Rescue Technician Site Operations

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1 Note Taking Guide Rescue Technician Site Operations Maryland Fire and Rescue Institute University of Maryland Steven T. Edwards Fall 2009 Copyright 2009 by the Maryland Fire and Rescue Institute. All rights reserved. No part of this book may by copied or reproduced in any form or by any means without written permission of the Maryland Fire and Rescue Institute.

2 The Maryland Fire and Rescue Institute of the University of Maryland is the State s comprehensive training and education system for all emergency services. The Institute plans, researches, develops, and delivers quality programs to enhance the ability of emergency service providers to protect life, the environment, and property.

3 Rescue Technician Site Operations Lesson 1-11 Introduction to Site Operations Student Performance Objectives Given information from discussion, handouts, and reading materials, describe course components and student requirements and identify requirements for site operations, support resources and size-up. RES 101-PPT PPT Overview Introduction to Site Operations Support Resources Size-Up Successful Completion of the Program RES 101-PPT PPT

4 Introduction to Site Operations Fill out paperwork Introductions Structure of class Attendance requirement Safety first RES 101-PPT PPT Introduction to Site Operations Management of a Rescue Operation Assessment Action Plan and Objectives Resources Hazard Identification and Isolation/Mitigation Site Access and Egress Rehabilitation RES 101-PPT PPT Introduction to Site Operations Relationship of Site Operations to the Technical Rescue Specialties Vehicle and Machinery Rescue Swiftwater Rescue Trench Rescue Technical Rope Rescue Confined Space Rescue Structural Collapse Rescue RES 101-PPT PPT

5 Introduction to Site Operations Basic Skills Needed to Train in Specialties Site Operations Victim Management Maintenance of Rescue Equipment Ropes and Rigging RES 101-PPT PPT Support Resources Knowledge of Resources Available Specialized Personnel Apparatus Rescue Equipment Lighting What s s available in your jurisdiction? RES 101-PPT PPT Support Resources Protocols and procedures for Requesting Required Resources Rescue-Specific Resource Considerations Vehicle and Machinery Rescue Swiftwater Rescue Trench Rescue Technical Rope Rescue Confined Space Rescue Structural Collapse Rescue RES 101-PPT PPT

6 Size-Up Five questions to be answered What is known? What is likely? What is unknown? What is the response situation? Are the resources adequate? RES 101-PPT PPT Size-Up Incident Action Plan based on size-up Must be: Comprehensive Communicated Safety is integral Provides for progress tracking and status reporting RES 101-PPT PPT Size-Up Action plans must provide for: Scene safety Initial hazard identification EMS triage responsibilities Rescue evaluation Resource requirements Personnel accountability Ongoing hazard identification RES 101-PPT PPT

7 Size-Up Rescue Strategy and Tactics Based on size-up information Needs to identify the easiest, quickest and most effective actions that will safely resolve the incident Can include consultation with technical experts RES 101-PPT PPT Student Performance Objectives Given information from discussion, handouts, and reading materials, describe course components and student requirements and identify requirements for site operations, support resources and size-up. RES 101-PPT PPT Review Introduction to Site Operations Successful Completion of the Program Support Resources Size-Up RES 101-PPT PPT

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9 Rescue Technician Site Operations Lesson 2-1 Site Operations (Continued) Student Performance Objectives Given information from discussion, handouts, and reading materials, describe the requirements for managing hazards, managing resources, conducting a search, performing helicopter ground support, terminating technical rescue incidents, and maintaining rescue equipment. RES 101-PPT Overview Manage incident hazards Manage resources Conduct a search Perform helicopter ground support Terminate a technical rescue incident Maintain rescue equipment RES 101-PPT

10 Mangage Hazards Identify hazards base on the rescue and the environment in which it will take place Communicate to all personnel all hazards identified Mitigate or isolate hazards as possible Ensure use of appropriate PPE Monitor hazards over the life of the incident Ensure risk-benefit analysis is conducted RES 101-PPT Manage Resources Implement an incident command structure Management structure Incident action plan Communications Identify resources assigned RES 101-PPT Manage Resources Establish personnel accountability Identify the need for additional resources Establish rehabilitation facilities as required RES 101-PPT

