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HOW MANY CFR-D FF'S SHALL COMPANY OFFICERS ENSURE THAT A CFR-D UNIT STARTS THE TOUR WITH?

2

++Company Officers of CFR-D Units shall ensure that two (2) CFR-D Firefighters will be working each tour. Officers shall notify their respective Battalion for needed details prior to the start of the tour.++

1

WHO SHALL COMPANY OFFICERS NOTIFY PRIOR TO THE START OF A TOUR IF THERE ARE NOT 2 CFR-D FF'S SCHEDULED TO WORK A PARTICULAR TOUR?

BATTALION

++Company Officers of CFR-D Units shall ensure that two (2) CFR-D Firefighters will be working each tour. Officers shall notify their respective Battalion for needed details prior to the start of the tour.+*

3

DURING THE TOUR 2 MEMBERS OF A CFR-D UNIT TAP OUT. THIS LEAVES JUST THE BOSS, ECC & NOZZLEMAN LEFT ON DUTY. THE NOZZLEMAN IS THE ONLY CFR-D CERTIFIED MEMBER STILL WORKING. CAN THIS COMPANY STILL BE DISPATCHED TO EMS RESPONSES?

NO BUT THEY CAN RESPOND TO CALL RECEIVED DIRECTLY FROM CIVILIANS

++During roll call the Officer in Charge shall determine the number of CFR-D certified personnel on duty. If that number has fallen below the minimum, the Officer in Charge should follow these procedures:
-Without two CFR-D certified members, the Company shall not respond to any CFR-D calls. The Company may still be dispatched for calls received directly from the public to assist civilians.
-Notify the dispatcher and Battalion and enter the event in the Company Journal.++

5

TRUE/FALSE

IF FOR SOME REASON YOUR COMPANY HAS BEEN PLACED OOS FOR CFR-D RESPONSES, AT THE CHANGE OF THE TOUR WHEN YOU HAVE ENOUGH MEMBERS CFR-D CERTIFIED TO RESPOND TO CFR-D EMERGENCIES, THE OFFICER ON DUTY MUST NOTIFY THE DISPATCHER TO CHANGE THE UNIT'S CFR-D STATUS.

FALSE

++At each change of tours, 0900 and 1800 hours, Unit status defaults to their normal CFR-D status.++

6

WHAT ARE THE "A" AIRWAY FIREFIGHTER'S DUTIES?

-CARRIES O2 BAG
-MANUALLY STABILIZES SPINE, MAINTAINS AIRWAY & ADMINISTERS O2 (TRAUMA)
-BEGINS VENTILATIONS IN CARDIAC ARRESTS

8

WHAT ARE THE "C" CHECKER FIREFIGHTER'S DUTIES?

-CARRIES TRAUMA BAG
-PATIENT ASSESSMENT & HANDS ON CARE (TRAUMA)
-CHECKS PULSE & BEGINS COMPRESSIONS (CARDIAC)

9

WHAT ARE THE "D" DEFIB/DOCUMENTER FIREFIGHTER'S DUTIES?

-RESPONSIBLE FOR PCR
-HOOKS UP & OPERATES DEFIB (CARDIAC)

11

WHAT ARE THE THREE SEGMENT 1 RESPONSES?

CARDIAC ARREST

RESPIRATORY ARREST

CHOKING

14

WHILE DRIVING DOWN QUEENS BLVD. E287 IS FLAGGED DOWN BY A GROUP OF PEOPLE STATING THAT SOMEONE IS IN CARDIAC ARREST IN A NEARBY STORE. NO AMBULANCE IS ON SCENE, YOUR MEN JUMP OUT, MAKE PATIENT CONTACT & BEGIN TO ADMINISTER CARE. AS THE OFFICER YOU CONTACT DISPATCH AND REQUEST THE RESPONSE OF AN AMBULANCE, WHAT INFORMATION MUST YOU PROVIDE DISPATCH WITH?

"CHRIS AND CHARLIE CAN PLAY RUGBY"

C - CUPS STATUS
A - AGE
C - CHIEF COMPLAINT
C - CPR INITIATED
P - PULSE RATE
R - RESPIRATORY RATE

17

ENGINE 305 RECEIVES A TICKET FOR A CARDIAC ARREST AT 120 FOREST HILLS LANE, NO AMBULANCE IS ON SCENE. UPON THE BUILDING THEY FIND A 60 MALE UNRESPONSIVE AND NOT BREATHING. THE FF'S IMMEDIATELY BEGIN CPR - COMPRESSIONS AND VENTILATIONS (PATIENT IS IN CRITICAL STATUS) AS THE OFFICER IN CHARGE YOU SHOULD?

