Scenario #1: Confined Space Rescue

Transcript Scenario #1: Confined Space Rescue

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Confined Space Rescue

TRAINING

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Goals of Training Scenario #1 Scenario #2 Discussion Quiz

I. Goals of Training

 Attention to preparation and safety before entry  Understanding that the scenario will evolve based on what is confronted.

 Emphasis on communications between I.C. and the entry team.

Scenario #1: Confined Space Rescue - Horizontal Preparation

Scenario #1: Confined Space Rescue - Horizontal Pre-Entry

 Talk with bystanders and coworkers; establish most recent activities. Was a civilian rescue attempted?  Log-out/Tag-out procedure; securing of hazardous elements  Confirmation of communications frequency

FLOAT CLIP #3

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Scenario #1: Confined Space Rescue - Horizontal Pre-Entry

 Air quality and oxygen level is monitored prior to entry.

 Inject oxygen if atmosphere is below quality standards.

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In this case, an acetylene torch is involved, Injecting oxygen could be dangerous! This may impact the air supply method to be used!

Scenario #1: Confined Space Rescue - Horizontal Pre-Entry

 Inject oxygen if atmosphere is below quality standards.

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Instead, an emergency bottle is brought in for the patient.

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Your approach may change based on the situation at hand.

Scenario #1: Confined Space Rescue - Horizontal Entry Team

 Contact with patient is attempted if possible. If it is, set up a communication system with patient: voice contact, tapping, etc.

 Initial size-up by first entry member will yield important information for I.C. to make decisions with.

separate.

Scenario #1: Confined Space Rescue - Horizontal Entry Team

 Amount of space will also determine rescue and retrieval methods  Supplied Air Respirators (SARs) or Self Contained Breathing Apparatus (SCBA) are overseen by air team; color-code air lines to keep entry members separate.

Scenario #1: Confined Space Rescue - Horizontal Incident Command

 Appoints sector officers: Operations, Safety, EMS, others if needed.

 Oversees preparation procedures  Keeps track of entry times of members; asks for accountability every 15 minutes.

 Keeps track of air line color-coding .

Scenario #1: Confined Space Rescue - Horizontal Incident Command

 Maintains sufficient numbers of personnel on scene; calls in extra alarms if necessary  Directs rescue based on feedback from entry team  Appoints a backup team or Rapid Intervention Team to be standing by Working Fire Training / Copyright 2004 / Volume 04-2 11

Scenario #1: Confined Space Rescue - Horizontal Rescue Execution

 Corners along rescue path demand that entry team members pull sufficient slack ahead to avoid catching lines on corners .

Scenario #1: Confined Space Rescue - Horizontal Rescue Execution

 During this rescue, a Porta-Power failed. Was reported calmly and a bottle jack was sent in as a replacement.

 Other rescue tools and techniques could also be employed. Another evolution depicted using an airbag and cribbing to lift the beam off the patient .

Scenario #1: Confined Space Rescue - Horizontal Debriefing

 Preparation procedures were done efficiently.

 Entry members reached patient in timely manner; set up communications system by tapping.

 Reported conditions and equipment needed clearly and concisely; when a Porta-Power failed, there was no panic .

FLOAT CLIP #1

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Scenario #1: Confined Space Rescue - Horizontal Debriefing

 Air line management was good; Lines should be color-coded and taped with masking tape for easy removal.

 Timetables are useful in post-analysis as they indicate which tasks took too much time.

 Rescue might be assisted by using a 4:1 in the tunnel itself or by rigging an “inchworm” if there is sufficient room.

Scenario #2: Confined Space Rescue - Vertical Preparation

Scenario #2: Confined Space Rescue - Vertical Pre-Entry

 Same considerations as in Scenario #1; plus:  If vertical entry is necessary, where will the anchor point be? It’s up to the I.C.

Scenario #2: Confined Space Rescue - Vertical Pre-Entry

 Interior-Rigged Method  Puts rescue assist/haul team closer to the point of entry; makes for better communication  Adds congestion closer to the point of entry Working Fire Training / Copyright 2004 / Volume 04-2 18

Scenario #2: Confined Space Rescue - Vertical Pre-Entry

 Exterior-Rigged Method  Places rescue assist/haul team external to the structure; communication will probably be by radio  Frees up space around the point of entry  Line of sight may be a decision factor; will the exterior team be out of sight?

Scenario #2: Confined Space Rescue - Vertical Pre-Entry

Scenario #2: Confined Space Rescue - Vertical Entry Team

 Same considerations as in Scenario #1; plus:  Coordinated communication between Entry Officer and haul team  OSHA forbids repelling into the opening! Descent must be controlled .

