OL Manual / EMS Flashcards
(160 cards)
1
Q
Steps to reporting a sewage spill
A
- Report to Captain
- Close area until health services makes determination
- Chief informs HS & BH
- If confirmed issue “Beach Closed signs”
2
Q
What are the beach closure signs and how far apart do they go?
A
- White “yellow black stripes” near storm drain runoff “water contact near storm drains may cause illness”
- placed 100 yards on each side of creek
- Beige “Red and black “excessive Bacteria that may cause illness” not caused by storm drains
- placed 50 + 100 yards on each side of drain
- Effected areas require a posted sign every 50 yards
3
Q
Name the PWC qualifications
A
- Complete 30 hour course within a year
- Complete 10 hours of CE per year
- Instructors must take 10 hour train-trainer and instruct 10 hours of in-service training
- After each use: flush with fresh water and update Hour log by operator
- Log forwarded to PWC administrator every month
4
Q
Name the beach driving speed limits
A
- 15mph
- 25mph for Code 3
must have on: headlights, lights, siren - 10mph at night. May patrol from roads if beach unsafe
5
Q
State the minimum radius of a conned area & min. amount of cones.
A
- 25-30 feet from the base of the tower
- 8 cones minimum
6
Q
State bike path incident vehicle placement
A
- remove patient from path if injury permits
- Back injury, neck injury, CPR etc: use the vehicle as a barrier, placing the vehicle between the incident and the oncoming bike traffic with the emergency lights on.
7
Q
In the event of a LG vehicle accident
A
- Remain at the scene until a police report is made in cases of a fatality, injury, extensive damage, or damage that renders a vehicle inoperative.
- Notify supervisor
- If it involves another vehicle contact the Safety Office and the Command and Control Division
- Fill out an incident report form In accordance with Volume D, Chapter 8, Subject 1.
8
Q
QRV PPE - Beach
A
Sandals, Shorts, Long-sleeved shirt, Sunglasses or safety goggles. Safety belt used at all times.
9
Q
QRV - PPE - Large Events, parking lots, Off road(non-beach or paved road)
A
Shoes, pants, shirt, sunglasses or safety goggles. Safety belts used at all times.
10
Q
What is the QRV report form and who is it submitted to
A
- division vehicle coordinator gets estimate
- purchase order issued from asst. chief of fleet services
- Form 581
11
Q
Who establishes QRV maint. schedules
A
- Division QRV admin
12
Q
List the 7 pre-operation checks for the QRV
A
- Walk around and check for damage.
- Check fluids.
- Check lights.
- Check gear engagement mechanism. (HONDA 2x4 to 4x4 / Polaris Ranger 1x6 to 2x6 to 6x6).
- Check all rescue and medical equipment is stocked and in its proper location.
- Clean rear view mirror.
- Complete QRV Check Sheet.
13
Q
in addition to washing etc. what is a unique step we do to the QRV to ensure longevity
A
- Spray engine, wiring, metal with marine grade rust inhibitor silicone spray for lubricartion
- Lube Throttle
14
Q
What is the ratio of lifeguards to participants at ocean events
A
- 1 lifeguard to 10 participants
15
Q
During events, when may we need more lifeguards
A
- water colder than 68 degrees
16
Q
When is baywatch needed at an event
A
- if the event is more than a mile or water temp is under 65 degrees
17
Q
What is the Base Work Schedule
A
- The weekly schedule showing the daily work locations to which a lifeguard will be assigned.
18
Q
What is a Lifeguard Request for Schedule (LRS)
A
- The document returned to the section chief with the lifeguards preferred BWS listed in order of preference.
19
Q
What is a Detail assignment
A
- Assignment to a schedule in another section lasting the duration of the bid.
20
Q
What is a Temporary assignment
A
- Assignment to a schedule in any section for less than the duration of the bid period.
- Any lifeguard may be temporarily assigned to one or more work locations where sectional service needs cannot otherwise be satisfied. The lifeguard will be returned to their BWS assignment upon conclusion of the temporary assignment.
21
Q
When are OLS’s responsible for submitting their LRS
A
- October 20th
22
Q
What happens if an OLS fails to meet their competency standard
A
- The OLS will be temporarily assigned until the section chief reinstates
23
Q
What is a permanent vacancy
A
- an opening due to retirement, termination of service, promotion, or a change of assignment lasting the duration of the bid.
