LSMFD Manual

Official Firefighter-Paramedic guide

The Introduction

Medical call- 1 employee at least. BLS Ambulance+Firetruck or ALS BC Rancher
Fire safety inspection or community meeting- 1 employee. Batallion Chief Rancher
Car accident - 2 employees at least. Firetruck and Ambulance.
Structure fire- 3 employees at least. Two Fire trucks and Batallion Chief Rancher

Ranks
Fire Chief (ALS skills)
- Invites and uninvites new members
- Interviews accepted candidates
- Promotes and demotes represantives
- Organizes Staff meetings
- Controls LSMFD
- Uses ALS, can use BLS or First Aid skills too.
* Chief Training Officer
Deputy Chief (ALS skills)
- Accepts/Denies applications
- Is responsible for staff training
- Monitors the service and reports to Fire Chief
- Helps to control LSMFD
- Runs Medical School (Trains surgeons)
- Uses ALS, can use BLS or First Aid skills too.
* Senior Training Officer
Surgeon Firefighter (ALS skills)
- Performs difficult surgeries with assistance of Doctor Firefighter
- Ensures high disciplinine level within a team
- Helps to run Medical School (Trains doctors)
- Ensures the safety of hospital
- Uses ALS, can use BLS or First Aid skills too.
* Junior Training Officer
* Head of Security
Doctor Firefighter (ALS skills)
- Performs easy surgeries with(out) assistance of Surgeon Firefighter
- Gives medicine to patients
- Ensures the safety of hospital
- Uses ALS, can use BLS or First Aid skills too.
* Trainee Training Officer
* Security Guard
Firefighter- paramedic (BLS skills)
- Responds to all medical/fire related calls and helps lower ranked members
- Is responsible for FF-E's, if they start to patrol alone, not asking for permission, he'll be first person who could complain it to higher-ranked represantives
- Uses BLS, can use First Aid skills too.
Firefighter- engineer (First Aid skills)
- Responds to all medical/fire related calls and awaits for higher ranked co-workers
- Is being trained and cannot patrol alone, he must stay with Firefighter-paramedic+, also must ask for permission (Code 3) over the radio
- Uses only First Aid skills.
(( If no-one else are online, FF-E shouldn't RP giving BLS or ALS, while he not trained for it. It's just non-realistic))

First Aid techniques
CPR
* A for airway
* B for breathing
* C for circulation

CPR follows the following rule, 30 heart-massages to 2 ventilations, 5 times, in two minutes. This
means 30 massages, ventilate twice, 30 massages, ventilate twice, 30 massages, ventilates
twice, 30 massages, ventilate twice, 30 massages, ventilate twice. Between cycles, check rhythm
if available, and shock if the rhythm is shockable. Check pulse. If after this there is still no pulse,
onwards with another cycle. Continue this until patient’s heart rate recovers and returns to
normal or until you deem fit that no more can be done to save the patient.
In infants, it is extremely important only to apply pressure with two fingers, so as to reduce stress on the
baby’s underdeveloped rib cage. In younger children, it is advisable to use only one hand.

Burns
1) Check if the casualty is responding as mentioned in the previous chapters, if they are
not, go to unconscious casualty procedures immediately.
2) Immediacy make attempts to soothe the burn location, even after exposure, the tissue
will continue to burn. Use burn-gel or cool running water.
3) Cover the wound with a polystyrene dressing, or a sterile gauze coated in petroleum
jelly (Never use a plain gauze, this will complicate the removal of the dressing)
4) Administer IV RL solution to the casualty. Be sure to check for signs of shock.

Some none-trauma emergency situations
Anaphylaxis: An allergic reaction to a substance – signs and symptoms include contact
dermatitis, itching, nausea and respiratory distress. Give antihistamines and a 10mg
Epinephrine booster.
Heart Attack: Cardiovascular distress. Signs and symptoms include anemia, chronic chest pain,
respiratory distress and loss of perception. Treat with diffibrilation or medication depending on
the nature of the distress.

