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Date Time 1/11 830 Date Time 1/8 830 1/6 830 1/7 830 Date Time 1/28 900 1/29 900 1/27 900 Date Time 1/26 2/4 1/22 Date Time Instructor(s): 2/2 1/25 2/1 1/13 1/15 1/14 1/18 3. Turnout Gear Inspection 4. Buildings Under Construction 5. Suspicious Activity Reporting 6. Fire Protection Systems 1/28 1/29 1/27 UPCOMING EVENTS 900 & 1300 900 900 Location: CTC Door #1 Session 1: E21, E22, E24, M25, B2 Session 2: E23, E25, T21, M21, B4 Yellow: Part-Time 1/14 1900 Instructor(s): EMS Captains Topic(s): SLICE-RS Classroom FM Cherrone 900 900 900 CTC Door #2 INVESTIGATOR Fire Protection Systems INSPECTONS 7. CPR Updates QUICK DRILLS 1. Air Monitoring 2. SCBA Donning Drill 8. EMS Skill: Cardiac Topic: CPR Refresher Topic: Confined Space EMS Instructor(s): St. 23 Captains Session 1: E21/E22/E24/M25/B2 1/27 1800 JANUARY 2016 TRAINING PACKET OPERATIONS MEETING QUARTERLY TRAINING OUTLOOK Location: CTC/TRAINING GROUND MONTHLY DRILL OFFICER DRILL TRT (QUARTERLY DRILL) January: CTC/Training Ground Drill: SLICE-RS Classroom; EMS: CPR Refresher; Officer: Tenzinga Update; TRT Quarterly; Quick Drills; Company Drills February: CTC/Training Ground Drill: Hamat Refresher; Driver Training: IN-TIME; EMS: Station Drills; TRT: Monthly Drill; Quick Drills; Company Drills March: CTC/Training Ground Drill: Fireground Scenarios; EMS: Mega Codes; TRT Monthly Drill; Officer: Blue Card Sims; Quick Drills; Company Drills Location: CTC Door #2 Instructor(s): Schabbel Location: CTC Door #2 Location: Notre Dame 3 4 Water Rescue Fire Extinguishers Ropes & Knots Tactical Considerations COMPANY DRILLS 1/19 1 2 Session 2: E23/E25/T21/M21/B4 Yellow Denotes Part-Time Night Session CLAY FIRE TRAINING WEBSITE www.clayfiretraining.com QI Sessions: Tuesday, Jan. 12th @ 0900 (MHSB) Wednesday, Jan. 13th @ 1900 (SJRMC) Wednesday, Jan. 27th @ 0900 (MHSB) Thursday, Jan. 28th @ 0900 (SJRMC) Instructor I: Tuesday, Jan. 12th-Saturday, Feb. 6th Mishawaka Blue Card: Jan. 19th, 20th, and 21st
Transcript
Page 1: Water Rescue Fire Extinguishers - Clay Fire Trainingclayfiretraining.com/wp-content/uploads/2016/01/January-2016-Training-Packet.pdfJan 01, 2016  · Date Time 1/11 830 Date Time 1/8

Date Time1/11 830

Date Time1/8 8301/6 8301/7 830

Date Time1/28 9001/29 9001/27 900

Date Time1/262/41/22 Date Time

Instructor(s): 2/21/252/1 1/13

1/151/141/18

3. Turnout Gear Inspection4. Buildings Under Construction5. Suspicious Activity Reporting6. Fire Protection Systems

1/28 1/29 1/27

UPCOMING EVENTS

900 & 1300

900

900

Location: CTC Door #1

Session 1: E21, E22, E24, M25, B2 Session 2: E23, E25, T21, M21, B4 Yellow: Part-Time 1/14 1900

