The First Five Minutes

The First Five Minutes

by Mark van der Feyst

Every day in North America, fire departments are responding to structure fires that involve residential buildings. The bulk of the workload for the fire department will be the residential home as statistics show that every 86 seconds a fire department is responding to a residential fire. Once a fire department arrives on scene, they need to act quickly as the number one priority on the fire scene is life safety. This involves the occupants inside the residential building as well as the responding personnel. In 2014, there were 2,860 civilian fire deaths attributed to a structure fire.

The time a fire department’s first arriving officer and crew have to affectively size up situation and decide on what action to take in order to address the life safety priority is less than 2 minutes. Within that timeframe, many factors need to be considered, evaluated, processed and then decided upon based upon priorities. The first five minutes are crucial to any fire ground operation and sets the tone for the remainder of the call – it will either set the tone for a successful outcome or it will set the tone for a not so favourable outcome.

Studies have shown that fire grows at a rate that doubles in size every minute. Modern fuel loads and heat release rates add to the fire’s intensity. Every minute that we are indecisive on scene is another minute of rapid-fire growth. By using information gathered during pre-planning and from Dispatch updates, coupled with situational awareness and a strong size-up, the Incident Commander should be able to formulate tactical decisions that have positive influence on truck placement and task assignments taking into consideration manpower issues that face many smaller departments.

The First Five Minutes starts with how to correctly size-up an incident scene, and then how to get the information clearly and concisely to incoming units and Dispatch. As we all know, size up begins when the call comes in and ends when all are back at the station. How can we prepare ourselves ahead of time so that our size up will be streamlined and efficient when arriving? We can do this by sizing up our response districts during our down time or when we are driving around in our response areas. By observing the present clues that are in front of us on a daily basis, we can build a data bank within our minds of what we know exists within our boundaries.

One such area is knowing your response district and the types of residential buildings that comprise it. Knowing the common construction types, the common layouts, the average age of the homes and so on will help with creating different rescue profiles. By having these different profiles, the firefighter and company officer can gauge ahead of time what exactly they are dealing with and when the call comes in, they will have a better understanding of where they are going to and what they are getting into.

Another factor that can be added into the equation of knowing the area is with the demographics. Knowing who in terms of average age, in terms of type of population such as seniors or retirement type of people or maybe students will help with creating a rescue profile. This can be accomplished by searching for this information from local government or from just observing the response district.

Other aspects of the size up is with knowing common locations of where fire victims are found within the residential structure. They are usually found in exit areas such as windows, doors, top of stairs, bottom of stairs, middle of stairs, and in the hallways, at the fire location or in their beds depending upon the time of day. Knowing these common locations helps with the effective rescue and where to begin the search or which tactic to use.

The fire apparatus is another area that can be addressed for the first five minutes. One focal point is with the equipment options available to the membership. This involves setting up the apparatus for quick and easy access of required hand tools for any rescue operation. This involves utilizing compartment space effectively and placing certain tools on the right side of the apparatus.

Along with this is the aspect of combat ready tools. This is where the fire department can have certain tool combinations pre-made or pre-arranged and then placed in a spot on the apparatus that will be sensible and quickly grabbed. Such examples may be the hailgan and the axe, the haligan and the roof hook, the haligan and the maul, or the hailgan and the water can. There are many different tool variations that can be pre-arranged ahead of time.

Having pre-arranged seating assignments is also a good idea to quicken the rescue operation. This is where no matter who sits in what certain seat in the back or the front of the apparatus, they have a specified job function that is standard. This cuts down the time and decision making ability on who will do what – instead allowing firefighters to react based upon their assigned function.

One last area that can be looked at is our tactical options. There are many tactical options that are available for any one fire department to use – it is just a matter of using the right one for the right situation and being efficient with it. Tactics starts with training and becoming familiar with how they are beneficial, the reasons why they are different from each other and how they can be incorporated into the department’s operational capabilities.

Tactical options include things such as VES or VEIS, PPA, tactical ventilation, transitional attack, offensive attack, defensive attack, fast attack, blitz attacks, all hands rescue and so on. Tactics are a great tool for the firefighter and enable them to be effective on the fire ground – but only work when they are trained on time and time again. The place to use a tactic for the first time is not on the fire ground, it is to be used for the first time on the training ground.

By focusing upon these areas and others such as communications, the culture of the department, rescue plans and SOG’s and SOP’s, the fire department can be effective within the first five minutes.

Mark van der Feyst has been in the fire service since 1999 working in both Canada and the USA. Currently he works for the Fort Gratiot Fire Department in Michigan after taking early retirement from his career department at the end of 2020. He is an international instructor teaching in Canada, USA, India and many large and regional conferences such as FDIC, Firehouse World & Expo. He holds an MS in Safety, Security & Emergency Management from Eastern Kentucky University and has been providing virtual training sessions for Africa Fire Mission for two years.

Why should fire trucks and ambulances always show up for a medical emergency?

