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When should Chief of Department take command? (update w/ video)

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Where should the Chief of Department be at a major, multi-jurisdictional event?

Yesterday we looked at the professional background of Steve Abraira, the first outsider appointed Chief of Department in Boston. Thirteen of the 14 deputy chiefs shared their frustration about Chief Abraira's command style with Mayor Menino (and the rest of the world).

Boston Fire Command Structure

There are 35 fire stations in the 47.3 square mile city. Organized into nine battalions and two divisions,

Each of the nine battalions, called "District" in Boston, is comprised of three to five fire stations. There is a District chief assigned to each battalion.

The District Chiefs respond to an average of 280 structure fires a month, a trend that has been rising for the last couple of years. December 2011 showed 416 structure fires, January 2012 had 407.  (District 11 image courtesy publicservicevehicles.com )

The city is divided into two Divisions, supervising four or five Districts. A Deputy Fire Chief is assigned to each Division. The Deputy responds to second alarm incidents. Boston averages four multiple alarm fires a month, as many as nine (June 2010).

Traditionally, the Chief of Department responds to third alarm incidents. There were 11 events in 2012 that went beyond a second alarm, one going to a sixth alarm. In 2011 there were 16 events that went beyond a second alarm, two were fifth alarm fires.

Retired firefighter and photographer Bill Noonan, when discussing this issue on FaceBook, noted that the last Chief of Department was responding to second alarm events.

During Chief Abraira's time as the Dallas (Texas) Fire Chief, they averaged 150 structure fires a month.

NIMS does not require Chief of Department to be the Incident Commander

In a Boston Globe article by Travis Anderson about the issue:

“I think the big issue for them is, they think that because I’m not called the incident commander, I don’t have responsibility, and that’s not true,” said Abraira, who previously led the Dallas department and was an assistant chief with the Miami Fire Department. “I’ve reiterated that. . . . I’m still responsible for what goes on there.”

He said he polled 29 big city fire departments last year to see if their chiefs are required to take command of a scene, and only the New Haven department said it follows that policy.

The chief also denied an asser­tion in the deputy chiefs’ letter that he took a picture of himself at a six-alarm fire in East Boston on the roof of an adjacent building, to capture the blaze in the background, and that he was “worrying about his ‘scrapbook’ ” instead of fire safety. Abraira said he went to the roof to see what the roof of the other building looked like but called the ­notion that he took a photograph of himself “just crazy.”

Deputies criticize Boston fire chief in letter: They tell Menino that Abraira failed to take command at Marathon bombings

Major event of national importance

The 2008 update of the National Response Framework removed the designation of "Incidents of National Importance" in order to create a more agile response. Still, events like the Boston Marathon generate tremendous attention and preparation by local, state, regional and federal resources. The role of the Chief of Department may be within the senior command of the Joint Field Office, interacting with all of the other senior agency representatives as they process real-time input and send resources to a dynamic, unfolding incident.

Big city fire departments rarely act alone when operating at major fire incidents, the role of the Chief of Department changes under the National Response Framework.

(update)  "Stop dancing around the question – when should the CoD take command?"

For third alarm structure fires, the past practice was the Chief of Department would arrive, announce that he has command and the Deputy Chief commanding the incident would move in to command the most critical activity. This started long before NIMS and is a baked-in command practice. It works and makes sense.

Earlier Fire Chiefs have accumulated 20-30 years experience handling fires in Boston and intimately know the neighborhoods, built environment and fire history. The Chief of Department has worked with the command staff on thousands of incidents as the CoD went from Lieutenant to Captain to District Chief to Deputy Chief.

Chief Abraira does not have that experience database, going to the roof of an adjacent structure to determine construction details during a six-alarm fire is understandable. He has little experience with his subordinate commanders, no shared close-calls, no local history.  No trust.

Learning-as-you-burn is not a good technique when you start with a third alarm event, I appreciate the deputy chief's lack of confidence in the fire chief as an incident commander. Chief of Department needs to be the commander of third alarm or higher events.

If the current or future Chief of Department wants to change the Boston model, will need to provide training and practice to implement.

Update 2: Demonstration of the Chief of Department activities at a major blaze

Tip of the digital helmet to Bill Carey, who posted this portion of a "48 hours" segment on the Boston Fire Department battling a 9-alarm blaze in 1989 on Firefighter Behavior:

Mike "FossilMedic" Ward

 

Naked EMT Teaching – backstory

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The story behind this month's EMS1.com post

I needed a fourth topic for our statewide annual symposium. The other three were well crafted with crystal clear presentation deliverables.

Proposal four: “This class will help experienced instructors deliver a program that is focused on clinical evaluation and EMT critical thinking. See effective learning techniques independent of the National Standard Curricula. Learn how educational standard templates can be used to evaluate student competency.”

Nice description but the deliverables were works-in-progress.

  • Adopting concepts and practices for developing medical critical thinking for EMT application.
  • Going through a toolbox of effective learning techniques, which are best for experienced EMT instructors.
  • Have rubrics but no Educational Standard competency templates.

Restoring my state instructor/coordinator credentials last year required teaching a lot of EMT sessions with many organizations. Found instructors addicted to commercial National Standard Curriculum (NSC) presentations and struggling with the new topics, especially pathophysiology.

Publisher provided Educational Standard powerpoints are far less detailed than the NSC slides. It is ineffective for instructors to teach an Educational Standard EMT course reading from commercial powerpoint lectures.

With a grin, titled the presentation “Naked EMT Teaching.” Inspired by The Naked Presenter: Delivering Powerful Presentations With or Without Slides by Garr Reynolds.

After submitting the courses, I lobbied to teach a four-hour “Trauma for EMT” recertification. Developed a great presentation for a municipal client that I wanted to bring and brag at the symposium. Of course, the faculty contract is for “Naked EMT Teaching.”

The value of focus and clarity

Art Hsieh, a collegue and the ems1.com editor, felt that my first version of this month's column was a little unfocused.  He was kind, the scattered stream-of-consciousness document was closer to a Version 0 draft than a finished product.

A lot of open ended questions, fuzzy connections and imprecise language.

Art worked on the opening and asked if I could finish it up. It is a tremendously better column than the one I submitted.

Now the reader has two take-away items from the column and I have two bullet points for the presentation.

You can read the article here.

What we really need

Is a course that EMT instructors could attend that provides ems-focused anatomy, physiology and pathophysiology that would include teaching techniques and examples.

Asking instructors to read a physiology textbook may be as effective as my experience filling in for a physician educator.

It was a last-minute schedule conflict during a paramedic refresher class. The physician was held up in the hospital and asked me to cover the diabetic lecture. He said “You have seen my presentation before, just use my slides.”

This is the same powerpoints he uses with medical students. He provides a great class that increases the paramedic's understanding of the pathophysiology of the disease and encourages out-of-hospital caregivers to become critical thinkers.

In my hands, they were background for a disjointed presentation that covered the minimum required content. I left a few gallons of flop sweat behind the podium.

"Naked EMT Teaching" is Saturday, November 9 @ 1:30

See you in Norfolk

Mike "FossilMedic" Ward

Sequestration Stymies Federal Participation at Fire Rescue Med

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… at least we still have 4th of July fireworks at the National Mall

There are two events at the IAFC Fire-Rescue Med that make the conference unique. The EMS section business meeting and the Federal Roundtable.

The bi-annual business meeting provides the section members with an update on projects and initiatives. One of the most valuable aspects of the meeting is a report of the liason partners to the IAFC EMS Section.  You get an up-to-the-minute snapshot of what is happening around fire-based ems.