-CONTACT DISPATCH REQUEST ETA OF RESPONDING AMBULANCE

-ADVISE DISPATCH TO RELAY PATIENTS CONDITION TO RESPONDING EMS AMBULANCE

18

FOR CUPS CRITERIA WHAT WOULD "CRITICAL" BE?

CRITICAL

-PATIENT RECEIVING CPR
-PATIENT IN RESPIRATORY ARREST
-PATIENT RECEIVING LIFE SUSTAINING VENTILATORY/CIRCULATORY SUPPORT

19

YOUR NOZZLEMAN INFORMS YOU THAT YOUR CFR-D UNIT IS OUT OF BAG VALVE MASKS. ARE YOU IN SERVICE OR OUT OF SERVICE?

IN SERVICE FOR FIRE DUTY, OOS FOR EMS

++If equipment has been left with the patient or supplies have been expended and the Company does not have the minimum amount specified in Chapter 4 section 2.1, the Company is to go back in service for fire duty but advise the borough fire dispatcher and the Battalion that it is not available for CFR-D responses.++

20

IF YOUR COMPANY IS OOS FOR CFR-D RESPONSE BECAUSE IT NEEDS TO RESTOCK, WHO MUST THE OFFICER NOTIFY?

BATTALION

DISPATCHER

++If equipment has been left with the patient or supplies have been expended and the Company does not have the minimum amount specified in Chapter 4 section 2.1, the Company is to go back in service for fire duty but advise the borough fire dispatcher and the Battalion that it is not available for CFR-D responses.++

21

FOR CUPS CRITERIA WHAT WOULD "STABLE" BE?

-MINOR ILLNESS
-MINOR ISOLATED INJURY
-ANY PAIN NOT CATEGORIZED AS CRITICAL, UNSTABLE OR POTENTIALLY UNSTABLE

22

AT A CARDIAC ARREST RESPONSE THIS FF CHECKS PULSE AND BEGINS COMPRESSIONS?

CHECKER FF - "C" FF

2.1.3 “C” Checker – Firefighter responsible for conducting the patient assessment and
performing any hands-on care. In response to a cardiac arrest, this Firefighter checks pulse and begins compressions and shall carry the Trauma Bag.

23

THIS FF CARRIES THE TRAUMA BAG, IS RESPONSIBLE FOR PATIENT ASSESMENT AND HANDS-ON CARE & AT A CARDIAC ARREST RESPONSE THIS FF WILL BEGIN COMPRESSIONS AND CHECKS PULSE?

CHECKER FF - "C" FF

2.1.3 “C” Checker – Firefighter responsible for conducting the patient assessment and
performing any hands-on care. In response to a cardiac arrest, this Firefighter checks pulse and begins compressions and shall carry the Trauma Bag.

24

AT A CARDIAC ARREST RESPONSE THIS FF BEGINS VENTILATIONS?

AIRWAY FF - "A" FF

2.1.1 “A” Airway – Firefighter responsible for manually stabilizing the patient’s spine
(if trauma is suspected) while opening the airway, maintaining the airway, and administering oxygen if needed. In a response to a cardiac arrest, begins
ventilation. This firefighter should carry the oxygen bag.

25

AT A CARDIAC ARREST RESPONSE THIS FF HOOKS UP AND OPERATES THE DEFIBRILLATOR?

DEFIB/DOCUMENTER FF - "D" FF

2.1.4 “D” Defib/Documenter – Firefighter responsible for completing the Pre-Hospital
Care Report (PCR). In a response to a cardiac arrest, hooks up and operates the defibrillator.

26

WHICH FF IS RESPONSIBLE FOR COMPLETING THE PRE-HOSPITAL CARE REPORT (PCR)?

DEFIB/DOCUMENTER FF - "D" FF

2.1.4 “D” Defib/Documenter – Firefighter responsible for completing the Pre-Hospital
Care Report (PCR). In a response to a cardiac arrest, hooks up and operates the defibrillator.

27

TRUE/FALSE

AT ALL EMS RESPONSES THAT REQUIRE A PCR TO BE FILLED OUT, IT IS THE OFFICER'S RESPONSIBILITY TO COMPLETE.

FALSE

2.1.4 “D” Defib/Documenter – Firefighter responsible for completing the Pre-Hospital
Care Report (PCR). In a response to a cardiac arrest, hooks up and operates the defibrillator.

28

IF A CFR-D UNIT IS RIDING WITH 5 FF'S WHERE SHOULD THE "E" EQUIPMENT FF INITIALLY OPERATE?

