ZONE 3 WATER RESCUE OPERATIONS PURPOSE: To provide guidelines for all personnel in the safe and effective deployment of resources during water rescue operations. SCOPE: These guidelines are designed to assist Suppression Personnel, the Technical Rescue Team, and other personnel who may be involved in a water rescue operation. A water rescue is defined as any incident involving the removal of a victim(s) from any body of water other than a swimming pool. INTRODUCTION: It should be understood that this guideline in no way is intended to be all-inclusive. Experience, training and coordination among team members during water rescue operations are an absolute necessity. SIZE UP: The size-up should include, but not be limited to, the initial and continuous evaluation of the following: 1. Scope, magnitude, and nature of the incident. If a witness can be located the following information should be obtained: □ Point last seen □ Time of accident/injury □ Time victim was last seen □ Number of victims □ Description of vehicle/victims 2. Risk versus benefit analysis (body recovery versus rescue). 3. Access to the scene. 4. Environmental factors. 5. Available / necessary resources. 6. Identify if patient contact can be performed without endangering either responders or additional victims: □ □ □ □ Determine the victim’s location. Identify how the victim entered the water. Evaluate if the victim is injured. Determine the victim’s stability of position. If the information you gathered suggests that water rescue is needed, then complete the following: 1. Declare the incident a water rescue operation. Decide on type of water rescue incident. Declare ‘Saltwater’, ‘Dive’, ‘Swiftwater’ or ‘Surface Water’ Rescue incident. Each of these disciplines will bring the appropriate resources from Zone 3 departments and King County Sheriff’s Marine Unit. 2. Because of the complexity of these types of incidents, it is important that the first arriving company officer establish command and request an operational frequency. 3. Ensure the Shift Commander has been notified and set up initial Staging Area with Staging Area Manager for the responding resources. 4. Insure that all personnel working with in 10’ of the water are wearing personal floatation devices (PFD), without bunkers or fire helmet. Exception: Qualified “Rescue Swimmers” in ‘Surface Water’ and ‘Saltwater’ rescue Incidents. 5. For Swiftwater Rescue Incidents: deploy upstream spotters to warn rescuers of floating debris, and downstream spotters with throw bags on both sides of the river as downstream containment and reconnaissance. RESCUE OPERATIONS: 1. The Incident Commander and technical team leader shall establish a mutual incident action plan with strong consideration given to amount and type of resources required, a risk / benefit analysis, The Incident Commander shall make a declaration to all responders as either a rescue or recovery operation. Any change in the operational mode will be clearly communicated to all responders, as well. 2. The four objectives that must be met are: (LAST) Locating the victim. Access to the victim. Stabilization and preparing the victim for extrication. Transporting the victim. 3. The IC shall assign the technical team leader to the position of Rescue Group Supervisor. The Rescue Group Supervisor (RGS) and/or personnel assigned to this function shall develop an action plan with the Incident Commander. Once the plan has been developed, they will be responsible for executing the plan in the safest possible manner. 4. Technical rescue team members should be assigned to the appropriate positions, such as, Rigging Team Leader, Rescue Swimmers, Boat Operator, and Technical Safety Officer, etc. 5. The IC or RGS shall assign a Technical Safety Officer. The TSO must be trained to the technician level in the discipline that they are overseeing. The IC may also assign an overall Safety Officer, based on the needs of the operation. 