Normally held the evening before the first general session, noticed that the always-present Drew Dawson from the U. S. Department of Transportation was not at the meeting.  

The second event started a couple of years ago, a panel of federal representatives that have an impact on EMS. Coordinated by Chief John Sinclair, these sessions were great in understanding the nuances of federal ems involvement.

Sadly, the federal roundtable that was scheduled for this morning was cancelled. No funds for federal travel.

Mike "FossilMedic" Ward

If You Can’t Say Something Nice

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Originally a blog post on July 7, 2012

Several years ago I wrote a couple books about local fire departments. These were photo histories of Raleigh and Wake County firefighting. They were softcover volumes, about 220 pages each. (And bargain priced at $19.95, list!) They contained relatively little writing– a couple pages of introductory text, and captions for around 200 images. So maybe "authored" is a better word than "written" here.
 

 
Both books contained errors. Small, medium, and big mistakes. The whopper was probably the wrong picture of old Station 6 in the first chapter of the first book. Sure, it looked like a former firehouse. Had two stories and everything. But the right building is right next door. A single-story affair, half of which the fire station occupied. (Lists of these errors, by the way, is available at www.legeros.com/books.)

The authoring process provided a valuable or perhaps invaluable lesson in limitations. Despite my best attempts at accuracy and clarity and artistic expression, the results were flawed. The books contained imperfection. There were things that I didn't like. They were typos, like Falls off Neuse instead of Falls of Neuse. There were boo boo's, like the aforementioned photo. Or, get this, the claim that Raleigh's first paid fire chief was the first one in America. Wrong!

(That howler came from a general history book about Raleigh. The correct statement might be that Fire Chief Sherwood Brockwell was the youngest full-time chief in the country at the time. Or maybe one of the youngest.)

There were also errors of omission. Things worthy of inclusion, but which weren't included. For example, there's no reference to the city's first line of duty death. Why not? During my period of research– and when Yours Truly was just learning to walk as a historian– only the sketchiest of facts presented themselves. Opting for safety over sorrow, the then-incomplete tale of Vernon Smith was left untold. (I didn't even have a photograph to write a caption about! That picture– of the overturned engine– was found on eBay a couple years later.)

 

 
And, obviously, there were a whole mess of facts and figures that were clarified or corrected or worthy of expansion, as discovered upon subsequent research for the second book. And which has continued from that point to present day. But that's the nature of timing and opportunity.

A couple years ago, a bunch of us local history authors appeared at Barnes & Noble at Crabtree. I asked this question of the most experienced author: "How can you write history books that don't contain mistakes?" Her answer: "Don't write books."

What she meant, of course, was that the process of researching history and writing about history (and the process to get them published) contains a margin of error that's always there.

Something else happened to me in the process of becoming Author Man. I developed a critical eye toward these types of books. I became increasingly discriminating with regard to, accuracy of historical information, aesthetics and quality of old photos, and the totality of this thing called a "fire history book."

I haven't written any more history books about firefighting– not yet, at least– but I have bought or read quite a few. Say, three or four dozen over the years. And guess what? That critical eye has been staring coldly and at times unsatisfactorily at those nifty new books.

Boy, oh, boy, the things that I've seen. Inconsistencies of writing or editing styles. Bad cropping or poor color correction of images. Lame layouts of pages. Poor quality reproductions of photographic or digital images. Factual mistakes. And so on.

In fact, some (just some?) of same things that you'll find in Raleigh & Wake County Firefighting and Raleigh & Wake County Firefighting, Volume II.  (Should this physician heal thyself first? He hopes to, and will someday write– er, author– more fire history books and with fewer errors per chapter than the first go-around.)

But parenthetical asides aside…

So there he sits, man in his man cave, in that room over the garage with the fire engine-red walls (the former owners were State fans), and pouring over some new fire history/apparatus/buff book. And he's just shaking his head. Maybe it's just a few flaws. Maybe it's a whole book of them. Usually, it's somewhere in the middle.

And… so what?

"If you can't say something nice, don't say anything at all," goes the familiar refrain. Is there really any good reason to rant about these things? (This is a rant about ranting, so it's justified!) Is there a tangible value in calling attention to quality issues in fire history books?

Honestly, I don't know.

Fire history books and fire apparatus books and fire buff books are such a relatively rarity that any new release is a reason to celebrate. Based on my brief period in the author's seat, there are going to be flaws. There's inherent imperfection in getting from here (idea of book) to there (copy of book).

Advances in digital photography and digital publishing aren't helping things, either. It's easier than ever for people to take digital photos. The results, however, don't always have the resolution of a photographic print. (And if that lower-resolution shot is the only shot you have, well…)

It's also increasingly easy to create book-like content using desktop computing applications. These can be created in shorter periods of time, and in greater quantity. This can also impact quality. (A six-month book project is a world of difference from a six-year book project.)

And, let's be honest, not every author has at their disposal the North Carolina State Archives, their collection of News & Observer and Raleigh Times negatives dating to the 1940s, and months and years of free time for photo (and caption) research. (Those were the conditions of creating the Raleigh and Wake County books.)

Is there a point to my points, then? Beyond just a plea from Yours Truly to "please make better books?"

Maybe that's it.

Dear authors, please strive for quality. Your discriminating readers will appreciate it.

Thank you.

 

“A period of great change”

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Engineering-based fire suppression

For 85 years the Fire Department Instructor's Conference has been the mecca for new ideas and innovative trends.

The 1950 "Little Drops of Water" presentation by Lloyd Layman generated a dozen years of structural firefighting using a high pressure pump to inject water spray into a structure.

In the 1980's positive pressure was incorporated in structural fire attack.

In most cases, we were adopting new equipment to do our jobs better, faster and safer.

Using science and engineering to analyze fires

In 1999 the Engineering Lab at the National Institute of Standards and Technology (NIST) was asked to assist with the investigation o the Line Of Duty Deaths of Firefighters Anthony Phillips and Louis Matthews in Washington, D.C. 

"Simulation of the Dynamics of the Fire at 3146 Cherry Road NE Washington D.C., May 30, 1999 (NIST IR 6510)," describes the results of calculations using the NIST FDS that were performed to provide insight on the thermal conditions that may have occurred during the fire. Input to the computer model was developed from 3 sources; the District of Columbia Fire and Emergency Medical Services Department Reconstruction Committee, photographs and measurements taken by NIST staff during a June 3, 1999 site visit, and from material properties taken from the FDS database.  An FDS model scenario was developed that best represented the actual building geometry, material thermal properties, and fire behavior based on information from the Reconstruction Committee and physical evidence.

This work by Dan Madrzykowski started a 14 year study of thermal flow in structure fires.  The research methods and technology has dramatically improved, resulting in "Science Hitting the Streets" providing us with vital information on fire growth and dynamics in a range of structure fire categories.

Four presentations on fire suppression research at FDIC 2013

Madrzkowski and Steve Kerber (Underwriters Lab) are presenting back-to-back presentations on fire research results tomorrow at FDIC.

I am on the way to a big room presentation where FDNY, NIST, UL and others will describe how this research is shaping structure fire strategy and tactics.

Check this out:

http://archive.poly.edu/admissions/fire/ 

www.ul.com/fireservice

More details later, 

Mike "FossilMedic" Ward

Technician Kyle Wilson and the lessons we can never forget (repost)

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Five Six years ago today

Last year Dave Statter shared his experience about the 2007 line-of-duty death of Technician I Kyle Wilson in Prince Wiliam County. (Dave's article HERE). Dave is concerned that the Virginia Tech massacre overshadowed the tragedy at 15492 Marsh Overlook Drive.

