This document outlines the division of labor concept for structuring firefighting operations. It describes how an incident commander coordinates engine and truck company functions. The engine company is responsible for obtaining a water source, setting up pumps, advancing hose lines into structures, and fulfilling the life safety priority through extinguishment. The truck company conducts search and rescue operations through ventilation and forcible entry. Proper apparatus positioning and coordination of company tasks are essential to safely and effectively battling structure fires.
An incident action plan outlines the objectives and tactics for responding to an emergency incident. It determines whether the response will be offensive or defensive based on a risk-benefit analysis of life safety, extinguishment, and resource capabilities. The plan must remain flexible to changing conditions and be communicated to all responding units.
This document outlines the learning objectives of an organizational and command training course based on the National Incident Management System (NIMS). The objectives cover topics such as NIMS functions and how they interrelate, command structures including unified and single command, incident management teams, and span of control. The document also discusses command post organization, staging, transfers of command, and the use of branches, divisions and groups in the NIMS structure.
The document discusses key considerations for life safety at structure fires, including evaluating ventilation options, rescue priorities based on occupant proximity to fire, defining a mass casualty incident, estimating staffing needs based on the situation, and the incident commander's responsibilities in managing risk and prioritizing rescue efforts based on victim location and other factors. The overall goal is to systematically search for and evacuate occupants while controlling or extinguishing the fire.
This document outlines learning objectives related to fighting fires in high-rise buildings. It discusses challenges like limited stair access, elevator usage risks, and how height affects fire and smoke movement. Key points covered include defining a high-rise, lobby control responsibilities, elevator recall, stairway support, life safety searches, and partial evacuations. Extinguishment tactics above aerial reach are also addressed. The objectives focus on strategies and safety considerations for operating in high-rise fires.
This document outlines learning objectives and provides an overview of defensive firefighting operations. It discusses when a defensive attack is preferable to an offensive attack, such as when structural integrity is compromised or risks outweigh capabilities. Defensive tactics include operating master streams from a collapse zone distance and protecting external exposures. Conflagrations can rapidly spread between buildings and require special tactics due to their large scale. Contributing factors and strategies for controlling conflagrations are described.
Property conservation tactics aim to reduce property damage during firefighting operations by prioritizing life safety, fire extinguishment, and then property conservation. Good tactics include promptly extinguishing fires, stopping water flows from suppression systems, containing and removing water runoff, and using ventilation to reduce smoke damage while protecting responders during overhaul through careful planning and safety precautions.
This document outlines learning objectives and concepts for offensive firefighting operations. It covers calculating rate of flow using different formulas, selecting hose lines and nozzles, using portable standpipes, and selecting stream positions. The key aspects are determining the necessary rate of flow to extinguish the fire, selecting hoses and nozzles that can supply that flow, and positioning streams indirectly or directly depending on the situation. Safety and minimizing property damage are important considerations.
This document outlines learning objectives related to fire protection systems. It discusses pre-incident planning for buildings protected by sprinkler, standpipe, foam, and other fire suppression systems. It also compares different types of sprinkler systems like wet pipe, dry pipe, and deluge systems. The document provides guidance on fire department operations at buildings with these protection systems, including maintaining water supply and letting the systems control the fire.
An incident action plan outlines the objectives and tactics for responding to an emergency incident. It determines whether the response will be offensive or defensive based on a risk-benefit analysis of life safety, extinguishment, and resource capabilities. The plan must remain flexible to changing conditions and be communicated to all responding units.
This document outlines the learning objectives of an organizational and command training course based on the National Incident Management System (NIMS). The objectives cover topics such as NIMS functions and how they interrelate, command structures including unified and single command, incident management teams, and span of control. The document also discusses command post organization, staging, transfers of command, and the use of branches, divisions and groups in the NIMS structure.
The document discusses key considerations for life safety at structure fires, including evaluating ventilation options, rescue priorities based on occupant proximity to fire, defining a mass casualty incident, estimating staffing needs based on the situation, and the incident commander's responsibilities in managing risk and prioritizing rescue efforts based on victim location and other factors. The overall goal is to systematically search for and evacuate occupants while controlling or extinguishing the fire.
This document outlines learning objectives related to fighting fires in high-rise buildings. It discusses challenges like limited stair access, elevator usage risks, and how height affects fire and smoke movement. Key points covered include defining a high-rise, lobby control responsibilities, elevator recall, stairway support, life safety searches, and partial evacuations. Extinguishment tactics above aerial reach are also addressed. The objectives focus on strategies and safety considerations for operating in high-rise fires.