Why should fire trucks and ambulances always show up for a medical emergency?

By Kelvin from Swift Emergencies Response Unit - Kenya

When a call comes in at the call center, dispatchers often are not given precise or complete information. As such, units are dispatched on a worst-case scenario. To ensure the highest level of care, the closest fire engine station is dispatched and EMS sends an ambulance (staffed with two paramedics and/or EMT's).

No medical call is “routine.” Most require assessing the patient, obtaining their vital signs, providing oxygen therapy, and moving them, at a minimum. EMS may also need to place an advanced airway, administer drugs intravenously, or monitor cardiac conditions. All of these procedures are completed more efficiently when the appropriate amount of help is on scene. Efficient care is our goal, and efficient care often is the difference between life and death.

Unfortunately, units have no way of knowing what they will encounter on a call until they arrive. They work in a “what if” and “all risk” business. Responding to the unknown is public safety. The public can help by calling emergency numbers quickly when there is an emergency and providing details of the emergency. Emergency hotlines are your instant go-to when the need arises. It is important that you know the numbers to call to get assistance and keep a copy with you.

Ambulance Services and Its Importance in Society

Ambulance Services and Its Importance in Society

 By: Kelvin from Swift Emergencies Response Unit - Kenya

Increase in medical ailments has led to the rise in hospitals and emergency medical services assisting patients who require emergency medical assistance at critical moments, helping them to reach the hospital on time thus saving their life.

Private and public ambulance transport services are operating in more numbers today as an inevitable service providing care to critical patients at crucial moments. In Kenya, ambulance operating centers are set up at every hospital and private EMS organization. These Ambulance operating centers function with adequate ambulance transport services to offer immediate medical care for patients. Private ambulance transport services depict a consistent rise in the growth curve each year offering non-emergency services unlike hospital ambulance transport services which primarily function for emergency needs. Some of the non-emergency services include shifting patients from one hospital to another, transporting patients for any scanning or laboratory services to the relevant facilities, or patients with any travelling disabilities in normal vehicles to hospitals for treatments.

Emergency ambulance services are usually equipped with adequate medical equipment and paramedical professionals. Sometimes, non-emergency ambulance transport services are also equipped with some basic medical aids and a para medical staff to cater the needs of immediate medical care to patients.

Let us discuss a few points about the pre-hospital medical professions - paramedics and emergency medical technicians (EMTs) who are the spine of ambulance transport services:

• Paramedics or EMTs are first treating patients even before doctors (pre-hospital care) thus saving patients through immediate medical procedures ensuring the vitals stable before reaching hospitals for further treatments.

• Paramedics and EMTs are trained healthcare professionals, authorized to attend patients with required medications and procedures based on their training level.

• Education level, standards, functions and skills of paramedics and EMTs vary with countries. However. certain standard functionalities remain common such as being trained to practice CPR procedures for cardiac arrest patients, usage of defibrillators, certain analgesic, paralytics and sedative medications for pain control, first aid to treat burns, fractures, childbirth complications, spine injury, airway management, blood control etc.

• One should respect the noble service of prehospital providers who form an integral part of ambulance services.

• The youth of our nation should involve themselves in such noble service, joining community life saving teams and can considering a career as a paramedic or EMT.

• The government could benefit from taking initiatives to support volunteer community first responders at the community level and to empower them to continue saving lives at the scene before qualified personnel arrives.

Kenya Stairclimb 2023

Kenya Stairclimb 2023

On September 16, 2023, firefighters gathered for a day of remembrance of fallen firefighters and a day of camaraderie and awareness of the fire service in Kenya.

Heels on Mountains collaborated with Africa Fire Mission for this year’s Annual Firefighter Stairclimb event in Kenya, which had a had a total of 65 participants! We are grateful to all the participants and sponsors of this event.

Heels on Mountains has continuously supported firefighters in Kenya since 2019, supporting 4 stairclimb events for firefighters at the Kenya International Conference Center . Thank you to everyone that participated: Mombasa County, Kenya Airports Authority, ICT Fire and Rescue, West Pokot County. We are grateful to individual Firefighters and EMT’s as well as supporters of First Responders.

Asanti sana. You helped Kenya be on the map as the only African country that commemorated the Twin Tower bombings with a stair climb activity.

Check out photos from the Kenya Stairclimb event here:

Fire Dynamics

By: Mark van der Feyst

Rapid fire developments (RFD) are when we have a sudden and immediate change in the fire environment. At one moment we have thick, dark, black smoke with intense heat and the next second, we have a ball of fire from floor to ceiling – this is an RFD.

Every fire department will face RFD’s no matter what type of structure they are dealing with – if it has four walls and a roof, then there is the space and environment for an RFD. The different types of RFD’s are going to be flashover, back draft, and smoke explosions. The three are different in how they develop and react but are the same with the outcomes – deadly outcomes. RFD’s produce RIP’s (Rest In Peace) for the fire service.

