NFIRS 5.0 Self-Study Program: Fire Service Casualty Module: NFIRS-5

NFIRS 5.0 Self-Study Program Fire Service Casualty Module: NFIRS-5 Objectives After completing the Fire Service Casualty Module the student will be able to: 1. Describe when the Fire Service Casualty Module is to be used. 2. Demonstrate how to complete the Fire Service Casualty Module, given the scenario of a hypothetical incident. 5-1 Table of Contents Pretest #5 - Fire Service Casualty Module. .5-3 Using the Fire Service Casualty Module. .5-4 Section A: FDID, Incident Number, Exposure. .5-4 Section B: Injured Person. 5-4 Section C: Casualty Number. 5-5 Section D: Age or Date of Birth. 5-5 Section E: Date and Time of Injury. .5-5 Section F: Responses. 5-5 Section G: Usual Assignment, Physical Condition Just Prior To Injury, Severity, Taken To, Activity at Time of Injury . .5-6 Section H: Primary Apparent Symptom and Primary Area of Body Injured. 5-7 Section I: Cause of Firefighter Injury, Factor Contributing to Injury, and Object Involved in Injury. .5-7 Section J: Where Injury Occurred, Story Where Injury Occurred, Specific Location, and Vehicle Type. .5-8 Section K: Contribution of Protective Equipment to Injury . .5-9 SUMMARY . 5-12 EXAMPLE: Highrise Fire. 5-13 EXERCISE SCENARIO 5-1: Fire Captain Injury on Scene of Fire . .5-16 EXERCISE SCENARIO 5-2: Cary Street Fire. 5-21 NFIRS 5.0 Self-Study Program Pretest #5 - Fire Service Casualty Module 1. The Fire Service Casualty Module is used to report injuries, deaths, or exposures to fire service, EMS, and other public safety personnel that occur in conjunction with any incident response. (a) True. (b) False. 2. A Basic Module must be completed if the Fire Service Casualty Module is completed. (a) True. (b) False. 3. The Fire Service Casualty Module is a required NFIRS Module. (a) True. (b) False. 4. The Fire Service Casualty Module should be completed if a firefighter is injured while exercising at the fire station. (a) True. (b) False. 5. The Fire Service Casualty Module should be completed if a firefighter is injured while off-duty away from the fire station. (a) True. (b) False. 5-3 NFIRS 5.0 Self-Study Program Using the Fire Service Casualty Module he Fire Service Casualty Module is used to report fire service personnel injuries, deaths, or expo- Tsures while on duty. This module is also used to collect information about protective equipment that failed and contributed to the injury. An exposure is defined as contact by fire service personnel with a toxic substance or harmful physical or biological agent through any route of entry (e.g., inhalation, ingestion, skin absorption, or direct contact). Exposures can be reported regardless of the presence of clinical signs and symptoms. NOTE: An exposure fire is not the same as an exposure to fire service personnel. Recording firefighter casualty information provides data on specific, perhaps correctable, hazards. It also can indicate trends that can lead to future safety improvement efforts. Health and Safety Officers find this information particularly useful when working to reduce risks at incidents. Section A: FDID, Incident Number, Exposure MM DD YYYY NFIRS–5 Delete A Fire Service FDID State Incident Date Station Incident Number Exposure Change Casualty TheB informationInjured Person in Section A of the Fire Module is drawn1 Male from Section1 Career A of theC BasicCasualty Module. Number Use Identification Number 2 Female 2 Volunteer the data in the Basic Module to help you supply the requested information. If you are using an auto- Casualty Number matedFirst Name system the data needMI toLast be Name entered only once, then they will beSuffix transferred automatically into other modules that use the data. Midnight is 0000. D Age or Date of Birth E Date and Time of Injury F Responses Age Date of Injury Time of Injury Date of Birth MM DD YYYY NFIRS–5 A Delete OR Number of prior responses Fire Service Incident Date In years FDID SectionState B: InjuredStation PersonIncident Number Exposureduring past 24 hours Change Month Day Year Month Day Year Hour Minute Casualty Usual AssignmentInjured Person Physical Condition Just Prior to Injury 1 Male 1 Career Casualty Number 1 B 2 4 Taken To Not transportedC G G Identification Number G2 Female 2 Volunteer 1 Rested 0 Other 1 Hospital 1 Suppression 2 Fatigued U Undetermined 4 Doctor’s office Casualty Number 2 EMS First Name 4 Ill orMI injuredLast Name 5 Morgue/funeralSuffix home 3 Prevention 6 Residence 4 Training Severity 7 Station or quarters Section5 Maintenance B is usedAge to or identifyDateG of3 Birth and classify the person injuredDate or andexposed Time0 ofOther Injuryusing aMidnight variety is 0000. of means.Responses 6 CommunicationsD 1 Report only, including exposureE F 2 First aid only 7 AdministrationAge Date of Birth