This document outlines learning objectives and provides an overview of defensive firefighting operations. It discusses when a defensive attack is preferable to an offensive attack, such as when structural integrity is compromised or risks outweigh capabilities. Defensive tactics include operating master streams from a collapse zone distance and protecting external exposures. Conflagrations can rapidly spread between buildings and require special tactics due to their large scale. Contributing factors and strategies for controlling conflagrations are described.
Property conservation tactics aim to reduce property damage during firefighting operations by prioritizing life safety, fire extinguishment, and then property conservation. Good tactics include promptly extinguishing fires, stopping water flows from suppression systems, containing and removing water runoff, and using ventilation to reduce smoke damage while protecting responders during overhaul through careful planning and safety precautions.
This document outlines learning objectives and concepts for offensive firefighting operations. It covers calculating rate of flow using different formulas, selecting hose lines and nozzles, using portable standpipes, and selecting stream positions. The key aspects are determining the necessary rate of flow to extinguish the fire, selecting hoses and nozzles that can supply that flow, and positioning streams indirectly or directly depending on the situation. Safety and minimizing property damage are important considerations.
This document outlines learning objectives related to fire protection systems. It discusses pre-incident planning for buildings protected by sprinkler, standpipe, foam, and other fire suppression systems. It also compares different types of sprinkler systems like wet pipe, dry pipe, and deluge systems. The document provides guidance on fire department operations at buildings with these protection systems, including maintaining water supply and letting the systems control the fire.
The document provides information on various fire and emergency medical companies, regulations, incident management system roles, personal protective equipment, and emergency medical terms:
1) It lists different types of fire and emergency medical companies including truck/ladder, rescue, brush, hazmat, and EMS and their responsibilities.
2) Regulations and IMS sections define terms like span of control, duties of arriving engines and ladder trucks, IMS roles, and unity of command.
3) The PPE section identifies types of protective gear including helmets, thermal hoods, jackets, gloves, and air tanks.
4) The next half and final sections cover emergency medical terms and acronyms such as
This document discusses strategies and tactics for large fires. It covers key considerations for the initial size-up such as construction, occupancy, water supply, life hazards, and exposures. Different construction types are described along with their implications for fire spread and collapse potential. Formulas are provided for calculating estimated fire water flows. The importance of considering the full scope of the incident including staffing, weather, and ongoing evaluation of fire conditions is emphasized.
The document discusses different types of building occupancies and factors related to life safety and firefighting operations for each. It covers residential, assembly, educational, healthcare, detention, business, storage, industrial, mixed-use buildings and those under construction. Key considerations for each occupancy include mobility of occupants, occupant density, fuel load, and tactics for search and evacuation. Special hazards and challenges are also outlined for certain occupancies like hospitals, schools, large retail stores and industrial facilities.
The document discusses strategies and tactics for using aerial apparatus, including:
1. Victim removal priorities, such as rescuing those most threatened first.
2. Techniques for raising the aerial device to reach a victim, positioning it for window or roof rescues, and removing victims from elevated positions.
3. Safety issues associated with using aerial devices for water rescues, aircraft rescues, below-grade operations, and ventilation. Positioning the aerial device properly is important for exposure protection and ventilation operations.
This document discusses ground ladders used by firefighters. It covers different types of ground ladders, their construction, parts, inspection, maintenance and safety guidelines. Key points covered include the different types of ladders used in fire service, proper techniques for carrying, raising, lowering, securing and working with ladders, as well as assisting victims down ladders. Safety is emphasized throughout with warnings about electrical hazards, load limits, and fall risks.
The document discusses standard operating procedures (SOPs), pre-incident planning, and size-up. It emphasizes the importance of SOPs in outlining fireground operations and their relationship to pre-incident plans and size-up. Pre-incident plans provide specific building information that can be rapidly evaluated during size-up to develop an initial incident action plan. Size-up is an ongoing process that considers SOPs, pre-incident plans, and developing incident conditions.
This document discusses considerations and tactics for truck companies at structure fires. It covers primary tasks like search and rescue, laddering, and ventilation. It emphasizes safety, proper equipment, coordination, and conducting a thorough size-up upon arrival. Tactics covered include apparatus positioning, portable ladder selection and placement, ventilation methods and hazards, conducting primary and secondary searches, providing for rescued occupants, and performing overhaul operations.