Instructor(s): EMS Captains

Topic(s): SLICE-RS Classroom

FM Cherrone

900

900

900

CTC Door #2

INVESTIGATOR

Fire Protection Systems

INSPECTONS

7. CPR Updates

QUICK DRILLS1. Air Monitoring2. SCBA Donning Drill

8. EMS Skill: Cardiac

Topic: CPR Refresher

Topic: Confined Space

EMS

Instructor(s): St. 23 Captains

Session 1: E21/E22/E24/M25/B2

1/27 1800

JANUARY 2016 TRAINING PACKET

OPERATIONS MEETINGQUARTERLY TRAINING OUTLOOK

Location:CTC/TRAINING GROUND MONTHLY DRILL

OFFICER DRILL

TRT (QUARTERLY DRILL)

January: CTC/Training Ground Drill: SLICE-RS Classroom; EMS: CPR Refresher; Officer: Tenzinga Update; TRT Quarterly; Quick Drills; Company Drills

February: CTC/Training Ground Drill: Hamat Refresher; Driver Training: IN-TIME; EMS: Station Drills; TRT: Monthly Drill; Quick Drills; Company Drills

March: CTC/Training Ground Drill: Fireground Scenarios; EMS: Mega Codes; TRT Monthly Drill; Officer: Blue Card Sims; Quick Drills; Company Drills

Location: CTC Door #2Instructor(s): Schabbel

Location: CTC Door #2

Location: Notre Dame

3

4

Water RescueFire Extinguishers

Ropes & Knots

Tactical Considerations

COMPANY DRILLS

1/19

1

2

Session 2: E23/E25/T21/M21/B4Yellow Denotes Part-Time Night Session

CLAY FIRE TRAINING WEBSITEwww.clayfiretraining.com

QI Sessions: Tuesday, Jan. 12th @ 0900 (MHSB) Wednesday, Jan. 13th @ 1900 (SJRMC) Wednesday, Jan. 27th @ 0900 (MHSB) Thursday, Jan. 28th @ 0900 (SJRMC) Instructor I: Tuesday, Jan. 12th-Saturday, Feb. 6th Mishawaka Blue Card: Jan. 19th, 20th, and 21st

Page 2: Water Rescue Fire Extinguishers - Clay Fire Trainingclayfiretraining.com/wp-content/uploads/2016/01/January-2016-Training-Packet.pdfJan 01, 2016  · Date Time 1/11 830 Date Time 1/8
Page 3: Water Rescue Fire Extinguishers - Clay Fire Trainingclayfiretraining.com/wp-content/uploads/2016/01/January-2016-Training-Packet.pdfJan 01, 2016  · Date Time 1/11 830 Date Time 1/8

 

It is critical that each shift you work, you spend some time with your crew doing a drill. The topics listed below are just suggestions but you can do whatever you want. Each drill below contains some objectives to ensure that the drill is not too time consuming. If you have any ideas, please forward those to DC Huth. Drill #1: Water Rescue (NFPA 1670; NFPA 1952) Objective 1: Review the water rescue equipment on your apparatus. Objective 2: Preplan what you would do if you have someone either through the ice or stuck on an ice shelf in a body of water. Objective 3: Review proper treatment methods for these patients. Objective 4: Review the reach, row, throw, go method and some do’s and don'ts when working in or around water. Drill #2: Fire Extinguishers (NFPA 10; NFPA 1001) (Click on the picture to watch a video) Objective 1: Review the different types and locations of fire extinguishers carried on Clay Fire Apparatus. Objective 2: Discuss the different classes of fires (A, B, C, D, and K) and when you would use each type of extinguisher. Objective 3: Review proper technique when operating an extinguisher. Objective 4: Demonstrate how to refill a water can. Drill #3: Ropes and Knots (Click on the picture to launch Knots by Grog) Objective 1: Discuss proper care and maintenance of rope. Objective 2: Discuss different types of rope (i.e. life safety vs. utility rope) Objective 3: Review and practice tying some basic knots used in the fire service or victim rescue. Drill #4: 20 Tactical Considerations from Firefighter Research (Click on the picture below to access this information– Every Company Officer should review this information with their crew; **Note: you have to provide an email address as the bottom option to log in) Objective 1: Review the capabilities of your turnout gear and discuss some of the weaker points of the gear i.e. facepiece and also what to do if you are saturated from heat. (Found in TC #4) Objective 2: Review the modern fire curve and how this affects our fireground tactics. (Found in TC #5) Objective 3: Talk about the “Nothing Showing Means Nothing” video and what it means (found in Tactical Consideration #7) Objective 4: Discuss alternate means of applying water such as gable ends or eaves. When would or should you do this? (Found in Tactical Consideration #12)