Basic Life Support Techniques
Breaks
1) Check if the casualty is responding as mentioned in the previous chapters, if they are
not, go to unconscious casualty procedures immediately.
2) If the fracture is Compound (Bone protruding) immediately treat the bleeding first.
3) Put the fracture in traction with either a rigid or inflatable splint.
4) Administer pain medication.

Bleeding
1) Check if the casualty is responding as mentioned in the previous chapters, if they are
not, go to unconscious casualty procedures immediately.
2) Apply immediate pressure to the wound itself. Use sterile gauze to prevent infection.
3) In the case of the wound being in an extremity, apply a tourniquet ABOVE the wound. If
no tourniquet is evadible apply pressure to the proximal blood vessels of the extremity
(For example, if the wound is to the thigh, apply pressure to the femoral artery near the
groin).
4) Bandage the wound.
5) Once you’re sure bleeding is controlled, give them IV Fluids to raise blood-pressure.

Advanced Life Support Techniques

Gunshot Wounds
1) Check if the casualty is responding as mentioned in the previous chapters, if they are
not, go to unconscious casualty procedures immediately.
2) Treat the wound in the same way as you would for a bleed wound, but take into
account gunshot wounds often have an exit zone as well. Apply pressure to this first, as
there is likely to be more extreme trauma due to the posterior position of the wound.
3) Be sure to check for signs of internal bleeding, and report to the HPS if you suspect it
may be an issue

Head Trauma
1) Check if the casualty is responding as mentioned in the previous chapters, if they are
not, go to unconscious casualty procedures immediately.
2) Check the casualty’s reflexes. The simplest way to do this is to use a penlight to check
how the pupils dilate. If there is a decent response to the light, and the casualty is
reasonably awake and aware, move on in precedence.
3) Assuming the pupils do not respond, we assume the casualty is concussed. Keep the
casualty still and insure their comfort and security. Have them immediately transported
to the Hospital – give them IV fluids.
Note: Even if the casualty is showing signs of massive head trauma (e.g bleeding from the ears)
nothing can be done on-scene due to the lack of scanning equipment.

Radio Codes

10-codes
10-1 All units regroup\meet at - Location.
10-2 Shots fired - location.
10-3 Need assistance\additional unit - Emergency/Non-Emergency -
location.
10-4 or Roger Received and understood.
10-5 Please repeat last message.
10-20 Location.
10-22 Report in person - location (come here/go there).
10-99 Situation concluded - conclusion (e.g Patient recovered).

The Ambulance/ Fire Truck/ BC Rancher Status
Status 1 - Going off duty.
Status 2 - Coming on duty.
Status 3 - Going on a break.
Status 4 + District – Ambulance/Fire Truck On Patrol
Status 5 - Responding without Lights & Sirens.
Status 5e - Responding with lights & sirens. (Emergency)
Status 6 - I am on scene (target location).
Status 7 - patient loaded, responding to Hospital
Status 7e -patient loaded, responding to Hospital with lights & sirens
Status 8 - Arrived on Hospital
Status 9 - Possible bomb in the area.
Status 10- Explosion/fire
The Scenes/Signals:
Signal-0 Disturbing Element, requiring Police on Scene.
Signal-01 Police requires (Non Emergency) assistances
Signal-02 Station check
Signal-05 Non-injury accident
Signal-06 Auto accident - injury
Signal-08 Homicide Attempt/ Gunshotwounds
Signal-09 Officer shot
Signal-12 Booked transfer
Signal-16 Head injury
Signal-18 Alcohol problem
Signal-19 Problem unknown (e.g. Arson)