Of the three RFD’s, flashover is going to be the one that will occur the majority of time at any and every structure fire. So, what is a flashover? A flashover is the simultaneous ignition of unburned fire gases within a room. It occurs when hot gases rise to the ceiling and spread out across the walls. These hot gases are what we call black smoke – unburned particles of combustion. As it spreads out across the ceiling and the walls, it starts to heat up the items found within the room such as the paint on the walls, the furnishings, clothing, mattress, flooring material, etc. – until they all reach their ignition temperature. Once they are all at their ignition temperature, an RFD occurs.

Before a flashover occurs, there are warning signs that are presented or given off by the fire to indicate that flashover is impending. These warning signs are presented to us both visibly and tactically – our eyes can see and our bodies can feel them.

·       Heat buildup – based upon the temperature range of flashover, there will be a period of time when excessive heat buildup will occur. This heat buildup will descend down towards the lower levels of the room pushing the firefighter down to the floor. This will be the result of radiant heat being produced by the unburnt particles of combustion spreading out from ceiling to walls and then down to the floor area. When this quick increase in heat occurs, and it is an intensive heat; flashover is impending. 

·       Roll over – this is a visible indicator as it reveals itself in the smoke. A roll over or flame over is when small gaps open up in the smoke layer allowing air to mix with the unburned particles of combustion and ignite. Small flames can be seen in the midst of the smoke for momentary periods of time and then disappear. When this occurs, this is a warning sign that flashover is coming.  

·       Thick dark smoke – this is also a visible indicator as it will present itself outside the building as well as inside the building. On the inside, you will not see anything except total blackness: but on the outside, you will notice this. Whenever you have thick dark, acrid black smoke pushing out from a structure under high pressure and with high velocity, flashover is impending. This is an outside warning of what is waiting for us on the inside.

What has been described above are the common signs that we will see and feel at every fire – it is important for the firefighter to learn and understand the basic concept of what a flashover is before being able to learn the actions that can be used to aggressively cool the fire or escape the situation if warranted.

About the Author:

Mark van der Feyst is a 25 year veteran of the fire service and is currently the Senior Battalion Chief at the Six Nations Fire & Emergency Services in Canada and a part time firefighter with the Fort Gratiot Fire Department in Michigan. He has worked in both the USA and Canada for various fire departments and holds a Masters of Science degree in Safety, Security & Emergency Management from Eastern Kentucky University.

From Ideal to Real

By: Rabbi Howard A Cohen (Deputy Chief, ret.) AFM Virtual Training Coordinator

As first responders we are required to absorb an overwhelming quantity of data.  As good as our intentions are to remember all that we are taught, the reality is that we forget details.  This is why constant reviewing, drilling and periodic recertification is so important.  Even with doing our best to keep our skills sharp and our knowledge base current, the reality is that we cannot possibly be experts in every situation we might encounter in the course of work.  For example, though we may have a solid understanding of basic first aid principles, we are not doctors and therefore are limited to the extent that we can help a patient in the field.  Even if we were trained to the level of a medical doctor, in the field far removed from a hospital facility, we would still be limited with what can do.  We do not work in controlled environments or under ideal conditions.  No matter what the situation or our skill level, our response is always on a spectrum that moves from the ideal to the real.

Every three years I re-certify as a wilderness first responder.  Every three years I’m embarrassed to admit how much I’ve forgotten.  Although I wish my memory was such that I was better at calling up a lot of details and data that I rarely ever use, I don’t worry about it.  Why? Early on in my first responder career I was taught two important lessons.  The first lesson is that an emergency response in the field will always be somewhere on the spectrum from the ideal to the real.  As emergency responders we do the best that we can with the tools and knowledge that we have on the scene. This is what it means to move from the ideal to the real.  Remember, as first responders, our objective is keep the patient alive long enough to get to advanced medical care.  It is not our job, nor do we have the skills, to fix or heal patients.  Our job is to stabilize, comfort, and transport our patients.

To do our job well as first responders we do not need a medical education. This brings me to the second important lesson I have learned in my career as a first responder:  Pay special attention to the three big systems: circulatory, neurological and respiratory and do whatever you can do to keep them functioning.  The vast majority of injuries to people are not life threatening.  However, any significant trauma to one or more the three big systems has a high probability of being life threatening.  If a person is bleeding, stop the bleeding.  You do not need to know how to suture.  You do not need to know how long to keep pressure on an open wound.  You only need to know that you have to “plug” the hole where the bleeding is coming from.  If your patient is not breathing you don’t need to know how to do a tracheotomy.  You just need to know what to do to open her airway because if you can’t get your patient breathing she will die.  Ideal to the real.  Remember, it is not our job, nor do we have the skills, to fix or heal patients.  Our job is to keep them alive and as comfortable as possible as we get them to advanced medical care.