Page 4: Water Rescue Fire Extinguishers - Clay Fire Trainingclayfiretraining.com/wp-content/uploads/2016/01/January-2016-Training-Packet.pdfJan 01, 2016  · Date Time 1/11 830 Date Time 1/8

The ToxiRAE 3 is a single-gas Carbon Monoxide monitor designed to provide exposure monitoring for workers in hazardous environments. Currently, Clay Fire has 10 detectors located on equipment firefighters would normally take into a routine medical call. Locations: EMS BAG - E21,E22,E23,E24,E25, SQ21, E122, and E125 Life Pack 15 Monitor: Medic 21, Medic 25

The QRAE II is a pumped, multi-gas monitor, designed to provide exposure monitoring of oxygen, hydrogen sulfide, carbon monoxide and combustible gases for workers in hazardous environments. Locations: E21,E22,E23,E24,E25, SQ21, Truck 21, Tac2, Tac 3, E122, and E125

The MSA SIRIUS is a pumped, multi-gas monitor, designed to provide exposure monitoring of oxygen, hydrogen sulfide, carbon monoxide and combustible gases for workers in hazardous environments. The MSA Sirius also monitors for volatile organic compounds (VOCs). VOCs are chemicals used in most products that can easily evaporate into the air we breathe and affect indoor air quality. Location: Hazmat 25

Monitor Alarm CO Low  CO High H2S Low H2S High OXY Low OXY High LEL Low LEL High VOC Low VOC High

QRAE II 35ppm 100ppm 10ppm 15ppm 19.50% 23% 10% 20% n/a n/a

MSA SIRIUS 35ppm 100ppm 10ppm 15ppm 19.50% 23% 10% 20% 50ppm 100ppm

TOXIRAE3 35ppm 100ppm n/a n/a n/a n/a n/a n/a n/a n/a

PASSPORT  n/a n/a n/a n/a n/a n/a n/a n/a 50ppm 100ppm

Page 5: Water Rescue Fire Extinguishers - Clay Fire Trainingclayfiretraining.com/wp-content/uploads/2016/01/January-2016-Training-Packet.pdfJan 01, 2016  · Date Time 1/11 830 Date Time 1/8

SAFETY Initial air monitoring operations pose the greatest threat to emergency responders. Clay Fire personnel should ALWAYS remember these basic safety considerations. Air monitoring personnel have the greatest risk of exposure. Protective clothing must be sufficient for the expected hazards. The situation should determine the level of protective clothing used. The air monitoring team will consist of at least two (2) personnel. At an identified Hazmat scene, a back-up team shall be in place, wearing an equal level of PPE. Approach hazard areas from an upwind position whenever possible. Priority areas should include confined spaces, low-lying areas, and behind natural or artificial barri-ers, where heavier than air vapors can accumulate. Air Monitoring Procedures Whenever possible, Zero (fresh air) calibrate monitors prior to entering a structure or area. Always Zero calibrate in a fresh air environment. If fresh air environment is questionable, “Cancel” the Zero (fresh air) calibration. Always use the appropriate monitoring instrument(s) based on dealing with known or unknown materials. Monitoring for different gases requires a high, middle, and low level air sampling. Gases can be lighter, equal to, or heavier than air. When determining a safe environment, all three levels need to be sampled. Use correction factors when dealing with known materials, as appropriate. Allow for instrument response time. Instrument response time is the amount of time for when the sample is pulled to the time a reading is displayed. Allow approximately 45-60 seconds for response time. Anytime a monitor extension tube is installed, utilize the “1ft =1 second rule of thumb” (i.e., 10ft = 10 seconds plus the instrument response time). The possibility of instrument failure is always present. If needed, request a second instrument to confirm or deny readings. Never assume only one hazard is present.

