CFD QUARTERLY Newsletter Q2 2019
"We deceive ourselves when we fancy that only weakness needs support. Strength needs it far more." - Madam Swetchin
Table of Contents Cover ......................................... 1 EMS ............................................ 2 Training ..................................... 3 Operations ............................. 4-7 Logistics ..................................... 8 Good News/Events ............ 9-10
Newsletter
Spotlight!
Chief's Message
Resource Tip
I’ve completed 95% of the scheduled station visits
If Operations needs help or follow-up
and should finish the remaining visits soon. I
from Prevention, send an email
appreciate all of the feedback that I received and
to fire.prevention@chandleraz.gov
am extremely impressed with the passion that so
(instead of directly to staff) so that the
many of you show towards our organization. We
request can be addressed faster.
are very fortunate to have a dedicated workforce
--Fire Marshal, Cina Kauble
who take pride in their profession. Thank you for everything you do! --TD
Welcome Fire Inspector Nicholas Alonzo!
SPOTTED! CFD employees taking advantage of free yoga provided by Member Services. This was a perfect way to de-stress and promote overall wellness! Thank you to everyone who attended! 1
EMS DIVISION
2nd Quarter in Review
PARAMEDIC TESTING! WHO'S IN? All those interested in taking the next medic test, it's time to start hitting the books and getting ready. We currently have 35 who have said they are in. Books are available for check out at the FTC. The components of the test will consist of a 150 question written test, math, charting, interview and med/trauma assessment. The written portion will be in February of 2020. We are looking forward to seeing who will be part of medic class 20 – 01!
Be All End Tidal- Waveform capnography represents the amount of carbon dioxide (CO2) in
No More Switching Out Ice Packs MediRedi refrigerated cabinets are in and soon to be installed on all
exhaled air, which assesses ventilation. It consists of
apparatus. These cabinets offer security and the ability to ensure our
a number and a graph. The number is capnometry,
drugs are stored at a proper temperature.
which is the partial pressure of CO2 detected at the end of exhalation. This is end-tidal CO2 (ETCO2)
On the Horizon, Handtevy
which is normally 35-45 mm HG.
What is Handtevy?
Prehospital Uses: ETT placement confirmation/integrity, respiratory distress, DKA, sepsis, trauma, overdoses, and sedation.
Treating the emergent pediatric patient is difficult and time sensitive for even the most advanced healthcare providers. The Handtevy Pediatric System is the leading software solution designed to give clinical teams rapid access to lifesaving dosing information while documenting in real time. Integration with leading EHRs allows clinicians to perform real-time verification for high acuity medications, ensure accurate code room documentation, and facilitate downstream notification to clinical teams. Handtevy: https://www.handtevy.com/
EMS Factoid How many codes did your apparatus run last year?
The Assistance to Firefighters
AirTraq Video Laryngoscopes- Our training on
E283 = 41
L288 = 23
Grant (AFG) awards are rolling out
the Airtraq Video Laryngoscopes has concluded and
E282 = 34
E281 = 22
the end of this month and first of
all units have been assigned the camera with blades.
E288 = 34
We are the second department in the valley to adopt
E284 = 32
this technology. Thank you for your hard work in learning a new tool. We are off to a great start in field intubations numbers with the AirTraqs.
L289 = 31 E286 = 25 E285 = 24
E2810 = 18 E287 = 16 E2811 = 12 E2840 = 11
August. We submitted for 17 Lucas-3 mechanical compressors we hope to incorporate into Q3 training. Keep your fingers crossed!
2
TRAINING DIVISION
2nd Quarter Overview
Most recently, on the 4th of July, the crew of E281B stated they used it in conjunction with another line to rapidly improve conditions, change strategy, and allow the crew to make entry for a search on a working fire assignment. A big thank you to all crews for your hard work in training!
2nd quarter fire training went well. We saw great work by crews with the 2.5" line and received a lot of positive feedback after the training. This hose line is a valuable addition to our toolbox. Since we have started training with it, we have seen crews utilize it online with positive results.
3rd Quarter
fire training starts July
11th. Please remember it will be held at the Mesa Public Safety Training Center, just South of Greenfield Rd. and the Red Mountain 202. The morning session start times are at 9am to allow crews plenty of time to get to the facility. Mesa Fire is letting us use the Code 2 Course on their driving tarmac, after we transition from the classroom. It will be hot, and the course has no shade, so please wear sunscreen and ensure your apparatus coolers are topped off with water.