As first responders we will always strive to respond with the very best of our abilities.  That’s what we do.  However, the reality is that we are generalists trained to respond to a mind boggling variety of emergency situations that always happen under less than ideal conditions.  Ideally, we might want to respond in a certain way, in reality, the situation and our knowledge level will determine our response.  Therefore, it is important to remember that emergency medical responses in the field always fall somewhere on the ideal to real spectrum. Our goal is to do the best that we can with the tools and knowledge we have on the scene.

About the author:

Howard joined the fire service in 2001 to serve as chaplain of his local fire department. Twenty years later he retired as his department's deputy chief.  Howard planned to join Africa Fire Mission on a trip to Zambia but Covid interrupted those plans. He has since traveled twice to Kenya with AFM. He is regular AFM blog contributor and webinar instructor. Outside of the fire service, Howard serves as rabbi to Congregation Shirat Hayam in Duxbury MA. He also has a leadership and mental fitness coaching practice called code3leadershipcoaching.

Suicide Warning Signs

by: Jeff Dill

Recognizing Suicide Warning Signs in Firefighters and EMTs 

Behavioral health is a key component of an overall firefighter health and wellness program. Unfortunately, it is a difficult subject to discuss – many factors affect a firefighter’s ability to understand when a fellow brother or sister is suffering, but that does not make it any less critical an issue.

By far, the number one comment by fire and EMS chiefs associated with departments that have suffered a loss is that they didn’t realize or recognize the warning signs that their member was displaying until after the loss had occurred.

The Firefighter Behavioral Health Alliance (FBHA) tracks and validates FF & EMT suicides in the United States. A key component is validation: Whether we receive a confidential report, text message, or phone call of a tragic event of a suicide, confidentiality is always maintained.

FBHA has traveled across North America presenting behavioral health workshops with an emphasis on suicide awareness. Our workshops focus on warning signs and actions to take when a brother or sister is in need of help, and I’d like to share them with you here:

 Top 5 Warning Signs – Think “RAILS”

 1.     Recklessness/Impulsiveness: These might be subtle signs such as purchasing guns when a person has always been against them. Riding a motorcycle recklessly or charging into burning buildings against policy or procedure.

 2.     Anger: Suppressed anger or explosive anger from seemingly minor issues can be a dangerous sign. Displacement (directing one’s anger at someone else instead of the intended person) is often observed. Displacement is most often directed at a FF or EMT’s family.

 3.     Isolation: becoming distant from their career company around the station or volunteer firefighters who don’t participate in drills or calls as much. Members might even display isolation around their family. They lose interest in family activities.

 4.     Loss of Confidence in skills and abilities: Several FFs and EMTs have advised FBHA they lost confidence in their ability to get the job done due to concentrating on emotional or personal issues they were battling. A seasoned FF who can’t remember how put an engine in gear to pump is an example.

 5.     Sleep Deprivation: Loss of sleep can indicate stress, anxiety, PTS or several other emotional issues a member might be struggling with and not realize.

Recommendations:

 When you see someone struggling or just off their game, follow these recommendations as a starting point:

 1.     Be Proactive; Be Direct: We do this when responding to emergencies. We need to take the same approach when our brothers or sisters appear to be struggling.

 2.     Direct Questions: Remember these two questions if a member comes to you with suicidal ideations.

 a.     Do you feel like killing yourself now?

b.     Do you have a plan? 

 A “yes” to either one of these questions means you need to engage your department procedures or protocols if in the firehouse. If outside of the department then they need help immediately. NEVER leave them alone!

3.     Compassion: The theme in our workshop is: Be Direct and be compassionate. Stay in the moment when talking to them. It is the most difficult type of conversation but always speak from the heart.

 4.     Discretionary Time: If a member comes to you to talk about a difficult issue they are struggling with and you have never dealt with this type of issue, then let them know but also use discretionary time. Do not make statements just to fill a void. For example: I never realized you were struggling with this issue and I don’t have a lot of knowledge on this problem, but let me find out a little more about it and we will talk later. (If this is a crisis moment then do not leave member alone)

 5.     Walk the Walk: The number of firefighters, officers and EMTs/paramedics who help their brothers or sisters out by taking them to AA classes or counselors cannot be overstated.  They sit outside and wait until the appointment is over. Taking care of our own goes well beyond the station or fire ground.

 Posters and tip cards are available for your departments and personnel. Please contact Jeff Dill at jdill@ffbha.org for more information or visit our web page at www.ffbha.org.

Find out more about Suicide Questions and PTSD Question

Driving Fire Apparatus to Preserve Life and Property

By Edward Collet, Jackson Township Fire Department Firefighter/EMT, Ohio; Ohio Fire Chiefs

Driving the fire apparatus is a great privilege and responsibility.  It is probably the least considered way firefighters protect lives and property.  Everyone has visions of a firefighter racing to the emergency scene, heroically rescuing victims and bravely dousing the inferno.  That is the way most people see firefighters saving lives and property.  Rarely does the image of a firefighter professionally and respectfully driving to an emergency scene, or anywhere for that matter, come to people’s mind when considering saving lives and preserving property.  In reality, it is driving where the fire service can have the biggest impact on the community. 