I am re-posting my response because we will never forget.  I am in the midst of getting the third edition of the Fire Officer textbook out. The lessons learned from Kyle's sacrifice remain vital.

<<<<<<<<<<  >>>>>>>>>>>>>>

The after-action analysis and discussions were painful, emotional and worthwhile. I closely followed the process and spoke to with many of the participants. They are my friends and colleagues.

My "bully pulpit" is a textbook that is used by many for their Fire Officer I and II training.

In Chapter 16, "Fire Attack" this is how the section on Smoke, Wind, Size and Fire Flow looks in the second edition (2010).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Let's start the Fire Department Instructor's Conference week with an in-station drill on one of these topics:

  • Burning Type V residential structure behavior in high wind conditions
  • Determining initial attack fire flow in high wind conditions
  • Austere crew (thin staffed) fire attack procedures
  • Why the NFPA 1710 single family dwelling does not match your first due (you can find an analysis starting on page 188 of the Prince William report.)

NIOSH LODD report

Fire departments should develop SOP’s for incidents with high-wind conditions including defensive attack if necessary. Weather can be considered as critically important when at the extreme, and relatively unimportant during normal conditions.

Wind has a strong effect on fire behavior which includes supplying oxygen, reducing fuel moisture, and exerting physical pressure to move the fire and heat. Wildland fire fighters are very familiar with these effects of wind on the rate at which fire spreads.

According to Dunn, “When the exterior wind velocity is in excess of 30 miles per hour, the chances of conflagration are great; however, against such forceful winds, the chances of successful advance of an initial hose line attack on a structure fire are diminished. The firefighters won’t be able to make forward hoseline progress because the flame and heat, under the wind’s additional force, will blow into the path of advancement.

Fire fighters should change their strategy when encountering high wind conditions. An SOP should be developed to include obtaining the wind speed and direction, and guidelines established for possible scenarios associated with the wind speed and the possible fuel available, similar to that in wildland fire fighting. When the interior attack line has little or no effect on the fire, the line should be withdrawn and a second hoseline should be advanced on the upwind side of the fire. This method may require the use of an aerial ladder or portable ladder, if safety permits.

Prince William County report  (385 pages)

The major factors in the line of duty death of Technician I Wilson were determined to be:
• The initial arriving fire suppression force size.
• The size up of fire development and spread.
• The impact of high winds on fire development and spread.
• The large structure size and lightweight construction and materials.
• The rapid intervention and firefighter rescue efforts.
• The incident control and management.

Thanks to Dave Statter for making an important observation.

Mike "FossilMedic" Ward

Developing a Fire Simulation Training Program

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The following article was prepared by and submitted to Firegeezer by the staff at Fire Engineering Magazine:

How to Develop a Fire Simulation Training Program
for Your Department

A fire simulation training facility is an invaluable tool for training both the firefighters and the commanding officers in virtually every situation that can occur on the job. Whether it is a residential or commercial fire drill situation, a chemical exposure, or a multi-casualty disaster from an explosion, the simulator can create the proper training environment. To create a facility for your department can be challenging but the end results are well worth the effort. Researching these firehouse drills and other training information on sites such as Fire Engineering Magazine could also connect you with a wealth of additional resources.

The Challenges

There are two basic obstacles to overcome in order to create the perfect firehouse drill environment. The first is finding the proper facility. Without a facility there is no simulator. Once found, the second challenge is to obtain the funding. It is helpful to contact other fire companies who have successfully implemented the program to find out what funding tactics worked for them. Remember that a working model created from whatever begged and borrowed materials you have will work better than a great idea spoken at a council meeting. You may attempt to raise the funds privately through fund raising, ask for taxpayer funding or both. If you are a municipality with a relatively small team it might be of benefit to work with other municipalities in sharing the facility and splitting the cost.

Columbia County FRD photo

Creating the Facility

It is paramount that the facility gets used very frequently by as many members as possible. Therefore when it is created it must be designed to train firefighters within a situation, officers working from a command central outside the facility, and also provide optional functions for police and EMS also. Reality is the key to creating the successful program. Effects like surround sound are excellent in conveying the challenges of communication within a burning building. The absence of ambient light creates a blind rescue environment that firefighters will inevitably face one day. The Houston Fire Department when creating their facility painted the entire inside black to prevent any reflected outside light. Smoke machines are also an important part of the makeup.

Utilization

Once created it is important to utilize the facility as much as possible. There must be a comprehensive training plan in place that conveys the message that this is not a game but a potential life and death situation. All issues regarding every possible situation must be addressable, like ventilation and water mitigation, not only search and rescue. This makes the operation cost effective and avoids scrutiny. The entire community needs to realize the benefits by increased training of local emergency personnel.

The Results

A simulation training facility will condition all members of the firefighting company to be prepared for any fire, explosion, natural disaster or chemical mishap. Personnel through trial and error will already know what works in every situation and know what is expected. Commanders will understand the abilities and limitations of their personnel and will make decisions accordingly. With the presence of a simulation training facility in the community the potential for protecting life and property increases significantly.

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About the Authors:
For over 133 years, Fire Engineering Magazine has provided training, education, and management information for fire and emergency services personnel worldwide. Articles are written by experts in the fire service and focus on lessons-learned.

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Morning Lineup – March 4

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Monday Morning – Training Day

The next entry in Ian Haight's fire college diary has been posted.  You may remember that Ian is a student who enrolled at the first of the year in the 16-month Pre-Service Firefighter Training Program at Conestoga College in Ontario, Canada.  This fire school is the primary feeder of firefighter candidates for about 30 – 40 fire departments in Ontario and the graduates are fully prepared to begin work at any municipal fire deparment in Ontario.

It's an interesting concept that we don't see very much at all in the Lower 48 and Ian is providing a good insight to the workings and curriculum of the college program.  His postings on his own website that he has been publishing for a few years now, Waterloo Region Fire, began with an introduction to the how's and why's of the Conestoga College program HERE and then was followed by the first diary entry, Phew…I Made It!, that Ian posted HERE.  Part Two, Reflections on Month One is posted HERE and covers the first portion which is dedicated to physical fitness.  In this week's entry, Part Three tells about the class' physical fitness mid-term testing and describes their evolutions that have to be passed.  It sure ain't a test for marshmallows!  So take a few minutes to read Ian's latest entry, After Month Two HERE.

photo by Bryan Rosekat

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While we are on the subject of training, I want to remind you about the upcoming, unique fire officer training program that is being presented by CentreLearn and headed up by our own FossilMedic, Mike Ward.  We first told you about this forward-looking online training program that begins on March 13.  Our first notice that we published on January 24 (HERE) began:

CentreLearn Solutions, the leading provider of online training for fire and emergency medical services, announced a Fire Officer Training Program, taught by Mike Ward BS, MGA, MIFireE. The 7-part online course will begin on March 13, 2013, and delivered will include presentations, discussions, and assignments on:

  • The role of the new fire officer
  • Managing the fire company
  • Imposing order on chaos
  • Tactical lessons from near-miss and line of duty death events
  • Getting involved in the community
  • Advanced tools for the experienced fire officer

This program is being administerd by nationally-respected fire/ems educator Greg Friese through the CentreLearn Solutions advanced education provider.