3
OPS DIVISION
The Death of the 90th Percentile Although the 90th percentile continues to be the NFPA standard that we will use administratively, we have decided to shift the way we analyze turn-out times for our Captains use. It is our hope and intent that we can give you better measurement tools that can be a little more useful, something you can actually use for performance management of your crew. After the last quarterly response times report was released, we heard from a Captain who wanted to evaluate the data on his crew’s turn-out times (1:08 90th percentile). Here is a bullet point summary of what a quick evaluation of his call data revealed: 1. They made the 60-second turnout time goal 42 out of 59 calls. (71% of the time) 2. The longest 2 turnout times (calls 58 & 59 in the graph above, shown in red) were run by a different Captain who was there on an overtime shift. 3. A review of the remaining 15 turnout times that were longer than 60 seconds showed two things: a. First – They were all consistently just above the 60-second goal (most were between 3 and 10 seconds above). b. Second – 10 of the 15 calls were between 10pm and 6am (shown in yellow). My desire would be for this Captain to take a look at the information provided and then figure out where to focus his/her efforts. In this case the data reveals that the crew really just needs to shave off a few seconds on night time calls. As shown in the response time reports in this newsletter, ongoing quarterly reports will focus solely on the percent of time each crew is meeting the turn-out time goals (no more 90th percentile). If you want to dig deeper into your data, let me know and I will be happy to walk you through it. Thanks!--
4
OPS DIVISION
16 KEY PHRASES OFTEN HEARD BEFORE A MAYDAY 1. We have zero-visibility conditions. 2. We have fire above our heads. 3. We have fire below us. 4. We need more line to reach the fire; extend our line. 5. We have not found the seat of the fire. 6. We are running out of air (or indicators of low-air alarm). 7. This is a hoarder structure. 8. We have had a flashover. 9. We have had a ceiling/roof collapse. 10. We have lost multiple windows. 11. It’s really getting hot in here; we are backing out. 12. Our exit has been blocked. 13. Interior; we are sending a firefighter out with a problem. 14. We have a hole in the floor or we have had floor collapse. 15. Command has lost communications with multiple crews. 16. We have a lot of sprinkler heads going off in here. 5
OPS DIVISION
What is "TEMS"? SWAT = Special Weapons and Tactics
TEMS = Tactical Emergency Medical Support
According to the Chandler Police Department, their SWAT unit is utilized “in instances when other-than-standard police procedures, equipment, and weapons are required.” The Chandler Fire Department has a TEMS team that is an integral part of this unit, providing medical care and support of the SWAT team members and the public during high-risk law enforcement operations. They focus on treating massive hemorrhage, rapid positional airway management, and moving patients to areas of increased relative safety through three treatment phases: Direct Threat Care (DTC) Indirect Threat Care Evacuation Care The current TEMS team is made up of six CFD Paramedics: Kent Keller, Pete Waz, Casey Lopez, Aaron Wilson, Billy Evans, and Allen Blaine. Although the team sees very little turn-over, we just conducted a testing process to replace Captain Pete Waz (resigning from the team this year) and Captain Kent Keller (resigning from the team next year). With a combined 30+ years of SWAT Medic experience, a robust testing process was designed to identify the two new team members.
Chief Kemp and I (Val) were able to observe the practical scenario of the test,
SWAT TEST
which included a simulated SWAT team deployment with multiple victims, including civilians and police officers. The practical scenario focused on the candidate’s ability to execute triage techniques, utilize resources, and make triage versus extrication decisions, all while being subjected to stimulus (flash bangs and gun fire). Through the process, several qualified candidates were identified, with RJ Rush and Niko Countouriotis being selected to fill the upcoming vacancies, respectively. These two will be required to successfully complete SWAT school and an approved handgun use and carry course, including qualifying with the handgun, before being given the green light to operate as TEMS medics. Congratulations to RJ and Niko and the team!
6
OPS DIVISION
SWAT TIDBITS A 2014 study of 1,042 tactical operations demonstrated that 67% of total patient encounters by tactical medical teams were attributed to treating members of the law enforcement tactical team. (Levy MJ, Smith R, Gerold KB, et al. Clinical encounters in tactical medicine: A mission-specific analysis of the Maryland State Police experience. J Spec Oper Med. 2014;14(2)98–104.)
TEMS testing, gunman down (PT#1,) contact with unknown person (PT#2.)
This has proven true in Chandler as our TEMS medics have treated several critically injured Chandler Police Officers, as well as civilians and suspects. The Chandler SWAT Medic program was officially started in 1995 with originating team members: Mark Essary, Bill Evans, Jeff Clark, and Roger Vigil. Other members who have served on the team: Seth Bacon, Jeff Brennan, Mark Boulanger, Darrell Gibbons, Brian Solliday, Dwayne Stearman, and Keith Welch.