Think of how many fires and true emergencies a department responds to compared to the number of kilometers its apparatus drives in a year.  If your department is anything like mine, there are many, many more kilometers traveled than blazes fought. 

Property is preserved whenever a firefighter drives defensively and with due regard.  The fire apparatus entrusted to you by your community may be one of if not the single biggest investment it has made.  You are responsible for it being returned from your care in the same condition it was given to you.  It is possible to give it back in better condition by making sure it is clean, well maintained, and everything is working properly.  Showing the pride you have in the community’s property entrusted to you will help develop the community’s pride in the fire department. 

 Having an accident which damages the property of a community member and prevents the fire department from going to the emergency does not generate goodwill and pride for the fire department. It does just the opposite, the community will be mad at the fire department. Not only did they not do the job expected of them, they caused additional damage to the community.

As a driver you are entrusted with the lives of so many people: your brother and sister firefighter in the apparatus, every member of the community you pass, and your own.  I have talked and written about the responsibility a driver has to get his crew safely to and from an emergency scene and the responsibility not to harm the public as we go down the road on many occasions. We forget about ourselves.  As a driver we are responsible for getting ourselves back and forth to an emergency safely.  How would you feel if you could no longer perform your job and provide for your family because of a career ending injury caused by you driving less than professionally.  Or worse, you do not come home because you became a line of duty death statistic. Driving safely and professionally is a selfish endeavor, I want a long and fruitful career and to go home to my family at the end of every shift.  Unlike most things, everyone benefits from this selfish action. 

There are so many variables at an emergency we have little or no influence over, but getting there and back we have much more control over.  Drive with courtesy, respect, and professionalism and the community will see you are concerned for protecting their lives and property. Remember, if we become an emergency it is impossible to fix the original one we were called to. 

Firefighter Mental Health

By Howard Cohen

Fire fighting is one of the best jobs around.  It is also one of the most dangerous.  As firefighters we train and prepare to run into burning buildings, mitigate hazardous materials, work car accidents on busy roads, and deal with angry, hostile citizens.  But we tend to not train or prepare for one of the greatest risks to our physical, emotional, and spiritual health:  Frequent exposure to traumatic events. Studies in North America show how over time the stressors associated with exposure to traumatic events pose a serious challenge to our emotional, mental, and spiritual health.  For example, a study of firefighters in the United States revealed that 46% experienced suicide ideation; 19% participated in suicide planning; and 15% attempted suicide.  In addition, studies conducted in other countries[1], including Kenya[2], also show that post-traumatic stress symptoms and illness rates among emergency services workers are significantly higher than in the general population. Firefighters every where face the same physical dangers and traumatic events.  Therefore, as studies show, firefighters worldwide also suffer higher post-traumatic stress symptoms and illness rates than the general population.  Fortunately, we have the tools to help us, and our brothers and sisters in the fire service, address the stressors that arise from encountering traumatic events.

What is a traumatic event?  A good working definition is that it is an incident that evokes a strong emotional reaction with the potential of interfering in our lives.  Unfortunately, as first responders we often hide our emotional responses to bad calls behind a mask of toughness. This means that sometimes the impact of a tough call unfolds over time.  This can make it harder for us to recognize a connection between what we experience on a call and its emotional, physical and spiritual effects on us.  It is also important to realize that not everyone’s emotional response to a call will be the same.

Stressful events produce a complex interplay of nervous, endocrine, and immune mechanisms responses.  In other words, our normal way of being is disrupted.  The fight or flight or freeze response is an example of this.  How quickly we regain our homeostasis and return to normal or typical functioning depends on how resilient we are.  Resiliency is our key to coping with stressful events.   The good news is that resiliency is a skill we can develop.  It doesn’t require any special equipment or hours of exercises.  In fact, it is the natural outcome of some very enjoyable and healthy activities.  Here are some ways to build your resilience for when you’ll need it. 

          • Eat healthy food

          • Develop hobbies and interests outside of work

          • Cultivate friendships with those whom you can speak openly and honestly

          • Nurture your spiritual life

          • Practice mindfulness such as yoga or meditation

          • Exercise

          • Relax, go on vacations

          • Be kind to yourself

          • Embrace change

          • Remind yourself that you have the most meaningful job in the world

          • Embrace healthy thoughts

          • Be open to getting help if you think you might need it.

There are many signs that we, or someone we know,  may be adversely affected by a traumatic event or an accumulation of unprocessed events.  These signs may include some or all of the following:

        •Fatigue                                            • Grief

    • Chest pains                                                   • Denial    

         • Loss of emotional control                              • Depression

        • Difficulty paying attention                            • Anger

          • Difficult making decisions                     • Change in appetite

          • Nightmares                                                   • Misuse of alcohol or drugs

          • Intrusive images                                            • Anger at God/Crisis of faith

          • Anxiety                                                         • Withdrawing from others

          • Guilt                                                            

When someone you care about is exhibiting some of the above signs gently bring your observations to their attention.  Be sure to let them know that you are coming from a place of love and concern. Though it isn’t always easy to approach a friend and colleague who is hurting, the price to pay for not to doing so could be very high.  As you know, a firefighter not performing at peak levels because of stressors is a potential risk to herself or other firefighters.  Hopefully, if we are ever exhibiting signs of not coping with the stressors in our life well or with a particularly bad call one of our friends and colleagues will let us know.  Awareness of these outward signs, whether as the result of self reflection or because it was brought to our attention, is critical.