Date of Injury Activity at TimeTime of ofInjury Injury Start8 completingFire investigation Section B 3by enteringTreated by an physician assigned (no lost identification time) G5 number. While the individual’s 0 Other OR4 Moderate (lost time) Number of prior responses Social Security Number often is used for this purpose, this is not a recommended practice. during past 24 hours In years 5 SevereMonth (lostDay time)Year Month Day Year Hour Minute 6 Life threatening (lost time) Activity at time of injury Next, check the appropriate 7boxesDeath indicating male or female, and the casualty’s affiliation (career or Usual Assignment Physical Condition Just Prior to Injury volunteer).G Paid-per-call1 casualtiesG should2 be considered volunteers whenG 4informationTaken To for this Notsec transported- tion isPrimary entered. Apparent Lastly, Symptom enter the casualty’s1 firstRestedCause and of lastFirefighter0 name,Other Injury middle initial, 1andObject Hospitalany Involved suffix (i.e., Jr., 1 Suppression None H1 2 I1 Fatigued U Undetermined I34 in Doctor’sInjury office Sr., or III) in2 the linesEMS provided. 4 Ill or injured 5 Morgue/funeral home 3 Prevention 6 Residence Primary apparent4 symptomTraining Cause of injury Severity 7 Station or quarters None Primary Part5 of MaintenanceBody Injured G3 Factor Contributing to Injury None 0 Other H2 6 Communications 1 I2 Report only, including exposure 2 First aid only Object involved in injury 7 Administration Activity at Time of Injury 3 Treated by physician (no lost time) Primary injured8 body partFire investigation Contributing factor G5 0 Other 4 Moderate (lost time) 5 Severe (lost time) Where Injury Occurred Specific Location6 Life Where threatening (lost time) Vehicle Type J3 5-4 4 Activity at time of injuryComplete ONLY if J1 Injury Occurred7 Death J Specific Location code is >60 1 En route to FD location 1 Suppression vehicle 2 At FD location 65 In aircraft 2 EMS vehicle 64 In boat, ship, or barge 3 En route to incidentPrimary scene Apparent Symptom Complete Cause of Firefighter3 Other Injury FD vehicle Object Involved 63 In rail vehicle Block J4 None H1 I1 4 Non-FD vehicle I3 in Injury 4 En route to medical facility 61 In motor vehicle 5 At scene in structure 54 In sewer Primary apparent symptom53 In tunnel Cause of injury 6 At scene outside Remarks 7 At medical facilityPrimary Part of Body49 Injured In structure None Factor Contributing to Injury 45 In attic None 8 ReturningH 2from incident 00 OtherI2 36 In water UU Undetermined Object involved in injury 9 Returning from med facility 35 In well 0 Other Primary injured body part 34 In ravine Contributing factor U Undetermined 33 In quarry or mine 32 In ditch or trench Specific Location Where Vehicle Type Where Injury Occurred31 In open Jpit3 Complete ONLY if Story WhereJ1 Injury Occurred Injury Occurred J4 Specific Location code J2 28 On steep grade is >60 1 En route to FD location27 On fire escape/outside stairs 1 Suppression vehicle 1 Check this box and enter the story if the 65 In aircraft 2 injury occurred 2inside orAt on aFD structure location 26 On vertical surface or ledge EMS vehicle 25 On ground64 ladder In boat, ship, or barge IfComplete protective equipment failed3 and 3 En route to incident scene Block J4 Other FD vehicle Story of injury Below grade 63 In rail vehicle was a factor in this injury, please 4 En route to medical24 facility On aerial ladder or in basket complete the other side of4 this Non-FD vehicle 23 On roof 61 In motor vehicle 5 At scene in structure form. 22 Outside 54at grade In sewer 2 Injury occurred outside 53 In tunnel NFIRS–5 Revision 01/01/05 6 At scene outside Remarks 7 At medical facility 49 In structure 45 In attic 8 Returning from incident 00 Other 36 In water UU Undetermined 9 Returning from med facility 35 In well 0 Other 34 In ravine U Undetermined 33 In quarry or mine 32 In ditch or trench Story Where Injury Occurred 31 In open pit J2 28 On steep grade 27 On fire escape/outside stairs 1 Check this box and enter the story if the injury occurred inside or on a structure 26 On vertical surface or ledge 25 On ground ladder If protective equipment failed and Story of injury Below grade was a factor in this injury, please 24 On aerial ladder or in basket complete the other side of this 23 On roof form. 2 Injury occurred outside 22 Outside at grade NFIRS–5 Revision 01/01/05 NFIRS 5.0 Self-Study Program MM DD YYYY NFIRS–5 Delete A Fire Service FDID State Incident Date Station Incident Number SectionExposure C: ChangeCasualtyCasualty Number B Injured Person 1 Male 1 Career C Casualty Number Identification Number 2 Female 2 Volunteer Casualty Number First Name MI Last Name Suffix MM DD YYYY NFIRS–5 Each casualty is given a number.AMidnight The is 0000.

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