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Friday, November 18, 2011

Boom

Posted by Firefighter/Paramedic at 11:58

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Labels: explosion, fire

Boom

2011-11-18T11:58:00-08:00

Firefighter/Paramedic

explosion|fire|

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Jeremy Tighe, Cause: Trauma
Zachary Whitacre, Cause: Trauma
David M. Flint, Cause: Trauma
Doug Haase, Sr., Cause: Unknown
Walter C. Sumner, Cause: Heart Attack

Terminology

2-PAM (Pralidoxime Chloride): Used in organophosphate poisonings
ABC's: Airway , Breathing and Circulation
ACLS: Advanced Cardiac Life Support
Adenosine: When administered intravenously, it causes transient heart block in the AV node
AED: Automatic External Defibrillator
AEIOU TIPS: medical mnemonic designed to (remind you or jog your memory) of potential reasons why your patient may be unconscious
Agonal Respirations: Irregular breathing pattern just before death occurs
Albuterol: A short-acting β₂-adrenergic receptor agonist used for the relief of bronchospasm
ALOC: Altered Level of Consciousness
ALS: Advanced Life Support
Amiodarone: An antiarrhythmic agent used for various types of tachyarrhythmias
AMLS: Advanced Medical Life Support
AMR: American Medical Response (ALS Unit)
Anaphylaxis: Is an acute multi-system severe allergic reaction.
Angiogram: A medical imaging technique used to visualize the inside, or lumen , of blood vessels and organs of the body, with particular interest in the arteries , veins and the heart chambers
Angioplasty: The technique of mechanically widening a narrowed or obstructed blood vessel
Antecubital (AC): The "elbow pit." Common place for an IV's
Apnea: Suspension of external breathing
ASA (Aspirin): Has an antiplatelet effect by inhibiting the production of thromboxane
Asystole: Absence of cardiac electrical activity. Commonly referred to as flatline.
Atropine: Used in the treatment of bradycardia , asystole and pulseless electrical activity (PEA) in cardiac arrest - also serves as a treatment for poisoning by organophosphate insecticides and nerve gases
Atrovent (Ipratropium): Opens the bronchi, and provides relief in chronic obstructive pulmonary disease and acute asthma
Attack Line: Flexible hose used to bring water from the fire engine to the nozzle.
AutoPulse: Machine made by Zoll that does compressions during CPR.
Avulsion: The removal of all the layers of skin from abrasion
BA (SCBA): Self contained breathing apparatus or simply breathing apparatus
BP: Blood Pressure
Bagging: Breathing for a patient through a BVM
Bariatric: Branch of medicine that deals with the causes, prevention, and treatment of obesity
BC: Battalion Chief
Benadryl (Diphenhydramine): A first generation antihistamine mainly used to treat allergies
Big Sick: Someone seriously sick or about to crump
Biological Death: Death of brain. Irreversible.
Black Cloud: Gets all the good calls
BLEVE: Boiling Liquid Expanding Vapor Explosion
Blood Pressure (BP): The pressure exerted by circulating blood upon the walls of blood vessels
Blood Sugar: Glucose levels in the blood , sometimes called checking a sugar
BLS: Basic Life Support
Booster Line: A rubber-covered, thick-walled, flexible hose used to fight small fires.
Bradycardia: Slow heart rate
Breathing treatment: Albuterol (and sometimes Atrovent ) administered by nebulizer with oxygen
BRT: Big Red Truck
Burns: A type of injury to flesh caused by heat , electricity , chemicals , light , radiation or friction
● First Degree: Epidermis is burned
● Second Degree: Extends into the dermis
● Third Degree: Extends through entire dermis
● Fourth Degree: Extends through skin, subcutaneous tissue and into underlying muscle and bone
BVM: Bag Valve Mask
C-Spine: Patients are immobilized at the scene of the injury until it is clear that there is no damage to the spine
CABG, Coronary Artery Bypass Graft (pronounced cabbage) surgery: A surgical procedure performed to relieve angina and reduce the risk of death from coronary artery disease
Calcium Chloride: Can be injected as IV therapy for the treatment of hypocalcaemia , hyperkalemia, and Calcium Channel Blocker toxicity
Capnography: The monitoring of the concentration or partial pressure of carbon dioxide (CO₂) in the respiratory gases.
Charcoal: Used to treat poisonings and overdoses following oral ingestion
CHF: Congestive Heart Failure
Circular saw (K-12): A machine using a toothed metal cutting disc or blade.
CISD: Critical Incident Stress Debriefing
CNA (Certified Nursing Assistant): Persons who assists individuals with healthcare needs
CODE 3: Mode of response for an emergency vehicle responding to a call. Commonly used to mean "use lights and siren."
COPD: Chronic obstructive pulmonary disease
