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January, 2001 Technical Rescue Awareness 1 Technical Rescue Awareness

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January, 2001 Technical Rescue Awareness 1

Technical Rescue Awareness

January, 2001 Technical Rescue Awareness 2

General

• Course Requirements & Standards – Follows guidelines OSFM & NFPA 1670 – Provide a means to identify and properly react

to uncommon, dangerous and difficult rescues – Further training is required for actual rescue

operations and practices

January, 2001 Technical Rescue Awareness 3

General

• NOTE – This course DOES NOT contain hands on training – The AHJ is responsible for training per NFPA 1670

• Operations and Training at Technical Rescue Incidents – The AHJ must instruct members in EMS

January, 2001 Technical Rescue Awareness 4

General • Course content

– Structural collapse • Various types of building collapse

– Rope rescue • Various rescue situations require rope work

– Confined space • Rescues in confined spaces, vats, sewers, silos, etc.

– Vehicles & Machinery • Roadway extrication and industrial rescue / extrication

January, 2001 Technical Rescue Awareness 5

General

• Course content – Water

• Ice, surf, dive, and swift water – Wilderness search and rescue

• Search patterns and situation analysis – Trench & excavation

January, 2001 Technical Rescue Awareness 6

General

• OSFM requirements for certification – Certified Firefighter II – 100% attendance of the 8 hour awareness

course – Passing the state written exam by 70%

January, 2001 Technical Rescue Awareness 7

General

• Each AHJ needs to have an action plan and policies in place to handle technical rescues

• AHJ has complete control over all resources requested

• Authority to stop all rescue attempts

January, 2001 Technical Rescue Awareness 8

General

• AHJ must conduct risk and hazard analysis – Information to make informed decision – Likelihood of incident – Where it might occur – Effects on the community

• AHJ required to establish SOP’s / SOG’s

January, 2001 Technical Rescue Awareness 9

General – Awareness Level

• Basic initial company response – First on the scene in course of duty – Identify type of incident – Start initial company operations – Generally NOT considered rescuers

– Operations Level • Basic technical response

– Deal with most non-complex situations

– Technician Level • Considered expert in the field

– Deal with complex and difficult situations

January, 2001 Technical Rescue Awareness 10

General

• Safety at a technical rescue – Personnel accountability system (PAS)

• Account for all members at incident

• Evacuation procedures / guidelines – Every member must know SOG’s / SOP’s – Each sector must know its actions if evacuation

order is given

January, 2001 Technical Rescue Awareness 11

General • PPE

– Each AHJ is responsible for determining appropriate level of PPE

January, 2001 Technical Rescue Awareness 12

General

• Hazard & risk assessment (size-up) – Continuous – Every technical rescue, no matter what

magnitude, can change in a second – Initial size-up will set ground work for entire

incident

January, 2001 Technical Rescue Awareness 13

General • Size-up

– Scope, magnitude, nature of incident – Location and number of victims – Risk / benefit analysis

• Will the end result justify the means – Pre-plans

• Will address more than one way to get to an area – Environmental factors

• Loss of life – Extreme heat and cold

January, 2001 Technical Rescue Awareness 14

General

• Size-up (con’t) – Patient contact

• Your safety is paramount • Can you see or hear patients? • Hailing, tag lines, radios, con-space systems • Does the patient know where they are?

• Availability / needed resources – What resources do you have available?

January, 2001 Technical Rescue Awareness 15

General

• Incident Management System / Incident Command System – In order to manage the incident command and

control must be established – Sectors (minimum)

• Command – Responsible for entire incident

• Safety – Should be trained to level of incident

January, 2001 Technical Rescue Awareness 16

General

• IMS / ICS – Sectors

• Rescue – Establish rescue plan – Inform all sectors of plan – Insure the plan is carried out

• Optional Sectors – Logistics, staging, public info, rehab, suppression, EMS, others – Others outlined in NFPA 1561 Standard for FD Incident Management

RESCUE

January, 2001 Technical Rescue Awareness 17

General

• Scene control / initial company operations – Control zones

• Hot, warm, cold – Witness interviews

• Who, what, where, when, why from all people in area – Patient contact

• Control who talks to victim and what victim hears – Bystander interaction

• Control zones will keep non-essential people out of harms way

January, 2001 Technical Rescue Awareness 18

General • Scene control / initial company operations

– Police assistance • PD is a valuable resource

– Machinery / Vehicles • Find someone with expertise (machines) • What are the actions of a full cycles machine? • Use apparatus to block traffic, not personnel

– Utilities • Have their emergency numbers available on all apparatus

January, 2001 Technical Rescue Awareness 19

Structural Collapse

January, 2001 Technical Rescue Awareness 20

Structural Collapse

• Awareness level functions 1. Size-up

– Gather information • Swiftly & unemotional • Structural safety

– Important to pass on initial observations to technical rescue team

– Must realize there are many tasks to accomplish

January, 2001 Technical Rescue Awareness 21

Structural Collapse 1. Size-up (cont.)

