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REHAB
Aug 17, 2004 16:42:44 GMT -5
Post by flash97 on Aug 17, 2004 16:42:44 GMT -5
I believe that rehab is a very essential part of the equation, it makes every person take a few minutes to stop and let the adenalin wear down so that the brain lets the rest of the body know what is going on. This is a potential life saving service.
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REHAB
Dec 28, 2004 22:33:53 GMT -5
Post by medic70 on Dec 28, 2004 22:33:53 GMT -5
Rehab is only as good as the fire chief directing the scene. Firefighters have to have the value of Rehab instilled into them and the chiefs MUST make sure it is available and the recommendations of the EMS personnel are followed. To many times I have had a fire chief or other fire personnel tell me that they have no need for rehab and even if the EMS provider told the firefighter they were not returning they would find other functions for these people. EMS personnel do not like pulling people out of service however if the system is to work effectively the EMS provider has to have the final say about somebody's healt issues. On the otherhand the only true way rehab works appropiately is if the department is procative and establishes a regular base line for the EMS personnel to make the judgements from. Granted being in this industry everybody knows everybody on a personal basis however past medical issues are very rarely known along with other pertinet medical conditions.
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REHAB
Dec 29, 2004 0:19:15 GMT -5
Post by canton1 on Dec 29, 2004 0:19:15 GMT -5
Why is this a issue for some EMS organizations to do?
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REHAB
Dec 29, 2004 0:51:04 GMT -5
Post by medic70 on Dec 29, 2004 0:51:04 GMT -5
I truely do not know. I can tell you from my experience with multiple agencies that most not all fire chiefs / departments / firefighters do not like the idea of rehab. All we are trying to do is look out for the safety of the crews the best we can. Most departments have a 2 cylinder limit and then the firefighter is required to go through rehab. The problem is most agencies do not follow this recomendation and allow the firefighters many more cylinders then that limit. I have recently been at an incident and took a firefighter out of service but he did nothing but argue with me about what I was doing. The individaul was so severly dehydrated with severe heat exhaustion he had no idea what was going on other then he could not fight the fire anymore.
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REHAB
Dec 29, 2004 1:23:54 GMT -5
Post by blueeighty8 on Dec 29, 2004 1:23:54 GMT -5
We keep a list of vitals for our personnel, taken while in as best condition as possible. I have no problem red flagging someone. As far as EMS at fire scene, I feel that it's easier for us to maintain operations being cross-trained in fire and EMS, that way we know what is going on at both fronts. If that firefighter is not in good shape, I don't care what the IC has to say. Red flag them, and send them off to the tent or tarp, what ever you use as rehab. If they fight about it, take something away that they can't fightfire with out. Like their boots The no.1 killer of Volunteer Firefighters in 2003 was fatalities due to health problems after working a call...
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REHAB
Dec 29, 2004 1:31:59 GMT -5
Post by medic70 on Dec 29, 2004 1:31:59 GMT -5
My issue with rehab is from past experience. I have had a firefighter die of a heart attack on a scene where the fire chief believed rehab was not neseccary. Let me tell you that realy sucks when that happens and it is realy uncalled for.
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REHAB
Dec 29, 2004 8:26:50 GMT -5
Post by EngTrk on Dec 29, 2004 8:26:50 GMT -5
I don't think that rehab has to sole consist of just EMS.
They have enough to wory about and then add food and water and what not to the list.
Here in Cumberland Co. there are a few fire companys that have a rehab unit that respond uppon request. It takes a good bit of the load off Ems.
Here at Upper Allen we have a support force that gaters if their be a big incident (uppon the chiefs request) and they make food at the fire house and take to the scene or have it ready here at the station.
Just a couple of other suggestions. If you feel that EMS should provide all of that then that is fine. I am not saying that it is wrong just that if we could take some of the load off their shoulders they would be able to concentrate on other more important things.
Stay Safe.
