Critical Incident Response& Recovery Guidelines for Victorian Member Clubs Document1 1 DISCLAIMER This document is intended to assist Bushwalking Victoria member clubs to develop their own critical incident response and recovery plan. Bushwalking Victoria Inc. A0002548Y does not accept responsibility for errors or omissions in this document or for the manner in which the information contained in this document is interpreted or implemented. These guidelines are for voluntary application to the activities of member clubs and will not cover each and every circumstance of a club’s activities. FOR MORE INFORMATION For further information about responding and recovering from a critical incident associated with bushwalking club activities please contact: Secretary: secretary@bushwalkingvictoria.org.au Or call: 03 88464131 Document1 2 Contents Introduction ........................................................ 4 Critical Incidents .................................................. 6 Response Plan – Managing The Incident When It Happens ............... 7 Recovery Plan – Assisting Those Affected By The Event .............. 11 Acknowledgements ................................................... 14 References And Further Reading ..................................... 15 Document1 3 Introduction Emergency management is traditionally seen as three parts which in reality overlap. Prevention - Risk management to minimise chance of an emergency Response - Managing an emergency when it happens - rescue and relief Recovery – Assisting those affected by the event Bushwalking clubs in Victoria have access to a range of resources to assist them to develop and implement risk management policies and procedures and to manage an emergency. BWV Risk Management Guidelines July 2013 can be downloaded to assist clubs to address the issue of prevention. http://www.bushwalkingvictoria.org.au/forms/Risk_Management_Guidelines .pdf BWV subsidises first aid training for club members to encourage all clubs to have people on walks who can respond to a medical emergency. “Walksafe” can be downloaded http://www.bushwalkingvictoria.org.au/intro.html from This document includes information on preventing and responding to a variety of emergencies – lost, separated, accident, heat, cold, snakebite, bushfire, storm and flood. The Bush Search and Rescue Victoria website has information on the use and limitations of electronic equipment which may be used for emergencies in the bush: UHF Radios, Personal Locator Beacons, mobile phones and Spot tracking device. www.bsar.org/equipment The Handbook “Bushwalking and Ski Touring Leadership”, (2000), written for outdoor education activities, is still an excellent resource. Originally published by the now defunct Bushwalking and Mountaincraft Training Advisory Board, it is now out of print but many clubs have copies. It is available online. http://outdoorleaderonline.org Bushwalkers can register their trip intentions online at www.tripintentions.org This is a free service provided for community benefit. It allows walkers to send trip intentions to up to two people via email. It is based on the Trip Intentions and Information Form provided by Victoria Police. http://www.police.vic.gov.au/content.asp?Document_ID=23653 The above documents will assist clubs to develop their own leadership, risk management, and emergency management processes and procedures. These guidelines are to assist clubs to augment their risk management and emergency management procedures to include response and recovery from a critical incident. They can be modified to suit less serious emergency situations. Clubs may have an Emergency / Crisis Management Team but members of this team may not be present when an incident occurs and may not be able to be contacted. On any club bushwalk or activity Document1 the leader should have a clear 4 understanding of how to cope with a critical incident. All members of clubs should be aware of the types of support available to assist people to minimise the emotional trauma that can result from being directly involved in a critical incident. Document1 5 Critical Incidents For the purpose of these guidelines a critical incident is: death or serious injury of a member or members while participating in the activities of a bushwalking club. Death or serious injury may result from a state/region event such as storm/flood/fire in which case all involved will be subject to the emergency management procedures of the state authorities. Club members will be instructed on what to do at the scene and some recovery services may be offered. Death or serious injury may result from a local event such as car/train/bus crash on route to or from a walk in which case all involved will be subject to emergency management procedures of Victoria Police. Depending offered. on the incident, recovery services may or may not be Death or serious injury may result from an accident or pre-existing medical condition on a bushwalk or other club activity. In this case club members will need to respond to the emergency until rescue personnel arrive. Once an agency has responded to a 000 (triple zero) call, there will be an incident controller (IC), usually Victoria Police who will dictate what people can and cannot do. If there is a death the coroner may be involved and police may establish a crime scene. The IC will instruct people on when they can leave, what they can say, who they can talk to and what they may be required to do in the future. A Critical Incident Response and Recovery Plan will assist survivors to respond quickly and appropriately in difficult circumstances. People may be in shock, distressed and traumatised by the incident and not able to function as normal. A clear simple response plan should minimise confusion. A well thought