24
Q
When are vacation requests submitted
A
- November 12th
25
How many days prior must you notify about a cancellation of vacation
- 5 Days prior to the posting of the weekly schedule.
26
OLS vacation weekly allotment in all three sections
- Southern = 120
- Central = 80
- Northern = 40
27
Classified relief:
1. When absences occur due to employee sick time, or division-wide training or activities, the headquarters captain shall:
a. Move personnel within their respective section, without altering the shift hours.
b. Move personnel from outside the section, without altering the shift hours.
c. Hire personnel as outlined in the Lifeguard Overtime Policy
28
What is an MDA
- a modified duty assignment is the result of failing two consecutive swim tests in under 13 minutes
- MDA is an admin assignment m-f 8-5
- 60 days max
29
What is the lightning flash to bang rule?
- Count the seconds from the lightning flash to the sound of thunder and divide by 5 to determine proximity in miles 5 seconds = 1 mile away
30
At what point should patrons be made aware/evacuated and staff told to go indoors when lightning strikes
- lightning within 10 miles
31
what is the LACOFD county wide tactical channel
V-6 D
32
List proper PPE for working around rocky areas
- wetsuit, booties, gloves, fins, helmet
33
Name the UHF channels and zones we operate in
- LAC Blue 1
- LAC Blue 3
- Zone 4
34
Name the VHF TAC channels and zone we operate in
- V-14 D
- V-15 D
- V-16 D
- Zone 11
35
If in radio "talk around mode", are we using a repeater
- no
36
When using a comms plan what channel does an IC transmit size up, and request/ cancel resources
- admin blue 1 or 3 depending on location
37
what channel would a rescue leader give a status report to the IC on
- command channel
- IRCP = UHFD
- MRZP = LAC V 1-5
38
MCI 11 yo male, no respirations, radial pulse - what color ribbon does he get
RED
39
MCI 62 yo female, femur fracture, respirations 26, weak radial pulse - what color ribbon does she get
YELLOW
40
MCI 13 yo male, broken wrist, cant catch breath, resp 22, present radial pulse
GREEN
41
What are the two locations a patient receives a triage tag
Treatment area
| ambulance
42
What would be a credible report from a witness during a missing swimmer incident
- the more detailed the better, close to the incident itself, any LG that gives the initial report
43
What is the oldest a baby can be surrendered
- 3 days or younger
44
list safe surrender sites
- N HQ
- C HQ
- S HQ
- Baywatch = redondo, avalon, isthmus
45
What are the symptoms of a chemical weapon nerve agent
- Salvation
- lacrination
- urination
- defication
- GI upset
- Emesis (vommit)
46
GLUCOSE - list
1. Indications
2. Contraindications
3. Dosage
1. Suspected hypoglycemia
2. No gag reflex, inability to swallow
3. Entire tube
47
NITROGLYCERINE - list
1. Indications
2. Contraindications
3. Dosage
1. chest, pain/discomfort
2. BP < 100, SED's in last 72 hours, exceeded max does (3)
3. 1 sublingual spray or .4mg pill every 3-5 min. check BP
max = 3 doses
48
BRONCHODILATORS - list
1. Indications
2. Contraindications
3. Dosage
1. Asthma, Bronchitis, COPD
2. DICE
3. 1 Puff of their inhaler
49
EPINEPHRINE - list
1. Indications
2. Contraindications
3. Dosage
1. Severe allergic reaction, reaction and/pr severe asthma
2. DICE
3. One injection of auto injector
50
Where do you apply the du- dote injector and how long do you hold for
- lateral mid-shaft femur (thigh)
| - hold for 10 seconds and massage area
51
Where are phone number of COUNTY FIRE employees located
Manual A, search in the bar for employees
52
Which knot is used to secure a litter basket
- round turn and two half hitches
53
When transferring care to another EMS agency what info do we need to record
- sequence or booklet number
| - signature if possible
54
What knots are used to tie off a scuba cylinder
clove hitch and half hitch
55
What info must you list after diving for a missing swimmer
- total dive time
- depth
- starting/finishing air pressure
- injuries
- total area covered and % area searched
- type of search
- viz, current, conditions
- anyone found?