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REHAB
Dec 29, 2004 23:35:28 GMT -5
Post by FIREFIGHTER16 on Dec 29, 2004 23:35:28 GMT -5
I AGREE WITH WHAT YOU SAY, BUT IN MY OPINON ITS MANPOWER ISSUES IN THIS AREA, GRANTED MY DEPARTMENT'S LADIES AUXILLARY DOES THAT FOR TROY BUT ALOT OF DEPARTMENS DONT HAVE THAT
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REHAB
Dec 30, 2004 3:55:36 GMT -5
Post by canton1 on Dec 30, 2004 3:55:36 GMT -5
I was not saying that I thought that they had to do it. I know there is/was a issue with some doing it. I was just askign way and if it had changed?
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9Wacker1
Full Member
Wacker - and proud of it!
Posts: 54
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REHAB
Jan 20, 2005 16:47:32 GMT -5
Post by 9Wacker1 on Jan 20, 2005 16:47:32 GMT -5
Coming from the EMS side, I had a few thoughts. First, there is no reason EMS shouldn't set up a rehab area. They are called to the scene for a reason. My opinion is that we aren't there to sit in the rig until someone gets hurt and is brought to us. Prevention really is the best cure. Set up the rehab and do something! I made sure that we have a bucket loaded with towels just for a fire scene. (That was after it took an hour just to get a bucket and sheets one time!) Second, there should be a relationship of mutual respect between fire and EMS. This is part of the reason I'm trying to get more cross-training done. When I understand the other side better, then I can help them better. I don't like pulling FF, but I'd rather have them out for a short while than down for a longer while. Communication is key between Fire chiefs and EMS Captains (or whoever is in charge on scene). Third, kudos to those who help EMS with the food part of rehab. Ridgebury seems to always have food around (thanks Gail!) and for a structure fire there is a certain minivan that is extremely timely and very welcome (thanks, Lenny!). Last, I think good rehab should just happen. Chiefs shouldn't have to worry about rehab when EMS is there. They have enough on their plate (radio?) with all that is happening. This is the time where we do what we're trained to do - EMS or Fire.
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REHAB
Jan 21, 2005 0:20:20 GMT -5
Post by canton1 on Jan 21, 2005 0:20:20 GMT -5
Should we look at doing a couple County wide REHAB crews or what???
It was tried and there was aparrently an issue with another REHAB/EMS crew coming into some areas but yet rehab appears to be WAY in the back of people heads. Rehab needs to be thought about during all kinds of weather nto just HOT. Canton has a protocol to request a second BLS rig if the TEMP is also to low and there is a risk of Hypothermia.
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REHAB
Jan 22, 2005 14:16:19 GMT -5
Post by flash97 on Jan 22, 2005 14:16:19 GMT -5
A REHAB county wide crew, definitly something to think about, paid or volunteer, probably would have to be a paid service, then who pays them, how much, etc. I think it should be looked at, especially if there are ems services out there that aren't willing to do it for the protection of their own people the their district, I wish I knew where to start, any ideas anyone??!!!!!!!!!!
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Fire / EMS
Full Member
These words are MY opinion only, not that of my colleagues or my "Company". God Bless America!!
Posts: 44
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REHAB
Jan 22, 2005 17:23:03 GMT -5
Post by Fire / EMS on Jan 22, 2005 17:23:03 GMT -5
I think that rehab should kinda be looked at just like we (firefighters) look at a poss fire situation. Preplan! There are a lot of facilities in Bradford County, that if asked, would probably make food and / or coffee / soda for any fire company that needed it. The time to ask is BEFORE it is needed though! You cannot pull into McDee's and ask for 500 hamburgers and 250 cups of coffee! They probably would laugh at you. If there was a contingency plan set up for these situations, all it would take is one phonecall to set things in motion. just a thought.
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REHAB
Jan 26, 2005 19:13:32 GMT -5
Post by flash97 on Jan 26, 2005 19:13:32 GMT -5
Good thinking, but REHAB is more than a place to get coffee and donuts, it's mainlya place to cool down when it's hot, warm up when it's cold, get tour vitals checked by a qualified person or persons, and make sure that your mental health is fine too. All of these factors must be looked at when considering a true REHAB.
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