through recovery plan will provide direction on how clubs can support members while they recover from the incident. Depending on the nature of the incident and the relationships of the members involved, recovery may be swift or for some people may never really happen. Clubs may better manage recovery if they are able to suggest avenues of professional help for members with post-traumatic stress disorder or ongoing grief issues. Club members will need to consider how to manage critical incidents when bushwalking in: familiar places near to home remote areas in the state interstate overseas Clubs may have to write specific risk management and emergency plans and agree on a specific critical incident plan and management team for interstate, remote area and overseas trips. Document1 6 Response Plan – Managing the Incident When it Happens The response plan should focus on procedure and operational issues that cover how to manage from the start of the incident until the formal processes are completed, which may take weeks. Identify who will be in charge: At the scene until rescue services arrive. At the scene after rescue services arrive. On return to home or base. After the incident. At the scene, will the walk leader (who may lack experience) be in charge, or will it be the club’s walks co-ordinator if present, the club president if present, the first aider, an experienced leader? Will the same person be in charge on return to base or will the president or committee take over? Identify who will be in charge if the designated person is the casualty: Tasks should be described so people know what to do. The person in charge should know what resources and skills are available in the group. For each task, key people should be identified, so that members know their roles and responsibilities. Key contact information for members and visitors should be available on each club activity so people can communicate and respond quickly in difficult circumstances. There should be a process for continuous updating of contact information. Tasks Ensure safety of all survivors Contact emergency services Provide first aid to injured Provide emotional first aid to survivors Protect the body of a dead person Record and provide accurate information to emergency agencies Liaise with emergency personnel Deal with media at the scene or back at base Record and provide accurate information to club officials Advise other club members who were not involved Advise BWV President Complete Incident Report Advise BWV Insurers and Insurance Convener Operational debrief Ensure safety of all survivors – remove survivors from immediate danger and assess new risks as conditions change. Survivors must not put their own lives at risk attempting to rescue a severely injured person or attempting to retrieve a body. Contact Emergency Services – how will this be done? By phoning 000 (triple zero). See www.triplezero.gov.au for information and FAQs on emergency call services. Note that 000 (triple zero) cannot receive text messages. However, as a last Document1 7 resort, if not able to make voice contact with triple zero, try to send a text message to a contact person at base or home. By activating Personal Locator Beacon. Ensure that the device is registered and that contact information is up to date. See http://beacons.amsa.gov.au/registration.html By using the SOS function on a SPOT Satellite GPS Messenger. Ensure that subscriptions and contact information is up-to-date. See http://au.findmespot.com/en/index.php?cid=102 By using UHF radios to contact people in the area for help to call emergency services, if mobiles are not working. If not able to make contact, will someone walk out for help or will the group remain together? Note: It is important for the person contacting emergency services to have a GPS or other means to provide location details. Provide emergency first aid to injured – is this the role of the leader or will there be a designated trained first aider or are all members expected to assist? Provide emotional first aid to survivors – is this the role of the leader, or will the person in charge delegate to the most suitable person on scene? Maybe this should not be too prescriptive because some people might be in shock while others may be able to provide support. Partners or family members of the casualty or deceased may be present. Protect the body of a dead person - once it is apparent that the person is beyond help cover the body to protect it from the elements and animals. This provides some dignity for the person and will also assist the coroner to determine the cause of death. See Chapter 59 “Bushwalking and Ski Touring Leadership”, 2000. Record accurate information about the incident – describe the incident: who, when, where, how and describe actions taken: who, when, how. In the case of serious injury the first aider should provide written details of treatment. In the case of a death, all members may be required to make statements to police and may be required to give evidence at the Coroners court. Therefore it is a good idea for all members present to make notes. Photos, GPS tracking and mobile phone records may be used as evidence at an inquest. Liaise with emergency personnel – the Club person in charge should brief the incident controller (usually a police officer), who will supervise and direct all activities at the scene. The incident controller will supervise the evacuation of a severely injured casualty and consult with the Club person in charge about notifying next of kin and making exit arrangements for the survivors. In the case of a death the IC will direct the Club person in charge and members on what is required of them at the scene, when they can leave and if they will be required elsewhere to make statements. Deal with