Tuesday, April 29, 2014

Congratulations to the New CERTs of Class 81, Plus Registration Server Update

Here's an update from CERT Volunteer Instructor Jack Ledgerwood (we didn't want this to get lost in the shuffle around the All-Hands Meeting last week):

Congratulations to the new Fairfax County CERTs from Class 81 who completed their training on April 22, 2014. Class 81 was a mobile course that was held at the Unitarian Universalist Congregation of Fairfax. Their final class was a mini-exercise where they had a chance to use all of their learned CERT skills.

Fairfax County CERT Class 81. Photo: Jack Ledgerwood


If you didn't know: In addition to training at the Fire and Rescue Academy, Fairfax County CERT Volunteer Instructors can come out to train your group at a location convenient to you!

What kind of groups do they train? They include:
  • Faith-based groups
  • Homeowners' and condo associations
  • Civic and professional groups
  • Workplaces
  • Most other community organizations
CERT training is free -- there's no charge for the instructors to come to you. All you have to do is gather a group of students to commit to the training -- typically, eight two-and-a-half-hour sessions on weeknights (weekend training may also be an option) -- and find a location where it can take place (community center, HOA clubhouse, etc.)

If you're interested in learning more about bringing CERT Volunteer Instructors to your community to train your group, please email training@fairfaxcountycert.org and tell us about your group.

Congratulations to Class 81! Photo: Jack Ledgerwood

Congratulations to the new CERTs of Fairfax County CERT Class 81!



Additional Training Opportunities

* A new CERT Class at the Fairfax County Fire and Rescue Academy begins Monday, May 5th. The class meets Mondays, from 7:00 PM-10:30 PM, through June 23 (and excluding Memorial Day, May 26).

Please note: After the spring class, there probably won't be another CERT class at the Fire and Rescue Academy until the fall, so now's your chance.

* A mobile CERT class starts Wednesday, May 21st, at the Greater Springfield Volunteer Fire Department. Class meets Wednesdays from 7:00 PM-10:00 PM, through July 9th (no class on June 25).

Please note that the old Fairfax County CERT registration server (currently located at http://www.fairfaxcert.com) is going offline tonight (April 29) so that roster and class information can be migrated over to the new server.

Starting tomorrow morning (April 30), please register for CERT classes at the new server, located at http://volunteer.fairfaxcounty.gov. (Eventually, the old fairfaxcert.com address will be redirected to point to the new one. Please see Jeffrey Katz's emails on the migration for more information.)

In the coming days and weeks, we will have more detailed instructions on how CERTs should use the county-wide volunteer management system. In the meantime, please follow the registration instructions you should have gotten from the new system, and if you have problems, please email Jeffrey Katz at fire.cert@fairfaxcounty.gov.

Wednesday, April 23, 2014

Missy's Minute: What to Expect at the Fairfax County CERT All-Hands

[This week, we introduce Missy's Minute, featuring thoughts and updates from Missy Tuttle-Ferrio, Fairfax County CERT's Volunteer Lead. In addition to leading all the efforts (on the volunteer side) of Fairfax County CERT, Missy is also a Fairfax County Fire and Rescue Department EMT, Search & Rescue Technician II, and Wilderness First Responder.]
It's been over 10 years since the Fairfax County CERT program was created to help citizens prepare for and respond to major disasters that could affect their communities.

To reach that mission, Fairfax County CERT has held 81 CERT classes at the Fire & Rescue Academy and locations throughout the community, producing over 1,300 trained CERTs (and counting).

On Thursday, April 26 [correction: April 24] at 7pm, we're having a Fairfax County CERT All-Hands Meeting, to reconnect and re-engage with any and all of those CERTs. If you're a CERT, you're welcome to attend. (Even if it's been a while since your last drill. Especially if it's been a while since your last drill.)

At the meeting, you'll learn about updates to the CERT program, which incorporate some of the things we've learned over the years. You'll hear about our Outreach efforts, and some of the great classes we've added to the training lineup.

You'll also get to hear about our new concept of CERT participation levels, for those CERTs who want to take a more active role in their community. And you'll learn more about our plans for 2014 and beyond.

You'll learn about all this, get a chance to network with CERTs from all classes, and much more.

Also, there will be puppets.

If you haven't yet, please RSVP for the event, and if by chance you're a CERT and you didn't get your invite, you can email me at lead@fairfaxcountycert.org.

See you on Thursday!


Missy Tuttle-Ferrio, Volunteer Lead of Fairfax County CERT, is CEO of Gemmis Technologies. You can email her at lead@fairfaxcountycert.org.

Wednesday, April 16, 2014

Tourniquets: The Class Every CERT Wants to Take (But No CERT Wants to Use)

Based on the near-instant sellout for Fairfax County CERT's first-ever "tourniquet class," (officially known as "First Aid for Hostile Mass Casualty Incidents and Improved Splinting Skills") you might get the mistaken impression that huge numbers of people in the US are dying due to the lack of tourniquet training.