Developing situational awareness on the fire ground is a critical skill taught to every firefighter.  Emotional and mental health situational awareness is a critical skill for building resilience; this skill should be taught to every firefighter because traumatic events and bad calls go hand in hand with the job  Whether it is a fatal car crash, burn victim, suicide or the death of a child, these encounters take a toll. It is no surprise that many firefighters are haunted by the tragedies they witness as a part of their job every day.  Fortunately, with increased awareness and resilience building skills firefighters today are better able to cope with the stresses that go with having the best job in the world.

[1] First Responders and PTSD: A Literature Review By Ashley Fitzpatrick, BSN, RN, EMT -

7.28.2020

[2] Rationale for Early Psychological Intervention Among Disaster Actors in Nairobi County, Kenya by Eunice K. Ndulu & Dr. Maragret Iyaya, Journal of Education and Practice; Vol. 10, No 32, 2019.

Firefighter Safety- Using your PPE

By Brad Banz, Retired Chief, Colwich, Kansas Fire Dept. and Retired Captain, Wichita, Kansas Fire Dept.

 Today’s firefighters are asked to do much more than just respond to fires.  In the modern world, we respond to automobile accidents, dangerous goods (haz-mat) incidents, various types of rescue calls, utility emergencies, EMS calls, and now add in terrorism and pandemic to the list, not to mention anything else that may occur.  

    Firefighters are exposed to a spectrum of hazards as a result of the wide variety of incidents that we respond to.  We are exposed to environmental heat from working around fire, as well as the excess heat our bodies produce from extreme exertion.  The fires today we are responding to burn hotter than they did even 30 years ago.  An example is burning a cotton mattress versus a modern sofa made of polyurethane foam and polyester fabric.  The cotton mattress when burned will release heat at a rate of 140-350 kilojoules per second.  The sofa will release heat at a rate of 3,210 kilojoules per second.  Ten times the amount of heat.  We are exposed to cold, falling objects and debris, blood and biohazards, suffocation hazards, and crushing hazards.  We are also exposed to a toxic assortment of chemicals, not only from the dangerous goods incidents we respond to, but from each fire, no matter what the contents.  

   The reason I share this is not to scare anyone from the job, but to hopefully educate everyone on the hazards that are there so they can better equip themselves to more safely do the job.  Because we respond to more incidents and are exposed to a wider variety of hazards, we must do a better job as firefighters of focusing on safety.  One of the most fundamental things firefighters can do is to wear their PPE.  

     Let’s talk a little about how PPE makes us safer.  Coats and pants are made of 3 layers of material.  The outer shell provides a first layer against heat and cold, and some protection against moisture.  The middle layer is the vapor barrier.  As the name implies, it provides a barrier against steam and some chemical vapors.  The inside layer is the thermal barrier.  The layering of it, along with the outer layers, create a stronger barrier against heat.  The level of heat protection is dependent upon the materials the coats and pants are constructed of.  They will give limited protection against some dangerous goods, but are not meant to be the primary PPE for all responses.  In any circumstance, to insure maximum protection, coats and pants should be fastened all the way.  Boots can be constructed of leather or rubber and must have steel toe and foot protection to protect from crushing injuries as well as penetrations.  Gloves are made of leather or other materials.  They are lined to protect our hands from thermal injuries and have wristlets to protect our wrists as well.  Hoods are made of Nomex or carbon fibers.  An adequate hood offers protection to our necks and overlaps down on to the tops of our shoulders, and protects our necks and all exposed skin on our heads from heat.  They should be pulled up whenever operating in a hazardous environment.  A good helmet should have an adequate face shield, chin strap and neck protection.  It should also be clean and not cracked.  The face shield should be in a down position when working in an environment where tools or equipment are being used or blood, biohazards, or other chemicals may be present.  

    Any time we are entering an environment that is filled with products of combustion, heat, fire, or unknown atmosphere we should be wearing a breathing apparatus.  This includes during the overhaul process after the fire is contained.  If your department/brigade does not have BA then you need to structure your firefighting tactics accordingly.  

    As I addressed earlier, one of the biggest hazards we face is responding to medical and trauma related emergencies, and the risk of biohazards.  We need to make sure to protect ourselves by wearing the proper gloves, protective glasses, masks, and if the situation calls for it, gowns and facial protection.

    I have briefly covered the hazards and the PPE we can use to lessen the risks that we face.  Firefighters need to consistently practice an attitude of safety every day, and watch out for each other.  Thank you, and let’s all stay safe out there.