INITIALLY REMAIN WITH THE APPARATUS AND HELP CARRY ANY ADDITIONAL EQUIPMENT NEEDED

2.1.5 “E” Equipment – If a CFR-D Unit is riding with five firefighters, the fifth firefighter should initially remain with the apparatus and help carry any additional equipment needed.

29

TRUE/FALSE

A PCR IS NOT NEEDED FOR A DOA.

FALSE

++The CFR-D Unit must complete a Pre-Hospital Care Report even if the patient is DOA, to document that the Company properly examined the patient to confirm that the patient exhibited the criteria for obvious death.++

30

WHO CAN SUSPEND CFR-D RESPONSES WHEN UNUSUAL FIRE OR EMERGENCY CONDITIONS EXIST?

CHIEF OF OPERATIONS OR DESIGNEE

31

THIS FF WILL CARRY THE OXYGEN BAG, IS RESPONSIBLE FOR MANUALLY STABILIZING THE PATIENTS SPINE (IF TRAUMA SUSPECTED) WHILE OPENING THE AIRWAY, MAINTAINING THE AIRWAY AND DELIVERING OXYGEN IF NEEDED. IN A CARDIAC ARREST RESPONSE THIS FF BEGINS VENTILATIONS?

AIRWAY FF - "A" FF

2.1.1 “A” Airway – Firefighter responsible for manually stabilizing the patient’s spine
(if trauma is suspected) while opening the airway, maintaining the airway, and
administering oxygen if needed. In a response to a cardiac arrest, begins
ventilation. This firefighter should carry the oxygen bag.

32

WHAT TOOLS DOES THE "B" BOSS CARRY AT AN EMS RESPONSE?

PORTABLE RADIO AND A HANDLIGHT

33

TRUE/FALSE

ON EMS RUNS THE ECC SHOULD REMAIN WITH THE RIG.

TRUE

2.1.6 The chauffeur or a non-CFR-D trained member remains with the apparatus.

34

E319 RESPONDS TO AN EMS EMERGENCY: BOX 4356
JUNIPER VALLEY PARK
ADULT MINOR INJURY
FELL OF SWING IN PARK

UPON ARRIVAL THE OFFICER OBSERVES AN EMS AMBULANCE NEAR THE ENTRANCE TO THE PARK, HE TURN TO HIS ECC AND INSTRUCTS HIM TO RETURN TO QUARTERS, DID THE OFFICER OPERATE CORRECTLY?

NO

3.8.1 When an EMS Unit or a certified ambulance agency is on-scene and a CFR-D
Unit arrives, the Fire Officer will confer with the EMS Unit or certified ambulance agency to ensure both Units have responded to the same incident. The CFR-D Unit will remain on-scene and assist until it is determined that their assistance is no longer needed. After conferring with the EMS Unit or certified ambulance agency, the Fire Officer will determine what signal to transmit to the fire dispatcher.

35

E319 RESPONDS TO AN EMS EMERGENCY: BOX 4356
JUNIPER VALLEY PARK
ADULT MINOR INJURY
FELL OF SWING IN PARK

UPON ARRIVAL THE OFFICER OBSERVES AN EMS AMBULANCE NEAR THE ENTRANCE TO THE PARK, HE TURN TO HIS ECC AND INSTRUCTS HIM TO RETURN TO QUARTERS, DID THE OFFICER OPERATE CORRECTLY?

NO

3.8.1 When an EMS Unit or a certified ambulance agency is on-scene and a CFR-D
Unit arrives, the Fire Officer will confer with the EMS Unit or certified
ambulance agency to ensure both Units have responded to the same incident. The
CFR-D Unit will remain on-scene and assist until it is determined that their
assistance is no longer needed. After conferring with the EMS Unit or
certified ambulance agency, the Fire Officer will determine what signal to
transmit to the fire dispatcher.

36

LIST THE SEGMENT 2 RESPONSES:

-ANAPHYLACTIC SHOCK
-DIFFICULTY BREATHING
-ASTHMA
-REPORTED DROWNING
-REPORTED JUMPER
-MULTIPLE TRAUMA
-UNCONSCIOUS
-REPORTED SNAKE BITE
-PREGNANCY WITH COMPLICATIONS
-MULTIPLE SEIZURES

37

LIST THE SEGMENT 3 RESPONSES:

-REPORTED AMPUTATION
-MAJOR BURNS
-CARDIAC
-ELECTROCUTION
-MAJOR INJURY
-IMMINENT BIRTH
-PEDESTRIAN STRUCK
-OB-GYM EMERGENCIES
-INTERNAL BLEEDING
-GUN SHOT WOUNDS
-STABBING

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