Casualty Care For Fire And Rescue

Casualty care and first aid is an integral part of the fire and rescue services’ role and firefighters have always worked closely with pre-hospital medical providers in their aim to save lives. As the fire services are now increasingly involved in the delivery of medical care through co-responding schemes, casualty care and first aid training has become crucial for firefighters to provide initial assessment and care of patients when responding to a variety of medical emergencies. This textbook, written by an experienced team of firefighters and paramedics, is an essential guide to life saving care and has been specifically written for firefighters already employed or undertaking training within a fire and rescue service. Casualty Care for Fire and Rescue combines a skills-based practical approach with clinical knowledge and covers a range of urgent care that firefighters deliver and respond to, including trauma injuries, burns, road traffic collisions and cardiac arrest. The book is up to date with the latest policy and research, and addresses legal issues and clinical governance. A multi-disciplinary approach is taken throughout, and is explored in detail in a chapter on working with healthcare professionals. Chapters are also illustrated with photographs and anatomical diagrams to support understanding. Contents include: Working with Other Health Professionals; Communication; Clinical Governance, Legal and Ethical Issues; Safeguarding Adults and Children; Health and Safety; Manual Handling; Drug Administration; Scene Assessment; Patient Assessment; Airway; Breathing; Circulation; Disability; Exposure/Environment; Medical Emergencies; Trauma Emergencies; Cardiac Arrest; Children and Infants; Mental Health; Older People and Frailty

Incidents involving rescue from road vehicles are dramatically increasing in frequency. There are some 3500 deaths on the road each year, with 35,000 serious injuries. Modern motor vehicles are becoming safer for occupants, due to advancement in technology, so persons are more likely to survive high impact speeds, but are also more likely to become entrapped. The Fire and Rescue Service, as the primary rescue service, requires national guidance to ensure a similar standard of response anywhere in the UK. This manual is designed to highlight current best practice with regard to vehicle rescue techniques and first responder trauma care. Each chapter forms an independent reference source, but the publication as a whole forms a complete guide. Chapters cover: vehicle design and construction; dealing with incidents; safety procedures; operational procedures; extrication equipment; medical considerations and trauma care; Integrated Personal Development System (I.P.D.S.). Appendices cover: Highways Agency/Fire and Rescue Service memorandum of understanding; training and general information; and emergency services personnel (ESP) aide mâmoire. The CD-ROM, "Vehicle extrication techniques", is a multi media guide to rescue tool handling and extrication techniques.

The Tactical Emergency Casualty Care Course Manual is the printed component for the NAEMTs 16-hour continuing education Tactical Emergency Casualty Care (TECC) Course. It may be used by both instructors and students as a resource to prepare for the TECC course and as a reference that discusses the current best practices for EMS providers to utilize in the response to and care of patients in a civilian tactical environment. The TECC Course does not offer certification as a tactical medic it is intended to teach all EMS providers the best patient care and safety practices in a civilian tactical environment, such as an active shooting hostile event. Composed of 10 lessons, The TECC Course Manual will: Cover the phases of care in a civilian tactical environment, Describe step-by-step the life-saving skills that may be performed in a civilian tactical environment, Provide safety and survival strategies for EMS providers and their patients In addition to the TECC Course Manual, instructors may also purchase the TECC Online Instructors Toolkit (9781284483888). This resource features 10 lesson presentations in PPT, as well as interactive patient simulations and skill stations that allow students to gain experience in a safe environment monitored by experienced EMS providers.

Drs. Eric Weiss and Douglas Sward have assembled an expert team of authors on the topic of Wilderness and Environmental Medicine. Article topics include: Advances in the Prevention and Treatment of High Altitude Illness; Out-of-hospital Evaluation and Treatment of Accidental Hypothermia; Arthropod Envenomation in North America; North American Snake Envenomation; Cutting Edge Management of Frostbite;Updates in Decompression Illness; Marine Envenomation; Is There a Doctor on Board: Medical Emergencies at 40,000 Feet; Translating Battlefield Medicine to Wilderness Medicine; The Application of Point-of-Care Ultrasound to Austere Environments; Wilderness EMS Systems; Preparing for International Travel & Global Medical Care; and Medical-legal Issues in Expedition and Wilderness Medicine.