Chief Billy Goldfeder, EFO, had this to say: “Mike's decades of experience combined with his focus on education-and his very cool ability to communicate will allow the students to make this program one of the absolute highlights of their career. If we are lucky, each of us will have a fire officer/instructor in our career that mattered. Someone who helped us "get it," about our responsibility as an officer. Mike more than "gets it"-and spending time learning from Mike online, or otherwise, couldn't be a better opportunity for future company officers, and those who need their batteries charged.”

Saturday's reminder notice, that you may have missed, announced a special "coupon" discount just for Firegeezer readers.  So take a moment to CLICK HERE and read more about this trend-setting program.  It's time to sign up, now.

It's also time to get this equipment checked out for today.  Monday long-list form today.  I'll get some genuine firehouse coffee going before we meet back in the day room.  It's time to start learning.

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Fire Officer Webinar discount for Firegeezer readers

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Special discount for Firegeezer readers.

In January we announced a seven week Fire Officer webinar series that is being put on with our colleagues at Centrelearn.

If you tell the Centrelearn calltaker at 877-435-9309 that "Firegeezer Sent Me" you can register for the program at a special price of $75. 

That is $11 per online session

 

Fire Officer Training Program Description
This training program will cover how to be a leader within the unique municipal environment of a fire station, managing your boss, managing emergency incidents (beyond ICS), tactical lessons learned from near-miss and line-of-duty deaths, managing through others, involving the community, and advanced fire officer management/leadership tools. Participants will role play in the fictional Wombat City Fire Department as they apply the concepts covered.

Sessions 1 through 4 will focus on the new fire company officer (Fire Officer I). Sessions 5 and 6, as well as a bonus 7th session for users that attend all seven sessions, will be focused on the experienced officer (Fire Officer II). Each session will be offered twice to maximize availability for busy career or volunteer firefighters.

Session 1: THE NEW FIRE OFFICER

Wednesday, March 13(1100) / (1900) (all times ET)
*there will be homework assigned at the end of each session that participants will be expected to complete before the next session. 

Session 2: MANAGING THE FIRE COMPANY
Wednesday, March 20 (1100) / (1900)

Session 3: IMPOSING ORDER ON CHAOS
Wednesday, March 27 (1100) / (1900)

Session 4: TACTICAL LESSONS FROM NEAR-MISS AND LODDs
Wednesday, April 3 (1100) / (1900)

Session 5: GETTING INVOLVED IN THE COMMUNITY
Wednesday, April 10 (1100) / (1900)

Session 6: ADVANCED TOOLS FOR THE EXPERIENCED FIRE OFFICER
Wednesday, April 17 (1100) / (1900)

Bonus Session 7: SECRETS FROM LEGENDARY FIRE COMMANDERS
Wednesday, May 1 (1100) / (1900)

More details Monday.

Original announcement

Mike "FossilMedic" Ward

 

Morning Lineup – January 29

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Tuesday Morning – Let's Go To School

In the past I have referred you to an interesting fire blog published up in Ontario, Canada, called Waterloo Region Fire and published by an active volunteer FF and fire buff, Ian Haight.  He has been working while pursuing a graduate degree at the local university, but the great thunderbolt hit him, like it has to almost all of us early in life, and decided to follow his calling and go full-time in the firefighting business.

Kicking off the New Year, Ian wrote in his blog on the first of the month:

A few months ago I messaged my family and friends letting them know I’d been accepted into the pre-service fire program at Conestoga College. Since then, I’ve spent nearly every waking minute questioning and second-guessing my decision to enrol. The program begins on Thursday January 4, and I’m still quite nervous about my decision.

For the first time in quite awhile I am embarking on something completely different and entirely outside my area of comfort. I’m leaving behind the flexibility and familiarity of my graduate studies and am enrolling in a program which is very regimented, quick-paced, and physically demanding.

I am, however, looking forward to the structure, the routine, and the daily challenges of being back in the classroom. On the other hand, I am very nervous about the physical demands of the program. I am sure I will find myself at the upper end (if not the top) of the age range in the class and I know I will struggle to keep up with those who are younger and more fit than I. While I’ve been working very hard to prepare myself, I am still very worried about the upcoming physical challenges. It has been very hard to not let my worries cast a shadow over my excitement about the program, but until the course is underway, my concerns continue to be rather overwhelming.

The trend in the eastern Canadian provinces is to draw from similar accredited programs for new hires in the FD's, probably because of the expense and time required for a department to run its own recruit training school.  When Ian completes his course, which will take a little over a year, including a 4-month break in the summer, he can carry his ticket to any FD that is hiring and apply.  As I understand it, there are about 30 career departments within communting range of his present home, so there is good opportunity awaiting him.

The good news for us is that Ian will continue blogging and regularly posting entries in a diary style of his weekly activities and progress through the school.  He has run the proposal by the school officials and they have not only granted permission to him to do this, but they are fully supportive of the project.

For those of us in the lower-48, this will probably be a new view on how firefighter preparation and training is trending in some areas.  I suspect that once the smaller cities and municipalities find out that they can have "rookie schools" and have other people pay for them, we just might see some of them blossoming down here, too.

We don't need to wait any longer for Ian's narrative to start because his first entry has been posted.  So take a few minutes to CLICK HERE and read the kick-off entry of his travels through the fire college, Phew, I Made It!

After you do that, we will plod over to the apparatus and get it checked out for today and I will get the Bunn-O-Matic running.  Somehow I think that those two activites will never change completely.  See you back in the day room.

p.s.:  You can read about the Conestoga College Pre-Service Firefighter Training Program on the school's WEBSITE HERE.

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Morning Lineup – November 26

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Monday Morning – Need More Tools?

There's a new website in town that we want to tell you about.  They have been online for a couple of months now, getting the site packed and organized and it shows some good promise, which is why I am mentioning it.  It is aptly titled Fire Training Toolbox and is a novel way of presenting training materials.

The website is being organized and headed up by John Shafer and Chris Huston.  You know John already from our references to his valuable website Green Maltese that is used extensively by people planning modernizing their fire stations and equipment to meet today's environmental needs.  John and Chris have designed the Toolbox to be just that … a training toolbox.  When you open it up, you go to the compartment that has the tool you are looking for at the moment, whether it be a video presentation, training session outlines, articles by recognized fire instructors, or any other items in the toolbox that is being continually filled up.

Personally, I like the concept they have designed and I think it should occupy a slot on your Favorites folder.  So check them out HERE and tell them that the Geeze sent you.

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Today is what has recently been dubbed as "Cyber Monday," a takeoff of Black Friday but referring to convenience shoppers who go online to do their Christmas and holiday shopping instead of facing the mob scenes at the mall.  It was noted a few years ago that online retailers were getting a noticable spike on the Monday following Thanksgiving and it was a natural progression to latch onto the phenomenon and promote the day.

So in the spirit of things, and reminding you that we can help you out with your shopping list here, I want to make sure that you remember to keep your family, friends and, yes, your Batt. Chief, in mind today and get an early start on your shopping list:

Kick Off Your Own Shopping Season Now ….

This is a good time to order more GeezerCups…

and Travel Mugs ….

for youself and your favorite relatives.

Both models carry the Firegeezer pledge:

CLICK HERE to read about and order the Geezer Cup:

CLICK HERE to read about and order our top seller, the Travel Mug:

Wouldn't it be great to be a 100% shift where everybody has their own GeezerCup?  Be a pace-setter and order yours today.  We have fast delivery service and it's included in the price.  You can use your credit card or your PayPal account, both are safe and secure to use.

Rick G. knows how to start the day off right!