56
What incident code to put in NFIRS for LGEMS call
- 300
57
What resources do you request for unknown medical
- Area captain
- LR unit
- Medics
58
What knot do we use to tie off a boat if no clip is avail
- bowline
59
How long is blue, red webbingt
Blue = 12 ft.
| Red - 22ft.
60
Who do you request time off from
- Admin/Scheduling captain
61
Who approves OLS TX trades
- jurisdictional captain
62
What info needs to be included in an open NFIRS report
- employee number, units assigned to call
63
What frequencies are included in a comms plan
- admin
- command
- primary tac
- secondary tac
- RIC
64
What frequency does an OLS monitor on an incident with a comms plan
- primary tac
65
when on scene on an incident using a comms plan, what frequency does the IC use to give direction to Captains, or Div/Group supervisors
- command
66
when communicating with another unit using the comms plan what frequency will YOU be using
- primary tac
67
When updating status to LA on an incident what frequency do we use
- admin
68
If the initial officer arrives on scene of an incident involving a comms plan find an non-working incident, what do they do
- cancel, deactivate it
69
If you get into an accident with another vehicle who needs to be contacted immediately
- supervisor
- Safety officer
- Command and Control
70
What is proper PPE for a roadside accident incident
- helmet
- brush pants, jacket
- boots
- DOT vest
71
To set a new scan list on the radio what soft button do we press
- Program
72
What position must the key lock be in to switch channels
- B
73
What is a duo dot auto injector used for
- nerve agent poisoning
74
What are advantages of a rescue board rescue
- more floatation for victims
- spot divers from surface
- single rescuer unconscious victim
75
Adult male presents : abdominal pain, AO X 3, refussing assessment, BP 88/58, HR 94, RR 22, skin cool/diaphoretic - what section does he fall under and what is your response
- 808 Section 1 SS shock, Section 2 abdominal pain, Request ALS response with Medics, treat with positioning, O2, thermal blanket
76
What would a patient who complains of suicide fall under in 808 creteria
Section II = patients who are gravely disabled or a danger to themselves or others
77
MCI patient with respirations of 24, cap refill under 2 seconds, cannot follow simple commands, what ribbon is he given
RED
78
MCI patient with neck/back pain and is not ambulatory, what ribbon is he given
YELLOW
79
MCI unconscious, apneic, cap refill of 5 seconds, what ribbon is he given
BLACK
80
What form does a captain fill out at a safe surrender site, and what do we do with the baby
Form 220, medical history, tag on ankle
81
Who's legally allowed to surrender a baby
someone with legal custody of the child
82
how long do parents have to reclaim their baby
14 days
83
What are two knots used when hoisting a cylindrical object
clove hitch, half hitch
84
What website do we use for in-service training
target solutions
85
28 month old has minor facial trauma, AO X3, mother, stable vitals, warm and dry, mom refuses treatment, what section of 808 and what do you do next
- 808 section 3
- ALS must be contacted because baby is between 13-36
- must explain to mom we need to contact medics due to babies age before refusing treatment and leaving
86
In 808 section 3, when shall a baby be transported regardless of MOI, CC
Under 12 months
87
What do children 13-36 months require under 808 section 3
- base hospital contact and/or transport accept isolated extremity injury
88
How many days out is OT hired or recalls made
5 days
89
What does DICEA stand for
```
Drug
Integrity
Color, concentration, clarity
Expiration date
Allergies
```
90
TOURNIQUET procedures:
BSI/Scene Safety
expose injury site
control bleeding (direct pressure, pressure dressing)
apply tourniquet if bleeding continues
secure tourniquet at humerus or femur 2 inches above injury and note time
if bleeding continues, apply 2nd tourniquet 2 inches above existing
check that CSM distal to injury for absents of circulation
Provide 02, warm patient, document, ALS transport
91
CHEST injury procedures:
```
BSI/ Scene safety
expose injury
direct pressure
apply occlusive dressing - seal 3 sides or use chest seal
remove if patient declines
ALS transport
```
92
Using Celox for bleeding:
BSI
Try to identify bleeding vessel
pack one side of celox directly on vessel
pile celox above skin
apply 3 minutes of pressure
reassess every 3-5 minutes for break thru bleeding
93
List resources needed for a ballona creak Swiftwater incident
- 2 LG units
- 2 Area captains
- 1 Baywatch (MDR)
- 1 Section chief
94
Name the resources as locations associated with a swiftwater incident at Ballona creek
- Area 23, LR 200, LG 231 stage at Lincoln Blvd.