The Importance of Firematics

by Nicholas Higgins

It has been said time and time again, "You can never train too much for a job that can kill you." As we are aware, firefighting has many aspects to it. Many of these are common to every fire department, no matter their location, size, or status (career or volunteer). Other aspects are specialized areas that not all departments focus on or specialize in, such as medical, hazardous materials or technical rescue. In any case, having a sound basis in the area of “firematics” is a stepping stone to success for yourself and for your crew. We will briefly touch on key areas every firefighter should have a sound understanding and strong knowledge of. Many of these areas are touched on briefly in probationary/training school and then oftentimes, pushed aside once graduated. However, these areas are the core foundation for everything we do as firefighters and lay the groundwork for everything else we do on the fire ground. The skills of understanding these concepts, terminology and definitions is in fact, simple in theory. The difficulty is understanding the strategies and tactics behind them in order to implement them. All good leaders and firefighters must understand these core areas of which everything else is built from. 

The areas I would like to briefly touch upon are: building construction, fire behavior, reading smoke and size-up.

Building Construction

In the American Fire Service, there are oftentimes six different types of building construction however this may be different in various parts of the world based on the materials used to build structures. As firefighters, it is imperative that we know our enemy and know everything we can about it. Without having at least an understanding of our enemy, it becomes difficult to defeat it. In almost every one of our cases, the enemy is the building structure. In order to be a successful firefighter in any capacity, on any apparatus, in any area, understanding and having a solid foundation of building construction knowledge is vital. Just as a world-class fighter studies their opponent in the months leading up to a fight, us as firefighters MUST study our buildings in our areas, so we too are prepared to fight…and WIN. 

The most vital piece of information I can provide here is simple. It makes a difference in knowing the different types of structures and how to identify the differences, however, what makes it even more important is the ability to identify the types and how they will react under fire conditions while in the moment! This leads us to fire behavior.

Fire Behavior

Fire behavior is the foundation on which all firefighter knowledge is built upon. Moreover it is our understanding of fire behavior from which we can gain an understanding of fire and how to suppress it properly. The lack of fire behavior knowledge creates an even greater risk for serious injury or death. Understanding fire behavior is truly being able to operate as a firefighter. The understanding of fire behavior is the basis for understanding fire suppression and the understanding how to properly perform other tactics such as ventilation, forcible entry on some occasions and overhaul.

As society changes or in many cases evolves, so does fire behavior. The reasoning behind this is simple - the introduction and presence of synthetic materials (also known as plastics). These materials in their solid form are petroleum- based products, therefore producing an increase in the output of thermal energy. This reasoning alone is a cause for a more rapidly spreading fire regardless of the type of structure it is in. More so than not, it is causing our enemy (the building) to have more fuel to hurt us. To understand fire behavior, it is important to understand the phases that come along with it and it’s attributes – ignition, growth, full development (flashover is present) and decay (back draft is likely). To understand these areas takes years of studying and training to become proficient but having the basic concepts down is a great start to proficiency in fire behavior for firefighters of all levels and experience.

With fire comes smoke.

Reading Smoke

An important aspect on the fireground for many reasons is understanding smoke and smoke behavior. Many clues from the smoke alone can help identify the location and status of the fire. Command and company officers, as well as firefighters, need to be able to read and interpret all of the clues while conducting their size-up upon arrival and throughout the incident. 

Here are some clues to take into consideration: potential fuel, density, color, velocity, and volume.

Smoke is fuel. In today's world and the modern-day fire service, the products of combustion are highly toxic, flammable and potentially explosive. The smoke’s chemical composition is different at each fire due to the different fuel sources yet, one thing remains the same; smoke contains high levels of carbon monoxide.

Density identifies the thickness of the smoke, it’s level of energy and if there is a potential for a flashover or for fire spread.

Color tells you how flammable the smoke is and what is burning.

Velocity tells us how fast or slow the smoke is moving and by doing so helps determine the location and its flow path.

Volume on the other hand doesn’t speak to firefighters about smoke or fire but it does give firefighters the amount of fuel that is burning. By knowing how much fuel is burning, provides insight to the size and intensity of the incident.

Understanding smoke provides the fundamentals for reading and identifying changes in fire and smoke conditions in the interior or exterior of a structure, along with identifying and possibly preventing flashover or fire spread.

Size-Up

The size-up is for all intents and purposes, our game plan or battle plan, if you will, against the structure we are working at. The size-up is where firefighters and fire officers gather information in order to make safe, efficient, and effective fireground decisions. Fireground decision making, as we know, is meant to be quick, but with an emphasis on safety and ensuring the tactics are done efficiently and effectively. This is done in three phases; the pre-incident size-up, the on-scene size-up and the after action review. All three of these have their purposes.

Pre-incident size-up allows firefighters to gather as much information as we can about the structure and contents inside and helps guide our on-scene strategies and tactics.

