Upon receiving alarm, response to scene is designated by priority given by dispatch. For an alpha response the first ambulance will respond emergent and all other units non emergent. Bravo response will have both ambulances emergent and first engine emergent. For any accident with higher priority than bravo response all vehicles will respond emergent. (Unless otherwise directed)
First out unit for all accidents will be an ambulance. Second unit out will be an engine. Third unit out will be a second ambulance. (Unless otherwise directed by an officer)
Use caution upon approaching location of incident.
Initial size up of incident.
Number of vehicles involved.
Types of vehicles (trucks, cars, vans, bus, etc.)
Hazards approaching and around vehicles (wires down, leaning poles, leaking fluids, smoke, etc.).
Location of vehicles (in or out of traffic, rollover or on side)
Apparatus should be positioned to shield fire department personnel from approaching traffic, also to best approach affected vehicles for extrication. The recommended placement for apparatus would be the ambulance to the front of the accident and the engine blocking/shielding all emergency personnel at the scene.
Incident command shall be enacted by first arriving unit. All incoming units shall contact command on the operating frequency (tac 1 for most incidents) for an assignment.
Determine scene safety and complete initial size up (enough resources, haz-mat, etc). First arriving unit on scene will complete an inner and outer circle, marking the area with traffic cones. While the circles are being performed the interior medic should stage at the front of the vehicle and establish contact with the patient(s).
Stabilization of vehicle or vehicles shall be performed before any rescue personnel enter or work on vehicle.
Once the vehicle is stabilized and the circles have been completed, the Incident Commander shall direct the interior medic to gain access into the vehicle to begin patient care.
Access shall be gained to battery compartment if the Incident Commander deems necessary.
An extinguisher (preferably ABC Dry Chem.) or hose line of a minimum 1 ¾ diameter shall be in place before attempting to disconnect battery.
Negative terminal is disconnected, taking out a 5 inch section.
Patient assessment (# of patients, # of ambulances, etc)
Oil dry shall be used on leaking fluids. (anti-freeze, oils, gasoline, etc.)
Upon determination extrication will be needed, the incident commander will designate a person to act as the extrication leader.
The extrication leader will be responsible for the tactics implemented for the extrication process.
Only personnel that have been trained on the use of the extrication equipment should be operating it during the process.
Safety glasses are the preferred eye protection to be used in addition to PPE.
As with all operations, extrication is a team effort. The extrication team consists of three main teams:
The Extrication Team - Is responsible for the extrication of the victim.
The Hose Team - In the event that extrication operations are required, the incident commander shall appoint a crew member to pull a charged handline of 1 ¾ size.
The EMS Team - Patient care must begin as soon as possible. The EMS team is responsible for not only caring for the patient, but protecting the patient during extrication procedures. All medical treatment and procedures shall be in accordance with the Waukesha County EMS guidelines and the Lisbon Fire Department medical guidelines.
TERMINATION OF COMMAND
Termination of command will be done when all patients are in EMS care and all vehicles involved in the incident are no longer a hazard to public safety and all apparatus are available for the next call.
LISBON FIRE DEPARTMENT
SUBJECT: Grass/Brush fires EFFECTIVE DATE: 02/11/2011
This guideline has been developed to provide the Lisbon Fire Department personnel with a set of guidelines to be followed in the response to grass/brush fire incidents.
Apparatus should respond in the following order:
1. Grass Rig 2681
2. Engine 2662/2663
Utility vehicles 2688 and 2689. (call 2688 and 2689 in service together)
Tender 2695 (if requested by Incident Command)
Only units 2681 and 2689 shall leave the roadways or other hard surface areas unless approved by the officer-in-charge. When pulling 2689 with 2688, do not use overdrive selection on shift indicator.
1. Personnel shall not ride on the back of any apparatus while extinguishing grass/brush fires.
2. All personnel extinguishing grass/brush fires shall wear all protective clothing appropriate to the task they are performing.
3. Grass/brush fires shall be extinguished from up wind and from the burned to the unburned side whenever possible.
The Incident Commander shall conduct an investigation to determine the cause and origin of the fire. If the fire appears to be suspicious in nature, he/she shall activate the fire investigation team and inform the law enforcement agency of jurisdiction.
LISBON FIRE DEPARTMENT
SUBJECT: Hazardous Material Incidents EFFECTIVE DATE: 02/11/2011
This guideline has been developed to provide the Lisbon Fire Department personnel with a set of guidelines to be followed in the response to hazardous material incidents.
Hazardous material incidents encompass a wide variety of potential situations, including fires, spills, transportation accidents, chemical reactions, flammability, radiological hazards, corrosives, explosives, health hazards and combination of factors. This guideline provides a general framework for responding to hazardous material incidents.
Other units requested by Incident Command
FIRST ARRIVING UNIT:
The first arriving officer responding on the first unit will establish command and begin a size-up. The first unit must consciously avoid committing itself to a dangerous situation. When approaching, slow down or stop to assess any visible activity taking place. Evaluate effects of wind, topography and location of the situation.
Command shall advise ALL OTHER UNITS to stage until instructed to take specific action. Units must stage in a safe location; taking in account wind, spill flow, explosion potential and similar factors in any situation.
The objective of the size-up is to identify the nature and severity of the immediate problem and gather sufficient information to formulate a valid action plan (FROM A SAFE DISTANCE). A hazardous materials incident requires a more cautious and deliberate size-up than most fire incidents.