Page 6: Water Rescue Fire Extinguishers - Clay Fire Trainingclayfiretraining.com/wp-content/uploads/2016/01/January-2016-Training-Packet.pdfJan 01, 2016  · Date Time 1/11 830 Date Time 1/8

SCBA DONNING This drill will satisfy NFPA 1001 JPR’s

General Task Statement:   In full PPE the firefighter shall be able to properly don and activate the SCBA in 1 minute.   

Member Name:

Shift:

Date:

Evaluator:

 Total Score: _______Out Of 15 Fail Any Critical Criteria

Yes   or  No 

Any criteria marked **** is a critical task. Failure of that criteria will result in failure of evolution

      PASS FAIL N/A

1 Firefighter begins in full PPE correctly donned (prior to timed evalua-tion)

        

2 Firefighter prepares SCBA for donning (Timing begins)         

3 Firefighter activates SCBA by turning cylinder valve on. Firefighter listens for low air alarm and pass activation

        

4 Firefighter positions SCBA unit on back using proper method         

5 Firefighter fastens and adjusts all straps. (Chest strap is optional)

Leaving any strap unbuckled at finish of evaluation is critical fail    ****    

6 Firefighter dons and secures facepiece.         

7 Firefighter checks facepiece for proper seal

Failure to check negative seal is critical fail    ****    

8

Firefighter properly dons protective ensemble (except gloves), no skin is ex-posed, turnout collar is fastened, and chin strap is fastened securely under the chin.

Exposed skin and/or chin strap not fastened is critical fail

        

9 Firefighter connects regulator and starts air flow.         

10 Firefighter dons gloves (Timing Stops)         

11 Firefighter completes timed evaluation portion in under 60 seconds.

Over 60 seconds is a critical fail    ****    

TOTAL TIME =_______________________         

        

12 Firefighter properly doffs SCBA         

13 Firefighter prepares SCBA for return to service         

14 Firefighter performs SCBA strap donning in seated position with Seat Belt fastened. (Untimed Evaluation)

        

15 Firefighter demonstrates knowledge to fill SCBA bottle to capacity         

              

              

Total Points Possible = 15 Total Points needed to pass = 12 ___/15       

Instructions: Please complete a form for each attempt. Every member must log their completion on the monthly quick drill log. Please forward all completed forms to the training division.

Page 7: Water Rescue Fire Extinguishers - Clay Fire Trainingclayfiretraining.com/wp-content/uploads/2016/01/January-2016-Training-Packet.pdfJan 01, 2016  · Date Time 1/11 830 Date Time 1/8

DATE:

SHIFT:

ITEM CHECK OK

Outer Shell Inventory # Assigned -

Eye ProtectionInner ShellEar Flaps

Outer Shell Inventory # Assigned -

Liner

Outer Shell Inventory # Assigned -

LinerSuspenders

General Condition Inventory # Assigned -

Toes

GlovesHoodHearing ProtectionSafey GlassesPassport Tags - 6Voice AmplifierHUDSCBA Mask Serial #Radio Make: Model:

S/N: Inventory ID:Pager S/N: Make:

JacketPantsBootsHelmet Inventory # Assigned -

Bag

Date:

Date:

NOTE: Please complete an additional form for each set of turnouts issued.

Revised: 1/2015

Radio Information Continued

GENERAL COMMENTS:

Signature of Person Completing Check:

Officer Verification of Check/Sizing/Damage:

Officers Comments:

Please Note For

Inventory:

TACTICAL RESCUE EQUIPMENT

BOOTS

MISC. EQUIPMENT

TURNOUT COAT

TURNOUT PANTS

All gear shall be inventoried and numbers recorded by person it is issued to. Gear shall be donned to be inspected by an officer. Officer

please note any sizing issues, damage, or need for wash in Officers comments box below. Log your completion on quick drill verification

sheet and forward this form to A/C Kwieran

COMMENTS / REPAIRS NEEDEDHELMET

PLEASE NOTE DAMAGE TO BOURKES/GOGGLES/Etc.