TEMS Medic Candidate assessing gunshot victim.
The CFD TEMS team and its members have received several commendations for their actions in the execution of their duties including: Medal of Valor, Medal of Honor, Paramedic of the Year, Individual Commendations, and Unit Citation. In 2005 the Chandler Police Department awarded the TEMS team a Unit Citation. This was the first nonChandler Police Department unit ever recognized in this manner. 7
LOGISTICS DIVISION
TRUCKS
Kevin's Korner
IN SERVICE E281
Logistics is installing the remaining Medi Redi refrigerated drug boxes when units come in for P.M.
In service as of July 8th, 2019.
The Maintenance Repair Request form is now in CFD
E284
info in the Forms folder (FD#601) in a fillable format
You can expect to see E284 around
and sent electronically to mechanic staff instead of
Chandler sometime in August 2019.
"Snail Mail." Please include Kevin Gale on these emails.
This truck was showcased at the 2019 Arizona's Fire Chief Conference!
"Please check all battery powered equipment at least weekly to prevent damage from leaking batteries" "Code 3 driving maximum speed 10 MPH over the REMINDERS
posted speed limit"
U283 In service as of June 17, 2019.
Ladder Production Overview
The ladder pictured shows the in-process photos of the platforms. The bodies are on and they are waiting for the pump installation and final electrical work. The mid build inspection is scheduled for the week of August 5th at Rosenbauer in Minnesota.
8
GOOD NEWS DIVISION
PROMOTIONS Congratulations!
"I want to share my story in hopes that it will motivate people to take the time to schedule regular checkups with their doctor(s) and become proactive in their healthcare." - Engineer Jason Underwood.
Captain George Pastore Engineer Jason Stowe Click to read Jason's Story!
WELLNESS SPOTLIGHT
https://cernwelldata.s3.amazonaws.com/pl/COC/201907 011140530560/Wellness_Spotlight_Jason_Underwood.pdf
There's Still time to RSVP!
Engineer Marc Sepulveda
RETIREMENT
Annual Awards Banquet
Volunteers Paul (left) & Norm (right) taking a break from installing Smoke Detectors to take a photo. Thank you to all of our volunteers for your time & support!
Join us Saturday, August 24, 2019, as we celebrate YOU & your peers! Golf Information 0930 - $36 per player Banquet After the Banquet 2000 - Sasha's Kitchen 81 W Boston St 9
GOOD NEWS 2nd Quarter Events Water Safety Walk Camp Courage Operation Back to School
Camp Courage
Verano Sano
Social Media
DIVISION
#MostViewedVideo https://www.facebook.com/ChandlerFire/ videos/2491588264198898/
#MostLikes
https://www.instagram.com/p/ByRIlD5nuZQ/? utm_source=ig_web_copy_link
Every June, 75-100 burn survivors from ages 6-21 gather at Camp Courage in Prescott, AZ. There are close to 100 firefighters, nurses, and doctors from across the state that volunteer their time as counselors, activity coordinators, and other staff positions. Camp Courage is a week-long summer camp put on by the Arizona Burn Foundation that allows campers to be engaged in various outdoor activities such as horseback riding, rock climbing, camping, etc. Each activity allows the camper to gain confidence in themselves, overcome a fear, build trust, or show them that it’s ok to ask for help to complete a task. Older campers 16-21, go through a Leaders In Training program (Above) FF Klein and FF that helps them transition from camper to counselor as well as life skills Corken in a water fight on that will help them gain confidence for the “job world.” Firefighter Day.
Second from left is Dion Jordan who was burned on his legs siphoning gas with a vacuum cleaner in Chandler. He was 3rd overall pick in 2013 NFL, and came to camp for two days to share his story.
(Right) Pictured from left to right is Engineer Goswick, FF Klein, FF Corken, and Deputy Chief Glass (Tempe Fire) having some fun!
This year there was an overnight campout at Lynx Lake for the older campers with a corn hole tournament. CFC sponsored that night providing dinner and breakfast the next morning. Chandler Fire and Camp Courage have a long history with several members volunteering as counselors/staff over the years. This year Jared Klein and Coner Corken came up on Friday to represent CFD for firefighter day and had a blast. They improvised and made a water event that the kids loved. If you are interested in becoming a volunteer at Camp Courage, please let me know. --CFC President, Engineer Chad Goswick
10