– Identify the scene • Size of structure • Occupancy type

– Structure type – Collapse mechanism

• Weather • Exposures • Time of day • Location of victims

January, 2001 Technical Rescue Awareness 22

Structural Collapse 1. Size-up (cont.)

– Scene control • Isolate bystanders, family, personnel • Banner tape, cones, PD • Set up collapse zones

– Mitigate existing hazards • Gas • Electric • Water • Haz-mat

January, 2001 Technical Rescue Awareness 23

Structural Collapse

1. Size-up (cont.)

– Perform re-con • Complete survey of all 4 sides, top and bottom of

building if possible • Note possible entry points • Verify contact with viable victims

– This stage most hazardous to 1st due companies • Overwhelming urge to assist victims in need • Secondary collapse is high concern

January, 2001 Technical Rescue Awareness 24

Structural Collapse

2. Triage Criteria – Perform risk / benefit analysis – Occupancy

• Potential total number of occupants • Activity done in building

– Structure type • Materials • Access difficulty • Potential hazard mitigation

January, 2001 Technical Rescue Awareness 25

Structural Collapse

2. Triage criteria – Collapse mechanism

• How building failed • Types of voids • Victim survival

– Time of day – Prior intelligence

• Information from public, local authorities, 1st responders, etc. related to trapped victims

January, 2001 Technical Rescue Awareness 26

Structural Collapse

2. Triage criteria – Search & rescue resources available

• Beyond what is readily available – Heavy machinery, etc.

– Structural condition of the building • Can search and rescue ops proceed with minimum

stabilization effort

January, 2001 Technical Rescue Awareness 27

Structural Collapse • Destructive forces

– Earthquakes • Shaking • Greatest effect on weak, heavy structures dynamically coupled

to their site

– Wind • Damage

– Wind velocity – Airborne missiles – Tidal surge – Atmospheric pressure difference

» Effects mostly light, un-engineered buildings » Causes high uplift / blowout forces

January, 2001 Technical Rescue Awareness 28

Structural Collapse

• Destructive forces – Floods

• Riverine – Flash type, high water rise, high velocity – May produce wall of water effect – Slow, unconfined flow over low lying broad area

• Coastal – Caused by severe storms and high tide – Hurricanes Forces - step up surges and high winds

January, 2001 Technical Rescue Awareness 29

Structural Collapse

• Destructive forces – Floods

• Damage from flooding caused by hydrostatic lateral pressure/lifting

• Hydrodynamic forces due to velocity and wave heights

• Debris impact from waterborne objects

January, 2001 Technical Rescue Awareness 30

Structural Collapse

• Destructive forces – Snow and heavy rain

• Cause roof collapse due to overload • Occurs in long span, flat roof construction • Beams or trusses fail

– Partial collapse

• Snow – More complete collapse

» Failure of vertical supports

January, 2001 Technical Rescue Awareness 31

Structural Collapse

• Destructive forces – Construction problems

• Often caused by lack of lateral bracing & vertical shoring

• Failures during: – Concrete pours – Placing large beams / trusses – Lifting large concrete slabs – Overloading with stockpiles – Un-engineered alterations

January, 2001 Technical Rescue Awareness 32

Structural Collapse • Destructive forces

– Explosions • Natural gas build ups • Deliberately set bombs

– Weakest part blown out to reduce pressure » Light weight wood & steel » Roof, wall skins, windows

– Reinforced concrete buildings » Contain blast » Greater loss of life » Columns badly damaged, floors collapse

– Pre-cast concrete » Large members become disconnected » Progressive collapse

January, 2001 Technical Rescue Awareness 33

Structural Collapse

• Destructive forces – Structural decay

• Collapse of older building and bridges • Most devastating when vertical supports fail

– Multi-floor collapse

• Un-reinforced masonry – Exterior walls on older buildings may be standing – No bracing by pancaked floors – Walls could fall in or out

January, 2001 Technical Rescue Awareness 34

Structural Collapse

• Destructive forces – Fire

• Wood/metal roof collapse – Burn through – Pull exterior masonry/concrete walls in – Leave standing unsupported

• Steel left standing after a fire – Reduced strength – Loss of heat treatment

• Concrete – Damaged due to spalling – Sheer walls crack due to floor expansion

January, 2001 Technical Rescue Awareness 35

Structural Collapse • Destructive forces

– Transportation accidents • Structural collapse

– Impact – Spillage of large quantity of materials

January, 2001 Technical Rescue Awareness 36

Structural Collapse

• Roles within the response system – Initial spontaneous response

• Unskilled neighbors, community response teams, and passers-by

– Heroically help remove lightly trapped/injured victims – Act far beyond their level of skill – Save ¾ or more of victims – Survival rates are high

» Victims are only lightly trapped – FD, EMS, PD may help organize and participate

» Usually ends after 1st night

January, 2001 Technical Rescue Awareness 37

Structural Collapse • Roles within the response system

– Planned community response • Trained community response teams

– Call out and visual searches » Locate and rescue non-structurally collapsed trapped

