By Robert C. Owens, Sr.
The major challenge in managing cardiac arrest in afirefighter在Firedround上不仅是环境，而且是设备 - 个人防护装备（PPE）和自给式呼吸器（SCBA） - 那是消防员的磨损。生存链中的前两个链接正在早期访问和早期的CPR。Firedround环境和消防员设备可以迅速删除或访问消防员，快速去除妨碍CPR的PPE和SCBA来构成重要的障碍。
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The modern fire environment produces fires with higher heat release rates, resulting in higher interior temperatures. Firefighters exposed to these temperatures experience superheating of their PPE and SCBA. Think about the last time you participated in a live burn or went inside a flashover simulator. You were probably instructed to let your PPE off-gas prior to removing it in order to prevent burns. Typically, firefighters are instructed not to remove their firefighting gloves during this cooling period to prevent burns to their hands. Think about a firefighter inside an actively burning structure who collapses because of a cardiac event, illness, or injury. Imagine the amount of heat his PPE and SCBA are absorbing, especially the metal portions. If rapid intervention teams or EMS providers attempt to remove this PPE with bare hands or patient care gloves, they could quickly become burn patients themselves!
您如何快速去除超级加热的PPE和SCBA，同时仍保持患者护理所需的热保护和身体物质隔离？
The Layering Technique
Note first and foremost hat this technique is NOT for interior operations. It is for exterior rescue team members who will take over patient care of a downed firefighter once he or she is removed from the fire occupancy.
Exterior EMS or dedicated firefighter patient care teams, once assigned will don their EMS patient care gloves.
Then over top of their patient care gloves they will donstructural firefightinggloves.
如果发生救援事件，该技术允许外部救援人员快速去除超加热的PPE和SCBA，同时保持自己的热保护;它还提供患者护理期间的体质隔离。一旦PPE被移除并且烧伤损伤的风险减少，结构188金博网网址多少gloves can be removed and normalEMSgloves remain in place to reduce transition time. While “layered up,” hands-only CPR and other patient care functions requiring limited dexterity can still be performed (CPR, bag valve mask, BLS airway, etc.)
Again, this is not for interior use, and I strongly discourage layering prior to entering a fire building. This is purely for exterior firefighter patient care, specifically the removal of superheated PPE and SCBA so that patient care can be started. Although we focus on the cardiac arrest in this article, this technique should be used for any downed firefighter treatment no matter the etiology, if the firefighter was removed from a fire building. This ensures that no rescuer will be burned.
If your fire department provides EMS response to your fires, then this is a simple solution. However, does your third-service EMS agency have access to structural firefighting gloves? Make sure whoever is treating your firefighters has the equipment to do it properly. Lives do, in fact, depend on it.
ROBERT C. OWENS SR。是一家发动机公司中尉与Henrico County（VA）火灾分工。他与Mechanicsville（VA）志愿者消防部门的消防职业生涯开始。他以前担任弗吉尼亚州斯塔福德县的职业消防队员。他是弗吉尼亚州消防部门认证的教练2和消防官员4级和EMS弗吉尼亚办事处的大规模伤亡事件管理讲师。他在哥伦比亚南方大学拥有BS学位。
