3: Personal Safety At the end of this topic, a student will have discussed how to be personally prepared, including maintaining personal fitness, acclimating to the environment, ensuring adequate rest, hydration and nutrition; in addition, the EMTF/EMPF will discuss pre-planning for safety by receiving a Safety Briefing, establishing LCES, Trigger Points and knowing where to establish escape zones while on the fireline. 1. Describe how to be prepared to prevent personal safety issues Use full PPE Maintain personal fitness Get acclimated to hot and arduous conditions before assignment Ensure adequate rest Stay hydrated 2 to 3 bottle of water to 1 sports drink Eat to replace spent nutrients and energy Monitor 2:1 work to rest ratios Review Heat Stress conditions to the firefighter 2. Discuss pre-planning for personal safety while working on the fireline You have the RIGHT to receive a Safety Briefing prior to initiating your work assignment Review your LCES Establish Trigger Points Establish Escape Routes Know your location 1. Why is it important for the EMTF/EMPF to be acclimated to the environment prior to work assignment? 2. What is the proper work to rest ratio 3. What is a Safety Briefing? CTS Guide Reference: CTS

24 Topic 10-4: Helicopter Safety At the end of this topic, a student will be prepared to review the Safety Briefing prior to flight; as well as, understand and recognize how to approach, load, secure self, and equipment prior to flight. 1. Describe the five steps to a safe flight Pilot/Aircraft Date Flight Flight Plan Following initiated PPE in use when required Pilot briefed on mission and flight hazards Crew and passenger briefing 2. Discuss the Safety Briefing All PPE is required Helmet with chin strap Ear plugs Safety goggles/glasses Gloves Total weight 3. Discuss Helicopter Seatbelt operations The Safety harness must be fastened at all time Only release the Safety harness when directed Re-buckle the belt behind you when exiting Carry all tools horizontally Secure all equipment in the helicopter No Smoking 4. Discuss personal safety concerns while working around the helicopter Always approach or leave the helicopter from the front or at 45 degrees from the front, and in full view of the pilot Watch for overhead hazards, rotors can drop 4 feet Stoop-walk immediately away from the helicopter Do not approach or leave up slope from a helicopter when the rotors are turning Do not go past the rear door towards the tail Wear eye protection when working around the helicopter 1. What is the proper way to approach a helicopter with the rotors turning? CTS Guide Reference: CTS

25 Unit 11: Medical Emergencies Topic 11-1: Exertional Heat Injuries At the end of this topic, a student will be introduced to the risk factors, and research concepts to Heat Illness, and Exertional Heat Stroke 1. Discuss risk factors associated with inherent job stressors causing sudden surges in the sympathetic nervous system Unexpected calls for service Required to carry, lift, and wear heavy protective gear and equipment Prolonged exposure to high temperatures Excessive fluid loss Each of these factors contribute to dehydration and rapid rise in core body temperature May lead to heat stress and insufficient blood flow to the heart - cardiovascular strain Being non-athletes, firefighters can not quickly get out of the extreme environment to compensate for the heat stress 2. Discuss how Heat Illness research shows that one episode of heat injury can weaken the firefighter and make them more vulnerable at the next event Passive cooling does not decrease body core temperature Hydration alone does not prevent heat illness Major signs of heat illness can rapidly progress to heat stroke Exertional Heat Stroke can occur on cool days 3. Define Exertional Heat Stroke (EHS) A state of extreme hyperthermia >40 degrees C (104 degrees F) associated with Central Nervous System (CNS) disturbances 70% of the thermal burden experienced by wildland firefighters is due to metabolic heat production while wearing PPE Loosing 1% of body weight could affect performance and hinder body s ability to cool itself 1. What risk factors cause a rapid rise in core body temperature? CTS Guide Reference: CTS 11-1 Topic 11-2: Heat Exhaustion At the end of this topic, a student will be able to recognize the signs, treatment priorities, and OSHA defined Heat Stress Control measures that can affect the firefighter working on the wildland incident. 25