11 Conduct a Search Discuss local procedures and guidelines Are there procedures in your jurisdiction? Implement incident command Gather know facts about the victim and the environment Establish search parameters Establish personnel accountability RES 101-PPT Helicopter Ground Support Discuss local and state procedures and guidelines MSP Aviation web site Establish scene control Facilitate victim transfer RES 101-PPT Terminate Technical Rescue Operations Release of scene control and local protocols with law enforcement Mitigation of ongoing hazards Readiness of personnel Readiness of equipment and apparatus Documentation and recordkeeping Post-incident analysis and critique CISM RES 101-PPT

12 Maintenance of Rescue Equipment Inspection and maintenance of personal protective equipment Logs and records Personal responsibility for inspection Manufacturer care and maintenance documentation Maintenance tools and supplies Problem reporting and repair procedures Replacement process RES 101-PPT Maintenance of Rescue Equipment Inspection and maintenance of rescuespecific equipment Logs and records Personal responsibility for inspection Manufacturer care and maintenance documentation Maintenance tools and supplies Problem reporting and repair procedures Replacement process RES 101-PPT Student Performance Objectives Given information from discussion, handouts, and reading materials, describe the requirements for managing hazards, managing resources, conducting a search, performing helicopter ground support, terminating technical rescue incidents, and maintaining rescue equipment. RES 101-PPT

13 Review Manage incident hazards Manage resources Conduct a search Perform helicopter ground support Terminate a technical rescue incident Maintain rescue equipment RES 101-PPT

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15 Rescue Technician Site Operations Lesson 2-2 Introduction to Ropes and Rigging Student Performance Objectives Given information from discussion, handouts, and reading materials, define the components of technical rope rescue and the use of ropes and rigging. RES 101-PPT Overview Introduction to technical rope rescue Ropes and rigging Knots, bends and hitches Practical exercises RES 101-PPT

16 Introduction to Technical Rope Rescue How is rope rescue applicable to the rescue specialties? Vehicle and Machinery Swiftwater Trench Technical Rope Rescue Confined Space Structural Collapse RES 101-PPT Technical Rope Rescue Basic technical rope rescue skills needed to train in the rescue specialties (not a technical rope rescuer after this course) RES 101-PPT Ropes and Rigging Selection of rope for a given task Rope materials and construction Inspection and maintenance of rope and webbing RES 101-PPT

17 Terminology Ropes and Rigging Running end Working end Standing part/end Bight Round turn Loop Bend Knot Splice Whip RES 101-PPT Ropes and Rigging Rigging Equipment Carabiners Descent control devices Ascenders Progress Capture Devices Rope grabs RES 101-PPT Ropes and Rigging Rigging equipment Pulleys Anchoring devices Belaying devices Edge Protectors Rescue Harnesses Class I, II and III RES 101-PPT

18 Knots, Bends and Hitches Characteristics of rescue knots, bend and hitches Easy to tie and untie Easy to determine if tied correctly Once tied, dressed and set they remain secure Minimized effect on rope strength RES 101-PPT Knots, Bends and Hitches Requirements for tying rescue knots Must be dressed Must be pre-loaded Must have safeties RES 101-PPT Knots, Bends and Hitches Purpose of knots, bends and hitches End-of-line loop Mid-line loop Securing around a desired object Joining rope or webbing ends together Gripping rope RES 101-PPT

19 Knots Bends and Hitches Balance of 2-2 and all of 3-1 will be practical Demonstrate methods of tying specific knots, bends and hitches Overhand knot Simple figure 8 Figure 8 on a bight Figure 8 follow-through Figure 8 bend RES 101-PPT Knots Bends and Hitches Demonstrate methods of tying specific knots, bends and hitches Grapevine Ring bend (webbing only) Double overhand back-up knot Butterfly Prusik hitch Munter hitch RES 101-PPT Practical Exercise Hands-on practice with specific knots, bends and hitches Skill sign-off RES 101-PPT