Avoid commitment of companies and personnel to potentially hazardous locations. Proceed with caution in evaluating risks before formulating a plan and keep uncommitted companies at a safe distance.
Identify a hazardous area based on potential danger, taking into account materials involved, time of day, wind and weather conditions, location of the incident and degree of risk to unprotected personnel. Take immediate action to evacuate and/or rescue persons in critical danger, if possible, providing for safety of rescuers.
The major problem in most cases is to identify the type of materials involved in a situation and the hazards presented before formulating a plan of action. Look for labels, markers, and shipping papers, refer to pre-fire plans, and ask personnel at the scene (business management, responsible party, truck drivers, dispatch center). Utilize reference materials carried on the apparatus and have the dispatch center contact other sources for assistance in sizing up the problem (Chemtrec, manufacturers of materials, etc.).
A. Establish and identify an initial command post.
B. Advise dispatch center of type of materials involved, if possible.
C. Request City of Waukesha Haz-mat teams (for level A or B).
D. Establish an evacuation procedure of affected people, if procedure can be performed safely. Keep in radio contact with all evacuation units.
E. Request additional assistance:
1. Law enforcement agencies.
2. Waukesha County Emergency Management Office, 548-7580 or through Sheriff’s Department, 548-7117 pager 449.
Wisconsin Department of Emergency Government,
4. Wisconsin Department of Natural Resources.
5. Chemtrec, 1-800-424-9300.
LISBON FIRE DEPARTMENT
SUBJECT: Carbon Monoxide Alarms EFFECTIVE DATE: 02/11/2011
This guideline was developed to provide the Lisbon Fire Department personnel with a set of guidelines to be followed in response to carbon monoxide (CO) alarm activation incidents.
Carbon monoxide is an odorless, tasteless, colorless gas that is deadly. It is a by-product of a fuel burning process. Many appliances such as furnaces, kitchen stoves, hot water heaters, automobiles, etc. can produce carbon monoxide. When a faulty or unusual condition exists, CO may be vented into areas where people are present.
CO poisoning may be difficult to diagnose. Its symptoms are similar to the flu, which may include headache, nausea, fatigue, and dizzy spells.
The Occupational Safety and Health Administration (OSHA) has established a maximum safest working level for CO at 35 parts per million (PPM) over an 8-hour period in the general workplace. The US Environmental Protection Agency has established that residential levels are not to exceed 9 PPM over an 8-hour average.
Apparatus shall respond in the following order:
1. Engine 2662/2663
2. Ambulance 2653/2652
3. Engine 2662/2663
The first arriving unit shall initiate the Incident Command system. Once Command has been established, the IC or a designee shall interview the caller to determine if EMS is needed.
Emergency medical personnel shall check the caller or any occupant complaining of, or showing, signs/symptoms of CO poisoning.
1. No one is to enter the building until a CO level reading is taken inside the door. The Carbon Monoxide Incident Checklist shall be taken in the building and completed by the investigating crew. In the event there is a downed patient in the residence, the crew will don SCBA’s immediately, enter the residence and remove that person to safety. Under no circumstances will anyone enter the residence unless on SCBA or a CO reading has been taken.
2. An SCBA shall be worn by anyone inside the building if a reading of 25 PPM is obtained at any time throughout the investigation. A minimum of 2 firefighters wearing full protective clothing including SCBA and carrying a portable radio will investigate.
3. If the circumstances in No. 2 exist, a backup crew (minimum of 2 firefighters) must be on the scene prior to further interior operations.
4. Once the crew has entered the building, the on scene CO detector shall be checked (if one is present). Determining the cause of the alarm, i.e. true alarm, low battery indication, poor location of device, etc. (Consult owner’s manual of particular detector if available).
5. Wisconsin Electric Gas Operation shall be notified if any of the following conditions exist:
a. A meter reading above 9 PPM for CO and the presence of natural gas-burning appliances.
b. Anyone has reported symptoms of CO poisoning and natural gas-burning appliances are present.
c. A CO alarm has reached an alarm state and natural gas-burning appliances are present.
d. The natural gas supply has been turned off.
If fossil fuel-burning appliances other than natural gas are present, a heating contractor with the appropriate expertise should be requested to respond and provide assistance in the investigation.
A completed Carbon Monoxide Notice of Findings report form should be left at any building where the presence of CO is suspected.
8. The findings should be explained to the occupants.
A CO release form must be signed by the owner or occupant, attesting to their understanding of the findings and the contents of the release.
LISBON FIRE DEPARTMENT
SUBJECT: Mutual Aid Response EFFECTIVE DATE: 02/11/2011
This guideline has been developed to provide the Lisbon Fire Department personnel with a set of guidelines to be followed for mutual aid responses.
The following apparatus is to respond per the following requests with a full crew aboard.
Ambulance – minimum of 2 EMT’s and a driver. (One of the EMT’s must be a paramedic)
Engine – minimum of 3 certified firefighters and 1 certified driver/operator
Tender – minimum of 1 certified tanker driver
Grass Rig – minimum of 3 certified firefighters
2688/2689 – minimum of 2 certified firefighters
1. Ambulance 2653/2652
1. Engine 2662/2663
1. Engine 2662
2. 2688 & 2689
No other apparatus or manpower shall respond unless authorized to do so by the Fire Chief, or the next highest-ranking officer.