26 1. Discuss the signs associated with Heat Exhaustion 2. Discuss the treatment priorities of Heat Exhaustion Stop work immediately PPE removal Cooling techniques Hydration 3. Discuss the OSHA defined Heat Stress Control Measures Aerobic fitness Acclimate to the environment Pre-hydrate Hydrate 6 bottles of water per day Nutrition on-the-go carb replacements Adequate work/rest ratios 1. Identify examples of heat exhaustion signs? 2. What are some examples of rapid cooling measures used to treat heat exhaustion? CTS Guide Reference: CTS 11-2 Topic 11-3: Exertional Rhabdomyolysis At the end of this topic, a student will be introduced to Exertional Rhabdomyolysis, and its symptoms 1. Describe the condition of Exertional Rhabdomyolysis Typically occurs in response to abrupt, excessive, prolonged, repetitive, or unaccustomed exercise Degeneration of skeletal muscle or muscle necrosis Damage occurs to muscle membranes allowing cellular components to leak out into the blood system Can lead to renal failure, heart arrhythmias, compartmental syndrome, ketoacidosis and death 2. Discuss the Exertional Rhabdomyolysis symptoms Persistent muscle pain/or weakness Muscle swelling Abdominal pain Nausea or vomiting Fever, rapid heart rate Mental confusion Dark urine May be accompanied with symptoms of heat illness 1. Why is it important for the EMTF/EMPF to recognize the symptoms of Exertional Rhabdomyolysis? 26

27 CTS Guide Reference: CTS 11-3 Topic 11-4: After Action Review Green Sheet Summaries Wildland Fire Lessons Learned Center At the end of this topic, the student will discuss the unique while managing a medical emergency with limited resources that may be great distances from any road and miles to any medical facility; additionally, the After Action Review (AAR) is an important tool that the EMTF/EMPF can use to review lessons learned from actual Incident Within the Incident emergencies so that the EMTF/EMPF is mentally prepared to face an emergency on the fireline. 1. Discuss the Dutch Creek Incident Shasta-Trinity National Forest July 25, 2008 Traumatic fatal injury Seriousness of injury Treatment decisions Transportation decisions Who is in-charge 2. Discuss the Border #14 Incident, 12-CA-MVU July 20, 2012 Heat related injuries heat exhaustion Awareness of individual limitations Work-rest cycles Hydration during firefighting operations Delaying treatment can lead to further medical complications 3. Chihuahua3 Fire, 11-CA-MVU October 2, 2011 Firefighter collapsed, altered level of consciousness OTC medications Benadryl Physical preparedness Adequate nutrition Pre-response hydration 4. IHC Heat Related Illness, Angeles National Forest USFS June 8, 2014 Heat related illness Leg cramps Ice chest submersion arms Hyponatremia imbalance of water to salt Electrolytes intake with water monitor adequate replacement Consider Rhabdomyolysis 1. Why is it important for the EMTF/EMPF to review previous incidents requiring medical assistance? 2. What is an Incident within an Incident? 3. How can you be better prepared for your next EMTF/EMPF assignment? 27

28 CTS Guide Reference: CTS

29 Time Table Segment Lecture Time Activity Time Unit 1: Introduction Topic 1-1: Instructor Introductions Lecture 0:15 Activity 1-1: To be determined 0:00 Topic 1-2: Course Description Lecture 0:15 Activity 1-2: To be determined 0:00 Topic 1-3: General Knowledge Requirements Lecture 0:15 Activity 1-3: To be determined 0:00 Total Unit Time Topic 1-4 Course Requirements Lecture 0:15 Activity 1-4 To be determined 0:00 Unit 1 Totals 1:00 0:00 1:00 Unit 2: Position Overview Topic 2-1: Position Description Lecture 0:20 Activity 2-1: To be determined Topic 2-2: Position Requirements Lecture 0:20 Activity 2-2: To be determined 0:00 Unit 2 Totals 0:40 0:00 0:40 Unit 3: Medical Supplies & Personal Equipment Topic 3-1: Medical Supplies Lecture 0:20 Activity 3-1: To be determined 0:00 Topic 3-2: Personal Safety Equipment Lecture 0:20 Activity 3-2: To be determined 0:00 Topic 3-3: Personal Equipment Line Packs Lecture 0:20 Activity 2-3: To be determined 0:00 Unit 3 Totals 1:00 0:00 1:00 Unit 4: EMTF/EMPF Assignments Topic 4-1: Preparing For The Assignment Lecture 0:15 Activity 4-1: To be determined 0:00 Topic 4-2: Receiving The Assignment 30