CPAP: Continuous Positive Airway Pressure, machine used for the treatment of congestive heart failure and acute exacerbation of obstructive airway disease , most notably exacerbations of COPD and asthma
Crepitus: Term to describe the grating, crackling or popping sounds associated with broken bones
Cross Lay: Method of storing hose is designed for rapid deployment of a hose line to attack a fire.
Cyanosis: Blue skin color because of a lack of oxygen in the blood
D50/D50W/Dextrose: 50% dextrose in water- Sugar used to correct hypoglycemia
Defibrillation: The definitive treatment for the life-threatening cardiac arrhythmias
Deluge: Monitor, master stream, or deck gun is an aimable controllable high-capacity water jet used for firefighting.
DFO: Done Fell Out
DNR: Do Not Resuscitate
Dopamine: An intravenous medication acting on the sympathetic nervous system , producing effects such as increased heart rate and blood pressure .
Electrocardiography: A transthoracic interpretation of the electrical activity of the heart
Epinephrine: Increases heart rate, contracts blood vessels, dilates air passages
EJ: External Jugular
EMT: Emergency medical technician
Engine: Apparatus that holds water and hose and has a pump.
Engine Company: 3 or 4 crew members on an engine
ETOH: Alcohol
FDC: The Fire Department Connection is used by the fire department to add to the water supply of the sprinklers
Fibrinolytics: Drugs are used in medicine to dissolve blood clots
Firescope: Abbreviation which stands for "FIrefighting REsources of Southern California Organized for Potential Emergencies."
First Alarm Assignment: At my department this consists of 3 engines, a truck, a heavy rescue and a BC.
Flash Over: The near simultaneous ignition of all combustible material in an enclosed area.
Fog Nozzle: A firefighting hose nozzle that breaks the water that flows through it into tiny droplets of water.
FNG: F-ing New Guy
Frequent Flyer: Someone that repeatedly calls 911 (often for bull sh*t).
FUBAR: F-ed up beyond all recognition
GCS (Glasgow Coma Scale): A neurological scale that aims to give a reliable, objective way of recording the conscious state of a person
Glucagon: A hormone , secreted by the pancreas , that raises blood glucose levels
Glucose Paste: A medication , consisting primarily of dextrose and water , that is frequently used by diabetics
GSW: Gun Shot Wound
Guppy Breathing: Another name for agonal respirations. Picture a guppy trying to breath out of water.
H's and T's: Mnemonic used to aid in remembering the possible causes of cardiac arrest.
Halligan Tool: Forcible entry tool with a pointed pick and a wedge at right angles on one end of a shaft and a fork or cat's paw at the opposite end.
Hard Suction Hose: A rubber-covered, semi-rigid hose with internal metal reinforcements used to suck water out of unpressurized sources
Hose Lays: Any one of various ways to lay out hose from or to an apparatus
Hydrant: A source of water provided in most urban, suburban and rural areas with municipal water service
Hypoglycemia: Medical term for a state produced by a lower than normal level of blood glucose
IC: Incident Commander is the person responsible for all aspects of an emergency response
ICS: Incident Command System- a set of personnel, policies, procedures, facilities, and equipment, integrated into a common organizational structure designed to improve emergency response operations of all types and complexities
IO: Process of injection directly into the marrow of the bone (sounds fun huh)
IRB: Inflatable Rescue Boats
"Irons": Pairing of a flat-head axe and a Halligan tool . A common combination used in forcible entry operations to gain access for search and rescue
K-12 (circular saw): A machine using a toothed metal cutting disc or blade.
Ladder/Truck: The apparatus that has a huge ladder on top. Responsible for extrication, search and rescue and forcible entry
LDH: Large Diameter Hose
Little Sick: You shouldn't be wasting my time...it's a stubbed toe
Lividity: One of the signs of death. Blood settles to the lower portions of the body causing a purplish red discoloration of the skin
LODD: Line of Duty Death
LVN (licensed vocational nurse): Often found working under the supervision of physicians in clinics and hospitals, or in long term care facilities.
LZ: Landing zone
Mandatoried (Mandoed, Forced): This is when we as sworn civil servants are forced to work when we really don't want to be there.
Meth: Methamphetamine
Morphine Sulfate (MS): Gold standard of analgesics used to relieve severe pain
N/V: Nausea/Vomiting
Narcan (Nalaxone): A drug used to counter the effects of opiate overdose
Nasal Cannula: Device for the administration of oxygen
Nitroglycerine Spray (NTG): Used as a heart medication for angina pectoris
Normal Saline: A general term referring to a sterile solution of sodium chloride in water
NRB: A non-rebreather mask is a device used in medical emergencies that require oxygen therapy
