Fire Service Casualty Module 5 -1 Objectives

Fire Service Casualty Module 5 -1

Objectives The participants will be able to: – describe when the Fire Service Casualty Module is to be used. – demonstrate how to correctly complete the Fire Service Casualty Module. 5 -2

Fire Service Casualty Module Used to report injuries, deaths or exposures to fire service personnel. – Exposure of fire service personnel to toxic substances or harmful physical agents should be reported, even if no signs or symptoms are present. One module is completed for each fire service individual. For any incident type or on-duty injury. All fields need to be completed in MA. 5 -3

A - Header information is repeated on all modules. . . In an automated system, this information is entered once and imported into all modules 5 -4

B - Injured Person B Injured Person 1 Identification Number 1 2 Male Female 1 2 Career Volunteer 2 First Name l Identifies MI Last Name Suffix personal information – name – gender (sex) l Department type – volunteer (include paid-on-call) – career 5 -5

C - Casualty Number C Casualty Number 1 2 Casualty Number Each fire service casualty is assigned a number. – begin with 001. – Separate from Civilian Fire Casualties. 5 -6

D - Age or Date of Birth D Age or Date of Birth 1 Age Date of Birth 2 In years OR Month Day Year Identifies the age or date of birth of the fire service casualty. 5 -7

E - Date and Time E Date & Time of Injury Date of Injury Month Day Midnight is 0000. Time of Injury Year Hour Minutes Identifies the date and time of injury. – midnight is 0000. 5 -8

F - Responses F Responses 1 2 Number of prior responses during past 24 hours Identifies the number of responses that the firefighter made during the previous 24 hours. 5 -9

G 1 - Usual Assignment G 1 1 2 3 4 5 x 6 7 8 0 Usual Assignment Suppression EMS Prevention Training Maintenance Communications Administration Fire investigation Other Identifies the usual assignment of the injured fire service personnel. – this might not be the same as the individual’s activity at the time of injury. 5 -10

G 2 - Physical Condition G 2 2 1 2 3 0 Physical Condition Just Prior To Injury 1 Bedroom Rested Fatigued Ill or injured Other Identifies the condition of the firefighter prior to the injury. 5 -11

G 3 - Severity G 3 Severity 1 2 3 4 5 6 7 Report only, including exposure 1 First aid only Treated by physician (no lost time) Moderate (lost time) 2 Severe (lost time) Life threatening (lost time) Death Identifies the severity of the injury. Used to report injuries, deaths or exposures to fire service personnel. – Exposure of fire service personnel to toxic substances or harmful physical agents may be reported. 5 -12

G 4 - Taken To G 4 x Taken To 1 4 5 6 7 0 N Hospital Doctor’s office Morgue/funeral home Residence Station or quarters Other Not transported Identifies where the fire service casualty was taken after the injury occurred. 5 -13

G 5 - Activity at Time of Injury G 5 Activity at Time of Injury x Activity at time of injury Identifies what the firefighter was doing at the time of injury. – codes are found in the Handbook or QRG. 5 -14

H 1 - Primary Apparent Symptom H 1 x l Primary Apparent Symptom Primary apparent symptom Block H 1: Primary Apparent Symptom. – describe most serious apparent injury. l Coded Field. – codes are found in Handbook and QRG. 5 -15

H 2 - Area of Body Injured H 2 Primary Area of Body Injured Primary injured body part or area Identifies the part of the body which sustained the most serious injury. 5 -16

I 1 - Cause of Injury I 1 Cause of Firefighter Injury Cause of injury Identifies the cause of the firefighter injury. – codes can be found in the Handbook or QRG. 5 -17

I 2 - Contributing Factors I 2 Factor Contributing to Injury Contributing factor Identifies the most significant factor contributing to the injury. 5 -18

I 3 - Object Involved in Injury I 3 6 3 2 Hot Plate None XRS 130 34 2345 Object involved in injury 1 9 8 5 Is used to clarify what object contributed to the injury. 5 -19

