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SOUTH ORANGE RESCUE SQUAD, INC. <br /> North Carolina <br /> _—\ <br /> Standard Operations Manual <br /> Subject: Rehabilitation SOM No.: <br /> Effective Date: <br /> Revision Date: Authorization Signature: <br /> 5.84. The individual may be transported when the systolic blood pressure is> 28O and after <br /> further evaluation and rest the systolic blood pressure is still>200. <br /> 5.8.5. When a pulse rate of 140 is found, administer oxygen and fluids, rest for a minimum of <br /> 10 minutes,and reassess the indiviJuui lithe hear rate is less than 140,the individual <br /> may return to work. <br /> 5.8.6. |fuhcx 10 minutes the heart rate still remains above 140. the individual must rest for an <br /> additional 30 minutes. Administer fluids and oxygen,and record the heart rate and <br /> rhythm on a cardiac monitor and obtain an EKG printout, <br /> 5.8.7. If after 30 minutes the pulse rate remains above 140`transport the member to a medical <br /> facility for further evaluation. <br /> 5.8.8. In the above cases, Medical Control will be contacted in every situation and treatment or <br /> transport will be determined in conjunction with Medical Control. <br /> 5.9. All medical evaluations shall be properly recorded by the paramedic, along with the individual's <br /> name and chief complaint. The form must list the date, time, and incident number and be signed <br /> by the rehab officer, <br /> 5.)O. K8embomxun{mmho6ohuUuntcrundnxhtkmrehmhoocm,uouuocv. The crew Juoiguxhon. <br /> number of crew members, and times of entry to and exit from the rehab sector shall he <br /> documented by the rehab officer, Crews shall not leave the rehab sector until released by the <br /> rehab officer. <br /> 5.11. All officers shall monitor the condition of each member working under their command and shall <br /> ensure that adequate steps are taken to provide for each member's safety and health. The incident <br /> command system is to be used to request that a crew be relieved and for the reassignment of <br /> fatigued crews. <br /> 5.12. During periods of hot weather,members are encouraged to use their individual water <br /> bottles/Camel Backs and drink water or Gatorade 'throughout the work-day. During any <br /> emergency incident or training evolution,all members shall advise their supervisor when they <br /> believe their level of fatigue or exposure to heat or cold is approaching a point that could effect <br /> them, their crew,or the operation in which they are involved. Each member shall also monitor <br /> the health and safety of the other members of hisiher crew. <br /> 6. TERMS <br /> G.|. Level I rehabilitation: Situations of short duration. The incident commander may elect to use the <br /> rehabilitation supplies from an apparatus on the scene or may special-call the rehab unit to the <br /> scene. Typically in Level ! rehab,the crews are not rotated and the incident or training exercise <br /> has a limited duration. <br /> 6.2. Level U rehabilitation: Situations that require a major time and pemonou|commibmerU. <br /> Examples include a m incident or a lengthy training exercise in which the team member's <br /> health and safety must be addressed. <br /> GkN' &uhuhUhN|on.Joo <br />