– Some lifting of objects » Furniture » Loose bricks

– Mitigate small hazards » Extinguish small fires » Turn off gas » Observe/refer haz-mat

January, 2001 Technical Rescue Awareness 38

Structural Collapse • Roles within the response system

– Void space rescue • Performed by emergency rescue services

– Prioritize site(s) to make better risk analysis • Rescue using existing cavities

– Ducts – Plumbing shafts – Basements – Small cut openings in walls or floors

• Some shoring – Protect safe havens – Protect victims/workers

• This phase may start 1st day – Not until efforts are organized

January, 2001 Technical Rescue Awareness 39

Structural Collapse

• Roles within the response system – Technical, urban search & rescue

• Trained technical rescue specialists – Aided by equipment – Sites re-evaluated – Re-searched – Prioritized for 10-day long effort – Extensive cutting, shoring etc. – Use of cranes

January, 2001 Technical Rescue Awareness 40

Structural Collapse

• Collapse types – Lean-to – V-shape – A-type – Pancake – Cantilever

January, 2001 Technical Rescue Awareness 41

January, 2001 Technical Rescue Awareness 42

Structural Collapse

• Marking systems – Building marking system – Structure marking system – FEMA task force SAR marking system

January, 2001 Technical Rescue Awareness 43

Structural Collapse • Building marking system

January, 2001 Technical Rescue Awareness 44

Structural Collapse • Structure marking system

– Ground floor is 1, Second is 2, Third is 3, etc. – First floor below grade is B-1, Second is B-2, etc.

January, 2001 Technical Rescue Awareness 45

Structural Collapse • FEMA task force SAR marking system

– 2’x2’ Orange Box – Structure relatively safe for USAR operations

January, 2001 Technical Rescue Awareness 46

Structural Collapse • FEMA task force SAR marking system

– Structure significantly damaged – Shoring/removal of hazards may be required

January, 2001 Technical Rescue Awareness 47

Structural Collapse • FEMA task force SAR marking system

– Structure not safe for normal USAR operations – Extensive safety measures must be taken before

entry

January, 2001 Technical Rescue Awareness 48

Structural Collapse • FEMA task force SAR marking system

– To the right of the box: • Date • Hazards • Time • TF Id

28 JUN 03 NATURAL GAS

1432HRS NE-TF1

January, 2001 Technical Rescue Awareness 49

Structural Collapse • FEMA search assessment marking system – Single slash upon entry

into structure – TF id, date & entry time – Indicates an ongoing

search PA – TF1 18 SEP 00

1800

January, 2001 Technical Rescue Awareness 50

Structural Collapse • FEMA search assessment marking system

18 SEP 00 2130

– Crossing slash upon exit – Upon exit, date & time

noted in top field – Additional information

placed in open areas of “X”

PA – TF1 18 SEP 00

1800

January, 2001 Technical Rescue Awareness 51

Structural Collapse • FEMA search assessment marking system

18 SEP 00 2130

– Right - hazards – Bottom - # of victims

PA – TF1 18 SEP 00

1800 RATS

8 L 3 D

January, 2001 Technical Rescue Awareness 52

Structural Collapse • FEMA search assessment marking system

18 SEP 00 2130

– When new search is completed, cross out previous and complete new search assessment marking

PA – TF1 18 SEP 00

1800 RATS

8 L 3 D

January, 2001 Technical Rescue Awareness 53

Structural Collapse • FEMA search assessment marking system

18 SEP 00 2130

– When search is terminated prior to completion:

– Place filled circle at center of slash

– Place box below slash & note areas searched

– Use “F” to id floors – Use “Q” to id

quadrants – If only exterior

searched, write “No Entry” in box

PA – TF1 18 SEP 00

1800 RATS

8 L 3 D

F 1 – 4 F 5 Q A/B

Or NO ENTRY

January, 2001 Technical Rescue Awareness 54

ROPE

January, 2001 Technical Rescue Awareness 55

Rope

• Standards – NFPA 1983

• Fire Service Life Safety Rope and System Components – Performance standard for rope & hardware

– NFPA 1670 • Operations & Training for Technical Rescue Incidents

– Identify & establish levels of functional capability

– NFPA 1006 • Rescue Technician Professional Qualifications

– Minimum job performance requirements

January, 2001 Technical Rescue Awareness 56

Rope

• Rope rescue – Providing aid to those in danger where the

use of rope and related equipment is needed to perform safe rescue

January, 2001 Technical Rescue Awareness 57

Rope

• Types of rope rescue – High angle

• Vertical rescue – Victim and rescuers have all

weight supported by rope

– Slope evacuation • Low angle

– Weight of rescuer on ground – Victims weight on litter tender or

rescuer

January, 2001 Technical Rescue Awareness 58

Rope

• Uses for rope rescue – Basic foundation for most rescue disciplines

• High / low angle • Confined space • Trench • Water • Wildland S & R

January, 2001 Technical Rescue Awareness 59

Rope • Rope rescue hazards

– Falls / elevation – Trip hazards – Uneven, wet ground – Entanglement, pinching hazards