Now let's get this equipment checked out while I get some more coffee brewed to fill up those handsome mugs.  See you back in the day room shortly.

*  *  *  *  *  *  *

EMS Education Evolution

4 comments

Teaching Critical Thinking

At last week's EMS Expo in New Orleans I got a chance to see how other educators are implementing the 2009 Educational Standards.

Elimination of Linear Checklists

EMT textbook author Dan Limmer points out that the emphasis on student understanding of pathophysiology and physiology is eliminating rote memorization of a linear checklist. 

But this will be a challenge.

In an earlier version of the EMT textbook, a graphic was used to provide a big picture of patient assessment. The graphic was eliminated when it was learned that the students were using it as a step-by-step linear checklist.

Limmer is promoting complaint-based patient assessment. When he teaches EMT he presents a patient situation and asks the students:

"What three questions will you ask the patient?"

Wearing his other hat, Limmer released two free smart phone applications at the Expo:

101 Last Minute Study Tips (paramedic and emt versions)  Click HERE

Problem Based Learning

Art Hsieh, Paramedic Program director at Santa Rosa Junior College and textbook author, demonstrated the technique of using problem based learning to teach complex ems topics.

Working in small groups, students use the textbook, internet, smart phone and experiences to evaluate a patient, provide a differential diagnosis and develop a treatment plan.

The faculty member functions as facilitator. Each case study takes about an hour.

Hsieh says that he used five patient case studies to cover all of the medical conditions in the paramedic educational standards -  outside of cardiac and respiratory. Students exposed to problem based learning tend to do better on exams than those that memorized a check list.

 

 

 

 

 

 

 

 

 

 

 

 

Both educators are blazing paths that we need to follow to better serve the ems student.  Just as New Orleans EMS utilize this narrow transport unit when working large events, like Halloween in the French Quarter.

Mike "FossilMedic" Ward

Morning Lineup – November 5

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Monday Morning – A Dormant Blog Re-Awakens

We got some good news yesterday that I want to pass along to you this morning.  Long-time fire instructor Chief Peter Lamb has reactivated his training blog and is back to work challenging your reasoning powers.  He writes:

It has been a long absence for me, but I am now back to the world of blogging for the fire service. My original website started back in 2000-2001.

I updated regularly each and every week about a variety of fire service topics including tactics, strategy, leadership, general opinion and commentary etc.. Due to some personal and professional issues I shut down the blog in June 2009 and have been dormant since then.

I want to welcome everyone back and I look forward to building up my subscriber base back to where it was.

I have continued to teach, train, and lecture wherever I can and I am available to provide classes, lectures, training a, examination prep classes, and actual examinations for departments that request them. Contact me a pete@petelamb.com for more information. I am also continuing to provide training classes that can be used as fund raisers for departments. The department sponsors a training and they use funds received for their organizational needs.

Our format will be roughly the same with weekly posts and more frequently if I can or as circumstances warrant it.

A good example of his blog-training method is the one that he put up just the other day which is a dynamic training message with his insightful questions that provoke thinking on your part.  Go to his blog page HERE and scroll down a short ways to Tactical Fire Problem 20102-01.  Another way to reach his blog is to visit his WEBSITE HERE:

….. then click on the Current Blog button.  He has archived all of his previous training lessons and you can review them at your leisure by clicking on the Previous Articles button.  Welcome back, Pete!

*  *  *

Before we get back to work, here's a little factoid that I'd like to pass along.  By now everyone is familiar with the extensive damage in the greater New York and coastal New Jersey area.  It is now estimated that New York City alone has approx. 40,000 people whose homes were destroyed.  That is 40,000 refugees with no place to go.  How do you possibly find living quarters for 40,000 people right now?  That is a challenge.

Let's get ready to face our challenges for today now and get this equipment checked out.  I'll be heading for the coffee corner, then see you back in the day room.

*  *  *  *  *  *  *

 

 

Teaching the next generation

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Pay it forward

My unscheduled career path change earlier this year provided an opportunity to reflect on what I really liked to do.

In the last dozen years I went from teaching five classes a semester at a community college to one class a semester at a university.

The rest of my university time was eaten up by meetings and committee work. Important, but not my primary passion.

Stand and Deliver

Originally certified as an EMT/Ambulance, I obtained my state instructor credential two years into the job.

Our department was rapidly expanding. I was part of a cadre system of instructors detailed from the fire station to teach recruit and refresher classes.

With other young and excited first generation medics, we built ems training programs through trial and error. Not much formal education or experiences beyond our vocational craft and state regulations.

Four years after recruit school graduation, I returned to the academy as a new company officer to be the EMT Programs manager. The position was created to support an effort to teach EMT to 300 some incumbent firefighters … all the way to the Fire Chief.

This week I returned to the Academy, part of the Training911 cadre of contract EMT instructors.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

It felt fantastic.

A rewarding experience

When the department contracted-out EMT training the first lead instructor was Glenn Ludetke. A fellow first-generation medic and volunteer chief, Glenn provided a reflection on his experience:

… it was one of the most rewarding and fun experiences of my entire EMS career. Having the advantage of teaching the new recruits to be thinking, skilled EMT's and then being able to see them apply the training in the field was my definition of instructor heaven.

Preparing for success

One of the most interesting changes was implementation of the incident management system as part of every training day. The students are broken into companies. Each company has a leader who is assigned a portable radio.

Every time the company moves, they report their status change over the radio to the division commander. Before the start of each activity, the group leader provides a PAR check to the instructor.

Captain Chester Waters Jr. points out that when suppression training starts, the students will be familiar with the ICS system and portable radio operations. Watched academy staff provide feedback to a team leader on radio technique during a break.

Mike "FossilMedic" Ward

Live from the intertubes … Saturday Night “Zero to Hero”

2 comments

Who is supposed to bring the beer to a webcast?

John Boyles is a great colleague.

When he asked if I could talk about the EMT experience (Zero to Hero article) I immediately said yes.

Then I checked the schedule:

 

 

 

 

 

 

 

 

 

 

 

 

 

11:30 pm to 12:30 am

Man, I am asleep by 10 pm …

Go here to check it out:

 
Mike "FossilMedic" Ward

Zero to Hero: EMT street time does not impact success as a paramedic

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A year working as an EMT before starting paramedic school is a waste of time

After three years working on implementation of the 2009 Educational Standards and three months immersed in EMT instruction this summer, it is clear that spending a year riding on an ambulance has scant benefit in improving your performance as a paramedic student in a CoAEMSP accredited paramedic program.

The gory details can be found in this article posted on ems1.com:

EMT experience not needed for paramedic certification

 

 

 

 

Greg Friese, Rob Theriault, and Bill Toon get together every Wednesday night to discuss ems education issues, 144 sessions to date.

Tonight I am joining them to discuss this ems1.com article.

Go to EMS EdUCast for details.

 

 

 

 

Mike "FossilMedic" Ward

What will we look like by 9/11/2021?

4 comments

Starting the second decade

Harvard paleontologist Stephen Ray Gould developed the theory of punctuated equilibrium:

… developed with Niles Eldredge in 1972. The theory proposes that most evolution is marked by long periods of evolutionary stability, which is punctuated by rare instances of branching evolution.

The theory was contrasted against phyletic gradualism, the popular idea that evolutionary change is marked by a pattern of smooth and continuous change in the fossil record.  (Wikipedia)

The New York Times May 21, 2002 editorial on his death describes his impact:

The vast majority of the people who know Mr. Gould's name know him as a scientific essayist, not as a paleontologist or evolutionary theorist, let alone an expert on Cerion land snails.