This document provides an overview of fire department resources and facilities. It describes common fire department facilities like headquarters, repair facilities, training centers, warehouses, and communications centers. It also discusses fire apparatus vehicles like pumpers, aerial ladder trucks, rescue vehicles, and aircraft. Finally, it outlines the tools and equipment carried on fire trucks, including hoses, nozzles, ladders, fittings, self-contained breathing apparatus, and hand tools.
This document discusses high-rise office buildings, including defining them, describing construction methods and hazards, and outlining strategic goals and tactical objectives for responding to fires in them. Key points covered include utilizing building systems, conducting thorough searches and evacuations, and emphasizing firefighter safety. Tactics like confining the fire, effective extinguishment, and managing ventilation and overhaul are also addressed.
This document outlines learning objectives for a fire fighter safety course. It covers major causes of on-duty fire fighter deaths, analyzing injury and fatality trends over time, defining risk management principles, and describing safety issues addressed in the NFPA 1500 standard regarding protective equipment, accountability systems, rapid intervention crews, and more. The objectives aim to reduce risks to fire fighters through appropriate safety measures and risk-based decision making.
This document discusses emergency preparedness and response for construction site safety. It outlines the roles and responsibilities of employees and supervisors in emergency situations. It also describes how to manage common emergencies like fire, drowning, electric shock, burns, and falls from height. The importance of having an emergency preparedness plan, emergency response teams, and well-stocked first aid centers is emphasized to ensure worker safety in emergency situations.
This document outlines learning objectives and definitions for responding to single story residential fires. It covers definitions for fireground terms like on scene, level 1 staging, on deck, backup, and recycle. It also defines the three tactical objectives of life safety, fire control, and property conservation. The three rules of risk assessment and parts of the initial radio report and follow up report are described. The benefits of a transitional attack on residential structures are also mentioned.
Iafc fire service pump operator principles & practice 1Ed ch 01 the history o...Yorman J. Mari Peraza
This document traces the evolution of fire apparatus and equipment from colonial times to modern day and describes the important role of the driver/operator. It discusses how early firefighting relied on buckets and ladders pulled by hand or horses, the development of hand pumps and steamers, and the transition to gasoline- and diesel-powered vehicles. The driver/operator is responsible for safely operating complex modern apparatus to emergencies while managing increasing traffic hazards. Selection requires candidates with knowledge, skills, and attitudes to perform this critical safety role.
High rise fires require extensive coordination and planning. The initial responding unit establishes command and performs reconnaissance to locate the fire. Subsequent units assume command and water supply roles. Interior teams are assigned for fire attack, search and rescue, ventilation, and rapid intervention. Staging areas are established inside and outside to coordinate personnel. Effective communication and adherence to guidelines are necessary to safely conduct operations in the complex high rise environment.
Auto Extrication Training. First responders training involves extensive auto extrication training. Auto extrication is the process of removing a vehicle, or its components, from around a person who is trapped within the vehicle due to a collision.
Emergency Evacuation Checklist
This checklist has been developed as an aid to the selection, design, development and
maintenance of Emergency Evacuation Plans, Escape Routes and Assembly Areas. It
is an integral component of the Emergency Planning methodology that is the basis of
the Total Continuity range of services and tools aimed at supporting those who are
responsible for the emergency evacuation of staff, customers, visitors and residents
from commercial, residential or public premises.
The document outlines objectives and procedures for responding to hazardous materials incidents, including:
1) Describing procedures for notifying authorities, requesting additional resources, establishing control zones, and preserving evidence.
2) Explaining the roles of operations responders, safety officers, and hazardous materials branches at incidents.
3) Detailing safety precautions like establishing control zones, identifying ignition sources, and conducting safety briefings.
HIS - 140 - Lesson 2 - Test Box Analysis and ANSI PowerPointBecca Waldo
The document discusses standards and regulations for testing hearing aids in the United States, including ANSI and FDA standards. It describes that ANSI standards exist for test methodology using a 2cc coupler, but not for aspects like directional microphones. Hearing aid specialists perform test box analysis to evaluate factors like gain, output, distortion, and noise based on ANSI standards. Measurements are made using standard couplers and involve stimuli signals, microphones, and Fourier analysis to assess the hearing aid's electroacoustic performance.
