Commanding the Confined Space Rescue

1. Commanding the Confined Space Rescue

2. 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

3. 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.

4. 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.

5. 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

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

7. 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.

8. Scene Management • Establish Command • Reconnaissance • Gain Control

9. 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

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

11. 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

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

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

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

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

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

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

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

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

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

21. Functional Components of IMSAssigned 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

22. Functional Components of IMSAssigned 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

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

24. Functional Components of IMSAssigned 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

25. Functional Components of IMSAssigned 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

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

27. Functional Components of IMSAssigned by IC • Medical • Provides medical surveillance of entrants • Provides rehabilitation • Provides medical care to patients after removal

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

29. Functional Components of IMSAssigned 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

30. Application

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

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

33. Application Phase I: Pre-EntryCont. • Lockout / Tagout • Technical Team Required • Decon • Rehab • Accountability

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

35. Application Phase III: Removal • Recon • Package • Removal • Entry team out • Accountability

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