media at the scene or back at base – at the scene it is unlikely that media will arrive before the police, but if they do one person only should speak to them. Will it be the Club person in charge, the walk leader, the president if present, or a club member who has experience with media? This one person should state basic facts only – who, what, where, when. Avoid any speculation about the cause of death – that is for the coroner to establish. The Incident Controller, once on scene will deal with the media and direct their activities. The IC will also advise the survivors on how they should respond to media on return to base or home. Clubs should nominate who Document1 8 will deal with any ongoing media attention and liaise with next of kin so their privacy and wishes are respected. Record and provide accurate information to club officials – how and when will this information be communicated? By phone from the scene, base or back at home, incident report form, face to face, next committee meeting. Who will document what? Advise other club members who were not involved – who will do this and when and how will they do it? By phone, email, newsletter, personal contact. Will they consult with or seek permission from next of kin first. Will people involved in the incident be free to contact other members? Will other members, who were not present, be offended if they find out by other means and were not informed by the club? Advise BWV President - who will do this and when and how will it happen? Phone call, email, letter from the club president, secretary, committee, asap or following debriefings and club committee meetings. If the incident is reported in the media, the BWV president should be fully informed immediately after the incident. Complete Incident Report - BWV has a sample Incident Report form for insurance and other purposes in the Risk Management Guidelines to be completed by the activity organisers / walk leaders as soon as practical after the incident and kept as a formal club record. Advise BWV Insurers and Insurance Convener – BBW insurance policies require that an Incident Report must be sent to the insurers and a copy to the BWV Insurance Convener when completed. insurance@bushwalkingvictoria.org.au Operational debrief – not to be confused with recovery debriefing. This should be conducted as an administrative process to identify what worked well and what could be improved. It may lead to amending procedures and training, and providing additional resources. Who will manage this and who will be invited/required to attend? President, executive, committee, walk leaders, key people at the incident, all people at the incident? Things on the DO NOT DO list? Do not notify next of kin of a death – this is the role of Victorian Police, who have their own procedures and processes to follow. Only medical practitioners (and certain appointed officials) have the authority to declare that someone is dead. Do not use social media, smart phones or text messages to inform others about an incident until advised that this is appropriate. It is not appropriate before the next of kin are advised. Do not move a body unless it is necessary to secure it against tides, currents, gravity or animals and it is safe to do so. Do not admit to any liability, negligence, or culpability. (This is a condition of the insurance policy). If a person is concerned about legal issues they should be advised to seek advice from a legal practitioner and from the Insurers. Do not tell the media where a body is or assist them to go into the area. Overseas Incidents Clubs organizing an overseas activity are advised to develop a specific plan for managing a critical incident. Issues around medical treatment and medical insurance, travel insurance, repatriation of a seriously injured person or a body, communication with authorities in Document1 9 another country and communication with family and club members back in Australia all should be considered. See Australian Sports Commission: Critical incident management. http://www.ausport.gov.au/sportscoachmag/safety/critical_incident_mana gement See Getting Help Overseas in “travel smart” TRAVELLERS http://www.smartraveller.gov.au/ Document1 HINTS FOR AUSTRALIAN 10 Recovery Plan – Assisting those Affected by the Event The recovery plan should focus on procedural and operational processes for supporting the survivors involved in a critical incident. Support should start at the scene and continue as appropriate after the incident. The plan should aim to meet the needs of all involved, keeping in mind that some members may not need any support while others may require ongoing support for a long time. Partners or family present at the incident may have special needs. A severely injured casualty can also be a survivor with special needs. The recovery plan should inform members of the support on offer and make clear who will act. Tasks should be described so people know what to do. For each task, key people should be identified, so that members know their roles and responsibilities. There should be a process for continuous updating of relevant information and resources. Tasks Psychological First Aid / Defuse debriefing Critical Incident Stress Debriefing (Optional) Support other members not directly involved Provide information and resources on Post-traumatic Disorder Provide information on Grief and Loss Provide information on professional counselling services Stress Psychological First / Aid Defuse debriefing - the most effective support is likely to be the immediate recognition of and response to each other’s physical and emotional needs by the survivors at the scene and on return to base. The Club person in charge at the scene has a role to make sure that people have an opportunity to participate, but should