1. FD-CPR Founded by Leland Fire/Rescue NC 1

2. Why FD-CPR? When the unthinkable happens, and a firefighter collapses on an emergency scene, we need to be prepared to provide the highest level of care possible. We know that good neurological outcomes can be had in out of hospital cardiac arrest provided high quality chest compressions are initiated early. Unfortunately, the resuscitation of a downed firefighter presents a special concern: they're in full turn out gear with an SCBA! In essence we have an access issue. Before we can initiate chest compressions we must extricate the fallen firefighter from their gear. Undirected attempts at removal of turnout gear is time consuming and chaotic. Therefore, we have developed a simple technique to doff the gear from an unresponsive firefighter which requires minimal training and no additional equipment. 2

3. Firefighter Down: CPR 10 Step Process

4. Objectives Initiate immediate CPR on a firefighter in full Turnout Gear with an SCBA that suffered a sudden cardiac arrest Remove firefighter from the Turnout Gear and SCBA without interrupting compressions

5. Step 1 Rescuer 1 Position Firefighter’s SCBA between legs

6. Step 2 Rescuer 2 Begin high quality compressions

7. Step 3 Rescuer 1 Open SCBA bypass valve

8. Step 4-8 Step 4 – 8 should be performed in a coordinated method but simultaneously to the best of the ability of the rescuers Do not interfere with compressions Do not interrupt compressions Depending on the style of gear your department carries, modifications may need to be made You are a firefighters - get the job done!

9. Step 4 Rescuer 3 Start unbuckling the TOG jacket from the bottom up

10. Step 5 Rescuer 1 Loosen shoulder straps and position arms above the head

11. Step 6 Rescuer 1 and Rescuer 3 Work zipper open, do NOT interfere with chest compressions

12. Step 7 Rescuer 1 Remove helmet, mask, and hood

13. Step 8 Rescuer 1 Hold the jacket and SCBA straps, prepare for “PULL DOWN”

14. Step 9 Rescuer 3 and Rescuer 4 Perform “PULL DOWN” by grabbing one leg each and pulling the victim out of their gear

15. Step 10 All Rescuers Initiate comprehensive Resuscitation Bundle!