20 Student Performance Objectives Given information from discussion, handouts, and reading materials, define the components of technical rope rescue and the use of ropes and rigging. RES 101-PPT Review Introduction to technical rope rescue Ropes and rigging Knots, bends and hitches Practical exercises RES 101-PPT

21 Rescue Technician Site Operations Lesson 3-1 Introduction to Ropes and Rigging (Continued) Student Performance Objectives Given information from discussion, handouts, and reading materials, define the components of technical rope rescue and the use of ropes and rigging. Lesson 3-1 will cover any topics not addressed in 2-2, but will focus primarily on tying knots, bends and hitches. RES 101-PPT Overview Introduction to technical rope rescue Ropes and rigging Knots, bends and hitches Practical exercises RES 101-PPT

22 Introduction to Technical Rope Rescue How is rope rescue applicable to the rescue specialties? Vehicle and Machinery Swiftwater Trench Technical Rope Rescue Confined Space Structural Collapse RES 101-PPT Technical Rope Rescue Basic technical rope rescue skills needed to train in the rescue specialties (not a technical rope rescuer after this course) RES 101-PPT Ropes and Rigging Selection of rope for a given task Rope materials and construction Inspection and maintenance of rope and webbing RES 101-PPT

23 Terminology Ropes and Rigging Running end Working end Standing part/end Bight Round turn Loop Bend Knot Splice Whip RES 101-PPT Ropes and Rigging Rigging Equipment Carabiners Descent control devices Ascenders Progress Capture Devices Rope grabs RES 101-PPT Ropes and Rigging Rigging equipment Pulleys Anchoring devices Belaying devices Edge Protectors Rescue Harnesses Class I, II and III RES 101-PPT

24 Knots, Bends and Hitches Characteristics of rescue knots, bend and hitches Easy to tie and untie Easy to determine if tied correctly Once tied, dressed and set they remain secure Minimized effect on rope strength RES 101-PPT Knots, Bends and Hitches Requirements for tying rescue knots Must be dressed Must be pre-loaded Must have safeties RES 101-PPT Knots, Bends and Hitches Purpose of knots, bends and hitches End-of-line loop Mid-line loop Securing around a desired object Joining rope or webbing ends together Gripping rope RES 101-PPT

25 Knots Bends and Hitches Balance of 2-2 and all of 3-1 will be practical Demonstrate methods of tying specific knots, bends and hitches Overhand knot Simple figure 8 Figure 8 on a bight Figure 8 follow-through Figure 8 bend RES 101-PPT Knots Bends and Hitches Demonstrate methods of tying specific knots, bends and hitches Grapevine Ring bend (webbing only) Double overhand back-up knot Butterfly Prusik hitch Munter hitch RES 101-PPT Practical Exercise Hands-on practice with specific knots, bends and hitches Skill sign-off RES 101-PPT

26 Student Performance Objectives Given information from discussion, handouts, and reading materials, define the components of technical rope rescue and the use of ropes and rigging. RES 101-PPT Review Introduction to technical rope rescue Ropes and rigging Knots, bends and hitches Practical exercises RES 101-PPT

27 Rescue Technician Site Operations Lesson 4-1 Construction of Rigging Systems Student Performance Objectives Given information from discussion, handouts, and reading materials, construct a technical rope rescue anchor, a simple rope mechanical advantage system, and two more-complex mechanical advantage systems. RES 101-PPT Overview Introduction to Rigging, Anchoring and Mechanical Advantage Systems Construct a Single Point Anchor Provide Edge Protection Construct a Simple Rope Mechanical Advantage System (1:1) Construct a Z Rig System (3:1) Construct a Piggyback Rig System (4:1) Perform a Safety Check RES 101-PPT

28 Introduction to Rigging, Anchoring and Mechanical Advantage Systems Use of rigging, anchoring and mechanical advantage systems at rescue incidents Elements of safety in technical rope rescue Attention to detail Operating as a team Care of equipment RES 101-PPT Single Point Anchor System Purpose of anchors Selection of anchor points Natural anchors Anchors of structures Alternative anchor points RES 101-PPT Single Point Anchor System Placement of anchors Strength required Direction of pull Backing up anchors Materials Rope Webbing Anchor hardware RES 101-PPT