J 1 - Where Injury Occurred J 1 Where Injury Occurred 1 Enroute to FD location 2 At FD location 6 3 2 Hot Plate 3 Enroute to incident scene 4 Enroute to medical facility 5 At scene in structure 6 At scene outside XRS 130 7 At medical facility 34 2345 8 Returning from incident 9 Returning from med facility 1 9 8 Other 5 0 Describes the location of the fire service casualty at the time of injury. 5 -20

J 2 - Story Where Injury Occurred J 2 Story Where Injury Occurred Complete for structures only. 6 3 2 Hot Plate Story of injury XRS 130 34 2345 Below grade 1 9 8 5 Identifies the story above or below grade where the injury occurred. – Complete only for structures. 5 -21

J 3 - Specific Location J 3 Specific Location Complete as applicable 65 In aircraft 64 In boat or ship or barge 63 In rail vehicle 61 In motor vehicle 54 In sewer 53 In Hot Plate tunnel 6 3 2 49 In structure 45 In attic 36 In water 35 In well 34 In ravine 33 In quarry or mine 32 In ditch or trench XRS 130 31 In open pit 28 On steep grade 27 On fire escape/outside stairs 34 2345 26 On vertical surface or ledge 25 On ground ladder 24 On aerial ladder or in basket 23 1 On roof 5 9 8 22 Outside at grade 00 Other l Provides additional details on the specific location of the casualty at the time of injury. l Complete J 4 if casualty was in a vehicle when injured. 5 -22

J 4 - Vehicle Type J 4 Vehicle Type 1 2 3 4 Suppression vehicle EMS vehicle Other FD vehicle Non-FD vehicle Complete ONLY if Specific Location code is >60 Complete only if the fire service casualty was in a vehicle at the time of injury. 5 -23

K 1 - Protective Equipment l If protective equipment failed and was a factor in this injury, complete Section K. l If the answer to K 1 is “yes” complete equipment sequence field, and the remainder of the Module. 5 -24

K 1 - Equipment Sequence 1 2 A unique number assigned to each piece of equipment that failed and contributed to the injury. – First piece of faulty equipment is always “ 001” (consecutively number additional pieces). 5 -25

K 2 - Protective Equipment Item K 2 Protective Equipment Item Head or Face Protection 6 311 2 Hot Plate Helmet 12 Full face protector 13 Partial protector 14 Goggles/eye protection 130 15 XRS Hood 16 34 2345 protector Ear 17 Neck protector 10 1 9 Other 8 5 Identifies each piece of equipment that contributed to the injury of the firefighter. – If more than one piece of protective equipment was a factor in the firefighter’s injury, use additional sheets. 5 -26

K 3 - Protective Equipment Problem Describes the most serious problem with the piece of equipment that failed and contributed to the injury. (Partial list) 5 -27

K 4 - Equipment Manufacturer, Model, & Serial Number K 4 Equipment Manufacturer, Model & Serial Number. Manufacturer Model Serial Number Provide detailed information on the specific equipment that failed and contributed to the injury. 5 -28

Summary l The Fire Service Casualty Module (NFIRS 5) is used to report firefighter injuries or deaths related to an incident. – Exposure of fire service personnel to toxic substances or harmful physical agents should be reported, even if no signs or symptoms are present. l Fire service casualty information can be used by Health and Safety Officers to reduce risks at incidents. 5 -29

Scenario – Fire Service Casualty ØFF Bennett, a 49 -yr old, career firefighter received a 2 nd degree burn to his left wrist during overhaul. ØHe ran 7 calls in the previous 24 hours. ØHe was transported to the local hospital and was sent home when discharged. ØHe reported that his FF gloves did not fully cover his wrist area. The gloves were manufactured by Redi-fit, model – Fit King 200. 5 -30

Questions? 5 -31