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 Includes 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 Factors involved
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 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

22. 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

23. 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

24. 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

25. 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

26. 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

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

28. 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

29. 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

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-Entry Cont.
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