CLAY FIRE TERRITORY

TURNOUT GEAR INSPECTION FORM

NAME:

RANK:

INSTRUCTIONS:

Page 8: Water Rescue Fire Extinguishers - Clay Fire Trainingclayfiretraining.com/wp-content/uploads/2016/01/January-2016-Training-Packet.pdfJan 01, 2016  · Date Time 1/11 830 Date Time 1/8

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Page 9: Water Rescue Fire Extinguishers - Clay Fire Trainingclayfiretraining.com/wp-content/uploads/2016/01/January-2016-Training-Packet.pdfJan 01, 2016  · Date Time 1/11 830 Date Time 1/8

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Page 10: Water Rescue Fire Extinguishers - Clay Fire Trainingclayfiretraining.com/wp-content/uploads/2016/01/January-2016-Training-Packet.pdfJan 01, 2016  · Date Time 1/11 830 Date Time 1/8

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Page 11: Water Rescue Fire Extinguishers - Clay Fire Trainingclayfiretraining.com/wp-content/uploads/2016/01/January-2016-Training-Packet.pdfJan 01, 2016  · Date Time 1/11 830 Date Time 1/8

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Page 12: Water Rescue Fire Extinguishers - Clay Fire Trainingclayfiretraining.com/wp-content/uploads/2016/01/January-2016-Training-Packet.pdfJan 01, 2016  · Date Time 1/11 830 Date Time 1/8

Online SAR Training for Law Enforcement and Hometown Security Partners

The NSI training strategy is a multifaceted approach designed to increase the effectiveness of state, local, tribal, and territorial law enforcement and public safety professionals and other frontline partners in identifying, reporting, evaluating, and sharing pre-incident terrorism indicators to prevent acts of terrorism. To increase the effectiveness of this multifaceted approach, the NSI has developed training programs for frontline officers and hometown security partners regarding documented and verified behaviors and indicators that, when viewed in the context of all known facts and circumstances, may indicate terrorism-related criminal activity. Both the SAR Line Officer Training and each sector-specific SAR Hometown Security Partners Training discuss how to report identified suspicious activity to the proper authorities while maintaining the protection of citizens' privacy, civil rights, and civil liberties.

Please note: Running the latest version of Internet Explorer may require you to add “ncirc.gov” to your Compatibility View settings in order to fully view the online SAR training.

The NSI training strategy is a multifaceted approach designed to increase the effectiveness of state, local, tribal, and territorial law enforcement and public safety professionals and other frontline partners in identifying, reporting, evaluating, and sharing pre-incident terrorism indicators to prevent acts of terrorism. To increase the effectiveness of this multifaceted approach, the NSI has developed training programs for frontline officers and hometown security partners regarding documented and verified behaviors and indicators that, when viewed in the context of all known facts and circumstances, may indicate terrorism-related criminal activity. Both the SAR Line Officer Training and each sector-specific SAR Hometown Security Partners Training discuss how to report identified suspicious activity to the proper authorities while maintaining the protection of citizens' privacy, civil rights, and civil liberties.

Please note: Running the latest version of Internet Explorer may require you to add “ncirc.gov” to your Compatibility View settings in order to fully view the online SAR training.

Please click on the picture above to access the program. Once complete, please forward a completed training sheet to the Training Division.

Page 13: Water Rescue Fire Extinguishers - Clay Fire Trainingclayfiretraining.com/wp-content/uploads/2016/01/January-2016-Training-Packet.pdfJan 01, 2016  · Date Time 1/11 830 Date Time 1/8

 

Investigator Training

January 2016

Selecting a fire protection system Fire protection engineers must know what factors come into play when deciding on and recommending a fire protection system.  