6. If the operation has the potential to become a prolonged technical rescue, the Incident Commander should consider assigning divisions to the upstream, downstream, treatment, and rescue functions. ADDITIONALCONSIDERATIONS: Zone 3 Dive Teams are included in each of the 4 types of Water Rescue Incidents. Incident Commanders should also insure that a request for King County Marine Unit to respond has been initiated through King County Sheriff’s office. Rescuers should consider the risk/benefit factor. A risk/benefit factor is a subjective decision that weighs the benefits of what is to be gained versus what can be lost if the worst happens. If the benefit is high and the risk is low, move forward with the rescue. If the risk is high to the rescuers and the benefit is low, then consideration should be given to the appropriate action plan that emphasizes maximum rescuer safety. Options should be executed in order from low risk to high risk. “Reach-Throw-Row-Go-Helo” shall be the proper order of execution to affect the rescue. If possible, Reach the victim with whatever means possible. If the victim is too far out in the water to reach something, Throw, the victim a throw bag or a flotation device. The victim should grab the rope but not wrap or tie it around themselves, and the rescuer will pendulum belay the victim to shore in moving water. If the victim cannot be reached by either of these methods, the Incident Commander should consider waiting for Technical Water Rescue Resources to arrive before committing untrained personnel to a rescue. The remaining options are considered high-risk and require specialized technical training and equipment. Row is the next rescue consideration and can be utilized based on the resources at hand.. Prior to committing to the Go option, the risk/benefit factor should again be considered. Helo or the use of a helicopter should be considered last. Aircraft from KCSO may be requested, but with the knowledge that response times could be delayed. ZONE 3 WATER RESCUE JOB DESCRIPTIONS INCIDENT COMMANDER SET UP A LOGICAL AND SAFE COMMAND POST. CONDUCT SIZE-UP. REQUEST OPERATIONAL TALK GROUP DECLARE TYPE OF WATER RESCUE OPERATION: SALTWATER, SWIFTWATER, DIVE, OR SURFACE. REQUEST RESPONSE FROM KCSO MARINE UNIT ASSIGN AND DIRECT KEY POSITIONS AS NEEDED: OPERATIONS RESCUE GROUP SUPERVISOR SAFETY OFFICER STAGING OFFICER MEDICAL GROUP SUPERVISOR LOCATE AND RETAIN A RESPONSIBLE PERSON FROM THE INCIDENT SITE. (WITNESSES) ESTABLISH CONTROL OF THE RESCUE SITE. ENSURE THAT ALL EMPLOYEES NEAR WATER ARE WEARING PFD, WITHOUT BUNKERS OR FIRE HELMET. EXCEPTION TO PFD: QUALIFIED RESCUE SWIMMERS DETERMINE RESOURCE NEEDS. MEDIC UNIT / MSO / AMBULANCE POLICE EVALUATE SURVIVABILITY PROFILE (RESCUE OR RECOVERY). ESTABLISH MUTUAL ACTION PLAN WITH OPERATIONS AND / OR RESCUE GROUP SUPERVISOR. STAGING AREA MANAGER REPORTS TO INCIDENT COMMANDER RESPONSIBLE FOR ALL CREWS IN STAGING AREA COLLECT PASSPORTS & COORDINATE RESPONDING RESOURCES DETERMINE CERTIFICATION LEVEL OF RESPONDERS o TECHNICIAN TYPING o SWRT o DIVE o RESCUE SWIMMERS o ROPE o BOAT ALLOCATE RESOURCES AS REQUESTED BY INCIDENT COMMANDER INSURE PERSONNEL REMAIN IN STAGING UNTIL REQUESTED COORIDINATE WITH REHAB AND MEDICAL (IF ESTABLISHED) RESCUE GROUP SUPERVISOR REPORT TO INCIDENT COMMANDER OR OPERATIONS. WEAR APPROPRIATE PPE. ESTABLISH MUTUAL INCIDENT ACTION PLAN WITH INCIDENT COMMANDER. LOCATE TO ENSURE A GOOD VIEW OF INCIDENT. ASSIGN AND DIRECT KEY POSITIONS AS NEEDED: TECHNICAL SAFETY RIGGING TEAM LEADER RESCUE TEAM LEADER CONTAINMENT TEAM LEADER MOBILIZE AND DEMOBILIZE TEAMS WHEN TASKS ARE COMPLETED. ASSESS TEAM NEEDS AND COMMUNICATE TO OPERATIONS OR INCIDENT COMMANDER. COORDINATE ALL ASPECTS OF THE RESCUE AND REMOVAL OF THE PATIENT AND PERSONNEL. ASSURE BRIEFING OF ALL RESCUE TEAMS. TECHNICAL SAFETY OFFICER REPORT DIRECTLY TO RESCUE GROUP SUPERVISOR. WEAR APPROPRIATE PPE. BE AWARE OF ACTION PLAN AND COMMAND STRUCTURE. IDENTIFY POTENTIAL HAZARDS TO RESCUERS. ENSURE THAT THERE IS AN UPSTREAM SPOTTER AND DOWNSTREAM CONTAINMENT. WORK CLOSELY WITH RIGGING AND RESCUE TEAM LEADER. RESPONSIBLE FOR SAFETY CHECKING ALL TECHNICAL SYSTEMS. RESPONSIBLE FOR THE OVERALL SAFETY OF TECHNICIAN LEVEL ACTIVITIES. RIGGING TEAM LEADER REPORT DIRECTLY TO RESCUE GROUP SUPERVISOR. WEAR APPROPRIATE PPE. DIRECT ALL RIGGING TEAMS IN THE DEVELOPMENT OF ROPE SYSTEMS ON SITE. ASSURE SAFETY AND ENGINEERING OF ANY ROPE RELATED SYSTEM. COORDINATE RESCUE EQUIPMENT LOGISTICS. ASSURE PROTECTION OF ALL ROPE SYSTEMS FROM MECHANICAL OR CHEMICAL DAMAGE. CONFIRM SYSTEMS CHECK WITH TECHNICAL SAFETY OFFICER. COORDINATE USE OF RIGGING TEAMS IN OPERATING SYSTEMS. FORMULATE EMERGENCY CONTINGENCY PLAN PRIOR TO OPERATION. RIGGING TEAM REPORT DIRECTLY TO RIGGING TEAM