• Hands caught – Falling objects – Utilities – Weather / atmospheric hazards – Untrained responders – Hostile by-standers / victims – Location

January, 2001 Technical Rescue Awareness 60

Rope

• General safety considerations – Pre-plan

• Potential rope rescue locations • Identify hazards

– Prepare for incident • Training • SOG’s / SOP’s

January, 2001 Technical Rescue Awareness 61

Rope

• First due company operations

January, 2001 Technical Rescue Awareness 62

Rope • First due company ops

– Size-up • Scope, magnitude, nature of incident • Location of incident • Risk vs. benefit analysis

– Rescue or recovery? • Scene access • Environmental factors • Available / needed resources • Ability to contact victim

– Without endangering rescuers or victims

January, 2001 Technical Rescue Awareness 63

Rope

• First due company ops – Secure the general area

• 300’ area or more – Make area safe for rescuers

• Control / limit traffic • Control / limit access • Identify all hazards

– Reduce or remove them

– Notify qualified rescue team per SOG’s / SOP’s

January, 2001 Technical Rescue Awareness 64

Confined Space

January, 2001 Technical Rescue Awareness 65

Confined Space

• Confined spaces – OSHA law

• 29 CFR 1910.146 – IDOL

• Adopted OSHA law – Law identifies two types of spaces

• Non-permit • Permitted

January, 2001 Technical Rescue Awareness 66

Confined Space

• Confined space – Non-permit

• Large enough and so configured to bodily enter • Limited or restricted means of entry and exit • Not designed for continuous human occupancy

January, 2001 Technical Rescue Awareness 67

Confined Space

• Confined spaces – Permit required confined space

• A confined space that contains one of the following: – Contains or has the potential to contain hazardous

atmosphere (IDLH) – Contains a substance that could engulf the entrant – Contains inwardly converging walls/floors that could trap

the entrant causing asphyxiation – Other recognized serious health or safety hazard

January, 2001 Technical Rescue Awareness 68

Confined Space • Confined spaces

– Alternate entry procedures

• Only hazard posed is actual or potential hazardous atmosphere

• Must demonstrate continuous forced air ventilation to maintain space for safe entry

January, 2001 Technical Rescue Awareness 69

Confined Space

• OSHA statistics – Confined space deaths

• 60 – 80% of deaths are would-be rescuers • Up to 90% of deaths are due to atmospheric

problems

• Reasons to enter confined spaces – Inspections / maintenance – Rescue – Training

January, 2001 Technical Rescue Awareness 70

Confined Space • Hazards

– Bad atmospheres – Falls / trips / slips – Other hazards determined by AHJ – Utilities

• Electric • Gas • Pneumatic • Mechanical

– Drowning / engulfment – Excessive temperatures – Lack of special training & equipment

• SCBA / SABA

January, 2001 Technical Rescue Awareness 71

Confined Space • First due company ops

– Size-up • Determine best access to space • Make contact with victims if safe to do so • Attempt to determine # of victims • Interview attendants / acquire copy of permit

– Secure area around space • Control / limit traffic & sources of vibration

– Shut down vehicles and equipment • Control / limit access to general area by unnecessary personnel

January, 2001 Technical Rescue Awareness 72

100’

200’

300’

January, 2001 Technical Rescue Awareness 73

Confined Space • Identify hazards

– Remove or reduce their impact • Lock out / Tag out

– OSHA 29 CFR 1910.147

• Notify qualified rescue team – Don’t get pushed into someone else’s emergency

• Law requires owner of space to provide rescue team • This does not always mean FD is obligated • Owner of space must have agreement with FD to do

rescues

January, 2001 Technical Rescue Awareness 74

Confined Space

• Initial rescue actions – Monitor atmosphere in space – Ventilate the space

• Reduce atmospheric hazards • Reduces environmental hazards

– Retrieve victims by non-entry rescue • Pre-rigged devices

January, 2001 Technical Rescue Awareness 75

Vehicles & Machinery

January, 2001 Technical Rescue Awareness 76

Vehicles & Machinery

• Size-up – Environmental conditions

• Extreme heat & cold • Rain, sleet and snow • Darkness

January, 2001 Technical Rescue Awareness 77

Vehicles & Machinery

• Size-up – Patient injuries

• Mechanism of injury • Trauma

– Head, face, hand and arms » Windshield, airbags, steering wheel, A/B post, rear

view mirror, roof, auger, roller, conveyor, belt etc. – Chest, stomach and hips

» Steering wheel, airbag, door, seat belts, etc. – Legs and feet

» Steering wheel, dash board, door, etc.

January, 2001 Technical Rescue Awareness 78

Vehicles & Machinery

• Size-up – Patient injuries

• Internal – Organs, spine, brain, blood vessels, etc.

• External – Head, neck, shoulders, arms, hands, legs, feet, back, hips, etc.