Tactical Combat Casualty Care Guidelines 28 October 2013 * All changes to the guidelines made since those published in the 2010 Seventh Edition of the PHTLS Manual are shown in bold text. The most recent changes are shown in red text. * These recommendations are intended to be guidelines only and are not a substitute for clinical judgment. Basic Management Plan for Care Under Fire 1. Return fire and take cover. 2. Direct or expect casualty to remain engaged as a combatant if appropriate. 3. Direct casualty to move to cover and apply self-aid if able. 4. Try to keep the casualty from sustaining additional wounds. 5. Casualties should be extricated from burning vehicles or buildings and moved to places of relative safety. Do what is necessary to stop the burning process. 6. Airway management is generally best deferred until the Tactical Field Care phase. 7. Stop life-threatening external hemorrhage if tactically feasible: - Direct casualty to control hemorrhage by self-aid if able. - Use a CoTCCC-recommended tourniquet for hemorrhage that is anatomically amenable to tourniquet application. - Apply the tourniquet proximal to the bleeding site, over the uniform, tighten, and move the casualty to cover.

BACKGROUND IN 1996, THE NAVAL SPECIAL WARFARE COMMAND DEVELOPED A NEW SET OF TACTICALLY APPROPRIATE BATTLEFIELD TRAUMA CARE GUIDELINES NAMED TCCC. THE TCCC GUIDELINES WERE ADOPTED BY THE U.S. SPECIAL OPERATIONS COMMAND (USSOCOM) AND APPROVED BY THE AMERICAN COLLEGE OF SURGEONS (ACS) AND THE NATIONAL ASSOCIATION OF EMERGENCY MEDICAL TECHNICIANS. THE COMMITTEE ON TCCC WAS ESTABLISHED IN 2001 AND WAS DIRECTED TO FURTHER DEVELOP THE TCCC STANDARDS AND GUIDELINES. THE COMMITTEE ON TCCC FUNCTIONS AS A WORKING GROUP OF THE TRAUMA AND INJURY SUBCOMMITTEE OF THE DEFENSE HEALTH BOARD (DHB), WHICH HAS A CHARTER TO PROVIDE MEDICAL RECOMMENDATIONS TO ASD (HA) AND THE SERVICE SURGEONS GENERAL. TCCC CONCEPTS WERE INCORPORATED INTO THE 8404 CORPSMAN TRAINING CURRICULUM IN 2005. THE TCCC/CLS TRAINER COURSE WAS DEVELOPED IN 2006 TO PROVIDE CORPSMEN AS TRAINERS TO TEACH AND SUSTAIN TCCC STANDARDS TO CORPSMEN AND CLS SKILLS TO SELECTED MARINES WITHIN THE OPERATING FORCES. THE IMPLEMENTATION OF TCCC ACROSS ALL SERVICES HAS BEEN IDENTIFIED AS ONE OF THE CONTRIBUTING FACTORS TO THE HIGHEST COMBAT CASUALTY SURVIVAL RATES IN HISTORY AND IS RECOMMENDED BY ASD (HA) FOR USE WHEN TRAINING COMBAT MEDICAL PERSONNEL, REF B. TCCC INFORMATION IS PUBLISHED IN THE PREHOSPITAL TRAUMA LIFE SUPPORT MANUAL (PHTLS), MILITARY EDITION, WHICH IS UPDATED EVERY FOUR YEARS. DEPARTMENT OF DEFENSE (DOD) APPROVED TCCC TRAINING CURRICULA ARE UPDATED ON THE DOD WEBSITE MHS.OSD.MIL/EDUCATION AND TRAINING/TCCC.ASPX AS THE TCCC GUIDELINES CHANGE. GOAL. ELIMINATE PREVENTABLE LOSS OF LIFE ON THE BATTLEFIELD. IN ACCOMPLISHING THIS GOAL, THE MOST RECENT TCCC GUIDELINES APPROVED BY DOD ARE TO BE UTILIZED AS A MEANS OF PROVIDING STANDARDIZED TRAINING TO THE MARINE CORPS AND IMPROVING FIRST RESPONDER CARE AT THE POINT OF INJURY. HISTORY OF TCCC: a. It is important to realize that civilian trauma care in a non-tactical setting is dissimilar to trauma care in a combat environment. TCCC and CLS are an attempt to better prepare medical and non-medical personnel for the unique factors associated with combat trauma casualties. b. Historical data shows that 90% of combat wound fatalities die on the battlefield before reaching a military treatment facility. This fact illustrates the importance of first responder care at the point of injury. c. TCCC was originally a US Special Operations research project which was composed of trauma management guidelines focusing on casualty care at the point of injury. d. TCCC guidelines are currently used throughout the US Military and various allied countries. e. TCCC guidelines were first introduced in 1996 for use by Special Operations corpsmen, medics, and pararescue (PJs). f. The TCCC guidelines are currently endorsed by the American College of Surgeons, Committee on Trauma and the National Association of Emergency Medical Technicians. The guidelines have been incorporated into the Prehospital Trauma Life Support (PHTLS) text since the 4th edition. STUDENT CURRICULUM: Tactical Combat Casualty Care/CLS Overview Identify Medical Fundamentals Manage Hemorrhage Maintain Casualty Airway Manage Penetrating Chest Injuries Manage Hemorrhagic Shock Manage Burn Casualties Perform Splinting Techniques Administer Battlefield Medications Perform Casualty Movement Perform Combat Lifesaver Triage Perform Combat Lifesaver Care