Firefighting Guide

Vehicles

Fire Truck C120: For regular 911 calls
# Seating for four
# Cabin with 4 SCBA gears
# 2 Water 1500gpm Pumps ( movable )
# 1000 Gallon Tank of water and 1000 Gallon Tank of Foam
# Tank pressure and flow panel
# Front Intake
# Deck Gun
# 3 Hoses with length of 50 3 with and 100 feet
# 3 Main outtake ports at pump panel and 3 extra outtake ports at other side
# Full equipment of Fire tools
# First Aid kit
# 2 Ground Ladders with length of 15 meters
# Red and yellow Strobe Light Bar
# Federal Q2B Siren
Ambulance RU-25:
# Seating for four
# Basic Life Support kit
# Mounted stretcher for 7e
# Red White beacon light
# Federal Q2B Siren
Batallion Chief Rancher: Assistant first responder, for high staff patrol and inspection, for transport to meetings
# Seating for four
# Main fire fighting equipment
# 1 SCBA gear
# mounted stretcher for 7e
# Advanced Life Support kit
# Blue beacon light
# Federal Q2B Siren

Gear

*All [FF] have regular duty clothes: pants with suspenders, blue shirt, coat, boots, gloves, helmet, goggles
*breathing apparatus [BA] team uses self containing breathing apparatus [SCBA] which includes: Oxygen tank with 40 minutes long oxygen reserve, protective gas mask, visors, fire hood

Equipment

Personal equipment: swiss knife, scissors, tape, flashlight, radio, beeper, whistle
Equipment is stored in firetruck:
hoses: To reach in buildings and to extinguish outside fire using pumps
hose bridge: To prevent hoses from being stomped
personal line: To attach with other firefighters and don't loose each other in flaming building
Jaws of life: Jaws to tweak and pinch. Used, mostly in easy fold metal. Like cars, metal bars, slim metal doors etc..
Chainsaw: To cut through woods. like Doors, trees, slim walls etc...
Cut-off saw: To cut through slim metal
Axe: To chop obstacles like doors, walls
Hammer: Mainly to break windows
Pick pole: To check ashes for fire and hot cols and to check strength of walls floor etc..
Portable Gas powder blower: To clean air from smoke and gas
Hooligan bar: To break locks, remove attached components, guide in [RIT] operation
Extinguishers: 4 Types of extinguishers to extinguish fire
Fire trampoline: To save people from burning buildings and to save suicidal jumpers.

Fire types

1. Class A: Paper,wood, domestic waste, clothes, plastic
Fight with water or dry chemicals
2. Class B:flammable liquids, petroleum, paint, flammable gases
with fight carbon dioxide foam,dry chemicals, DO NOT USE WATER
3. Class C: Electricity and electric equipments
with fight carbon dioxide foam,dry chemicals, DO NOT USE WATER
4. Class D: Combustible metal such as aluminum, magnesium, sodium
Use dry powder

Extinguishers

Dry powder Simple to operate with seize and squeeze operation, a powder extinguisher specially designed for metal fires (class D). This unit is complete with low velocity applicator to concentrate the discharge.

Carbon Dioxide ( CO2 ) : Carbon Dioxide is a time proven clean agent. Non conductive CO2 is particulary effective in confined areas, where there is a risk from flammable liquids, being non-toxic and leaving no residue CO2 will not harm food, fabrics, machinery or electrical equipment.

Foam: Simple to operate with seize & squeeze operation, spray foam extinguishers are ideal for use against class A & B fires. Highly effective against petrol and volatile liquids, forming a flame smothering seal over the surface and hence also preventing re-ignition, ideal for multi risk usage in areas such as workshops and garages.

Wet Chemicals Simple to operate with seize & squeeze operation, wet chemical fire extinguishers are a new innovation in the fire industry. Cooking appliances are the biggest single source of accidental fire in the workplace, with this in mind the wet chemical solution, the most effective means of extinguishing fires involving deep fat friers. The solution cools and emulsifies when applied to burning fats and oils. This seals the surface and prevents re-ignition of the fire. Wet chemical extinguishers also have A class fire rating.

Water: Good, easy to use for houses and office buildings, used for A class fires

The Structure
Departments
- Fire Department
- Search and Rescue Department

Units
- Emergency Medical Response
- Public Relationships
- Fire Prevention

Credits to:
Maximo_Ferrer
Marty_Sweet
Jimmy_Jackcon