IMG_0258
A selection of commercially available tourniquets demonstrated during the class. Image by Flickr user joelogon. All images used under Creative Commons.
Fortunately, the truth is not quite so dire, and the need for tourniquets in the US is still pretty rare. (For example, a 5.5-year-study of Houston trauma centers found that, out of over 75,000 eligible cases, only 8 might have benefited from the use of a tourniquet.)

However, CERTs thrive on being prepared for low-probability, high-impact events of all kinds. And, with active shooter incidents and the one-year anniversary of the Boston Marathon bombing fresh in our minds, Fairfax County CERT instructors Rich Hall and Brian Talbot taught CERT students about the use of tourniquets, pressure dressings, occlusive dressings, and improved splinting techniques for both hostile and non-hostile environments.
 
A Hostile Environment Forces a Change in Treatment
A critical thing for CERTs to remember is that a hostile mass casualty incident (MCI) requires a very different response than non-hostile ones.

If there's a present threat, like an active shooter on the move or a bombing scene where secondary devices may be suspected, the goal of CERTs should be to keep themselves safe, while using the resources on hand to do two things for themselves and others:
  1. Stop major blood loss
  2. Treat open chest wounds
That's it. Unlike other scenarios CERTs train for, there is no triage, tagging, or treatment.

Applying Tourniquets
In a hostile environment (think "pinned down by an active shooter"), when faced with an obvious, actively spurting arterial wound to a limb, instructors Rich and Brian recommended immediately applying a tourniquet, instead of trying to first use a pressure dressing.

IMG_0252
Instructors Rich Hall and Brian Talbot demonstrate the use of a MAT tourniquet. Image by Flickr user joelogon.
They demonstrated the use of commercially available tourniquets, as well as improvised tourniquets made from materials likely to be on hand: belts, t-shirts, long sleeves torn off of shirts, etc.

When improvising a tourniquet, they advised that using wider materials is better, though if the alternative is letting someone bleed out to death, a shoelace is better than nothing.

IMG_0262
CERTs check for pulse after an improvised duct tape tourniquet is applied. Note that current EMT protocols usually call for tourniquets placed close to the wound site, while military practice is to apply tourniquets as high on the limb as possible. Image by Flickr user joelogon.
Students learned how to apply a tourniquet, and how to check that the pulse was stopped in the affected limb (to ensure that the tourniquet has stopped both arterial and venous blood flows, preventing a complication known as compartment syndrome).

CERTs were also taught how to apply a second tourniquet if blood flow wasn't completely halted, to mark a patient with the time the tourniquet was applied, and to never take off a tourniquet once applied.

Pressure Dressings
Instructors also demonstrated the use of pressure dressings to control less serious bleeding, using both a trauma bandage (popularly known as an "Israeli bandage"), as well as one improvised using gauze pads and rolls.

IMG_0267
Chris Thiel, Fairfax County CERT Class 74, acts as victim while Randy Weidman, Class 80, applies an Israeli-style trauma bandage, under the guidance of Instructor Brian Talbot. Image by Flickr user joelogon.

Occlusive Dressings
Penetrating chest injuries (like from gunshots, shrapnel, or stab wounds) can allow air into the cavity that surrounds the lungs, causing life-threatening breathing impairment.

To prevent this, Rich demonstrated how to cover a chest wound with a piece of plastic wrap (or similar impermeable material), sealing with tape on three sides to create a one-way valve. (He also reminded CERTs to check the back for an exit wound, which should be sealed on all four sides.)

IMG_0264
Rich demonstrates an occlusive dressing on a CPR dummy. Image by Flickr user joelogon.

Improving Your Splinting Technique
CERTs also learned improved techniques for a skill they'll be far more likely to use: Applying splints. CERTs learned how to use a second rescuer to stabilize the limb while applying the splint, and were reminded on best practices including:
  • Securing the splint by wrapping the limb above and below the point of injury
  • Immobilizing the joints above and below the injury using slings and swathes
  • Checking the limb before and after the splint is applied for PMS: Pulse, Movement, Sensation
IMG_0250
Instructor Rich Hall checks the secureness of the splint and sling on CERT James Weikert, as CERT Volunteer Lead Missy Tuttle-Ferrio assists. Image by Flickr user joelogon.

Summary
Hopefully, CERTs will never be in a position where they'll need to apply a tourniquet, though should the need arise, they'll be much more prepared.
The class is very hands-on and covers much more information not included in this blog post -- I highly recommend taking it.

Also, remember that tourniquets are not recommended for general civilian use, and please don't attempt to apply a tourniquet without proper training.

The next sessions for First Aid for Hostile Mass Casualty Incidents and Improved Splinting Skills (CERT-MCI-1) are scheduled for May 5 (class full) and June 9 (register now at FairfaxCERT.com).

Keep reading the weekly Fairfax County CERT emails for announcements for upcoming classes, for this class and other great offerings.



Did you attend the class and have any impressions to share? Or are you planning on taking this course in the future? Please leave a comment below.