By: Milosh Puchovsky, PE, FSFPE, Worcester Polytechnic Institute, Worcester, Mass 05/10/2013 Learning Objectives 1. Understand the factors to consider when determining the need for specific types of fire protection

systems. 2. Learn how codes, standards, and other documents influence the choice of fire protection

systems. 3. Identify the importance of goal setting, loss tolerance, and the application of risk assessment

techniques in deciding on fire protection systems. A principal role of the consulting engineer is the design of building systems that satisfy the overall goals and objectives of his or her client. When it comes to fire and life safety, the fire protection engineer is called upon to design those systems deemed necessary for the project. Several questions might be posed: What systems are necessary? Is one type of system or systems more appropriate than another? Are redundant systems needed? Who makes this decision and recommendation, and what influences their thought process? Associating client goals with building, fire regulations Any building project is a significant investment and undertaken with specific goals and outcomes in mind. Once built, the structure serves the purposes and needs of its owners. The building and its associated systems enable the operations of the overall enterprise contained within, that is, provide a workplace, facilitate healthcare services, support manufacturing processes, shelter people and assets, and so on. To ensure that fire and life safety features are sufficiently considered and provided for in the design and construction of a building, governmental regulations come into play and must be adhered to. Therefore, one of the principal needs and goals of the building owner is identification of and compliance with the relevant building and fire regulations. Failing to comply with the applicable rules can prevent occupancy, delaying the use of the building and significantly impacting the overall return on investment. The intent of most building and fire regulations is to establish the minimum requirements for safe-guarding public health, safety, and general welfare. The key term here is “minimum.” The following

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questions come to mind: Do the minimum requirements align with the goals and objectives of your client, and the intended operations of the enterprise? Are you confident the minimum requirements provide the desired level of life safety, property protection, continuity of business operations, or preservation of cultural resources should a fire occur? Has this decision been given proper consideration, and have the goals and objectives been adequately articulated? For instance, building regulations have traditionally addressed property protection only to the extent necessary for occupant and firefighter safety. How might this realization impact the overall implementation of the fire protection strategy during not only the design and construction process, but also throughout the life of the building? It is worthy to note that while model codes serve as the basis for most building regulations in various jurisdictions across the United States, most jurisdictions and governmental agencies amend the various adopted versions of the model regulations, or enact bylaws that override the rules of the adopted model codes and standards. Thus, a uniform level of safety from fire is not necessarily prescribed nor implemented throughout the United States. What do building regulations say about fire protection systems? Building regulations mandate active fire protection systems, largely automatic sprinkler systems, based upon the occupancy types associated with the building, the size and location of the fire area, and the expected occupant load. For instance, the International Building Code (IBC) requires automatic sprinkler systems in Group A-2 occupancies, such as restaurants, where one of the following conditions exists: The fire area exceeds 5,000 sq ft. The fire area has an occupant load of 100 or more. The fire area is located on a floor other than the level of exit discharge. Similar requirements are found in NFPA 5000: Building Construction and Safety Code and NFPA 101: Life Safety Code. Additionally, model codes require sprinkler systems for certain types of buildings regardless of the occupancy type. For example, sprinkler systems are required for all high-rise buildings. Building regulations also allow for “alternative automatic fire-extinguishing systems” or “other automatic extinguishing equipment,” but provide limited direction on when such systems are needed or should be considered. Depending upon the model code, these “alternative” or “other” systems are identified as wet chemical, dry chemical, foam, carbon dioxide, halon, clean-agent, water spray, foam-water, and water mist. Reference is normally made to the associated NFPA standards for the system under consideration for relevant design and installation provisions, such as NFPA 2001: Standard for Clean Agent Fire Extinguishing Systems or NFPA 17: Standard for Dry Chemical Extinguishing Systems. However, when a building or fire regulation references an “alternative” or “other” system, it usually does so in the context of providing life safety for building occupants, usually as an alternative to the requirement for installing an automatic sprinkler system. Property protection and business continuity Depending on the facility or operation under consideration, certain fire protection standards do address fire safety beyond life safety and include provisions for property protection and business continuity. However, these standards are not necessarily mandated and referenced by the

