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NFIRS 4NFIRS 4 Civilian Fire Casualty Civilian Fire Casualty ModuleModule

NFIRS 4NFIRS 4 Civilian Fire Casualty Civilian Fire Casualty ModuleModule

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ObjectivesObjectivesObjectivesObjectives

The participants will be able to:– Describe when the Civilian Fire

Casualty Module is to be used.– Demonstrate how to correctly

complete a Civilian Fire Casualty Module and appropriate other modules for different scenarios.

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Civilian Fire Casualty Civilian Fire Casualty ModuleModuleCivilian Fire Casualty Civilian Fire Casualty ModuleModule

Captures data regarding civilian and/or non-fire service casualties.

The injury must be the result of a fire.

All fields are Mandatory in MA.

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A - HeaderA - HeaderA - HeaderA - Header

Header information is repeated on all modules . . .­ In an automated system, this

information is entered once and imported into all modules

Delete NFIRS - 4

Civilian Fire Casualty

AChange Station FDID Exposure Incident Date

MM DD YYYY

State Incident Number

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B - Injured Person B - Injured Person B - Injured Person B - Injured Person

Identifies the name and gender (sex) of the casualty.

,Acres­burned­(outside­fires)­

Not Residential

Number­of­buildings­involved­

Estimated­number­of­residential­living­units­in­building­of­origin­whether or not all units became involved

B2

B3

Buildings not involved

Less than one acre

None

Property Details

B1

B

1

2First Name Last Name Suffix

Injured PersonB Male Female 1

MI

2

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C - Casualty Number C - Casualty Number C - Casualty Number C - Casualty Number

Assign a specific consecutive number to each casualty.– beginning with 001.– Separate from Fire

Service Casualties.

,Acres­burned­(outside­fires)­

Not Residential

Number­of­buildings­involved­

Estimated­number­of­residential­living­units­in­building­of­origin­whether or not all units became involved

B2

B3

Buildings not involved

Less than one acre

None

Property Details

B1

B

1

2

Casualty Number

CasualtyNumberC

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D - Age or Date of Birth D - Age or Date of Birth D - Age or Date of Birth D - Age or Date of Birth

Identifies the age or date of birth of the casualty– use months for

infants,

Acres­burned­(outside­fires)­

Not Residential

Number­of­buildings­involved­

Estimated­number­of­residential­living­units­in­building­of­origin­whether or not all units became involved

B2

B3

Buildings not involved

Less than one acre

None

Property Details

B1

B

1

2

Months­(for­infants)­Age­

OR

Date of Birth

Age or Date of BirthD

Month­ Day­ Year­

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EE11 - Race - Race / E / E22 - Ethnicity - EthnicityEE11 - Race - Race / E / E22 - Ethnicity - Ethnicity

E1 Identifies race of casualty– Based upon US Census

categories,

Acres­burned­(outside­fires)­

Not Residential

Number­of­buildings­involved­

Estimated­number­of­residential­living­units­in­building­of­origin­whether or not all units became involved

B2

B3

Buildings not involved

Less than one acre

None

Property Details

B1

B

1

2

White Black Am. Indian, Eskimo Asian Multi-racialUndetermined

RaceE112345 U

,Acres­burned­(outside­fires)­

Not Residential

Number­of­buildings­involved­

Estimated­number­of­residential­living­units­in­building­of­origin­whether or not all units became involved

B2

B3

Buildings not involved

Less than one acre

None

Property Details

B1

B

1

2

E2 Identifies the ethnicity of the victim– Currently the only Census

Bureau classification for ethnicity is Hispanic

E2Ethnicity

Hispanic

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F - Affiliation F - Affiliation F - Affiliation F - Affiliation

Identifies if the casualty was a civilian or a non-fire service emergency responder.