LEADER. WEAR APPROPRIATE PPE. ASSEMBLE TECHNICAL ROPE SYSTEMS AS DIRECTED. OPERATE RETRIEVAL SYSTEMS AS NECESSARY. CONTAINMENT TEAM LEADER REPORT DIRECTLY TO RESCUE GROUP SUPERVISOR. WEAR APPROPRIATE PPE. ASSIGN/COORDINATE UPSTREAM SPOTTER AND DOWNSTREAM SAFETY TEAMS. ASSURE PROPER PROTECTIVE EQUIPMENT AND TOOLS FOR THE TASK. CONTINUALLY UPDATE TECHNICAL SAFETY AND RESCUE GROUP SUPERVISOR OF CURRENT SAFETY ISSUES ON RIVER. ACCOUNT FOR ALL ASSIGNED PERSONNEL. REQUEST RESOURCES FROM THE RESCUE GROUP SUPERVISOR. UPSTREAM SPOTTER REPORT DIRECTLY TO CONTAINMENT TEAM LEADER. ENSURE PROPER PPE AND EQUIPMENT FOR TASK. STOP ALL RIVER TRAFFIC ENTERING INTO THE RESCUE AREA. WARN RESCUE TEAMS OF ITEMS THAT CANNOT BE STOPPED. DOWNSTREAM SAFETY TEAMS REPORT DIRECTLY TO CONTAINMENT TEAM LEADER. ENSURE PROPER PPE AND EQUIPMENT FOR TASK. ENSURE THAT ANYONE IN THE WATER IS STOPPED BEFORE GOING BY THE LAST CONTAINMENT TEAM. RESCUE TEAM LEADER REPORT DIRECTLY TO RESCUE GROUP SUPERVISOR. WEAR APPROPRIATE PPE. ASSIGN/COORDINATE RESCUE SWIMMER TEAMS AND/OR BOAT TEAMS. ASSURE PROPER PROTECTIVE EQUIPMENT AND TOOLS FOR THE TASK. CONTINUALLY UPDATE TECHNICAL SAFETY AND RESCUE GROUP SUPERVISOR OF CURRENT SAFETY ISSUES ON RIVER. ENSURE COMMUNICATION WITH SUPPORT TEAMS ON RIVER. ACCOUNT FOR ALL ASSIGNED PERSONNEL. REQUEST RESOURCES FROM THE RESCUE GROUP SUPERVISOR. CONTINUALLY EVALUATE FOR THE SIGNS OF FATIGUE AND HYPOTHERMIA OF RESCUE TEAMS ROTATE TO REHAB FOR WARMING AND REST IF NEEDED. RESCUE SWIMMERS MEMBERS REPORT TO RESCUE TEAM LEADER. WEAR APPROPRIATE PPE AND EQUIPMENT FOR THE TASK. FIRST PRIORITY IS PERSONAL PROTECTION. ENSURE COMMUNICATION WITH UPSTREAM SPOTTER. BOAT TEAM MEMBERS REPORT TO RESCUE TEAM LEADER. WILL CONTAIN AN OPERATOR AND RESCUE SWIMMERS. WEAR APPROPRIATE PPE AND EQUIPMENT FOR TASK. ENSURE COMMUNICATION WITH UPSTREAM SPOTTER. COOPERATE AND PROVIDE SUPPORT FOR SPECIALISTS FROM OUTSIDE AGENCIES. TECHNICAL RESCUE WATER RESCUE ORGANIZATIONAL CHART INCIDENT COMMANDER ___________________________ SAFETY __________________________ STAGING ______________________ _ PIO _______________________ ________ _______________________ OPERATIONS _____________________________ SUPPRESSION OFFICER _______________________ _ RESCUE GROUP SUPERVISOR __________________________ MEDICAL GROUP SUPERVISOR _______________________ _ TECHNICAL SAFETY ________________________ CONTAINMENT TEAM LEADER RESCUE TEAM LEADER RIGGING TEAM LEADER __________________________ __________________________ _____________________ TEAM #1 SWIM TEAM TEAM #1 TEAM #2 BOAT TEAM TEAM #2 WATER RESCUE SCENE ASSESSMENT DATE____________________ INCIDENT#______________________ □ What is the location and condition of the victims? (if known) __________________________________________________________________ __________________________________________________________________ □ □ □ How many victims are there? __________________________________________ What is the last scene point? __________________________________________ Have the witnesses been retained and interviewed? □ Can voice communication be established with victim? YES or NO □ What hazards have been identified? ____________________________________ __________________________________________________________________ __________________________________________________________________ □ Type of the water? LAKE (Static) RIVER (Low, Medium, High) SALTWATER □ What is the distance to the victims? _____________________________________ __________________________________________________________________ □ What are the access options? _________________________________________ __________________________________________________________________ □ Are all necessary resources on the way or on location already? ________________ □ Request the appropriate response: o o o o DIVE ( Dive Team resources only) Swiftwater ( Dive Teams and Swiftwater Technicians) Surface (Dive Teams, Swiftwater Teams, Rescue Swimmers) Salt Water (Dive Teams and Marine 26) □ Is this a RESCUE or RECOVERY? □ Make the General Area Safe. □ □ □ □ RESCUE or RECOVERY Declare the incident a water rescue operation. Establish, Name and Locate Command Post Establish Staging Area and Indentify Staging Area Manager Ensure all employees near the water are wearing personal flotation devices. □ NOTES: Utilize the lowest risk methods first: Reach-Throw-Row-Go-Helo