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applicable building and fire regulations. The design engineer needs to be aware of these other standards and how they might impact the overall project and serve to satisfy the overall fire protection goals of the building owner. An example of such a fire protection standard is NFPA 76: Standard for the Fire Protection of Tele-communications Facilities. The purpose of NFPA 76 is specifically to provide a minimum level of fire protection in telecommunications facilities, to provide a minimum level of life safety for the occupants, to protect the telecommunications equipment, and to preserve service continuity. The design engineer also needs to be aware of any insurance company input, as these loss control and underwriting recommendations typically serve to address property protection and business continuity concerns. Even so, the agreed-upon level of fire protection for the facility still must be considered and gauged with that of any insurance company recommendations. The degree of property protection recommended by the insurance company is normally based on the policy purchased and the overall philosophy of the insurer, not necessarily the long-term objectives and needs of the building owner.

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Key Changes To The 2015 AHA Guidelines Update Posted by Adam Rapp | Medical Education Oct 16, 2015 Here’s what caught our eye with the 2015 AHA Guideline changes. When the American Heart Association (AHA) announced that they would be releasing an updated version of their AHA Guidelines over a year ago, many of us were curious to know exactly what it was that would be changed this time around (they update them every 5 years) – and how drastic the changes would be. Yesterday, the wait finally ended, as the 2015 AHA Guidelines Update for CPR and ECC were released. We should note that only a summary of the key issues and changes were released yesterday. The comprehensive 2015 AHA Guideline Updates are currently available for pre-order and will be available in early November. The full ACLS, PALS, and BLS course manuals will take a bit longer to complete. According to AHA distributor Channing Bete, the expected release dates for the manuals are as follows:

1. BLS: January – April 2016 2. ACLS: March – April 2016 3. PALS: July – August 2016

An extensive PDF version of the AHA’s 2015 Guideline Updates can be found on the AHA’s website, but we wanted to simplify things by highlighting a few things that caught our eye. Each 2015 update, along with any corresponding guidelines from 2010, is directly from the AHA’s “Highlights of the 2015 AHA Guideline Updates for CPR and ECC.” Emphasis on Chest Compressions 2015 (New): Untrained lay rescuers should provide compression-only (Hands-Only) CPR, with or without dispatcher guidance, for adult victims of cardiac arrest. The rescuer should continue compression-only CPR until the arrival of an AED or rescuers with additional training. All lay rescuers should, at a minimum, provide chest compressions for victims of cardiac arrest. In addition, if the trained lay rescuer is able to perform rescue breaths, he or she should add rescue breaths in a ratio of 30 compressions to 2 breaths. The rescuer should continue CPR until an AED arrives and is ready for use, EMS providers take over care of the victim, or the victim starts to move. 2010 (Old): If a bystander is not trained in CPR, the bystander should provide compression-only CPR for the adult victim who suddenly collapses, with an emphasis to “push hard and fast” on the center of the chest, or follow the directions of the EMS dispatcher. The rescuer should continue compression-only CPR until an AED arrives and is ready for use or EMS providers take over care of the victim. All trained lay rescuers should, at a minimum, provide chest compressions for victims of cardiac arrest. In addition, if the trained lay rescuer is able to perform rescue breaths, compressions and breaths should be provided in a ratio of 30 compressions to 2 breaths. The rescuer should continue CPR until an AED arrives and is ready for use or EMS providers take over care of the victim.

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Chest Compression Rate 2015 (New): In adult victims of cardiac arrest, it is reasonable for rescuers to perform chest compressions at a rate of 100 to 120/min. 2010 (Old): It is reasonable for lay rescuers and HCPs to perform chest compressions at a rate of at least 100/min.

Chest Compression Depth 2015 (New): During manual CPR, rescuers should perform chest compressions to a depth of at least 2 inches (5 cm.) for an average adult, while avoiding excessive chest compressions depths (greater than 2.4 inches [6 cm.]) 2010 (Old): The adult sternum should be depressed at least 2 inches (5 cm.)