This document summarizes the Greek myth of Icarus and Daedalus through several paragraphs and images. It describes how Daedalus designed the Palace of Knossos in Crete and how he and his son Icarus were imprisoned there by King Minos. Daedalus crafted wings for them to escape by air, but Icarus ignored his father's warnings and flew too close to the sun, causing his wings to melt and him to drown in the sea below. The document includes images and analysis of several artistic depictions of this mythic tale.
The document provides vocabulary for family members in Chinese including terms for grandparents, parents, siblings, and relationships. It also includes a sample Chinese family tree showing the relationships between different family members on both the father's and mother's side. Additional vocabulary covers occupations, pets, locations, and common verbs and prepositions.
The document provides information on various fire and emergency medical companies, regulations, incident management system roles, personal protective equipment, and emergency medical terms:
1) It lists different types of fire and emergency medical companies including truck/ladder, rescue, brush, hazmat, and EMS and their responsibilities.
2) Regulations and IMS sections define terms like span of control, duties of arriving engines and ladder trucks, IMS roles, and unity of command.
3) The PPE section identifies types of protective gear including helmets, thermal hoods, jackets, gloves, and air tanks.
4) The next half and final sections cover emergency medical terms and acronyms such as
This document discusses strategies and tactics for large fires. It covers key considerations for the initial size-up such as construction, occupancy, water supply, life hazards, and exposures. Different construction types are described along with their implications for fire spread and collapse potential. Formulas are provided for calculating estimated fire water flows. The importance of considering the full scope of the incident including staffing, weather, and ongoing evaluation of fire conditions is emphasized.
The document discusses different types of building occupancies and factors related to life safety and firefighting operations for each. It covers residential, assembly, educational, healthcare, detention, business, storage, industrial, mixed-use buildings and those under construction. Key considerations for each occupancy include mobility of occupants, occupant density, fuel load, and tactics for search and evacuation. Special hazards and challenges are also outlined for certain occupancies like hospitals, schools, large retail stores and industrial facilities.
The document discusses strategies and tactics for using aerial apparatus, including:
1. Victim removal priorities, such as rescuing those most threatened first.
2. Techniques for raising the aerial device to reach a victim, positioning it for window or roof rescues, and removing victims from elevated positions.
3. Safety issues associated with using aerial devices for water rescues, aircraft rescues, below-grade operations, and ventilation. Positioning the aerial device properly is important for exposure protection and ventilation operations.
This document discusses ground ladders used by firefighters. It covers different types of ground ladders, their construction, parts, inspection, maintenance and safety guidelines. Key points covered include the different types of ladders used in fire service, proper techniques for carrying, raising, lowering, securing and working with ladders, as well as assisting victims down ladders. Safety is emphasized throughout with warnings about electrical hazards, load limits, and fall risks.
The document discusses standard operating procedures (SOPs), pre-incident planning, and size-up. It emphasizes the importance of SOPs in outlining fireground operations and their relationship to pre-incident plans and size-up. Pre-incident plans provide specific building information that can be rapidly evaluated during size-up to develop an initial incident action plan. Size-up is an ongoing process that considers SOPs, pre-incident plans, and developing incident conditions.
This document discusses considerations and tactics for truck companies at structure fires. It covers primary tasks like search and rescue, laddering, and ventilation. It emphasizes safety, proper equipment, coordination, and conducting a thorough size-up upon arrival. Tactics covered include apparatus positioning, portable ladder selection and placement, ventilation methods and hazards, conducting primary and secondary searches, providing for rescued occupants, and performing overhaul operations.
This document provides an overview of fire department resources and facilities. It describes common fire department facilities like headquarters, repair facilities, training centers, warehouses, and communications centers. It also discusses fire apparatus vehicles like pumpers, aerial ladder trucks, rescue vehicles, and aircraft. Finally, it outlines the tools and equipment carried on fire trucks, including hoses, nozzles, ladders, fittings, self-contained breathing apparatus, and hand tools.
This document discusses high-rise office buildings, including defining them, describing construction methods and hazards, and outlining strategic goals and tactical objectives for responding to fires in them. Key points covered include utilizing building systems, conducting thorough searches and evacuations, and emphasizing firefighter safety. Tactics like confining the fire, effective extinguishment, and managing ventilation and overhaul are also addressed.
