Chapter 4 Response Considerations © 2008 Delmar, Cengage Learning Objectives • • • • Know your response area Understand how to establish incident command Understand unified command Understand how to answer the question: What’s your plan? © 2008 Delmar, Cengage Learning Introduction • The foundation of emergency response is to take control of a tragic situation and provide a favorable outcome • Plan and re-evaluate responses for a myriad of emergency situations • Preplanning response options and tools are essential steps • Acquire detailed familiarity of your local response area © 2008 Delmar, Cengage Learning Knowing Your Response Area • • • • Roads Waterways, lakes, rivers, and reservoirs Terrain Facilities, departments and co-agency capabilities • Know your resources © 2008 Delmar, Cengage Learning Roads • Knowing your area prepares you to use alternative roads • Several factors need to be considered: – Weight restrictions – Narrow roads “pinch-points” – Coordination with authorities • Bridges also need to be considered for weight, narrowness and height © 2008 Delmar, Cengage Learning Waterways, Lakes, Rivers and Reservoirs • Accidents involving water are more hazardous – – – – Consider how you will reach the scene The fire needs to be suppressed Hazardous materials may spread quickly Containment and reduction of contamination from hazardous materials may cause problems – Patient recovery may be hindered – Useful evidence may also be lost in the water © 2008 Delmar, Cengage Learning Terrain • Accidents that occur in rural areas may cause a fire • Remote settings may delay additional aid units • Hilly, swampy or sandy terrain also create access difficulties • Military aircraft accidents pose dangers – Watch for external fuel tanks and munitions – High-explosive material (HE) is shock-sensitive • Consider areas for an emergency landing © 2008 Delmar, Cengage Learning Facilities, Departments and Co-Agency Capabilities • Determine which facilities can help with emergency landings • Find out what services are available • Consider all topics before an emergency happens • Identify potential responding agencies capabilities as well as limitations © 2008 Delmar, Cengage Learning Know Your Resources • Be aware of all potential resources in your region • Know agency jurisdictions within and adjacent to your community • Consider additional key resources and disasteraid groups • Make a list of telephone numbers for every agency and facility and update it frequently © 2008 Delmar, Cengage Learning Establishing Incident Command • Establishing incident command determines the success or failure of an emergency response • Only one person should manage the scene • Establish a unified command system, if possible • Cooperation is critical for success – Freelancing disrupts the operation’s efficiency • Different tasks may be assigned to sector leads – Autonomy is given to perform the mission © 2008 Delmar, Cengage Learning Unified Command • All emergency response personnel must be trained to work within a unified command structure • Many agencies have lists of contingency plans for emergencies • The National Transportation Safety Board (NTSB) can assume authority – An independent agency responsible for safety – Studies causes and makes recommendations © 2008 Delmar, Cengage Learning What Agencies are Needed? • Goal: save lives and protect property • May be necessary to request help from other response agencies • Until the NTSB arrives, allow only the following: – – – – – FAA Police (or other law enforcement Fire Medical examiner/coroner Airport fire department, if available © 2008 Delmar, Cengage Learning Roles of Agencies Within the Command Structure • Responsibility of the incident commander to coordinate among the agencies involved • Each agency has a specific role • Team leaders establish sub-goals • Incident commander coordinates these goals • When everyone understand the overall goals, each one should carry out their role in the plan © 2008 Delmar, Cengage Learning What’s Your Plan? • Serious emergencies need a plan • Use PORT to divide the plan into segments – – – – P Problem O Objective R Resources T Time • Keep it simple and safe (KISS) • Preplan for determining resources and access © 2008 Delmar, Cengage Learning Your Existing Standard Operating Guidelines • Consider the fire equipment you have • Know what firefighting equipment is nearby • List pumping capabilities, radio call signs and estimated response time of all equipment • Suppressing large fires require guidelines for: – Foam concentrate delivery and transport – Sources for extra foam concentrate © 2008 Delmar, Cengage Learning Your Existing Standard Operating Guidelines (con’t.) • In case of mass casualties: – – – – Specialized equipment is likely required Additional emergency medical personnel (TRIAGE) Lighting equipment for night operations Contact information for additional agencies • The nearest military installation may not also have resources, consult the local government – Explosives disposal – Specialized personnel – Other emergency equipment © 2008 Delmar, Cengage Learning Your Existing Standard Emergency Management System • Has unique characteristics from other systems • Training is important: – Identify and correct flaws in the systems before an incident occurs • When a plan is developed: – Practice, evaluate and refine it continually • Consider weather when developing plans • Study plans that are similar to yours © 2008 Delmar, Cengage Learning The Impact of Terrorism on Your Plans • Aircraft are inviting targets for terrorists • Examples of aviation terrorism: – September 11, 2001: World Trade Center – Summer 2004: bomb detonation in Russia – 2006: terrorist plot was foiled in England • Emergency response agencies at all levels are training for aircraft terrorism • Be familiar with all NIMS terrorism terminology © 2008 Delmar, Cengage Learning The National Incident Management System • The Homeland Security Presidential Directive-5 directed the development of the National Incident Management Systems (NIMS) in 2003 • NIMS provides a nationwide template to enable all organizations to work together during domestic incidents © 2008 Delmar, Cengage Learning The National Incident Management System (con’t.) • The FEMA study program – Available at http://www.trainingfema.org – Should be completed in conjunction with IS-100, Introduction to Incident Command System • ICS-100 provides the foundation for higher level ICS training • Describes the history, features, principles and organizational structure of ICS • Explains the relationship between ICS and NIMS © 2008 Delmar, Cengage Learning Figure 4-2 The National Incident Management Structure © 2008 Delmar, Cengage Learning Summary • Knowing your response procedures is crucial for a successful outcome • We, as emergency responders, need to know the fastest response routes as well as alternate routes to any accident site • By regular training, and preplanning, we will be better prepared for what to expect when we arrive © 2008 Delmar, Cengage Learning Summary (con’t.) • Responses to waterways can take on a new life because of the challenges posed by gaining access to an accident in a lake, river, or the ocean • A unified command system is the best means to link different agencies so they can work together towards a common goal: Managing the Incident • Your plan is your plan: you should train all personnel who use, practice, and evaluate it © 2008 Delmar, Cengage Learning Summary (con’t.) • It is up to you to ensure your agency is able to perform as expected within the NIMS Structure • Chapter 5 covers several response tactics and strategies © 2008 Delmar, Cengage Learning