» Bruises, fractures, lacerations, amputations

January, 2001 Technical Rescue Awareness 79

Vehicles & Machinery

• Scene conditions – Vehicle stability

• Maximize contact surface between car & ground • Support key points on machines

– Prevents further injury to victim

– Hazardous materials • Identify • Control • Remove

January, 2001 Technical Rescue Awareness 80

Vehicles & Machinery

• Scene conditions – Electrical hazards

• Vehicles – Batteries

• Utilities – Power lines

• Machines – Lock out / tag out – Multiple sources

January, 2001 Technical Rescue Awareness 81

Vehicles & Machinery

• Scene conditions – Fire

• Fuels – Crowd control – Hydraulic bumpers

• Shocks, hood/hatch pistons, suspension – Survey scene

• Eight-sided approach

January, 2001 Technical Rescue Awareness 82

Vehicles & Machinery

• Identify & notify resources – Safe & effective operation

• Police – Crowd control – Traffic control – Preserve scene

» Accident reconstruction » Investigation

January, 2001 Technical Rescue Awareness 83

Vehicles & Machinery

• Identify & notify resources – Fire department

• Maintain scene safety – Extinguish fires – Prevent fires – Spills / leaks

» Fuels » Haz-mat

• Maintain vehicle safety – Fuel system – Electrical system

• Assist EMS / extrication

January, 2001 Technical Rescue Awareness 84

Vehicles & Machinery

• Identify & notify resources – EMS

• Patient assessment • Packaging • Assess patient disentanglement & extrication • Patient handling • Transportation

January, 2001 Technical Rescue Awareness 85

Vehicles & Machinery

• Identify & notify resources – Extrication personnel

• Vehicle stabilization • Create safe access for EMS • Safe disentanglement of patient • Assist EMS

January, 2001 Technical Rescue Awareness 86

Vehicles & Machinery • Identify hazards

– Air bag systems • Logos

– SRS, SLR, airbag, side airbag, knee impact airbags, head impact airbag, head curtain bag, etc.

• Electrical drain time – After battery disconnected

» 30 seconds – 30 minutes – Safety distances

» Keep space between rescuers / patients » 5” – side airbags » 10” – drivers airbag » 18” – passengers airbag

January, 2001 Technical Rescue Awareness 87

Vehicles & Machinery

• Identify hazards – Fuel systems

• Gasoline • Diesel

– Large quantities

• Compressed natural gas or LPG • Electrical systems

– Electric cars / industrial machines » Battery acid

January, 2001 Technical Rescue Awareness 88

Vehicles & Machinery

• Identify hazards – Hydraulic shocks

• Absorbing bumpers • Hood / hatch back pistons • Suspension

– Battery locations • Under hood (high or low) • Under back seat • Trunk • Wheel wells

January, 2001 Technical Rescue Awareness 89

Vehicles & Machinery

• Identify hazards – Seat belt pretensioners

• Low and mid B post • C post low • Inner front and rear seat bucklers

– Gears, chains, pulleys, augers & conveyor belts • Power source

– Electric, motor, air or hydraulic – Lock out / tag out

• Rugged construction • Chemical hazards • Stored potential energy • Full cycle machines

January, 2001 Technical Rescue Awareness 90

Vehicles & Machinery

• Identify hazards – Gears, chains, pulleys, augers & conveyor belts

• Remote areas – Delay getting to patient

• Disassembly of machines – Maintenance personnel

» Very helpful

January, 2001 Technical Rescue Awareness 91

Vehicles & Machinery

• Initial company operations – Scene safety

• Protection of rescuers #1 priority • Control access

– Initial access to vehicle or machine – Initial stabilization

• Cribbing

January, 2001 Technical Rescue Awareness 92

Vehicles & Machinery

• Scene control – Traffic control

• Rescuer safety – Crowd control

• Crowds restrict rescuers’ activities – Machines

• Shut off power – Main disconnect(s)

» Lock out / tag out

January, 2001 Technical Rescue Awareness 93

Vehicles & Machinery

CAUTION! Beware of stored potential energy or full cycle machinery

Example: machinery that continues to move after power is removed

January, 2001 Technical Rescue Awareness 94

WATER

January, 2001 Technical Rescue Awareness 95

Water

• Need for water rescue awareness – Most FD’s have some body of water – Potential for flooding – Many water incidents require resources beyond

capability of FD • Operations and technician trained • Proper PPE • Technical rescue equipment

January, 2001 Technical Rescue Awareness 96

Water

• NFPA 1670 – Water related disciplines

• Dive • Ice • Surface • Swift water

January, 2001 Technical Rescue Awareness 97

Water

• Hazards associated with water rescue – Firefighter (human) nature

• Action oriented – Need to do something now

• Make rescue attempts without proper training or equipment

January, 2001 Technical Rescue Awareness 98

Water • Environmental hazards

– Extreme temperatures • Cold

– Hypothermia, frostbite, equipment malfunctions » Effects ability to think clearly & fine motor

skills • Heat

– Hyperthermia, overheating in PPE – Underwater survival time lost in hot temperatures