Chest Recoil 2015 (New): It is reasonable for rescuers to avoid leaning on the chest between compressions, to allow full chest wall recoil for adults in cardiac arrest. 2010 (Old): Rescuers should allow complete recoil of the chest after each compression, to allow the heart to fill completely before the next compression

Use of Social Media to Summon Rescuers 2015 (New): It may be reasonable for communities to incorporate social media technologies that summon rescuers who are in close proximity to a victim of suspected OHCA and are willing and able to perform CPR

Community Lay Rescuer AED Programs 2015 (New): It is recommended that PAD programs for patients with OHCA be implemented in public locations where there is a relatively high likelihood of witnessed cardiac arrest (eg. airports, casinos, sports facilities). 2010 (Old): CPR and the use of automated external defibrillators (AEDs) by public safety first responders were recommended to increase survival rates for out-of-hospital sudden cardiac arrest. The 2010 Guidelines recommended the establishment of AED programs in public locations where there is a relatively high likelihood of witnessed cardiac arrest (eg. airports, casinos, sports facilities).

So there you have it, a quick synopsis of what initially caught out eye when reviewing the released material. Stay tuned for a more thorough review of the key changes we noticed throughout the 2015 AHA Guidelines Update.

ACLS | PALS | BLS

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© 2011 National Registry of Emergency Medical Technicians, Inc., Columbus, OH e215/10-12

All materials subject to this copyright may be photocopied for the non-commercial purpose of educational or scientific advancement.

Takes or verbalizes appropriate body substance isolation precautions 1

Determines the scene/situation is safe 1

Attempts to question bystanders about arrest events 1

Checks patient responsiveness 1

NOTE: The examiner must now inform the candidate, “The patient is unresponsive.”

Assesses patient for signs of breathing [observes the patient and determines the absence of breathing or

abnormal breathing (gasping or agonal respirations)] 1

NOTE: The examiner must now inform the candidate, “The patient is apneic,” or, “The patient has gasping, agonal

respirations.”

Checks carotid pulse [no more than 10 seconds] 1

NOTE: The examiner must now inform the candidate, “The patient is pulseless.”

NOTE: The examiner must now inform the candidate, “The patient is pulseless.”

NOTE: The examiner must now inform the candidate, “The patient is pulseless.”

Immediately begins chest compressions [adequate depth and rate; allows the chest to recoil completely] 1

Requests additional EMS response 1

Performs 2 minutes of high-quality, 1-rescuer adult CPR

-Adequate depth and rate (1 point)

-Correct compression-to-ventilation ratio (1 point)

-Allows the chest to recoil completely (1 point)

-Adequate volumes for each breath (1 point)

-Minimal interruptions of less than 10 seconds throughout (1 point)

5

NOTE: After 2 minutes (5 cycles), patient is assessed and second rescuer resumes compressions while candidate

operates AED.

Turns on power to AED 1

Follows prompts and correctly attaches AED to patient 1

Stops CPR and ensures all individuals are clear of the patient during rhythm analysis 1

Ensures that all individuals are clear of the patient and delivers shock from AED 1

Immediately directs rescuer to resume chest compressions 1

National Registry of Emergency Medical Technicians®

Emergency Medical Technician Psychomotor Examination

CARDIAC ARREST MANAGEMENT / AED

Candidate: Examiner:

Date: Signature:

Actual Time Started: __________

Possible Points

Points

Awarded

Actual Time Ended: ___________ TOTAL 18

Critical Criteria

____ Failure to take or verbalize appropriate body substance isolation precautions

____ Failure to immediately begin chest compressions as soon as pulselessness is confirmed

____ Failure to demonstrate acceptable high-quality, 1-rescuer adult CPR

____ Interrupts CPR for more than 10 seconds at any point

____ Failure to correctly attach the AED to the patient

____ Failure to operate the AED properly

____ Failure to deliver shock in a timely manner

____ Failure to assure that all individuals are clear of patient during rhythm analysis and before delivering shock [verbalizes “All clear” and

observes]

____ Failure to immediately resume compressions after shock delivered

____ Failure to manage the patient as a competent EMT

____ Exhibits unacceptable affect with patient or other personnel

____ Uses or orders a dangerous or inappropriate intervention

You must factually document your rationale for checking any of the above critical items on the reverse side of this form.


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