Commanding the Confined Space Rescue

ICS Incident Priorities Life safety Responder safety is number one priority General public Be part of the solution, not the problem 60% of fatalities are would be rescuers

ICS Incident Priorities Risk / Benefit analysis What do I have to lose? What do I have to gain? Analysis: process used to determine strategic goals of an incident.

ICS Incident Priorities Development of strategic goals is determined after an assessment of the situation. The survivability of the victim will determine if a rescue is possible or if this will be a body recovery.

ICS Incident Priorities Offensive ( rescue) Are viable lives at risk Manageable number Hazards are known and controllable Resources are available Incident stabilization prompt and probable

ICS Incident Priorities Defensive ( body recovery ) No life probability of victim Complex rescue incident Hazardous conditions still exist Resources unavailable Stabilization unlikely

Incident Stabilization Ability of each CSR team is based on training and equipment. CSR team needs to pre-plan spaces to determine equipment and training needs. Tactical objectives are based on strategic goals of the incident.

Scene Management Establish Command Reconnaissance Gain Control

Establish Command Any team member can be command usually highest trained can be passed as more people arrive need to know the ICS trained in CSR

Responsibilities of IC Make initial assessment and evaluation Establish goals and objectives Determine additional resources Deploy personnel and units Establish a command post

Reconnaissance Once preliminary information indicates that PPE on hand is adequate Obtain air monitoring samples Assess hazards Patients Characteristics of space Rapidly communicate information to IC

Gain Control Perimeter Control Includes May need police Barrier tape, ropes, barricades Includes Civilian volunteer rescuers Controlling traffic Limiting access to the rescue area to assigned personnel

Gain Control Hazard Mitigation Avoid the hazard Remove the hazard Control the hazard Use personal protective equipment

Gain Control Hazard Mitigation Factors involved Risk / benefit analysis Length of time to implement survival time of patient Factors involved Equipment available Personnel - training, skills, knowledge and numbers

Scene Management IC needs to: Analyze the problem Plan solutions Implement the plan Evaluate progress

Strategic Factors for CSR Confined Space Characteristics Hazards Present Rescue Opportunities Resources

Confined Space Characteristics Type Function Configuration Construction Size Entry Points ( size, number, location )

Hazards Present Atmospheric Energy Sources Entrapment Fall Fire / Explosion Hazardous Material

Rescue Opportunities Not Injured Minor Injury Controllable Hazards Personal Protection for Patient Rescue Problem within Capabilities of the Department Distance

Resources Sufficient Personnel ( numbers, experience, training ) Appropriate equipment, Apparatus, Material Time to Implement Option Chosen Availability Interagency Coordination

Functional Components of IMS Assigned by IC Operations / Group Supervisor / Team Leader Overseas and controls all tasks and functions. Directs all tactical objectives according to goals set by command. Ensures entry control

Functional Components of IMS Assigned by IC Safety Monitors all safety factors Advises command Ensures correct selection and use of PPE Monitors entry team air time Has authority to stop unsafe operations and override command

Functional Components of IMS Assigned by IC Entry: Rescue / Recovery Enters space to provide recon Provides for removal of patients Directs communication with Operations and Safety

Functional Components of IMS Assigned by IC Hazard Control Provides proper ventilation of space Provides monitoring of space Provides lockout of all sources of energy and engulfment hazards Advises Operations of above

Functional Components of IMS Assigned by IC Air Supply Provides appropriate air supply support for all entrants determines amount of air needed amount Ensures adequate amount of on-scene air supply Advises Operations

Functional Components of IMS Assigned by IC Rigging Determines type rescue equipment needed Sets up and manages rescue systems Performs duties of attendant Ensures safety of entrants Advises Operations

Functional Components of IMS Assigned by IC Medical Provides medical surveillance of entrants Provides rehabilitation Provides medical care to patients after removal

Functional Components of IMS Assigned by IC Additional Functions Research Provides technical research on hazards. Decontamination Provides decon to entrants and patients Manages decon line

Functional Components of IMS Assigned by IC Rapid Intervention Team ( RIT ) Provides safety backup for entry Dressed in same PPE as entry, staged to go Cannot be assigned to another task Provides at least one for one coverage

Application

Application First Arriving Company: Initial Actions Establish Command Reconnaissance Gain control

Application Phase I: Pre-Entry Size-up Rescue / Recovery Pre-Plan Command Post Hazard control Monitoring Ventilation

Application Phase I: Pre-Entry Cont. Lockout / Tagout Technical Team Required Decon Rehab Accountability

Application Phase II: Entry /Rescue PPE Rigging system Air monitoring Ventilation Briefing Communications Entry authorized, accountability

Application Phase III: Removal Recon Package Removal Entry team out Accountability

Application Phase IV: Termination Objective Debriefing Rehab CISD Re-supply, Re-deploy Terminate Command, document Post incident analysis