» Exhaustion, dehydration

January, 2001 Technical Rescue Awareness 99

Water

• Environmental hazards – Weather

• Rain, snow, high winds, fog – Accelerates hypothermia – In still water, body heat is lost 25 times greater than in still

air at the same temperature

– Aquatic environment • Animal life, fish, insects • Plant life, seaweed • Biohazards, bacterial, viral

January, 2001 Technical Rescue Awareness 100

Water • General hazards

– Utilities • Electric, gas, sanitary, communications • Hazardous materials • Personal hazards – water’s edge

– Tripping, falling – Steep, slippery terrain – Drop-offs – Holes – Hidden obstructions

» Cause injury, entanglement

January, 2001 Technical Rescue Awareness 101

Water

• Dive operation hazards – Barotraumas

• Decompression sickness • Nitrogen narcosis • Oxygen toxicity • Embolism

– Drowning • Fatigue • Lost diver • Loss of air • Anxiety reactions

January, 2001 Technical Rescue Awareness 102

Water

• Ice operation hazards – Cold injuries

• Frostbite, hypothermia – Thin ice

• Sudden immersion • Entrapment under ice

January, 2001 Technical Rescue Awareness 103

Water

• Surf operation hazards – Breaking waves

• Generate extreme force – Undertows, tides, current

January, 2001 Technical Rescue Awareness 104

Water • Swift water operation hazards

– Awesome, relentless power of moving water – Strainers & debris

• Stationary objects – Holes – Obstructions

• Above the water surface • Below the water surface

– Upstream “V” – Downstream “V”

January, 2001 Technical Rescue Awareness 105

Water

• Swift water operation hazards – Current patterns

• Laminar flow • Helical flow

– Upwelling

• Eddies – Back current

– Heavy downpours • Make quiet streams swiftwater

January, 2001 Technical Rescue Awareness 106

Water • Low head dam hazards

– The killing / drowning machine • Boil line

– Point where water breaks in two directions • Illusion

– Cannot be perceived from upstream – Do not look dangerous

• Hydraulic – Vertical whirlpool

January, 2001 Technical Rescue Awareness 107

Water • Water rescue PPE

– Firefighting helmets, boots, and turnout gear are NOT appropriate for water rescue

• Thermal protection – Wet suits / dry suits / exposure suits

• PFD’s (whistle & knife) – Worn by all personnel

» In or near water » On a boat

• Taglines / lifelines • Helmet

January, 2001 Technical Rescue Awareness 108

Water

• Cold water near drowning – Age of victim – Temperature of water

• Below 70oF • Patient could be below thermocline

– Length of submersion • Under 90 minutes

– Still rescue mode • Quality BLS & ALS treatment

January, 2001 Technical Rescue Awareness 109

Water

• First due company operations – Size-up

• Scope, magnitude, type of water rescue incident

• Environmental factors – Change in weather conditions – Loss of daylight – Water levels – Current changes

January, 2001 Technical Rescue Awareness 110

Water

• First due company operations – Size-up – Assessment of hazards – Location & number of victims – Risk / benefit analysis

• Rescue vs. recovery – Access to scene

January, 2001 Technical Rescue Awareness 111

Water

• First due company operations – Initial tasks

• Scene control • Establish IC • Accountability & safety

– Proper training & equipment

• Evaluate patient condition – Can patient assist with rescue?

• Needed resources

January, 2001 Technical Rescue Awareness 112

Water

• First due company operations – Initial tasks

• Secure & interview witnesses – Keep witnesses at scene – Interview witnesses separately – Collect witnesses’ personal information

• Establish last seen point – Triangulate with multiple witnesses – Use a reference object – Hole in ice is great last seen point

» Don’t destroy it

January, 2001 Technical Rescue Awareness 113

Water

• First due company operations – Initial tasks

• Evaluate physical evidence – Notes – Clothes – Footprints – Tire tracks – Debris – Oil slick – Bubbles

January, 2001 Technical Rescue Awareness 114

Water • Water rescue beyond the awareness level

– AHJ must have emergency response plan • Operations & technician level personnel • Police & evidence technicians • Specialized equipment

– Boats, tow trucks, etc. • EMS response

– Ambulance for patient(s) – Ambulance for divers – Aeromedical transport

January, 2001 Technical Rescue Awareness 115

Water

• Rehab personnel early • Operational plan

– Reach, throw, row, go • Request divers early in an incident

– Victims at the surface may submerge – Keep incident operating in rescue mode

January, 2001 Technical Rescue Awareness 116

Wilderness Search & Rescue

January, 2001 Technical Rescue Awareness 117

Wilderness SAR

• National Search and Rescue Plan – Established by US Air Force – 1956

• Executive agent for inland S & R • Covers continental US

– Except navigable waterways

January, 2001 Technical Rescue Awareness 118

Wilderness SAR

• Core elements – Locate the victim

• Most time spent here – Reach the victim – Stabilize the victim – Evacuate the victim