- MDR Baywatch stages at mouth of creek
- Area 17, LR 100, LG 173 stages at pacific ave bridge
95
Name the proper PPE for land based swiftwater
- Brush pants, Jacket
- Hard sole booties or shoes
- PFD
- Helmet
96
Name the proper PPE for a traffic accident
- Brush pats, jacket
- Boots
- Helmet
- Safety Vest
97
Name resources to request if first on scene to traffic accident
- Fire dept.
- LR unit
- Area Captain
98
If there is an accident on the highway with no injuries does a lifeguard need to wait
NO
99
During a scuba dive emergency what is the maximum ft. allowed of acent per one minute
60 feet
100
During a scuba incident what must accompany every diver on the service
Surface supporter with rescue board and rescue tube who maintains visual contact with bubbles
101
What type of buoy is deployed during a scuba incident
Datum buoy in a high probability search area
102
List the resources needed during a pier jump incident
- 1 LR unit
- 1 area captain
- one Baywatch boat
- two LG units (MB/HB/Venice/SM)
- one LG unit (Malibu/Redondo)
103
What critical info is to be reported during a pier fire
- exact location, best access, if smoke is showing, if fire is showing
104
List the resources required for a pier fire
- LR unit
- Area Captain
- Two LG units for both sides of the pier
- 1 Baywatch
- Fire boat 110
- Battalion Chief
105
What form is filled out if there is a coordinated effort between fire and lifeguard units
220
106
What tactical channel is used for incidents inside the Marina Del Rey harbor
LAC - T21
107
List the resources needed during a vessel aground
- LR Unit
- Area Captain
- LG unit
- Baywatch
108
List the tactical procedures for a vessel agound
1. 100% accountability of the number of people on board
2. provide patient care
3. inspect integrity of vessel
4. ensure owner signs release of liability before towing
109
List the three main tactical positions for a vessel aground
1. Rescue swimmer (retrieves line from baywatch and swims to shore)
2. Line tender (receives line in waist deep water)
3. Rigger (secures vessel to line)
110
List the command staff and who they report to
1. Safety officer (responsible for entire incidents safety)
2. Liason (contact with outside agencies)
3. Public Information Officer
They all report to IC
111
List the 4 general staff positions of the ICS (Chiefs)
1. Operations
2. Planning
3. Logistics
4. Finance/Admin
112
What is the main role of the Operations Chief
to manage all tactical operations
113
What is the main role of the Planning section chief
collect, manage and evaluate data to prepare an IAP for the IC
114
What is the main role of the logistics section chief
responsible for the support of supplies, transport, comms food, etc.
115
What is the main role of the Finance/Admin section Chief
managing financial aspects and cost analysis
116
List all BP and Respiratory rates that necessitate immediate transport to trauma centers
```
Systolic:
< 90 or
< under 70 if < 1 year old
> 29 breaths per minute
< under 10 breaths a minute
< 20 breaths a minute in infant < 1 year old
```
117
List when an EMS agent is aloud to determine death in the field
1. Decapitation
2. Massive crush injury
3. Penetrating or blunt injury with evisceration of the heart, lung or brain
4. Decomposition
5. Incineration
6. Pulseless, non-breathing victims with extrication time greater than fifteen
minutes, where no resuscitative measures can be performed prior to extrication.