They know him as a man who had an opinion on nearly everything and a way to turn nearly every opinion he had into a tour de force of analogy and historical example. His scientific colleagues found him almost as brilliant as his popular audience did, but considerably more exasperating as well.  (link)

Many of his monthly columns in Natural History magazine, and twenty-some books of "popular science" explored the possible reasons why " … lineages often change very little for millions of years, and then change rather rapidly."

Organizational punctuated equilibrium

As organizations grow in size and complexity, they encounter challenges that force changes in structure and function in order for the organization to continue to thrive. 

In fire departments, growth challenges requiring a rapid change include these four milestones:

  • From all volunteer to adding daytime staff
  • Expanding to 24 hour career staff
  • Career staff larger than active volunteer staff
  • Career staff exceeds 250 firefighters

Outside challenges also create the need for rapid change.

As we start the second decade after the September 11 attacks, we are in the throes of a persistent recession, public safety employees identified as the cause of municipal bankruptcy and experiencing significant change in fire company workload.

 

 

 

 

 

 

 

 

 

 

 

I liked Ray McCormack's post from Urban Firefighter Magazine:

You can not force someone to remember. You can not force someone to not forget.

What we can try to do is embody the principles of helping those in need.

There was no half hearted climb that day and for that we should always be proud.

For the FDNY family, we miss our friends and family. For the rest of the fire service, your support and remembrance is comfort and is appreciated.

Lt. Ray McCormack
FDNY

Helping those in need

  • Jerry Lewis is gone, along with the live 24 hour Las Vegas marathon on television. None the less, IAFF members raised an estimated $28.6 million for muscular dystrophy research and treatment this year. Eight percent higher than last year. 
  • In most areas, a responding engine company is on the way to a medical call 70% – 80% of the time.
  • Fire stations have become Safe Houses, protected ATM location and where a teen can drop off an unwanted baby.
  • Metro cities are seeing a rise in arson with a decline in fire companies and shrinking of the size of surviving crews.
  • Metro fire companies are also dealing with a crumbling municipal infrastructure: defective water mains, collapsing buildings, decades of deferred maintenance on city properties – including the fire station.

What will the fire service look like by September 11, 2021?

Mike "FossilMedic" Ward

thanks to retired MPD detective (and Burke VFD Assistant Chief) Mike Brooks for the Rescue Operations Battalion picture.

Earlier 9/11 related articles:

2011: Boatlift: 500K Evacuated in 9 hours

2011: Shock … followed by purposeful action

2011: Remembering 41 EMS responders who died at WTC, including a hero from Prince William County, Virginia

2010: A Terrible and Brilliant Blue Sky Morning

2008: Reprint "The Anger Never Dies"  (Dennis Smith's article)

Life after university

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Mike considers contingencies

The past dozen summers were spent teaching seminar courses, beach trips, Firehouse Expo and Fire Rescue International. August starts a flurry of preparation for the fall semester of classes. Not this year.

This was the first summer in decades without a municipal or university job to fill my checking account at the end of the month. That would not be so bad, save for the mortgage I committed to before the recession.

Eek!

So, what CAN you do?

I will never forget watching a fellow academic's eyes get big after I told him my non-tenure track faculty position was eliminated. After a long contemplation he said "If it was me, I could go back to teaching ACLS."

Almost every Saturday this summer was spent teaching EMT skills … as well as many Mondays, Wednesdays and Fridays. Wide variety of students, organizations, and lead instructor practices.

As the new guy, occasionally had to be a patient. Who knew such a big boy could be squeezed into a KED!

It has been a joy to work with long-time friends and meet new colleagues. Returning to the tribe of emergency responders feels great.

Hope to have my home state EMT-Instructor credential restored by October.

"Do you change the oil in your car?"

Restoring state fire/ems instructor credentials requires affiliation with an emergency service agency. Application to a community-based organization requires a physician clearance.

Hmm, 12 years without required physical training or a employer-required annual physical makes me more resemble the heart attack patient than the hero medic.  The physician was correctly ruthless during the physical exam and review of the lab tests and stress test. 

The agreed-to weight loss/strength improvement plan includes quarterly physician assessments.

Life as a contingency worker

I applied for hundreds of jobs in the DC metro area and was not getting any traction. A colleague who works at a for-profit educational organization recommended Mark Walton's Boundless Potential . This portion struck home:

(in 2009) the Mature Market Institute, the recognized leader on longevity and workplace issues, completed a major national study on the “new realities of the job market” for people in midlife and beyond. It was entitled, quite starkly: “Buddy, Can You Spare a Job?”

Based on labor analysis, workplace data, and authoritative interviews, researchers laid out the facts: the unemployment rate for post-midlife workers had more than doubled from 2007 to 2009, to the highest level in at least 60 years. Hence, “there will be millions of baby boomers looking for work to prolong their careers in the years ahead.”

There’s just one problem, workforce specialists underscored: the job market has other plans. “The expectations older boomers have about working after 55 are often painfully unrealistic,” according to their report.

First, age bias is both a serious obstacle to their staying employed as well as a major barrier to their obtaining new employment, a situation for which “earnest, well-prepared job seekers in their fifties and sixties are often totally unprepared.”    …

In a separate report issued a year later, entitled “The New Unemployables,” public policy experts at Rutgers University concluded: “We are witnessing the birth of a new class—the involuntarily retired.”

Walton, Mark (2012-02-15). Boundless Potential: Transform Your Brain, Unleash Your Talents, and Reinvent Your Work in Midlife and Beyond (Kindle Locations 1041-1055). McGraw-Hill.

I am developing a contingency lifestyle.

Monthly Digital Lectures

I still have a passion to teach ems. One way to satisfy that need is a new monthly column at EMS1.com that reads like an academic presentation, with links and references.  This month:

Number Needed To Treat: A powerful measurement of clinical effectiveness

I will still be posting on Firegeezer.

In retrospect, it would have been helpful if I picked a passion that was profitable. Teaching, writing and emergency services are not well-worn paths to wealth.

Mike "FossilMedic" Ward

FDNY’s latest test burns

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FDNY Tests Fire Science and Firefighter Procedures

from yourFDNY YouTube channel:

Fighting a fire today is very different than it was just 30 years ago.

In the 1980s, a fire could flashover — which, like the name suggests, is the near-simultaneous ignition of items in an enclosed area — after about 20 minutes. Today, it takes a mere four minutes.

Fires today also can increase in temperature from 250 to 1,500 degrees in as little as 10 seconds, more than twice as fast as in years past.

So to protect the safety of firefighters and civilians, the FDNY recognized that small enhancements must be made to protocol. And the best way to do that would be to understand the science behind today's fires.

Thus members of the FDNY partnered with representatives from the National Institute of Standards and Technology (NIST), Underwriters Laboratories (UL) Preservation and Trust for Governors Island to learn more in an effort to not only protect property, but the lives of firefighters and civilians.

The two-weeks of tests — which is the most complete series of fire-related studies ever conducted — began on Governors Island on July 2. The buildings in Brick Village, which include 20 wood-frame townhouses with brick exteriors built in the 1980s, were slated to be demolished. They were given access to the buildings by the Trust.

Representatives from NIST and UL, who have worked with the FDNY on more than 100 full-size building burns together, including the extensive wind-driven fire study in 2006, set up sensors, cameras and other equipment in each building to collect more than 100 data points during 20 different tests.