NSR: Normal sinus rhythm
Obvious Signs of Death: ● Decomposition of body tissues**
● Total decapitation**
● Total incineration**
● Total separation or destruction of the heart or brain**
● Any degree of rigor
● Lividity
OES: Governers Office of Emergency Services exists to enhance safety and preparedness in California
OPA: Oropharyngeal airway. Medical device used to maintain a patent airway .
Oxygen: Treatment increases oxygen levels in the patient's blood.
PALS: Pediatric Advanced Life Support
Paramedic: A medical professional specializing in emergency medical care.
PERL: Pupils equal, reactive to light
PHTLS: PreHospital Trauma Life Support
PIV: Post Indicator Valve
Plymovent: Exhaust removal system in the app bay
PNT: Paramedic nap time
Postictal State: is the altered state of consciousness that a person enters after experiencing a seizure
PPE: Personal Protective Equipment Such as turnouts, gloves, and respirators
Pulse Oximetry: A medical device that indirectly monitors the oxygen saturation of a patient's blood, normally 95 to 100%
Quint: Combined engine and ladder
Rales: Clicking, rattling, or crackling noises that may be made by one or both lungs of a person with a respiratory disease during inhalation
ResQPod:Designed to aid rescuers in enhancing circulation for patients receiving assisted ventilation during CPR
Retractions: visible sinking in of the chest wall with inspiration
Rhonchi: A coarse rattling sound somewhat like snoring, usually caused by secretion in bronchial airways
RIC: Rapid Intervention Crew (sometimes called RIT)
Rigor Mortis: One of the recognizable sign of death. The limbs become stiff
RN (Registered Nurse): A nurse who has graduated from a college's nursing program or from a school of nursing and has passed a national licensing exam.
ROSC: Return of spontaneous circulation
RP: Reporting Party. Person on the phone with 911
Rubbish Hook: Hook was developed to find hidden fire in deep seated smoldering fires normally
found in dumps or in dumpsters.
SCBA (BA): Self contained breathing apparatus or simply breathing apparatus
Scotted Up: Getting your SCBA on ready to enter a structure fire. Term comes from using Scott air packs.
Scuttle Hole: A scuttle hole is usually a 2’ x 2’ entrance hole to the attic, covered by a panel.
SIDS: Sudden Infant Death Syndrome
SOB: Shortness of Breath
Sodium Bicarbonate: An aqueous solution is sometimes administered intravenously for cases of acidosis
Sodium Thiosulfate: It is used as an antidote to cyanide poisoning.
Squad: The apparatus that responds to all calls that may require additional manpower
Staging: Waiting out of sight until it is safe for us to proceed.
Stand Pipe: A type of rigid water piping which is built into multi-story buildings in a vertical position, to which fire hoses can be connected.
Status Epilepticus: life-threatening condition in which the brain is in a persistent state of seizure
Strike Team: 5 apparatus of the same type with the ability to communicate with one another. Usually accompanied my a command unit.
Supply Line: Used when a hose lay is made from the water supply source to the fire scene.
SVT: SupraVentricular Tachycardia
Syncope: Temporary loss of consciousness
Tachycardia: Heart rate above 100 beats per minute
Tanker: Aircraft that carries water to fight fire
TC: Traffic collision
Tender: The apparatus that delivers water to the fireground where there are no fire hydrants
Thermal Imager: Thermal imaging cameras detect radiation in the infrared range of the electromagnetic spectrum and produce images of that radiation, called thermograms.
Therapeutic hypothermia: medical treatment that lowers a patient's body temperature in order to help reduce the risk of the ischemic injury
TIC: Thermal Imaging Camera
Tones: Sounds played at the station to signify there is a call.
Torsades de pointes: A specific, rare variety of ventricular tachycardia that exhibits distinct characteristics on the electrocardiogram
UTL: Unable to Locate
Valsalva Maneuver: Performed by forcible exhalation against a closed airway
V-Fib: Ventricular fibrillation . Lethal, heart rhythm in which the heart muscle simply quivers. Shockable
V-Tach: Ventricular tachycardia . Potential lethal heart rhythm (patient may or may not have a pulse) where the heart is beating too fast to pump blood. Shockable
Versed (Midazolam): A short-acting drug in the benzodiazepine class that is used for treatment of acute seizures, moderate to severe insomnia , and for inducing sedation and amnesia before medical procedures.
Wheeze: A continuous, coarse, whistling sound produced in the respiratory airways during breathing
White Cloud: gets no calls or all BS calls in a shift
WNL: Within normal limits
Zofran (Ondansetron): Used mainly as an antiemetic to treat nausea and vomiting.

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