FD-CPR: 10-step Training Video
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- Опубліковано 8 вер 2024
- When the unthinkable happens, and a firefighter collapses on an emergency scene, we need to be prepared to provide the highest level of care possible. We know that good neurological outcomes can be had in out of hospital cardiac arrest provided high quality chest compressions are initiated early. Unfortunately, the resuscitation of a downed firefighter presents a special concern: they're in full turn out gear with an SCBA!
In essence we have an access issue. Before we can initiate chest compressions we must extricate the fallen firefighter from their gear. Undirected attempts at removal of turnout gear is time consuming and chaotic. Therefore, we have developed a simple technique to doff the gear from an unresponsive firefighter which requires minimal training and no additional equipment.
We are simply calling it Firefighter Down-CPR (FD-CPR).
This video demonstrates our 10-step process for FD-CPR.
We are constantly modifying and improving the technique so that we can protect our own better. Please leave us feedback. This project is a collaboration for the brotherhood of firefighters.
Learn more at www.fd-cpr.com
We just did this training at our dept and if this ever happened in that unfortunate event, this would be the best way to get them out of their turnout and SCBA. My group did it our way and finished in 1 min and 7 sec, with this method we went down to 44 seconds of uninterrupted CPR. Great training. The question we had was how do we determine if they are having a cardiac event or just passed out, yes we could hear for their breathing in the SCBA mask but if your on a active fireground then that may be difficult at times. Non the less, this was great training!!
I pray we never have to use this technique but thank you for the knowledge . I will be sharing and teaching this video
Impressive system Mike. Well thought out and extremely useful. Hope to have it introduced in our area....
I saw your video and since then have trained 2 out of the 3 shifts so far. Great job. Can happen to any of us.
Scary thought, AED goes off. But this is a awesome video! I will see if we can get some training done using this method.
Great vid, awesome technique! Definitely something that could happen on the fire ground so good on you guys for developing this method!
Awesome knowledge
Good job!!!, Congratulations!!!
Awesome stuff, guys! Very impressive system you came up with.
sick
How do you make sure in a first instance, with all the equipment on, that CPR maneuver should be started?
That is a great question - one that has been asked by many.
If a firefighter is unresponsive and not breathing or not breathing normally, assume they are in cardiac arrest and begin resuscitation starting with chest compressions.
Our advice, based on the best available evidence and the AHA guidelines, is that the FD-CPR technique is a special means of extrication and as such will necessitate some deviation from the standard algorithms. Thankfully this is only for a short duration, perhaps 30-45 seconds. Once the firefighter is successfully doffed, the usual resuscitation bundle can begin with a pulse check if that is common in your area, and continue with 30:2 C.A.B. ordering, or 10:1 with upstroke ventilation, or continuous compressions manually, or even via mechanical devices.
The FD-CPR process is the missing link in the rescue of a downed firefighter. It serves as a bridge from hot zone extrication by a rapid intervention team to medical attention without further compromising no-flow time in a potential cardiac arrest.
The initial assessment of a downed firefighter will be by the firefighters that find and perform the extrication from the hot zone. The RIT or FAST members will establish if the FF is responsive in any form. Breathing can be assessed through the regulator; however, pulse checks are usually not performed in extreme environments. Not only will it be difficult to palpate a pulse point in a firefighter with full PPE, the rescuer would have to remove their gloves to perform this task. Something that we would not recommend in a hazardous environment.
In the case of an unresponsive firefighter, we feel the likelihood of cardiac arrest is high if any of the following are true:
-Rescuers witnessed a sudden collapse of a firefighter
-No audible breathing through the SCBA can be heard
-The air alarm is ringing
-The air gauge is empty
-The facemask was removed in a toxic environment
The evidence available shows that CPR is unlikely to cause harm to a victim who happens to be only deeply unresponsive. In support of this guideance are a few studies of healthcare providers of all levels (EMT through MD) that found pulse checks only a bit more accurate than a coin toss; thus, if there is any doubt it is best to begin CPR.
In these situation, we believe that delaying chest compressions is of greater consequence than performing CPR on someone with a pulse.
Similar practices are performed nationwide with dispatch-directed CPR for laypersons. Two of the most common Emergency Medical Dispatch questions upon receiving a 911 call are:
-Is the patient conscious?
-Is he/she breathing normally?
If the caller advises that they are unresponsive and not breathing, not breathing normally or gasping, the pre-arrival instructions are to perform chest compressions until trained providers arrives.
If the firefighter is not thought to be in cardiac arrest, instead of compressions the second rescuer will work to remove the firefighter quickly with rescuers 3 and 4. In our conversation with other departments, many have adopted this technique to help them remove any unresponsive / semi-conscious firefighters from their gear (such as during rehab or other areas).
Thanks again for the question!
Unfortunately for this firefighter he was simply having a diabetic emergency
Ch rtnlis
Im 14 and im certified in cpr....put some respek on my name sir