This document outlines learning objectives for a fire fighter safety course. It covers major causes of on-duty fire fighter deaths, analyzing injury and fatality trends over time, defining risk management principles, and describing safety issues addressed in the NFPA 1500 standard regarding protective equipment, accountability systems, rapid intervention crews, and more. The objectives aim to reduce risks to fire fighters through appropriate safety measures and risk-based decision making.
This document discusses emergency preparedness and response for construction site safety. It outlines the roles and responsibilities of employees and supervisors in emergency situations. It also describes how to manage common emergencies like fire, drowning, electric shock, burns, and falls from height. The importance of having an emergency preparedness plan, emergency response teams, and well-stocked first aid centers is emphasized to ensure worker safety in emergency situations.
This document outlines learning objectives and definitions for responding to single story residential fires. It covers definitions for fireground terms like on scene, level 1 staging, on deck, backup, and recycle. It also defines the three tactical objectives of life safety, fire control, and property conservation. The three rules of risk assessment and parts of the initial radio report and follow up report are described. The benefits of a transitional attack on residential structures are also mentioned.
Iafc fire service pump operator principles & practice 1Ed ch 01 the history o...Yorman J. Mari Peraza
This document traces the evolution of fire apparatus and equipment from colonial times to modern day and describes the important role of the driver/operator. It discusses how early firefighting relied on buckets and ladders pulled by hand or horses, the development of hand pumps and steamers, and the transition to gasoline- and diesel-powered vehicles. The driver/operator is responsible for safely operating complex modern apparatus to emergencies while managing increasing traffic hazards. Selection requires candidates with knowledge, skills, and attitudes to perform this critical safety role.
High rise fires require extensive coordination and planning. The initial responding unit establishes command and performs reconnaissance to locate the fire. Subsequent units assume command and water supply roles. Interior teams are assigned for fire attack, search and rescue, ventilation, and rapid intervention. Staging areas are established inside and outside to coordinate personnel. Effective communication and adherence to guidelines are necessary to safely conduct operations in the complex high rise environment.
Auto Extrication Training. First responders training involves extensive auto extrication training. Auto extrication is the process of removing a vehicle, or its components, from around a person who is trapped within the vehicle due to a collision.
Emergency Evacuation Checklist
This checklist has been developed as an aid to the selection, design, development and
maintenance of Emergency Evacuation Plans, Escape Routes and Assembly Areas. It
is an integral component of the Emergency Planning methodology that is the basis of
the Total Continuity range of services and tools aimed at supporting those who are
responsible for the emergency evacuation of staff, customers, visitors and residents
from commercial, residential or public premises.
The document outlines objectives and procedures for responding to hazardous materials incidents, including:
1) Describing procedures for notifying authorities, requesting additional resources, establishing control zones, and preserving evidence.
2) Explaining the roles of operations responders, safety officers, and hazardous materials branches at incidents.
3) Detailing safety precautions like establishing control zones, identifying ignition sources, and conducting safety briefings.
HIS - 140 - Lesson 2 - Test Box Analysis and ANSI PowerPointBecca Waldo
The document discusses standards and regulations for testing hearing aids in the United States, including ANSI and FDA standards. It describes that ANSI standards exist for test methodology using a 2cc coupler, but not for aspects like directional microphones. Hearing aid specialists perform test box analysis to evaluate factors like gain, output, distortion, and noise based on ANSI standards. Measurements are made using standard couplers and involve stimuli signals, microphones, and Fourier analysis to assess the hearing aid's electroacoustic performance.
This document summarizes the Greek myth of Icarus and Daedalus through several paragraphs and images. It describes how Daedalus designed the Palace of Knossos in Crete and how he and his son Icarus were imprisoned there by King Minos. Daedalus crafted wings for them to escape by air, but Icarus ignored his father's warnings and flew too close to the sun, causing his wings to melt and him to drown in the sea below. The document includes images and analysis of several artistic depictions of this mythic tale.
The document provides vocabulary for family members in Chinese including terms for grandparents, parents, siblings, and relationships. It also includes a sample Chinese family tree showing the relationships between different family members on both the father's and mother's side. Additional vocabulary covers occupations, pets, locations, and common verbs and prepositions.
The 5th Annual Innovation Showcase featured mini-presentations from online instructors showcasing strategies for effective online course development and delivery. Topics included student engagement, visuals, individualized instruction, collaboration, and online tutoring. Participants could win prizes including OTC gear, gift cards, and a workshop certificate. The event also featured a presentation on an exam preparation technique where students create the exam questions.