• Reduced survivability

January, 2001 Technical Rescue Awareness 119

Wilderness SAR

• SAR Components – Pre-planning

• Organization and management guidelines – Includes callout SOP’s & equipment

– Notification • Have to be notified to handle it

– Planning & strategy • Gathering information to do assessment

January, 2001 Technical Rescue Awareness 120

Wilderness SAR

• SAR Components – Tactics

• Type of response • Solution to handle problem

– Operations • Field phase where tactical solutions are carried out

– Suspension • Discontinue operation

– Critique • Evaluation of participants, methods and strategy

January, 2001 Technical Rescue Awareness 121

Wilderness SAR

• Resources – Search dogs

• Cover more area than humans in shorter time

– Trackers – Aircraft – Ground / air search specialist – Rope rescue specialist – Water rescue specialist – Trench rescue specialist – Collapse rescue specialist

January, 2001 Technical Rescue Awareness 122

Wilderness SAR • Calculating search urgency

– Factors • Subject profile • Weather profile • Equipment profile • Subject experience profile • Terrain and hazards profile • History of incidents in this area • Bastard search

January, 2001 Technical Rescue Awareness 123

Wilderness SAR

January, 2001 Technical Rescue Awareness 124

Wilderness SAR • Broad types of responses

– Depends on search urgency • Emergency response

– Based on information » Convinced death, serious injury if no help

– Blitz or hasty team » Minimum number of experienced rescuers sent to

locate victims – Followed by support team

» Additional equipment – Narrow margin of safety – Perceptible amount of risk

January, 2001 Technical Rescue Awareness 125

Wilderness SAR • Broad types of responses

– Measured response • Appropriate information on hand is

insufficient to dictate exact outline of S & R action plan

– Evaluative response • Occurs when reported problem is

unconfirmed • Seems likely to resolve itself

January, 2001 Technical Rescue Awareness 126

Wilderness SAR

• Lost person(s) report – Interview and obtain information from

• Participants • Witnesses

– Goal = devise an effective course of action

– Each person lost receives a file • Part I - Information critical in determining decisions

of the initiation phase of search • Part II – May be significant later in mission

January, 2001 Technical Rescue Awareness 127

Wilderness SAR

• Wilderness SAR hazards – Personal

• Blisters, scrapes, scratches, falls, blows, bruises, dehydration, etc.

– Environmental hazards • Insect bites, stings, poisonous plants, exposure,

snow-blindness, altitude illness, lightning, sunburn, animals

January, 2001 Technical Rescue Awareness 128

Wilderness SAR

• Wilderness SAR hazards – Terrain

• Cliffs, avalanches, standing / moving water, ice, caves, mines, wells, winds, snow, surf, etc.

– Man-made hazards • Booby-trapped stills & drug labs, haz-mat dumps,

attack dogs, etc.

January, 2001 Technical Rescue Awareness 129

Wilderness SAR

• Establishing probable search areas – Theoretical method

• Using tables that express area as a function of distance traveled by the lost subject

– Reliable point last seen (PLS) – Radius is maximum distance victim could have journeyed

» In given terrain » In time elapsed since last seen

January, 2001 Technical Rescue Awareness 130

Wilderness SAR

• Establishing probable search areas – Statistical method

• Based on data from case studies – Subjective method

• Historical data • Intuition • Location of natural barriers & clues • Consideration of physical & mental limitations

January, 2001 Technical Rescue Awareness 131

Wilderness SAR

• Establishing probable search areas – The Mattson Method

• Balances subjective & objective information • Uses individual personnel to view probable search

area • Combines percentage of all individuals • Total percentage from all

– Greatest percentage is where search will start

January, 2001 Technical Rescue Awareness 132

Wilderness SAR

• Search Tactics – Type I (Detection phase)

• Hasty teams – Type II

• Open grid • Fast & efficient • Search of locales of high probability • Using methods to produce highest results / hour

– Dogs – Planes – Open grid sweeps

» 3-7 searchers spaced 300-600 ft. apart

January, 2001 Technical Rescue Awareness 133

Wilderness SAR

• Search Tactics – Type III

• Close grid – 30 searchers – Walk a line 15-20 ft. apart – Maybe less for evidence recovery

January, 2001 Technical Rescue Awareness 134

Wilderness SAR

• Initial tasks of first-in companies – Establish ICS – Evaluate search urgency – Obtain lost person report – Determine type of response – Determine available resources – Determine probable search area

January, 2001 Technical Rescue Awareness 135

Trench & Excavation

January, 2001 Technical Rescue Awareness 136

Trench & Excavation

• Trench defined • Deeper than it is wide • Less than 15’ wide • Over 5’ deep

– Shallower with special hazards

• OSHA 29 CFR 1926 – IDOL has adopted

January, 2001 Technical Rescue Awareness 137

Trench & Excavation

• OSHA requires escape routes

• Air quality monitoring • Other protective

measures in all trenches

January, 2001 Technical Rescue Awareness 138

Trench & Excavation

• Trench hazards – Secondary collapse is most lethal

• Trench walls collapse is less than 1/10th of a second • 65% of all deaths are cave-ins on would-be rescuers

