1、NFPA 1584 Standard on the Rehabilitation Process for Members During Emergency Operations and Training Exercises 2015 Edition NFPA, 1 Batterymarch Park, Quincy, MA 02169-7471, USA An International Codes and Standards Organization 1/14ISBN: 978-145591072-4 (Print)ISBN: 978-145591118-9 (PDF)IMPORTANT N
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29、ite at www.nfpa.org. All NFPA codes and standards can be viewed at no cost at www.nfpa.org/freeaccess.Copyright 2014 National Fire Protection Association. All Rights Reserved.NFPA1584Standard on theRehabilitation Process for Members During Emergency Operationsand Training Exercises2015 EditionThis e
30、dition of NFPA 1584, Standard on the Rehabilitation Process for Members During EmergencyOperations and Training Exercises, was prepared by the Technical Committee on Fire ServiceOccupational Safety and Health. It was issued by the Standards Council on November 11,2014, with an effective date of Dece
31、mber 1, 2014, and supersedes all previous editions.This edition of NFPA 1584 was approved as an American National Standard on December1, 2014.Origin and Development of NFPA 1584The first edition of NFPA 1584, Recommended Practice on the Rehabilitation of Members Operat-ing at Incident Scene Operatio
32、ns and Training Exercises, was issued in January 2003 to support therequirements in NFPA 1500, Standard on Fire Department Occupational Safety and Health Program,for a rehabilitation program for fire department members operating at emergency incidents.An organized approach for fire department member
33、s rehabilitation at incident scene opera-tions is an integral component of both an occupational safety and health program and inci-dent scene management.For the 2008 edition, the committee felt that rehabilitation is important enough to thehealth and safety of fire fighters that it should be address
34、ed in a standard rather than in arecommended practice. Accordingly, that edition was completely revised from the previousedition and retitled Standard on the Rehabilitation Process for Members During Emergency Operationsand Training Exercises.The committee reviewed and updated the text so the standa
35、rd reflected current scienceand knowledge on rehabilitation of fire service members. Requirements for medical monitor-ing during rehabilitation were added, with a lengthy discussion in the annex that recognizedthat vital signs alone cannot be used to determine if a fire fighter entering or in rehabi
36、litationshould receive further medical treatment.Terminology was updated to be compatible with the National Incident Management Sys-tem (NIMS). Annex material was added to show a sample standard operating procedure for arehabilitation process and provide information on the classification, signs, sym
37、ptoms, andtreatment of heat stress and cold stress. Emphasis was placed on fire fighters, maintainingproper nutrition, hydration, and a healthy lifestyle prior to emergency operations or trainingexercises.For the 2015 edition, the committee has updated the document to emphasize the impor-tance and n
38、eed for rehabilitation not just during emergency incidents and training exercises,but for post-rehabilitation hydration as well. This includes differentiating sports drinks fromenergy drinks and how such drinks can affect or impede the rehabilitation process. Environ-mental effects on the rehabilita
39、tion process have also been addressed.The committee has also included requirements so that members of the incident commandsystem have a greater responsibility in the effectiveness of the rehabilitation process. A focuswas placed on individual members to know their limitations and to report them duri
40、ngrehabilitation.Carbon monoxide monitoring has also been included among the vital signs taken duringrehabilitation.15841NFPA and National Fire Protection Association are registered trademarks of the National Fire Protection Association, Quincy, Massachusetts 02169.Technical Committee on Fire Servic
41、e Occupational Safety and HealthRandy J. Krause, ChairPort of Seattle Fire Department, WA EMurrey E. Loflin, Nonvoting SecretaryNational Institute for Occupational Safety maintaining a patients airway,breathing, and circulation; controlling external bleeding; pre-venting shock; and preventing furthe
42、r injury or disability by im-mobilizing potential spinal or other bone fractures.3.3.4 Company. A group of members (1) under the direct su-pervision of an officer; (2) trained and equipped to perform as-signed tasks; (3) usually organized and identified as engine com-panies, ladder companies, rescue
43、 companies, squad companies,or multi-functional companies; (4) operating with one piece offire apparatus (pumper, aerial fire apparatus, elevating platform,quint, rescue, squad, ambulance) except where multiple appara-tus are assigned that are dispatched and arrive together, continu-ously operate to
44、gether, and are managed by a single companyofficer; (5) arriving at the incident scene on fire apparatus.1500, 20133.3.5 Cooling.3.3.5.1 Active Cooling. The process of using external meth-ods or devices (e.g., hand and forearm immersion, mistingfans, ice vests) to reduce elevated core body temperatu
45、re.3.3.5.2 Passive Cooling. The process of using naturalevaporative cooling (e.g., sweating, doffing personal pro-tective equipment, moving to a cool environment) to re-duce elevated core body temperature.3.3.6* CoreBody Temperature. The temperature deep withina living body.3.3.7 Crew. A team of two
46、 or more fire fighters. 1500, 20133.3.8 Emergency Incident. Any situation to which an emer-gency services organization responds to deliver emergency ser-vices, including rescue, fire suppression, emergency medicalcare, special operations, law enforcement, and other forms ofhazard control and mitigat
47、ion. 1561, 20143.3.9 Emergency Medical Care. The treatment of patients, us-ing first aid, cardiopulmonary resuscitation, basic life support,advanced life support, and other medical protocols prior toarrival at a hospital or other health care facility.3.3.10 Emergency Medical Services. The provision
48、of treat-ment, such as first aid, cardiopulmonary resuscitation, basiclife support, advanced life support, and other pre-hospitalprocedures including ambulance transportation, to patients.1500, 20133.3.11 Emergency Operations. Activities of the fire depart-ment relating to rescue, fire suppression,
49、emergency medicalcare, and special operations, including response to the sceneof the incident and all functions performed at the scene.1500, 20133.3.12 Energy Drink A type of beverage containing stimulantdrugs (caffeine and other ingredients such as taurine, ginsing,and guarana) that is marketed as providing mental or physicalstimulation.3.3.13* Hydration. The introduction of water in the form offood or fluids into the body.3.3.14 Incident Commander (IC). The individual responsiblefor all incident activities, including the development of strate-gies and tactics and