30 Lecture 0:15 Topic 4-3: Travel To The Incident Lecture 0:15 Activity 4-3: To be determined 0:00 Topic 4-4: Reporting To The Incident Lecture 0:15 Activity 4-4: To be determined 0:00 Topic 4-5: Operational Briefing Lecture 0:15 Activity 4-5: To be determined 0:00 Topic 4-6: Fireline Assignment Lecture 0:15 Activity 4-1: To be determined 0:00 Topic 4-7: Medical Emergency On The Fireline Lecture 0:15 Activity 4-7 To be determined 0:00 Topic 4-8: After Each Shift Lecture 0:15 Activity 4-8: To be determined 0:00 Topic 4-9: Medical Unit Assignment Lecture 0:15 Activity 4-9: To be determined 0:00 Unit 4 Totals 2:15 0:00 2:15 Unit 5: Lessons Learned And Tools Of The Trade and Topic 2-1B: 5-1: Documenting Lessons Learned Your By Plan The of EMTF/EMPF Action Using Lecture 0:20 Activity 5-1: To be determined 0:00 Topic 5-2: Misconceptions By The EMTF/EMPF Lecture 0:20 Activity 5-2: To be determined 0:00 Topic 5-3: Recommendations Lecture 0:20 Activity 5-3: To be determined 0:00 Unit 5 Totals 1:00 0:00 1:00 Unit 6: Medical Unit Duties And Expectations Topic 6-1: Medical Unit Expectations Lecture 0:45 Activity 6-1: To be determined 0:00 Unit 6 Totals 0:45 0:00 0:45 Unit 7: Communications Topic 7-1: Communications 31

31 Lecture 2:00 Activity 7-1: To be determined 0:00 Unit 7 Totals 2:00 0:00 2:00 Unit 8: Incident Action Plans & ICS Forms Topic 8-1: Incident Action Plan Lecture 0:20 Activity 8-1: To be determined 0:00 Topic 8-2: Components Of The IAP Lecture 0:20 Activity 8-2: To be determined 0:00 Topic 8-3: Additional ICS Forms And Miscellaneous Forms Lecture 0:20 Activity 8-3: To be determined 0:00 Unit 8 Totals 1:00 0:00 1:00 Unit 9: GPS And Land Navigation Topic 9-1: Topographic Maps Lecture 0:40 Activity 9-1: To be determined 0:00 Topic 9-2: Introduction To Coordinate Systems & Datums Lecture 0:40 Activity 9-2: To be determined 0:00 Topic 9-3: Introduction To Global Positioning Systems Lecture 0:40 Activity 9-3: To be determined 0:00 Unit 9 Totals 2:00 0:00 2:00 Unit 10: Fireline Safety Topic 10-1: Risk Management Process Lecture 0:15 Activity 9-1: To be determined 0:00 Topic 10-2: Fireline Hazards Lecture 0:45 Activity 10-2: To be determined 0:00 Topic 10-3: Personal Safety Lecture 0:15 Activity 10-3: To be determined 0:00 Topic 10-4: Helicopter Safety Lecture 0:15 Activity 4-1: To be determined 0:00 Unit 10 Totals 1:30 0:00 1:30 32

32 Unit 11: Medical Emergencies Topic 11-1: Exertional Heat Injuries Lecture 0:20 Activity 11-1: To be determined 0:00 Topic 11-2: Heat Exhaustion Lecture 0:20 Activity 11-2: To be determined 0:00 Topic1-3: Exertional Rhabdomyolysis Lecture 0:20 Activity 11-3: To be determined 0:00 Topic 11-4: After Action Review Green Sheet Summaries Wildland Fire Lessons Learned Center Lecture 0:50 Activity 4-1: To be determined 0:00 Unit 11 Totals 1:50 0:00 1:50 Lecture, Activity, and Unit Totals: 15:00 0:00 15:00 Course Totals Total Lecture Time (LT) 15:00 Total Activity Time (AT) 0:00 Total Testing Time (TT) 1:00 Total Course Time 16:00 33