,Acres­burned­(outside­fires)­

Not Residential

Number­of­buildings­involved­

Estimated­number­of­residential­living­units­in­building­of­origin­whether or not all units became involved

B2

B3

Buildings not involved

Less than one acre

None

Property Details

B1

B

1

2

Affiliation

Civilian EMS, not fire department Police Other

F1230

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G - Date and Time of G - Date and Time of Injury Injury

G - Date and Time of G - Date and Time of Injury Injury

Captures the casualty dateCaptures the time using a

24 hour clock– midnight is 0000

D

Area­of­fire­origin­

Heat­source­

Item­first­ignited­

Type­of­material­first­ignited­

D1

D2

D3

D4

Ignition

Check­box­if­fire­spread­was­confined­to­object­of­origin­

Required­only­if­item­first­ignited­code­is­00­or­< 70­

1

2 1 Bedroom

Time of Injury Date of Injury

Date & Time of InjuryG

Month­

Midnight­is­0000.­

Day­ Year­ Hour­­­­­­­­Minutes­

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H - Severity H - Severity H - Severity H - Severity

Identifies the relative severity of the casualty.

You are responsible for upto 1 year from the date of the fire to update this report is someone dies from their injuries sustained in the fire.

,Acres­burned­(outside­fires)­

Not Residential

Number­of­buildings­involved­

Estimated­number­of­residential­living­units­in­building­of­origin­whether or not all units became involved

B2

B3

Buildings not involved

Less than one acre

None

Property Details

B1

B

1

2

Severity H

Minor Moderate Severe Life threatening Death

1 2 3 4 5

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I - Cause of Injury I - Cause of Injury I - Cause of Injury I - Cause of Injury

Identifies the physical event that caused the injury.

Additional codes can be found in the handbook or QRG.

Intentional Unintentional Failure of equipment or heat source Act of nature Cause under investigation Cause undetermined after investigation

E1Cause of Ignition

Check­box­if­this­is­an­exposure­report.­

12345U

Skip to Section G

x

Cause of InjuryIExposed to fire products including flame heat, smoke, & gas Exposed to toxic fumes other than smoke Jumped in escape attempt Fell, slipped, or tripped Caught or trapped Structural collapse Struck by/or contact with object Overexertion Multiple causes Other Undetermined

1

234567890 U

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J - J - Human FactorsHuman FactorsContributing to Contributing to

Injury Injury

J - J - Human FactorsHuman FactorsContributing to Contributing to

Injury Injury

Identifies the physical or mental state of the person that may have contributed to the injury.

Intentional Unintentional Failure of equipment or heat source Act of nature Cause under investigation Cause undetermined after investigation

E1Cause of Ignition

Check­box­if­this­is­an­exposure­report.­

12345U

Skip to Section G

x

Human Factors Contributing to Injury

J

Asleep Unconscious Possibly impaired by alcohol Possibly impaired by other drug Possibly mentally disabled Physically disabled Physically restrained Unattended person

Check­all­applicable­boxes­

None

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K - Factors Contributing K - Factors Contributing to Injury to Injury

K - Factors Contributing K - Factors Contributing to Injury to Injury

Identifies the most significant factors that contributed to the injury.– 1 Factor is

mandatory.– Can identify up to 3

factors.

Factors Contributing to InjuryK

Contributing­factor­(1)­

Contributing­factor­(2)­

Contributing­factor­(3)­

None Enter­up­to­three­contributing­factors­

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L - Activity When Injured L - Activity When Injured L - Activity When Injured L - Activity When Injured

Identifies the activity in which the person was engaged at the time of the injury.

None

Equipment Involved In Ignition

Equipment­Involved­

Brand­

Year­

F1

Model­

Serial­#­

If equipment was not involved, skip to Section G

6 3 2 Hot Plate

XRS 130

34-2345

1 9 8 5

Activity When Injured L

Escaping Rescue attempt Fire control Return to fire before control Return to fire after control Sleeping Unable to act Irrational act Other Undetermined

123456780U

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MM11 - Location at Time of - Location at Time of IncidentIncident MM11 - Location at Time of - Location at Time of IncidentIncident

Identifies the location of the victim in relation to fire origin.

None

Equipment Involved In Ignition

Equipment­Involved­

Brand­

Year­

F1

Model­

Serial­#­

If equipment was not involved, skip to Section G

6 3 2 Hot Plate

XRS 130

34-2345

1 9 8 5

Location at Time of Incident M11234U

In area of origin and not involved Not in area of origin & not involved Not in area of origin, but involved In area of origin and involved Undetermined

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MM22 - General Location - General Location at Time of Injury at Time of Injury

MM22 - General Location - General Location at Time of Injury at Time of Injury

Identifies the location of the victim at time of injury.– If casualty was in area of fire origin,

skip to section N.– If casualty was outside of the

building and not in area of origin, go to M5.