This document provides instructions for creating a research paper in Microsoft Word 2010, including formatting citations and references using MLA style. It describes how to modify styles, change line and paragraph spacing, add page numbers, insert citations and footnotes, edit citation sources, create a bibliography, and more. The overall goal is to guide users through writing and formatting a research paper with proper citations and a reference list.
This document provides instructions for enhancing PowerPoint presentations with pictures, shapes, and WordArt. It covers how to insert and format pictures and backgrounds, add and format shapes and text within shapes, and insert and format WordArt. The instructions include changing theme colors, inserting pictures, formatting slide backgrounds, resizing graphics, applying styles to pictures and shapes, and formatting text attributes like font, color, and shadows.
This document provides instructions for creating and editing a PowerPoint presentation with clip art. It covers how to select a theme, add and format text on slides, insert clip art and pictures, arrange slides, add transitions between slides, and other common presentation editing tasks. The objectives are to learn how to create and format various slide elements like titles, bulleted lists, and how to insert and manipulate images and clip art within slides.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
2. 4
Learning Objectives (1 of 7)
• Compare the division-of-labor concept
as used in industry to company-level
deployment.
• Describe structural firefighting functional
assignments.
3. 4
Learning Objectives (2 of 7)
• Enumerate engine and ladder company
fire-ground functions and tasks.
• Analyze tactics for the first-arriving fire
company in relation to life safety.
4. 4
Learning Objectives (3 of 7)
• Apply engine and ladder company tasks
to coordinating and controlling
company-level deployment.
• Explain the importance of company
unity to incident organization and
accountability.
5. 4
Learning Objectives (4 of 7)
• List situations where splitting companies
may be acceptable.
• Evaluate the positive and negative
aspects of pre-assigning tasks, tools,
and fire-ground positions.
6. 4
Learning Objectives (5 of 7)
• Assess proper and improper ventilation
methods in regard to achieving the
operational priorities of life safety,
extinguishment, and property
conservation.
• Given the fire and victim locations,
determine the best vent location.
7. 4
Learning Objectives (6 of 7)
• Describe safe and efficient positioning
of apparatus.
• Apply engine and ladder company tasks
at a structure fire.
8. 4
Learning Objectives (7 of 7)
• Analyze company operations at a
structure fire scenario.
• Develop an incident action plan utilizing
engine and ladder company functional
assignments.
10. 4
Overview (2 of 2)
• Primary responsibility is to work within
the overall incident action plan.
– Freelancing cannot be tolerated.
– First-in units can go to work quickly using
SOPs.
• Allows IC time to evaluate options while
maintaining control
11. 4
Division of Labor Principle (1 of 3)
• Basis for the Industrial Revolution
• Developing job skills in a concentrated
area allows greater productivity.
• “Jack of all trades, master of none”—
overcome by developing a high level of
expertise in a limited number of tasks
12. 4
Division of Labor Principle (2 of 3)
• Stresses need for pre-assigning duties
– Fire fighters should be cross-trained.
– Ensures that everyone is familiar with what
will be expected of them
13. 4
Division of Labor Principle (3 of 3)
• Divides tasks into functional areas:
– Command responsibilities
– Engine company tasks
– Truck company tasks
– Emergency medical services (EMS)
– Special operations
– Support services
14. 4
Engine Company Operations
• Performing rescue operations
• Establishing a water supply
• Advancing and operating hose lines
15. 4
Engine Company Tasks (1 of 4)
• Usually first to arrive
– First-in officer initiates the attack.
– Provides a means of moving water from a
water supply to the fire
• Life safety is the first priority.
– Victims and fire fighters
16. 4
Engine Company Tasks (2 of 4)
• Life safety objectives
– Place attack lines in position
– Provide safe evacuation routes
• Conduct a cursory search
– Occupants may only need direction and
guidance.
17. 4
Engine Company Tasks (3 of 4)
• Position hose lines or remove
occupants?
– Difficult decision based on:
• Immediate danger to the occupants
• Available staffing and resources
• Time before additional resources arrive
• Extent of fire involvement
• Equipment available to perform rescue
18. 4
Engine Company Tasks (4 of 4)
• Life safety is top priority.
• IAP directs resources towards
evacuation of endangered occupants.