29 Single Point Anchor System Practical exercise Demonstrate construction of a single point anchor system Students practice constructing an anchor system Skill signoff RES 101-PPT Edge Protection Need for edge protection Methods to provide edge protection Rope pads Edge rollers Skid bars RES 101-PPT Construct a Simple Rope Mechanical Advantage System Benefits of using mechanical advantage Easier Safer Calculation of mechanical advantage Theoretical vs. actual mechanical advantage Calculations RES 101-PPT

30 Construct a Simple Rope Mechanical Advantage System Equipment and other requirements to create the system Rope Pulleys Carabiners Position capture device Anchor point Load RES 101-PPT Construct a Simple Rope Mechanical Advantage System For each system - Demonstration Student practice Skill sign-off Rigging the 1:1 system Rigging the 3:1 System (Z Rig) Rigging the 4:1 System (Pig Rig) RES 101-PPT Student Performance Objectives Given information from discussion, handouts, and reading materials, construct a technical rope rescue anchor, a simple rope mechanical advantage system, and two more-complex mechanical advantage systems. RES 101-PPT

31 Review Introduction to Rigging, Anchoring and Mechanical Advantage Systems Construct a Single Point Anchor Provide Edge Protection Construct a Simple Rope Mechanical Advantage System (1:1) Construct a Z Rig System (3:1) Construct a Piggyback Rig System (4:1) Perform a Safety Check RES 101-PPT

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33 Rescue Technician Site Operations Lesson 5-1 Rigging Systems Low-Angle Environment Student Performance Objectives Given information from discussion, handouts, and reading materials, construct and operate a mechanical advantage system and a lowering system in a lowangle environment. RES 101-PPT Overview Construct and operate a mechanical system in a low-angle environment Function as a litter tender Construct and operate a lowering system in a low-angle environment Conduct a safety check RES 101-PPT

34 Construct and Operate a Mechanical Advantage System in a Low-Angle Environment The haul team Communications Haul commands Haul Haul slow Set Slack Stop! RES 101-PPT Construct and Operate a Mechanical Advantage System in a Low-Angle Environment Use of progress capture devices (PCD) PCD rigging PCD tender Use of a tag line RES 101-PPT Construct and Operate a Mechanical Advantage System in a Low-Angle Environment Practical Exercise Demonstrate operation Students practice operation Skill sign-off RES 101-PPT

35 Function as a Litter Tender Body position Tie in to litter Physical movement and team coordination RES 101-PPT Function as a Litter Tender Practical Exercise Demonstrate operation Students practice operation Skill sign-off RES 101-PPT Construct a Lowering System Load Main-line Braking systems for lowering Figure 8 descender Brake bar Brake tube RES 101-PPT

36 Construct a Lowering System Rigging for lowering Belay systems Litter rigging Tender rigging RES 101-PPT Construct a Lowering System Practical Exercise Demonstrate construction Student practice construction Skill sign-off RES 101-PPT Operate a Low-Angle Lowering System Communication Radio Voice Commands On belay? Down slow Down fast Stop! Stop! Stop! Why stop? Commands (con t.) Off Belay Belay off Slack Tension Slack on belay line Slack on main line Off rope RES 101-PPT

37 Operate a Low-Angle Lowering System Haul team Rescue team leader Brakeman Rope handler Edge tender Litter tender Belayer RES 101-PPT Operate a Low-Angle Lowering System Practical Exercise Demonstrate operation Student practice operation Skill sign-off RES 101-PPT Conduct a System Safety Check Use of a safety officer Fully knowledgeable of techniques Authorized to stop an operation Inspections Rope Rigging PPE Environment RES 101-PPT

