We are reaching the completion of the 26 module program. Beginning in January 2012, TFS personnel will attend 2 hour refreshers throughout the year. Every two years, our firefighters will recertify in the delegated act of defibrillation. Our current in-class component closely resembles the type of module component delivery what you might see in the future. This fall's session covers material from three modules:

Module 6 - Continuous Compressions CPR

Module 8 - Medical Documentation

Module 14 - Epi Auto Injector Program

You can learn more about this initiative by following the CCC Updates link.

We will continually provide viewing access of pdf copies of documents produced for the modules. You will also have the opportunity save the documents to your hard drive for offline viewing.

TFS Firefighter Pre-hospital Care (FPC) Program Directory

Module 1. System and Organizational Structure
Module 2. Professionalism
Module 3. Introduction to Anatomy and Physiology
Module 4. Equipment, Infection Control and Routine Precautions
Module 5. Primary Patient Assessment, Airway Management and O2 Delivery
Module 6. Automated External Defibrillation (AED) and CPR (Recertification X 2 years)
Module 7. Secondary Patient Assessment
Module 8. Reporting and Documentation
Module 9. Securing, Lifting and Moving Patients
Module 10. Respiratory Emergencies
Module 11. Cardiovascular Emergencies
Module 12. Abdominal Emergencies
Module 13. Altered Mental Status Emergencies: Diabetes, Neurological and Other Causes
Module 14. Multi-System Emergencies I: Allergy, Toxic Exposures and Overdose
Module 15. Environmental Emergencies: Hypo/Hyperthermia, Frostbite, and Drowning
Module 16. Multi-System Emergencies II: Shock Syndrome and Mechanisms of Trauma
Module 17. Head, Spine and Spinal Cord Injuries
Module 18. Chest Injuries
Module 19. Abdominal Injuries
Module 20. Burns and Injuries to Soft Tissues, Face, and Musculoskeletal System
Module 21. Pediatrics
Module 22. Obstetrics and the Newborn
Module 23. Behavioral Emergencies
Module 24. Unique Population Groups
Module 25. Triage
Module 26. Personal Health and Hygiene

Module 3 - Introduction to Anatomy and Physiology

This module has been designed as self study. At the end of the lesson and upon successful completion of the post-course test, the firefighter will have demonstrated an appropriate level of understanding about ANATOMY and PHYSIOLOGY.
Please review Brady/IFSTA Fire Service Emergency Care Chapter 5 Anatomy and Physiology at some point during your studies. We encourage you to access the course material held here when you complete your post-course test on FETN.

After reviewing the content of this lesson and on completion of the Post-course test, the student will:

• have demonstrated sufficient knowledge of the fundamental principles of anatomy, physiology and pathophysiology required when assessing and treating a patient in an emergency situation

Please use the following link to view the course material:

• Introduction to Anatomy and Physiology

Module 4 - Infection control

Training for the Firefighter Prehospital Care Infection Control (IC) Module began in September 2005. A hardcopy version of the student IC information was distributed to every firefighter and all of the student information, including PowerPoint Presentations, is posted on the EMS Section intranet webpage:

• Disease Transmission/Designated Officer Program
• Don PPE
• Doff PPE
• PPE/Cleaning & Disinfection
• Infection Control and Equipment
• Instructor Guide Practical Scenario Parts A & B



Module 5,7,8 - Primary/secondary assessment, airway management/O2 delivery, and reporting and documentation

Training in primary/secondary assessment, airway management/O2 delivery, and reporting and documentation (modules 05, 07, 08) began in May, 2006. These modules are designed to provide fire crews with a system for organized patient assessment. The primary assessment attempts to quickly discover any life-threats that can be treated by TFS crews in the field, such as uncontrolled bleed or respiratory arrest, while the secondary assessment provides a more thorough 'head to toe' examination. Taking the patient's vital signs is an important part of the secondary assessment and in this module we have included training in the use of a stethoscope and blood pressure cuff. The ability for TFS crews to report the patient's initial blood pressure will paint a more complete picture of the patient's condition to arriving TEMS paramedics. TFS recruits have, for many years, been trained in the use of stethoscopes and BP cuffs as part of the OFM Curriculum and we hope that the information in this module will help close the knowledge gap that currently exists between recruit and suppression training. The sections dealing with airway management/O2 delivery, reporting and documentation are intended as a review for existing TFS practice.

• Primary Assessment PowerPoint
• Secondary Assessment, Reporting & Documentation PowerPoint
• Airway Management, & O2 Delivery PowerPoint
• Patient assessment guide (includes the Pocket Medical Report)
• Medical/Trauma template
• Post-course test
• Marking sheets - practical test 'A' - Scenario
• Marking sheets - practical test 'B' - Workstations
• Practical session objectives
• CCC Updates



Module 6 - Automated External Defibrillator (AED) Certification 2011 Provider Certification

Provider Certification documentation consists of the following items:

• CCC Updates
• 2011 AED Medical Directives
• 2011 AED Certification form
• 2011 Defibrillator Certification Program PowerPoint
• 2011 TFS AED Scenarios
• Daily Inspection Protocol
• ZOLL AEDPro Voice Prompts and Responses




Module 9 Securing, Lifting, and Moving Patients

After reviewing the FETN content, upon completion of the FETN post test quiz, and after completing the STI directed practical component the participant will have demonstrated an understanding of how to:

• safely lift and set-up a wide variety of patient carrying equipment used currently by paramedics
• safely secure a patient onto the equipment for extrication and transportation purposes
• ensure the equipment is safely assembled for patient use
• locate the patient carrying equipment within a Toronto EMS ambulance

Please view the course material:

• Securing, Lifting, and Moving Patients PowerPoint
• Module 9 Practical Certification Form

Module 10 - Respiratory Emergencies

After reviewing the course materials and after completing the FETN post-course test, the participant will have demonstrated an appropriate level of understanding about how to:

• assess a patient experiencing an illness or emergency involving the respiratory system
• determine priorities related to a respiratory illness or emergency
• provided emergency patient care in a safe manner, consistent with local standards and Base Hospital direction
• evaluate the effectiveness of treatment measures
• perform ongoing assessments and interventions in response to the patient's presentation, changing treatment
requirements and environmental variables

Please view the course material:

• Respiratory Emergencies

Module 11 - Cardiovascular Emergencies

After reviewing the course materials and after completing the FETN post-course test, the participant will have demonstrated an appropriate level of understanding about how to:

• accurately assess a patient experiencing an illness involving the cardiovascular system
• determine priorities related to cardiovascular emergencies
• provided emergency patient care in a safe manner, consistent with local standards and Base Hospital direction
• evaluate the effectiveness of treatment measures
• perform ongoing assessments and interventions in response to the patient's presentation, changing treatment
requirements and environmental

Please view the course material:

• Cardiovascular Emergencies

Module 12 - Abdominal Emergencies

After reviewing the course materials and after completing the FETN post-course test, the participant will have demonstrated an appropriate level of understanding about how to:

• accurately assess a patient experiencing an abdominal illness
• determine priorities related to abdominal illnesses
• provide emergency patient care in a safe manner, consistent with local standards and Base Hospital direction
• evaluate the effectiveness of treatment measures
• perform ongoing assessments and interventions in response to the patient's presentation, changing treatment requirements and environmental variables

Please view the course material:

• Abdominal Emergencies


Module 14 - Multi-System Emergencies I: Allergy, Toxic Exposures and Overdose

Upon completion of all components of this module, the firefighter will demonstrate the ability to:

• accurately assess a patient experiencing an illness resulting from allergy, exposure to a toxic substance or drug overdose
• determine priorities related to illness resulting from allergy, exposure to a toxic substance or drug overdose.
• provide emergency patient care in a safe manner, consistent with local standards and Base Hospital direction
• evaluate the effectiveness of treatment measures
• performed ongoing assessments and interventions in response to the patient's presentation, changing treatment requirements and environmental variables

• Medication Assist for the Anaphylactic Patient and Vital Signs
• CCC Updates

After reviewing the course materials, completing the FETN post-course test, and attending the STI led practical session, the participant will have demonstrated an appropriate level of understanding about
how to:

• accurately assess a patient head, spine, and/or spinal cord injury
• determine priorities related to head, spine, or spinal cord injuries
• provide emergency patient care in a safe manner, consistent with local standards and Base Hospital direction
• evaluate the effectiveness of treatment measures
• perform ongoing assessments and interventions in response to the patient's presentation, changing treatment requirements and environmental variables

Please view the course material:

• Head, Spine and Spinal Cord Injuries

Module 18 - Chest Injuries

After reviewing the course materials and after completing the FETN post-course test, the participant will have demonstrated an appropriate level of understanding about how to:

• accurately assess a patient experiencing chest trauma
• determine priorities related to chest trauma
• provide patient care in a safe manner consistent with local standards and Base Hospital direction
• evaluated the effectiveness of treatment measures
• perform ongoing assessments and interventions in response to the patient's presentation, changing treatment requirements and environmental variables.

Please view the course material:

• Chest Injuries



Module 19. Abdominal Injuries

After reviewing the course materials and after completing the FETN post-course test, the participant will have demonstrated an appropriate level of understanding about how to:

• accurately assess a patient experiencing an abdominal injury
• determine priorities related to an abdominal injury
• provided emergency patient care in a safe manner, consistent with local standards and Base Hospital direction
• perform ongoing assessments and interventions in response to the patient's presentation, changing treatment requirements and environmental variables.
• evaluate the effectiveness of treatment measures.

Please view the course material:

• Abdominal Injuries

Module 20 - Burns and Injuries to Soft Tissues, Face, and Musculoskeletal System

This module is the EMS Section's first attempt at utilizing FETN to distribute and administer a precourse package for a FPC module. FETN is hosting your precourse package and on-line test. We are including a copy of the PowerPoint presentation here so you can access the information for the on-line test. We expect the practical portion of this module to be delivered beginning in April 2008.

After completing both the FETN and practical components, the firefighter will be able to:

• demonstrate the ability to accurately assess a patient experiencing soft tissue trauma and musculoskeletal injuries
• demonstrate the ability to determine priorities related to soft tissue trauma and musculoskeletal injuries
• provide emergency patient care in a safe manner, consistent with local standards and Base Hospital direction
• evaluate the effectiveness of treatment measures
• perform ongoing assessments and interventions in response to the patient's presentation, changing treatment requirements and environmental variables.

Please use the following link to view the module material:

• Burns and Injuries to Soft Tissues, Face, and Musculoskeletal System
• Module 20 Skills Evaluation





Module 21 - Pediatrics

After reviewing the course material and upon completing the FETN post-course test (TFS personnel), the participant will have demonstrated an appropriate understanding of how to:

• accurately assess a pediatric patient,
• determine priorities related to an illness in or the injury of a pediatric patient,
• provide emergency patient care for a pediatric patient in a safe manner, consistent with local standards and Base Hospital direction,
• evaluate the effectiveness of treatment measures,
• perform ongoing assessments and interventions in response to the patient's presentation, changing treatment requirements and environmental variables, and communicate effectively with the pediatric patient and the parent/guardian.

Please review the following course material:

• Pediatrics