118
What position does the toggle switch on the portable radio need to be in to unlock
Position b
119
How do you operate the emergency alert button on the radio
Press and hold for three seconds to lock open for ten seconds
Turn off by holding an additional 3 seconds
120
How do you switch the radio to repeat mode
Toggle top selector switch to “O”
121
Where do we report any violation of harassment violating the county policy of equity
Supervisor or county intake specialist unit
122
Name the onscene radio comms for the IC
- mobile = blue on admin channel
| - portable = blue on command channel
123
Name the onscene radio comms for the OLS
- primary tac ONLY
124
Name the onscene radio comms for the LR unit
- command = blue
| - primary tac = white - if no captain present
125
Between what hours should we always have a reason to drive
10am-6pm
126
IF foggy, what to tell OL and who else might you request
- Patrol and tell OL patrol with Fins and Boat tow
| - request baywatch
127
If a patient presents rigor mortis or lividity perform:
ansc. respiratory for 30 seconds
cardiac 60 seconds (pulse)
assess neuro (pain stimuli, pupils)
128
when to display the flag
- sunrise to sunset unless illuminated at night
- not to be flown during averse weather
- always display American flag to the right and raise first and last to be taken down
- only placed upside down in extreme danger event
129
what is CISM
crisis assistance after major incidents to minimize stress
130
what are some automatic interventions the CISM performs
- line of duty deaths
- serious injury
- suicide of fellow employee
-
131
% of sand entrapments that end in death
60%
132
State the process of freeing a victim from entrapment
- clear area, victim info
- outer = staging and equipment
- middle = shovel to move sand from inner, use bystanders
- inner = 1.5 times depth, dig with hands fins etc
- dont pull on exposed limbs
133
what two drugs are administered for a organophosphorus poisoning
atropine
| pralidoxine
134
Questions to ask for a shark station
- dorsal fin observed
- shape of fin, size of shark
- time last seen
- how far from shore
- other witnesses
135
to initiate a beach closer due to a shark sighting what needs to be observed and lead to beach closure 1 mile in each direction
- if its a white shark
- over 8ft.
- aggressive behavior with 300 yards
- request RWC/RB for monitoring
136
if shark no longer observed and leaves 300 yard mark
reopen beach within 1 hour
137
Non-fatal shark attack
- Close beach for 24 hours
| - close beach 1 mile in both directions
138
questions you can ask a service animal owner for legitimacy
- is the dog a service animal because of a disability
| - what task has the dog been trained to perform
139
questions you cannot ask a service animal owner
- cant ask the dog to perform its task
- cant ask what the specific disability is
- cant ask to see documentation
140
how do you change the channel on a portable radio
channel selector knob or soft key
141
how do you chance the zone on a portable radio
zone soft key > home key to select
142
Outline steps to a safe surrender incident
```
asess medical needs
notify CC of still alarm
request ALS
locate safe surrender kit
provide medical history to surrendering person
attach conf bracelet to baby ankle
record # in EMS report
```
143
Name the facts of a FLIR and what it does
heat based imaging for night or day ops
570 yard mad range
5 hours of operation per charge
located on all LR and baywatch boats
144
BIg easy lockout contains
Gain access in emergencies only (vehicles)
on all LR + captain units
wedge = pries door from frame
bladder = create space
glo rod = acccess door locks, window control, handles
plastic strip tool = unlock with manual locks
145
Winch stats
9500 lb. pull power
125 feet of 5/16 wire
half gallon air reservoir
146
when does a wave finally break
an angle less than 120 degrees + height reaches 1/7th of its length
147
sea lions
ability to move onto shore, normal to be on shore
| they have external earflaps
148
harbor seals
no external earflaps, small flippersv
unable to move about on land
149
RWC precheck
```
open hatch prior to ignition
check bilge for water, fumes, oil
check sled for damage
secure drain plug
run engine idle for 10 seconds
```
150
Triage MCI stats
any incident with 5 or more patients
| if the triage already comipleted assist with ltter team, treatment, crowd control
151
Red level triage =
respirations above 30 per minute
cap refill greater than 2 seconds
cant follow simple commands
152
Swiftwater, what is helical flow
flow of water distributed by friction of the sides of the channel
causes circular flow patter
153
laminar flow
fastest flow of water, down center of water way
154
phone repairs
start from tower and work backwards
| deadman > demarcation point > isd
155
Overtime Stats
Overtime filled 3 days in advance of vacancy
| Limited to no more than 20 hours of a scheduled work week unless chief approves
156
Snowy plover breeding season
March 1 - September 30
157
Laws protecting snowy plover
endangered species act of 1973 - threatened
| 2012 - critical habitat designated
158
Name the snowy plover roosting zones that are protected by a wind fence
roosting
zones in LA County: Zuma Beach (tower 9 and tower
2), Malibu Surfrider Beach (tower 3), Santa Monica
North (tower 8), Dockweiler Beach (tower 46
and tower 58), and Hermosa Beach (tower 26).
159
State the informal (1st step) discipline steps
State the problem
state the policy that covers the observed behavior
state the reason for that policy
state the impact of the observed behavior
describe the penalty
160
What is a notice of instruction
A written warning notice to the employee that unless their performance improves, further action will be necessary
Stays in your file for one year
