MABAS Wisconsin Division 112

Policy Reminder

Rehab for EXTREME HEAT

With the hot summer ahead all members should be aware of the potential for significant problems that will occur on the fireground in extreme heat and humidity situations. The following information is referenced from the Division 112 S.O.G. on Rehab. Please refresh your memory by reading the policy again. It is found on E-Sponder under Division 112 Policies.

Every firefighter on the fireground has responsibilities when conditions of high heat/humidity are present.

Section 2: Responsibilities

A. Incident Commander.

The Incident Commander shall consider the circumstances of each incident and make adequate provisions early in the incident for the rest and rehabilitation for all members operating at the scene. These provisions shall include: medical evaluation, treatment and monitoring; food and fluid replenishment; mental rest; and relief from extreme climatic conditions and the other environmental parameters of the incident. The rehabilitation should include the provision of Emergency Medical Services (EMS) at the Basic or Advanced Life Support level as deemed necessary by the Incident Commander or his/her designee.

b. Supervisors.

All supervisors shall maintain an awareness of the condition of each member operating within their span of control and ensure that adequate steps are taken to provide for each member’s safety and health. The command structure shall be utilized to request relief and the reassignment of fatigued crews. If at all possible, optional strenuous workday activity should be kept to a minimum during periods of extreme heat and cold weather conditions.

c. Personnel.

During periods of hot weather, members shall be encouraged to drink water and electrolyte beverages throughout the workday. During any emergency incident or training evolution, all members shall advise their supervisor when they believe that their level of fatigue or exposure to heat or cold is approaching a level that could affect themselves, their crew, or the operation in which they are involved. Members shall also remain aware of the health and safety of other members of their crew.

Some quick tips for Extreme Heat REHAB:

Establish a rehab area early in the incident and assign a Chief as the Rehab Officer

Remember hydration, nourishment, rest, recovery, medical evaluation

Special Call for the rehab trailer if is not included in your cards or it is on a higher alarm

Step up to the next alarm level for personnel replacement

Have ALS Medical Support on scene with transport capabilities

Section 4: Rehab Guideline

a.  Definition of Extreme Heat and Extreme Cold Weather Conditions.

(1)  Extreme Heat – When the apparent temperature reaches 90° F. or greater, based on the Heat Stress Index. (see following Table)