The most comprehensive resource of its kind, Ciottone's Disaster Medicine, 2nd Edition, thoroughly covers isolated domestic events as well as global disasters and humanitarian crises. Dr. Gregory Ciottone and more than 200 worldwide authorities share their knowledge and expertise on the preparation, assessment, and management of both natural and man-made disasters, including terrorist attacks and the threat of biological warfare. Part 1 offers an A-to-Z resource for every aspect of disaster medicine and management, while Part 2 features an exhaustive compilation of every conceivable disaster event, organized to facilitate quick reference in a real-time setting. Quickly grasp key concepts, including identification of risks, organizational preparedness, equipment planning, disaster education and training, and more advanced concepts such as disaster risk reduction, tactical EMS, hazard vulnerability analysis, impact of disaster on children, and more. Understand the chemical and biologic weapons known to exist today, as well as how to best manage possible future events and scenarios for which there is no precedent. Be prepared for man-made disasters with new sections that include Topics Unique to Terrorist Events and High-Threat Disaster Response and Operational Medicine (covering tactical and military medicine). Get a concise overview of lessons learned by the responders to recent disasters such as the earthquake in Haiti, Hurricane Sandy, the 2014 Ebola outbreak, and active shooter events like Sandy Hook, CT and Aurora, CO. Learn about the latest technologies such as the use of social media in disaster response and mobile disaster applications. Ensure that everyone on your team is up-to-date with timely topics, thanks to new chapters on disaster nursing, crisis leadership, medical simulation in disaster preparedness, disaster and climate change, and the role of non-governmental agencies (NGOs) in disaster response - a critical topic for those responding to humanitarian needs overseas. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.

The Oxford Manual of Major Incident Management brings together and integrates the key facts for all those involved in major incident planning and response. This will be an invaluable resource for a wide range of professionals, from doctors across emergency medicine, public health, general practice, pre-hospital care, and communicable disease control, to nurses, emergency services, administrators and planners. Transport, industrial, and natural disasters have always necessitated a coordinated interagency, multi-professional response, and with the rising threat in terrorist incidents, that need has never been greater. The information base required to plan for and manage this response has now been collected together into a single user friendly volume, clearly describing the hazards and their management at all stages. This manual will be useful in planning for all types of major incident, acting as the basis for training, and as an aide-memoir during an event. Authoritative, comprehensive, and concise, this quick-reference guide will be of use to both established experts and to novices in the field.