None

Equipment Involved In Ignition

Equipment­Involved­

Brand­

Year­

F1

Model­

Serial­#­

If equipment was not involved, skip to Section G

6 3 2 Hot Plate

XRS 130

34345

1 9 8 5

M2 General Location at Time of Injury

In area of fire origin In building, but not in area Outside, but not in area

Check ONE box. If undetermined, leave blank and skip to Section N.

Skip to Section N

Skip to Section M 5

123

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MM33 - Story at Start of - Story at Start of Incident Incident

MM33 - Story at Start of - Story at Start of Incident Incident

Complete only if the injury occurred inside of building.

Identifies the floor level where the victim was at the start of the incident.

below­grade­

M3

Story­at­START­of­incident­

Story at Start of Incident Complete­ONLY­if­injury­occurred­INSIDE­­

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MM44 - Story Where Injury - Story Where Injury Occurred Occurred

MM44 - Story Where Injury - Story Where Injury Occurred Occurred

Identifies the story (floor level) where the casualty was located at the time of the injury.

F3Equipment Portability

Portable

Stationary

Portable equipment normally can be moved by one person, is designed to be used in multiple locations, and requires no tools to install.

1

2

X

Story where injury occurred, if different from M 3

below grade

M4 Story Where Injury Occurred

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MM55 - Specific Location at - Specific Location at Time of Injury Time of Injury

MM55 - Specific Location at - Specific Location at Time of Injury Time of Injury

Identifies the specific location at the time of injury.– Codes can be found in the

Handbook or QRG.

F3Equipment Portability

Portable

Stationary

Portable equipment normally can be moved by one person, is designed to be used in multiple locations, and requires no tools to install.

1

2

X

Specific location at time of injury

M5 Specific Location at Time of Injury

Complete ONLY if casualty NOT in area of origin

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N - Primary Apparent N - Primary Apparent Symptom Symptom N - Primary Apparent N - Primary Apparent Symptom Symptom

The casualty’s most serious injury.– other codes can be

found in the Handbook or QRG.

None

Equipment Involved In Ignition

Equipment­Involved­

Brand­

Year­

F1

Model­

Serial­#­

If equipment was not involved, skip to Section G

6 3 2 Hot Plate

XRS 130

34-2345

1 9 8 5Primary­apparent­symptom­

Look­up­a­code­only­if­the­symptom­is­NOT­found­above­

Smoke only, asphyxiation Burns & smoke inhalation Burns only Cut, laceration Strain or sprain Shock Pain only

01111221339698

N Primary Apparent Symptom

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O - Primary Area of Body O - Primary Area of Body Injured Injured

O - Primary Area of Body O - Primary Area of Body Injured Injured

Describes the part of the body that sustained the most serious injury.

None

Equipment Involved In Ignition

Equipment­Involved­

Brand­

Year­

F1

Model­

Serial­#­

If equipment was not involved, skip to Section G

6 3 2 Hot Plate

XRS 130

34-2345

1 9 8 5

Primary Area of Body Injured O

Head Neck & shoulder Thorax Abdomen Spine Upper extremities Lower extremities Internal Multiple body parts

123456789

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P - Disposition P - Disposition P - Disposition P - Disposition

Identifies if the casualty was transported to an emergency care facility.

F3Equipment Portability

Portable

Stationary

Portable equipment normally can be moved by one person, is designed to be used in multiple locations, and requires no tools to install.

1

2

X

Transported to emergency care facility

Disposition P

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RemarksRemarksRemarksRemarks

The 'remarks' section is an area for any other remarks that might be made concerning the incident A narrative description of the incident may be written in this block

F3Equipment Portability

Portable

Stationary

Portable equipment normally can be moved by one person, is designed to be used in multiple locations, and requires no tools to install.

1

2

X

Remarks Local­option­

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SummarySummarySummarySummary

The Civilian Fire Casualty Module (NFIRS 4) captures data regarding any civilian casualty associated with fire-related incidents

Civilian Fire Casualty:– private citizen, emergency medical

responder (not fire department), or police

– dies or is physically injured as a result of a fire-related incident

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Questions?Questions?Questions?Questions?