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Posted: Nov 5, 2015

Treat Your Next Station Like Your Next Truck

Chris Mc Loone   Chris Mc Loone

The 2015 F.I.E.R.O. Station Design Symposium just wrapped and, as usual, the 21⁄2-day event brought together architects, end users, and consultants to provide information to those who are considering a brand new station or modifying a current one.

As I listened to architects and end users, certain themes kept repeating: be specific; be clear; and plan, plan, plan. It struck me how close specifying a station is to specifying a fire apparatus.

“Apparatus Purchasing” author Bill Adams often says that if it’s not in the specs, it doesn’t exist. And if you are not specific about where you want something, an apparatus builder will place it where it thinks it makes the most sense or where it fits, which is the same for an architect-if you’re not specific, the architect will do something the way he thinks it should be done. And, just like taking delivery of a fire truck, the ribbon cutting for the new station is not the time to discover a glaring error like a front apron that is too steep.

Enough cannot be said about the role a fire station plays in our health and safety. Cancer has understandably been receiving a lot of attention lately as firefighters continue to develop it at an alarming rate. In more than one session, a speaker would mention how we hear stories every day about firefighters who devote 30 years to their departments, retire, but pass away just a few years later because of job-related cancer. Just getting our PPE off the apparatus floor can reduce our chances of contracting certain cancers attributable to diesel exhaust exposure. But, don’t stop there. Getting as much of the exhaust out of the firehouse as possible is the next step. It’s very true that when you start an apparatus today, you don’t get the same black exhaust you used to. But, that doesn’t mean you shouldn’t look for ways to limit your exposure to anything that is coming out of that exhaust pipe.

Many people hear the words “station design” and might think about its physical appearance on the outside, the furniture, and fancy accoutrements. But, it goes beyond that. It’s about spec’ing out a facility that is practical, safe, built with expansion in mind, and that flows. Firefighters who have to make 14 turns to get from the bunk area to the apparatus floor are on duty at a station that does not feature response efficiency.

I had the opportunity to visit a newly constructed station recently. The advantages a new station brings are obvious: more space, modern amenities, ADA compliance, brand new furnishings, state-of-the-art technology, built-in training elements, and so on. There was plenty of parking, and the interior of the station was split logically between the career personnel for the fire department-fire administrator and fire marshal-and the volunteer fire company side. The station features training props on site, a modern radio room, its own compressor for refilling self-contained breathing apparatus cylinders, and a modern meeting room. The station is well-thought-out.

My station is a legacy station, built in 1927, with additions from the 1960s and 1970s. It stands on the location of the original station, a one-story, two-bay structure resembling a detached garage at someone’s house more than a fire station. The current station’s first addition is one story and features two bays. The second addition was built to the rear of the original building and first addition and is also one story. Having written the fire company’s history for our 100th anniversary in

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Posted: Nov 5, 2015

EMS Program Diverts Patients, Uses Special Vehicles

The Mesa (AZ) Fire and Medical Department is having success with an emergency medical services (EMS) program that keeps low-acuity patients out of hospital emergency departments (EDs) and directs them to a more appropriate level of care for their particular situation through its Community Care Concept.

The Program

Tony Lo Giudice, Mesa’s program administrator, says the project is a result of a $12.5 million federal grant from the Centers for Medicare and Medicaid Services to test a model that offers comprehensive delivery systems to address the impact of chronic disease, falls prevention, self-management skills, and medication adherence. “The idea is to reduce high-risk patient returns post-discharge from hospitals and treat and divert low-acuity patients from the use of the 911 systems and the ED,” Lo Giudice says. “We had a perfect storm over a five-year period where overcrowding of the EDs was tying up a lot of our paramedics at the hospitals. Working with our fire department, we came up with the concept of pairing a paramedic with a physician’s assistant (PA) or nurse practitioner (NP) to streamline the process of getting the patient to the hospital.”

When the economy crashed in 2007, Lo Giudice says that Mesa went to a transitional response vehicle (TRV) program that staffed a vehicle with a firefighter paramedic and emergency medical technician (EMT) to handle basic life support medical services calls. “Low-urgency calls were coming into the 911 system-people with colds, the flu, and minor trauma-that we were sending to the hospital, which was an expensive way to treat them by sending a fire truck with four firefighters,” he says. “We wanted to make the system more efficient and improve the service to the patients, which bred the idea of our Community Care Concept.”

The Mesa (AZ) Fire and Medical Department runs five Community Care Unit (CCU) ambulances that are built on Dodge 4500 chassis with Medtech bodies and powered by Cummins 8.3-liter diesel engines. Two of the CCU ambulances are bariatric units. [Photos courtesy of the Mesa (AZ) Fire and Medical Department.]
The Mesa (AZ) Fire and Medical Department runs five Community Care Unit (CCU) ambulances that are built on Dodge 4500 chassis with Medtech bodies and powered by Cummins 8.3-liter diesel engines. Two of the CCU ambulances are bariatric units. [Photos courtesy of the Mesa (AZ) Fire and Medical Department.]

The program takes a firefighter-paramedic and an NP or PA and puts them on a rig to handle low-acuity medical calls that come into the 911 system, which amounts to about 38 percent of Mesa’s low-acuity runs, Lo Giudice says. “We partnered with Mountain Vista Medical Center to provide the NP or PA to ride the truck.”

The Community Care Unit (CCU) ran on a 40-hour-per-week basis from the end of 2011, but Mesa identified another issue: Behavioral-related calls (suicides and mental health problems) were cropping up that the CCU was not equipped to handle. “We came up with the idea to pair a licensed mental health counselor with a firefighter-paramedic in a separate vehicle, a community care specialist (CCS) unit, to deal with those kinds of calls,” Lo Giudice says. “The patient got a basic medical evaluation by the paramedic and a mental health evaluation from the licensed counselor. Most of the time we were able to bypass the ED and go to a mental health facility or do safety reviews of patients at their homes.”

2 For behavioral medical calls, the Me
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Posted: Nov 5, 2015

Firefighters save cat, no one hurt in SeaTac apartment fire

Kent fire responded to a two-alarm apartment fire in Sea-Tac Thursday morning. When crews arrived, smoke was coming from the second floor of the two-story building in the 19200 block of 11th Place South. Six adults and six children live in the five-unit building. Everyone got out safe. A cat, named Cuddles, was rescued and given oxygen by firefighters.
- PUB DATE: 11/5/2015 10:15:30 AM - SOURCE: KIRO-TV CBS 7
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Posted: Nov 5, 2015

Firefighters save cat, no one hurt in SeaTac apartment fire

Kent fire responded to a two-alarm apartment fire in Sea-Tac Thursday morning. When crews arrived, smoke was coming from the second floor of the two-story building in the 19200 block of 11th Place South. Six adults and six children live in the five-unit building. Everyone got out safe. A cat, named Cuddles, was rescued and given oxygen by firefighters.
- PUB DATE: 11/5/2015 10:15:30 AM - SOURCE: KIRO-TV CBS 7
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Posted: Nov 5, 2015

Update: PA Aerial Failure with Injury

There was one injury after an outrigger reportedly failed during a certification for a ladder truck. The ladder struck one individual who was performing a certification test on the fire truck. Visit http://www.wpxi.com/news/news/local/1-person-taken-hospital-after-accident-fire-dept/npD54/ for more information
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