The data collectors include heat-flux gauges, pressure sensors, bi-directional probes and thermal imaging cameras. Some of the sensors, like the heat gauges, were set up at different heights in each room, to test temperatures for someone laying on the ground, someone crawling, someone standing and the ceiling temperature (the highest in the room).

The experts said that they already know fires burn faster now than ever before because a home's contents have changed. Everything from weatherproof windows and pressed-wood furniture to synthetic carpeting and high ceilings affect a fire's ability to grow and move.

Researchers purchased furniture from a hotel surplus store in Connecticut, to make sure they got numerous pieces that were all exactly the same. They then weighed and measured each piece of furniture to understand its makeup.

Therefore the furniture — referred to by researchers as the fuel — will be the constant, and they will be able to make subtle differences in other factors, such as coordination and communication on the fire ground and building construction, to see how the fire is affected.

They plan to start the fires remotely and test response to fires in basements, on the second floor and in an attic, and how everything from door control to a home's layout will change a fire's response.

He noted that representatives from other fire departments will be observers for some or all of the testing.

Improving the science of suppression one evaluated evolution at a time.

Mike "FossilMedic" Ward

Whitehead: “7 Myths About Fixing Our EMS Systems”

2 comments

Speaking Truth

Steve Whitehead posted a The EMT Spot article on May 20 that was picked up by Art Hsieh and Skip Kirkwood on FaceBook today.

You need to read this well-thought out article as Steve addresses the following myths:

  1. The myth of solution by committee.
  2. The Myth of the single solution.
  3. The Myth that nothing is being done.
  4. The myth of EMS ineffectiveness.
  5. The myth that only field EMS providers know the real answers to the problems.
  6. The myth of instant results.
  7. The myth of the perfect solution.

7 Myths About Fixing Our EMS Systems

 

 

 

 

The kicker for me was from #3 The Myth that nothing is being done.

Here’s a shocker that most of the arm-chair EMS quarterbacks will have a hard time wrapping their brains around.

Most every problem endemic to EMS in America and around the world is already being addressed and worked on by some organization or group of people.

And here’s the really sad thing.

Most of them are begging for your support and you don’t even know they exist.

Great article.

Read and share!

Mike "FossilMedic" Ward

Hot summer night … from digital to performance

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Creating a five-senses experience

Driving home near midnight, on a fantastic warm night. Windows down, sunroof open, satellite radio cranking.

Wishing I was at da' shore. 

Distracted by a bright light coming from a fire station.

Engine bay is empty with the bay door open and all of the apparatus floor lights on.

A few minutes later, hear the unmistakable sound of Jake Brakes, air horns and 2QBs … my mirror fills with red and while explosions.

A rescue company, engine and command SUV pass by and immediately turn into a subdivision.

So do I ….

I don't smell anything as I follow the parade into an older single family subdivision, narrow winding roads filled with World War II era homes.

As the rigs stack up, I turn down another street. Do not want to get caught in staging. 

End up at the other side of the incident, next to the pumper that is hooking up to a hydrant.

Up the hill there appears to be a movie shoot, half a dozen floodlights illuminating a house, with a haze of smoke rising from the front.

I almost feel the percussion of tools striking the door to force entry.  My heart sings as I hear the saw spin up.

My God, I miss this …

Digital versus reality

In preparing tomorrow's Car-Toon, read this Corvette Blogger article by Mitch Taylor on how 21 year old Jordan Taylor prepared for his test to be a driver for Corvette Racing:

“When I was asked to test for Corvette, the first time was going to be at the Sebring short course and I hadn’t been there for probably two years,” he explains.

“So I got right on iRacing, went to the short course and did probably fifty or sixty laps just to get my mind around it and get used to the brake points. So when I went to the test, all I had to do was learn the car and not worry about getting used to the track again.”

article HERE

Linking video to actual fireground expertise

Statter911 posts first arriving videos almost every week. Beyond the keyboard incident commanders, it is an opportunity to watch a lot of incipient structure fire events. I wonder if there can be an equivalent of iRacing for wanna-be company officers.

Later this summer we will be looking at a couple of emergency related DVDs.

Driving out of the subdivision, the car fills up with the odor of burning Class "A" material.

I see that the house has been opened up … how can a simulation create this experience?

Mike "FossilMedic" Ward

THANKS to Nate Camfiord, a talented photographer and emergency services brother, for use of his photos.  Check him out on Facebook (here)

Must read: EMS Industry Lacks Resilience

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A very important issue

Skip Kirkwood is one of the sharpest guys I know in EMS.

This JEMS.com article is essential: EMS Industry Lacks Resilience: Have we neglected our own mental health?

EMTs and paramedics face extraordinary on-the-job stresses and long working hours, often coupled with low wages. So one could assume this means daily living stresses often interact with the stresses of the profession.

Yet, I’ve never experienced, read about or talked about any effort to really address these compound stresses or the effects they produce.

Check out the rest of Skip's jems.com articles HERE.

Mike "FossilMedic" Ward

The myth that longer classes are better: EMT Boot camp backlash

7 comments

Neither Barber nor Physician

Every couple of months there is an outraged post on a message board or FaceBook in response to an organization's announcement of a "boot camp" emergency medical technician certification course.

Chris Kaiser is a blogger (LifeUnderTheLights) and co-creator of the EMS 2.0 concept. Chris posted on Facebook last month:

Have you seen this? Go to school for one month, Monday through Friday 8am to 5pm and you can be an EMT-B. Really, go look at this. Any thoughts about this? It's absolutely legal and absolutely a shame.

The more we lower the barrier to entry, the less our profession is worth. While the services we offer will continue to be vital, we will be less…  (link)

Many who agreed with Chris spent three or four months learning EMT, probably in a two weeknight plus Saturday schedule. The time between classes were spent in reading, reflecting and repeating skills.

JEMS.com reposted a Boston Herald June 20, 2012 article by Donna Goodison and Matt Stout: Study Finds EMT Certification Easy to Obtain in Massachusetts: EMTs have significantly less days of training than barbers. (link)

No longer empty vessels

The foundation of vocational training came with the Industrial Age as farmers flocked to the factories. The assumption was that industrial processes were alien to the new workers, they had to be taught EVERYTHING.

The empty vessel or banking model expects the teacher to fill the student with knowledge, skills and attitude.

Liz Garnett describes the challenge when describing "The Blue Paint Problem":

If the teacher intended to pour, say, a pint of yellow paint into their pint-sized learner, and the learner was indeed empty, it would be a straight-forward matter.

But if the learner’s head is already three-quarters full of blue paint, the teacher has two problems. First, there is only room for a quarter of what the teacher wanted to put in there, and second, that quarter-pint of yellow paint doesn’t stay yellow for long on contact with the blue.

The teacher may succeed in making a difference to what goes on inside the learner, but the result may not look very like the one they had intended.

It follows from this that the major skill in helping people learn is not the acquisition of information to share, but in figuring out what they already know (or perhaps, think they know).

Actually, even that isn’t the tricky bit – the really key part is in persuading people to let go of the stuff that’s currently in their heads to make room for the new.

Teaching is mostly about helping people dispose of blue paint safely. (link to 2008 article)

Military and paid public safety employees have attended EMT boot camps for three decades, eight hours of class every day until they are done. After Cadillacs and before diesel ambulances, I spent two years running an emt program at a large county fire academy. Four recruit and five incumbent EMT boot camps a year.

They lacked time to read, reflect and repeat skills. My experience is that boot camp graduates have a higher success rate with the state exam than students taking a semester long two night/one day per week program.