38 Student Performance Objectives Given information from discussion, handouts, and reading materials, construct and operate a mechanical advantage system and a lowering system in a lowangle environment. RES 101-PPT Review Construct and operate a mechanical system in a low-angle environment Function as a litter tender Construct and operate a lowering system in a low-angle environment Conduct a safety check RES 101-PPT

39 Rescue Technician Site Operations Lesson 6-1 Rigging Systems High-Angle Environment Student Performance Objectives Given information from discussion, handouts, and reading materials, construct and operate a mechanical advantage system, a lowering system and a belay system in a high-angle environment. RES 101-PPT Overview Construct and operate a mechanical advantage system in a high-angle environment Construct and operate a lowering system in a high-angle environment Construct and operate a belay system in a high-angle environment Belay a falling load in a high-angle environment RES 101-PPT

40 Construct a High-Angle Lowering System Load Main-line Braking systems for lowering Rigging for lowering Belay systems Litter rigging Tender rigging RES 101-PPT Operation of a High-Angle Lowering System Communication Radio Voice Review Commands Haul Team RES 101-PPT Construct a High-Angle Lowering System Practical Exercise Demonstrate construction Students practice construction Skill sign-off RES 101-PPT

41 Operate a High-Angle Lowering System Review commands Review team responsibilities RES 101-PPT Operate a High-Angle Lowering System Practical Exercise Demonstrate operation Students practice operation Skill sign-off RES 101-PPT Construct and Operate a Belay System Types of belay systems Brake belays Tandem Prusik belay system Load releasing (LR) hitches RES 101-PPT

42 Construct a Belay System Constructing a Tandem Prusik Belay Sysem Use of additional devices Prusik minding pulley 540 rescue belay device RES 101-PPT Construct a Belay System Practical Exercise Demonstrate construction Students practice construction Skill sign-off RES 101-PPT Belay a Falling Load in a High-Angle Environment Practical Exercise Demonstrate operation Students practice operation Skill sign-off RES 101-PPT

43 Student Performance Objectives Given information from discussion, handouts, and reading materials, construct and operate a mechanical advantage system, a lowering system and a belay system in a high-angle environment. RES 101-PPT Review Construct and operate a mechanical advantage system in a high-angle environment Construct and operate a lowering system in a high-angle environment Construct and operate a belay system in a high-angle environment Belay a falling load in a high-angle environment RES 101-PPT

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45 Rescue Technician Site Operations Lesson 7-1 Victim Management Student Performance Objectives Given information from discussion, handouts, and reading materials, perform victim management. RES 101-PPT Overview Introduction to victim management Support triage of victims Secure a victim in a litter Perform a low-angle move Transfer victim to EMS RES 101-PPT

46 Introduction to Victim Management Victim management is separate from emergency medical care This is a rescue course, not an EMS course EMS training is not a prerequisite for this course but is a requirement for treating patients Careful coordination is required with rescue and EMS RES 101-PPT Triage Rescue vs. recovery Input of EMS personnel on triage and priorities Use of triage materials RES 101-PPT Secure a Victim in a Litter Basket litter rigging Flexible litter rigging Patient packaging Practical exercise Demonstrate packaging Student practice packaging Skill sign-off RES 101-PPT

47 Low-Angle Move Goals are victim and crew safety Select the most appropriate manner of carrying out the move Task starts with a packaged patient in a rigged litter ready for the move RES 101-PPT Low-Angle Move Practical Exercise Demonstrate move Students practice move Skill sign-off RES 101-PPT Transfer to EMS Safe transfer of victim Communication of history and condition of victim RES 101-PPT

48 Student Performance Objectives Given information from discussion, handouts, and reading materials, perform victim management. RES 101-PPT Review Introduction to victim management Support triage of victims Secure a victim to a litter Perform a low-angle move Transfer victim to EMS RES 101-PPT

49 Rescue Technician Site Operations Lesson 8-1 Comprehensive Practical Exam Student Performance Objectives Given information from discussion, handouts, and reading materials, perform all aspects of a slope evacuation rescue. RES 101-PPT Size-Up Incident Action Plan Rigging System Evacuation Exercise Evaluation Overview RES 101-PPT

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