19. 4
Truck Company Operations
• Conduct primary search
• Rescue trapped victims
• Ventilate
• Force entry
• Ladder the building
• Check for fire extension
• Access concealed spaces
20. 4
Truck Company Tasks (1 of 3)
• “Ladder company” = “truck company”
• Aerial device not necessary at every fire
or in every department
– Still necessary to have truck company
functions assigned
21. 4
Truck Company Tasks (2 of 3)
• Responsible for a wide variety of tasks
– Staffing is crucial.
• Activities are limited during defensive
attacks.
– Elevated master streams
22. 4
Truck Company Tasks (3 of 3)
• Low-staffing situations
– May need to assist engine company
• Not the most effective use of personnel
23. 4
Rescue
• Indirect activity for engine companies
– Hose lines between victims and the fire
• Direct activity for truck companies
– Ventilate
– Primary search, remove victims
– Ladder building
24. 4
Control and Coordination (1 of 3)
• IC coordinates all activities.
• Truck companies work in areas above
the fire.
• Engine company works at controlling
the fire.
25. 4
Control and Coordination (2 of 3)
• If the fire is not controlled, truck
companies need to be notified to
evacuate.
– Retreat protected by engine company
27. 4
Safety and Control
• Operating units must work as groups.
– First-in truck company is exception to the
rule
• Permissible to split into separate crews
28. 4
Company Unity (1 of 2)
• It is not freelancing when a crew is split
into separate teams.
– Each crew should have a team leader.
• Other exceptions
– Inside/outside crew
– Must comply with two-in/two-out rules
29. 4
Company Unity (2 of 2)
• Operator may remain at apparatus.
• Company should remain together
whenever possible.
• Company unity facilitates accountability.
– Officer can verify safety of crew.
30. 4
Quint/Quad Companies
• Multi-function apparatus
– Engine and truck company operations
– Staffing may or may not be sufficient.
• Dictates tasks able to be performed
• Activities covered by SOPs
31. 4
Ventilation (1 of 3)
• One of the IC’s most important tactical
considerations
– Given a high priority
• Can have a positive effect on all three
fire-ground priorities
32. 4
Ventilation (2 of 3)
• Can adversely affect all three priorities
– Fire stream placed into a vent opening
– Venting in the wrong location
• If inadequate, an offensive attack rarely
will be successful.
34. 4
Apparatus Positioning
• Company commander’s concern
• Directly related to company’s
assignment
– Must be consistent with objective
• Should keep fire zone accessible and
safe
35. 4
Pumping Apparatus (1 of 4)
• Positioning should be addressed in
SOPs.
– Residential fires: locate directly in front of
house
– Depends on the layout of hose bed
• SOPs allow more discretion.
36. 4
Pumping Apparatus (2 of 4)
• Used to lay attack lines
– Positioned close to curb line
• Side discharges = aligned with entry point
• Rear discharges = forward of entry point
37. 4
Pumping Apparatus (3 of 4)
• SOPs may specify separate water
supplies.
– Attack pumper configuration
• First engine company at front of building,
second engine company provides supply
39. 4
Aerial Apparatus
• Aerial device use
– Obtain a safe operating angle
• Aerial device not being used
– Parked out of way but close to entry point
• Access to tools, ladders, and other equipment
40. 4
Common Positioning Errors (1 of 3)
• Aerials placed under wires
• Unsafe and unstable positions
• Not allowing enough room to extend the
outriggers
• Apparatus/staff cars blocking access to
the fire area or front of the building
41. 4
Common Positioning Errors (2 of 3)
• Pumpers placed where pre-connected
attack lines are difficult to lay
• Blocking streets or fire hydrants
– Large-diameter hose
42. 4
Common Positioning Errors (3 of 3)
• Not securing essential attack positions
• Positioning where they cannot be
quickly repositioned
– Dead ends
• Responding through the fire area
– Causes unnecessary congestion
43. 4
Summary (1 of 3)
• The IC improves efficiency by
coordinating activities
– Division-of-labor concept
• Engine company
– Basic fire department unit
– Primary duty is to apply water
44. 4
Summary (2 of 3)
• Engine company tasks
– Obtaining a water source
– Setting up and engaging pumps
– Advancing hose lines into structure
– Fulfills life safety priority by extinguishing
fire
• Building becomes much safer.
• Checks areas for victims
45. 4
Summary (3 of 3)
• Truck company responsibilities
– Gaining entry
– Laddering building
– Controlling fire spread
– Evacuating occupants
– Conducting primary and secondary
searches