On-scene size-up is where firefighters utilize our pre-incident size-up and put it to work. This size-up is where more information is provided specific to the incident and can now confirm our findings from the pre-incident size-up. Further, this is where company operations are assigned and take place.

After-action-review is the final stage in the pre-planning process. This is the time for firefighters and officers to discuss and share the information obtained and to discuss the success and failures experienced at the incident. It is also a time to ask a few key questions. 

What did we expect to happen?

• What actually occurred?

• What went well and why?

• What can we improve upon and how?

The benefit of asking these questions allows for strengths to be easily identifiable and make it easier to uncover areas of weakness. By uncovering areas of weakness, you can develop ways to improve them!

In closing, I’d like to leave you with this piece of advice. If we think of firematics as an orchestra and each piece getting broken down into sections, we can identify each area as its own unique piece yet, an integral piece to the orchestra as a whole. With practice, each section sounds in harmony and sync with one another, but without practice or even a section missing, the harmony and synchronization doesn’t happen. This is the same for firematics, you cannot have one without the others.

For further information on these topics, you can refer to my book, “The 5-Tool Firefighter” where these concepts are laid out in greater detail along with other areas of interest to guide all firefighters on their journey to success.

About the author
Nicholas J. Higgins is a firefighter and district training officer for Piscataway Fire District #2 in Piscataway, NJ. He is a New Jersey State Level 2 Fire Instructor, a National Fallen Firefighters Foundation state advocate and a member of the Board of Directors for the 5-Alarm Task Force Corp. a 501 (c) (3), non-profit organization. Nick is the founder and contributor of The Firehouse Tribune website.

Advocating For The Needs Of Your Fire Service

by Chief Robert R. Rielage

When I was a much younger firefighter, my Chief once said, “He who doesn’t speak up, is never heard”.  These words really sum up the topic of “Advocating for the needs of your Fire Service”.  You need to make others, such as your governing council, know what you need to effectively do your job.

This is certainly not as easy as it sounds, but it is part of the job especially for the Chief and your officers.

First, no one understands your needs better than you. You are the officers and firefighters of your department.  You see every day what you need to make your service better.  The people you serve expect you to respond to countless types of emergencies, give timely safety advice, and perform your duties with dedication, professionalism and without hesitation.  

Basically, that type of department requires four things: people, training, equipment and facilities that are all properly maintained and at the ready for you to respond.

Your job is to make sure that there are an adequate number of properly trained firefighters to handle whatever the emergency; that they have the proper personal equipment to safely perform these tasks; and a budget that provides and maintains the personnel, equipment, vehicles and facilities to support your emergency operations.

Is it easy to ask for all of these things?  No, but once again, no one but you understand better the needs of your department.  So how and who do you contact to express these needs?  

The Chief, especially, must know the “politics” involved.  Note that this word has a small “p” politics in the sense of how your governing council, mayor, trustee or board of supervisors operates, not  the Politics with a capital “P” meaning the dealings of a certain political party affiliation.

We are fortunate in that in the United States, there is a class at the National Fire Academy entitled “Politics and the White Helmet” which clearly teaches the right way to express the needs of your fire department to those individuals or governing body that provides the funding to allow a department to get things done.  But at the same time, I’ve never seen a fire department that got everything it wanted – so the Chief or the officers need to prioritize their needs and requests.

In addition to this, I think it is equally important to have a working relationship with the news media: those newspapers, radio or television reporters who come out when there is a large fire, explosion, or a natural disaster that occurs in your response area.  Standing in front of a camera or a reporter with a microphone may not be comfortable for everyone.  Again, in their absence, the Chief should delegate someone in the department to be a Public Information Officer (PIO).

The PIO is a firefighter or officer authorized to discuss releasable information at the scene of an emergency.  Why is it so important?  Because a picture or a video with a story about the emergency is worth more than 100 requests for new equipment.  There are guidelines that we can discuss in another article or an upcoming training session.

The reporters can also give you some tips on how you should approach an interview, especially when the camera is on.

Some suggestions may include:

: Being in uniform or in your turnout gear – helmet, and coat which tells everyone you are an official representative of the department.

: Having the key points of what you want to say clearly in your mind, e.g. What you saw on arrival (the volume of fire, or the number of vehicles or victims involved) Were there any rescues performed?  

: Keep it brief but let the public know what your department did to make resolve the emergency and how quickly that took to bring the incident under control.

The purpose of my article is not to answer all of your questions on how to be an advocate for the needs of your department, but rather to give you a starting point.  The first lesson being, if you don’t advocate for the needs of your department, who will?

Stay safe!

About the author  Chief Robert R. Rielage, MPA, CFO, EFO, FIFireE, is the former Ohio fire marshal and has been a chief officer in several departments for more than 35 years. A graduate of the Kennedy School's Program for Senior Executives in State and Local Government at Harvard University, Rielage holds a master's degree in public administration from Norwich University and is a past-president of the Institution of Fire Engineers – USA Branch.