Course structure, student readiness-to-learn and instructor skill are success factors

The American Heart Association minimized the role of CPR instructors when they rolled out the 2000 version of the curriculum. Research showed that many students were getting miniscule time practicing skills and hearing too many war stories. At the end of the course they could not perform the scenarios or recall heart attack risk factors.

An initial EMT certification course that complies with the 2009 Educational Standard can be delivered in a boot camp format. You need to require out-of-class readings/preparation, strong DAILY student feedback, use a course management system, provide problem solving scenarios, administer on-line exams, engage in active learning and focus on skills.

The instructor functions as a facilitator of learning and not as a one-way information sprinkler. This requires a tremendous amount of preparation and increased participation by the skill/assistant instructors.

Community access courses will be a challenge due to the wide range of student capabilities. Maybe require a HOBET assessment.

What do you think?

Mike "FossilMedic" Ward

TheWatchDesk.com plans to close and reorganize … are message boards still important?

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TWD is closing this weekend for reorganization

 

 

 

 

 

TheWatchDesk.com (TWD) is a legacy Washington DC based message board created and run by local firefighters.

In a 2009 article, It is a Labor thing … :

Two-hatting is a polarizing and emotional issue. Phantom, a DCFD employee and PG volunteer, describes the start of TheWatchDesk:

The concept that underlies the operations of TWD had their start in late 2000 when International Association of Firefighter’s Local 1619 attacked members of surrounding locals for volunteering in Prince George’s County Volunteer Fire Stations.

… This board quickly became controversial and moved into private ownership with better software, it was then that Phantom registered the name “TheWatchDesk.com” and with the help of Zorro established the site.

Part of the reorganization is the removal of Phantom from TWD. Last night, Dave Statter covered the ominous announcement (HERE).

Varsity, bare-knuckled discussions

TWD was created in the epicenter of fire department digital presence. Dave Iannone and Chris Hebert started the Metro DC Fire/Rescue Wire in the late 1990s 1980's, along with one of the first fire department websites: Hyattsville VFD

 

 

 

 

A 2007 article, Digital vs. Reality: The False Facade of Websites, describes the PG digital community:

The original Hyattsville site was one of the most sophisticated for its day. Besides getting Iannone and Herbert an opportunity to create Firehouse.com, it was the start of the explosion of fire company websites, blogs, myspace and social networks.

Thirty of the thirty-seven volunteer companies in Prince George’s County run a web site, as well as the Volunteer Fire and Rescue Association, Fire Commission, IAFF Local 1619 and the county fire/rescue department.

What distinguished TWD was the blunt, in-your-face, posts. A lot of posters were blowing off steam, calling out others and demonstrating the same behavior you would see in a large urban firehouse kitchen.

Many were appalled. I loved it. 

Few voices, many listeners on message boards

I looked at firehouse.com participation (October 2007) when one poster was approaching 8600 posts. Wendt would eventually break 10,000 posts and then walk away from all discussion boards:

You need to register in order to post on the firehouse.com forums.  As of last week (October 10, 2007) there were 163,375 registered users.

The top ten percent of the posters represent 8575 to 664 cumulative posts. There is an exponential drop off from the top six posters.

I was surprised to learn that 85% of the registered members of Firehouse.com forums have never posted a message.

  • No posts 138,604 members 84.8% of membership
  • One post 8,825 members 5.4% of membership
  • Two posts 3,378 members 2.3% of membership
  • Three posts 2,115 members 1.3% of membership
  • Four posts 1,382 members 0.8% of membership
  • Five posts 999 members 0.6% of membership

This progression continues, with the top 10% of the posters responsible for 295,305 posts. That represents 39% of all of the posts made on the forum.

As TWD started up I was running the community college fire science program and meeting with many chiefs. Was surprised how many commented on what they saw on TWD. 

In a slightly exasperated post, regs1 described his reality as a board administrator:

I give you the opportunity to take it completely over, you too can have the great income that you know we make, you can run it anyway you wish, you can deal with the various request that come from other departments in other states.

You can deal with the legal requests, calls from reporters, and yes even decide about what gets posted and what does not. You will get to know the supreme court decision of larry flint vs Jerry Falwell and how it effect the twd operation.

You can find ways to pay the hosting company for hosting the site, and bandwidth.

In an earlier version of the announcement, regs1 referred to actions taken by federal agencies over similar free speech issues. The unique city/state that is the District of Columbia follows federal government rules, regulations and legal precedents.

Is it time to move on?

Message boards have been strangled by the top ten percent of the posters. The issues are stale, newcombers are harassed away, the same "controversies" seem to be in an endless loop, and the power posters act entitled.

Facebook, YouTube, Twitter, blogs and personal websites have exploded. Not aware of any organization using message boards a source of revenue or even to collect eyeballs or emails.

Thanks to the dedicated crew that established and ran TheWatchDesk. They have done righteous work under challenging conditions.

Mike "FossilMedic" Ward

Making Paramedicine a Profession

4 comments

Time to build our paramedic profession infrastructure

It appears that our physician colleagues accomplished more than paramedics since 1968, establishing Emergency Medicine as a specialty in 1979 and Emergency Medical Services as a subspecialty in 2010. (How EMS physicians became recognized and rewarded)

The development of the National EMS Educational Standards in 2009 is a more significant development. (EMS Future is HERE)

Emergency Medicine built upon an existing graduate medical education structure

The significant physician accomplishments were built upon a well-established graduate medical education infrastructure.

A September 2006 article in the New England Journal of Medicine describes the foundation of medical education:

Almost a century ago, Abraham Flexner, a research scholar at the Carnegie Foundation for the Advancement of Teaching, undertook an assessment of medical education in North America, visiting all 155 medical schools then in operation in the United States and Canada. His 1910 report, addressed primarily to the public, helped change the face of American medical education.

American Medical Education 100 Years after the Flexner Report

Two physician members of the National Emergency Medical Services Advisory Committee referenced the Flexner report when discussing update options to the 2009 National EMS Educational Standards in an all-day roundable on March 28, 2012 (agenda).

All professions with significant academic preparation go through this type of review process.

I used the results from evaluation of the Masters in Business Administration program to discuss the state of EMS Education in 2009.

The Ford Foundation and Carnegie Corporation criticized business graduate education in 1959 as filled with:

  • Weak Students
  • Inappropriately trained faculty members
  • Unintellectual curriculum
  • Poor research

What Direction for EMS Education?

From "sticky side down" first aid mechanic to health care professional

The 2009 Educational Standards vaults paramedicine out of the vocational training arena. It will have the same impact as the Flexner report had on physician education and the Ford/Carnegie reports had on Masters in Business Administration programs.

But we have signficant gaps to fill to satisfy the medical professional model.

Need appropriately trained faculty members

I will never forget talking to a community college assistant dean about the Educational Standards. An experienced paramedic with years as a state-credentialed paramedic instructor, she shared that she recently got her associate degree. The associate degree was from the same paramedic program she was running. Not sure she could complete a bachelor degree.

Most community college leaders are required to have master's degree, often they have a Ph.D. or Ed.D. terminal degree.

I have no doubt she is a dedicated, passionate and effective paramedic instructor … but she needs better academic credentials.

The biggest push back to CoAEMSP accreditation of paramedic programs was the requirement that the program director have a bachelor degree. (2008 fact sheet)

In the academic world, those with terminal doctorial degrees "create knowledge" and impact professional/graduate educational programs.

Will you step up?

Mike "FossilMedic" Ward