Scenario #2: Confined Space Rescue - Vertical Incident Command

Scenario #2: Confined Space Rescue - Vertical Rescue Execution

 Proceeded smoothly  Because of patient’s injuries, a hasty-style web harness was employed to affect an expeditious removal of the patient.

Scenario #2: Confined Space Rescue - Vertical Debriefing

 Many of the same issues from Scenario #1 were covered again; review those.

 Haul system options and communications were reviewed.

FLOAT CLIP #4

 Since air line management takes place fairly close to

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the point of entry, that’s why the choice of haul system placement (interior vs. exterior) can be crucial.

Scenario #2: Confined Space Rescue - Vertical Debriefing

 For I.C.: you can run through personnel and resources in a hurry. ALWAYS have extra of both standing by. Call a second alarm early in the game to get what you need; you can always send them back!

FLOAT CLIP #2

 Timelines tell you if you’re having problems.

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Department Discussion

The departments involved in this month’s training pose some discussion questions that you can use as discussion-starters in your own department’s training sessions. How will your department handle these scenarios?

Department Discussion

“Our department specializes in heavy rescue. If your department doesn’t have the resources to handle such rescues, do you have a mutual aid partner who does? If so, is your department trained to assist them?”

Department Discussion

“I found that running Incident Command in such a scenario gave me plenty to think about and keep track of. In such an incident, think about appointing an Operations Sector officer who can be your eyes and ears regarding resources and manpower supplies. Have a backup team/R.I.T. ready to go.”

Department Discussion

“Managing air lines can be confusing. Set up a runner system to bring additional bottles for re supply. Make sure your Cascade is up and running. To reduce tangling, tape air lines and lifelines together with masking tape (so they can easily be separated). Be sure your I.C. knows the color code system you’re using.”

Department Discussion

“The entry team must be constantly aware of changing conditions. Take frequent air monitor readings to check your atmosphere -- it will impact you as well as the patient. Communicate regularly and clearly with I.C. Based on what you find will determine what rescue method you use. Pick the simplest and easiest to execute This choice may also be impacted by the condition of the patient.”

Confined Space Rescue: Quiz

Date__________________ Firefighter________________ Chief/T.O.______________ Education Credits _________

Select the best answer: 1. True or False: Upon finding a patient trapped below ground, immediately start pumping oxygen into the hole so he/she can breathe.

2. True or False: Immediately calling for extra resources wouldn’t be advised.

3. True or False: The entry team should have well-defined areas of responsibilities.

Confined Space Rescue: Quiz Select the best answer: 4. Multiple Choice: Which of the following is NOT of initial importance during on-scene preparation for a Confined Space Rescue?

a. Choice of air supply b. Choice of entry point c. Choice of haul system d. Choice of air bag manufacturer e. None of the above

Confined Space Rescue: Quiz Select the best answer: 5. Multiple Choice: Some of the important sector positions in a Confined Space Rescue are: a. I.C. - Entry Point Officer - Safety Officer b. Air Line Officer - Haul Team Contact Person - R.I.T./Backup team c. Lead Entry Team Member. - Equipment Runner - Operations Officer d. All of the above e. None of the above

(Answers on Slide 35)

Continuing Education If you’re enrolled in the Open Learning Fire Service Program at the University of Cincinnati, here’s your opportunity this month to earn one college credit hour for watching Working Fire Training. Kramer vs. Kramer: Confined Space Rescue Complete written responses to the following three essay questions : 1. What new technology and techniques have been introduced in recent years in the field of Confined Space Rescue?

In your opinion, is “Confined Space Rescue” a relatively new concept in the Fire Service or rather a formalizing of older rescue techniques? Briefly explain.

3. Briefly explain how you would implement or improve Confined Space capabilities in your fire department.

…CONT.

For more information on enrolling in the Open Learning program to gain college credit, call

Fire

at 800-516-3473 for a brochure or, to register directly, call the University of Cincinnati at 513-556-6583. Associates and Bachelors programs are available. Call to have your transcripts evaluated.

04-2 Training Materials TRAINING Thanks so much for viewing Working Fire Training! See you next month – stay safe!

Answers to quiz on Slides 30-32: 1. False 2. False 3. True 4. d. 5. d.

Scenario #1: Confined Space Rescue

Transcript Scenario #1: Confined Space Rescue

Confined Space Rescue

Department Discussion

Department Discussion

Department Discussion

Department Discussion

Department Discussion

Directory