– Many hazards are hidden and unpredictable – Trench rescues are NOT common occurrences

January, 2001 Technical Rescue Awareness 139

Trench & Excavation • Trench hazards

– Types of collapses • Slough-in • Sidewall-in • Shear-in • Spoil-in

January, 2001 Technical Rescue Awareness 140

Trench & Excavation

• Trench hazards – OSHA guidelines

• Trenches up to 20’ deep & 15’ wide – Excavations beyond these dimensions

» Special engineering by registered professional engineer (RPE)

• Easy to get fooled into entering an unprotected trench – Trapped / injured / ill worker

» Pressure from victim, co-workers, family

January, 2001 Technical Rescue Awareness 141

Trench & Excavation

• Trench hazards – Rescues are long-term

operations • 4-10 hours • Victims cannot just be

pulled out from under dirt

• Victims must be completely uncovered

• Extensive equipment not readily available

January, 2001 Technical Rescue Awareness 142

Trench & Excavation

• Trench hazards – Effects on trench stability

• Exposure to elements / gravity • Superimposed loads • Underground utilities • Surface encumbrances • Water

– Undermines trench walls – Drowning hazard

January, 2001 Technical Rescue Awareness 143

January, 2001 Technical Rescue Awareness 144

Trench & Excavation

• Soil classifications – Class A

• Most stable, cohesive, clay – Class B

• Somewhat cohesive, not as good as Class A – Class C

• Sandy soils, gravel, wet Soils

January, 2001 Technical Rescue Awareness 145

Trench & Excavation

• Soil classifications – Analyze soil immediately

after excavated • Re-analyzed periodically

for changes – Wet soils

• Added weight • Loss of friction • Water moves through soil

January, 2001 Technical Rescue Awareness 146

Trench & Excavation

• Soil classifications – Layered soils

• Trench walls will expose different layers

– Fissured soils • Cracks

– Visible in trench wall – Area around trench

» Cave-in shortly

January, 2001 Technical Rescue Awareness 147

Trench & Excavation

• Previously disturbed soils – Most stable

• Undisturbed for thousands of years – Least stable

• After is has been dug up – Utilities, roads, building

• Vibrations – Speed up collapse

January, 2001 Technical Rescue Awareness 148

Stop Vibrations within 300’ of trench

300’

January, 2001 Technical Rescue Awareness 149

Trench & Excavation

• Dirt – 1 cubic foot averages 100 lbs. – 100 lbs. / square foot – Small cave-in

• 1.5 cubic yards • 4000 lbs.

January, 2001 Technical Rescue Awareness 150

Trench & Excavation

• Protective systems – Sloping

• Cutting back sides to angle where earth will no longer slide

– Angle of repose

January, 2001 Technical Rescue Awareness 151

Trench & Excavation

• Protective systems – Shielding

• Very strong metal box • Engineered to withstand

pressure of earth • Protects against moving dirt

– Must be even or above lip – No more than 2’ off bottom

January, 2001 Technical Rescue Awareness 152

Trench & Excavation

• Protective systems – Shoring

• Support system within trench

– Pressurizes trench walls – Creates arch effect – Not strong enough to stop

moving dirt

January, 2001 Technical Rescue Awareness 153

Trench & Excavation

• Protective systems – Shoring systems

• Cross brace • Uprights • Walers

– Shoring materials • Lumber • Screw jacks • Pneumatic • Hydraulic

• OSHA charts – Timber & hydraulic

shoring – Dry trench

• 15’ wide • 20’ deep • Bigger must be

engineered by RPE or • Tabulated data from

manufacturer

January, 2001 Technical Rescue Awareness 154

Uprights

Cross braces

Walers

January, 2001 Technical Rescue Awareness 155

The weaker, the deeper, and the wider the trench is, the stronger and more numerous the shoring

members must be.

January, 2001 Technical Rescue Awareness 156

Trench & Excavation

• Initial tasks of first-in companies – Typical first-in company not trained or

equipped – Non-entry options

• Place a ladder in trench for victims to self-rescue – Initiate trench rescue response plan – Establish ICS – Do NOT allow personnel to enter trench

• Secondary collapses

January, 2001 Technical Rescue Awareness 157

Trench & Excavation

• Initial tasks of first-in companies – Stops all sources of vibration within 300’ – Set up control zones

• Limit access to trench – Set up ground pads to stand on around trench – Move spoils pile at least 2’ back from trench lip – Locate victims position

• Approach trench from ends to recon

January, 2001 Technical Rescue Awareness 158

Trench & Excavation

• Initial tasks of first-in companies – Mark victims location

• Score ground on both sides • Estimate or measure depth

– Interview co-workers • Victims last position

January, 2001 Technical Rescue Awareness 159

Trench & Excavation

• Prepare for unexpected injuries

• Fractures • Lung injuries • Head injuries • Spinal injuries • Injuries from lack of O2 • Hypothermia • Crush syndrome

Q & A

January, 2001 Technical Rescue Awareness 160