not attempt to direct the process. Traditionally known as a “defuse” debriefing, an immediate informal, unstructured, voluntary process for those involved”; the process will begin at the scene. People may wish to continue to talk about the incident on the way home or when they return. This may be all the support that is required. See http://www.acpmh.unimelb.edu.au/trauma/first_response.html Critical Incident Stress Debriefing - Current practice does not recommend routine debriefing, but in some circumstances people may want a formal debrief facilitated by an independent professional. This would usually happen within 48 - 72 hours of the incident. At this session the facilitator may provide information about the different ways that people react to critical incidents. They may also provide information about support services available for those experiencing distressing reactions. Clubs will have to decide at the time if they will offer formal debriefing to members. Who will organize the session, how will this person find a professional, where will the session be held, who will pay? The Australian Psychological Society has a “Find a Psychologist” service on their website. http://www.psychology.org.au/findapsychologist/ There is provision in the BWV insurance policy for providing limited counselling services for critical incident debriefing. See the current Document1 11 insurance policy and placing schedule. Contact insurance@bushwalkingvictoria.org.au for current information. Advise other members not directly involved - how will the club facilitate the recovery of club members who were not directly involved, yet will be impacted. Who will do this, the president, the committee, the newsletter editor? How, via email, newsletter, pre-walk briefing, general meeting? Provide information and resources on Post-traumatic Stress Disorder (PTSD) - it is difficult to predict who might experience PTSD. Everyone reacts differently to any given incident, depending on their life experience and current situation. While most people will recover with the support of family and friends, some may develop problems which may not emerge immediately. Information and education about PTSD may help survivors, including severely injured to recognise symptoms in themselves and others and provide strategies for self-help or support for others. Clubs may consider providing a summary of useful websites or printed copies of information. Who will source this information, will it be available to all members, will the information be included in the recovery plan, will members know that the resource exists? See the following: Fact Sheet – Helping a friend or family member after a traumatic event http://www.acpmh.unimelb.edu.au/resources/resourcescommunity.html#fact_sheets Tip Sheet – Understanding and managing psychological trauma http://www.psychology.org.au/publications/tip_sheets/trauma/ Better Health Victoria Fact Sheet – Posttraumatic stress disorder http://www.betterhealth.vic.gov.au/bhcv2/bhcpdf.nsf/ByPDF/Post_traumat ic_stress_disorder/$File/Post_traumatic_stress_disorder.pdf Beyond Blue Booklet – Looking after Yourself and Your Family after a Disaster http://www.beyondblue.org.au/index.aspx?link_id=7.1349 Provide information on Grief and Loss - most people will have experienced grief and loss in their life and will have their own ways of coping along with the support of family and friends. However, people may not be prepared for a sudden or traumatic death in distressing circumstances. Information and education about grief may help survivors recognise their own difficulties or help them to support others. Clubs may consider making members aware of the online information about services provided by the Australian Centre for Grief and Bereavement. http://www.grief.org.au/grief_and_bereavement_support/understanding_gr ief/supporting_adults Some people may wish to access telephone counselling Griefline 12 noon – 3am daily on 03 9935 7400. For information about other programs see services at http://www.griefline.org.au/services.html Provide information on professional counselling services - some people may be severely traumatised by a critical incident and require professional assistance. This would usually be accessed by referral from a medical practitioner. However, some people may wish to selfrefer. The club may assist these people by providing timely “how to contact” Document1 12 information. http://www.psychology.org.au/findapsychologist/ http://www.grief.org.au/grief_and_bereavement_support/counselling_serv ices Document1 13 Acknowledgements Duncan Brooks – providing copy of Victorian Rogaining Association Procedures Manual 2009. Kim Rea (President) and members of Maroondah Bushwalking Club Inc – ongoing consultation via the development of Maroondah Bushwalking Club Critical Incident Response Plan. Peter Campbell – development of online trip intentions facility and consultation and liaison with Victoria Police Search and Rescue Squad. Rik Head – providing advice on current approaches to incident management and peer support. Megan Major, BWV Board member - developed and authored this document. Document1 14 References and Further Reading Australian Centre for Grief and Bereavement: o For Family and Friends: You can Help http://www.grief.org.au/grief_and_bereavement_support/understand ing_grief/sup porting adults o Counselling services http://www.grief.org.au/grief_and_bereavement_support/counsellin g_services o Telephone Counselling http://www.griefline.org.au/services.html Services Australian Centre for Posttraumatic Mental Health: o Australian Guidelines for the treatment of Adults with Acute Stress Disorder and Post-traumatic Stress Disorder http://www.acpmh.unimelb.edu.au/resources/resourcesguidelines.html o Fact Sheet – Helping a friend or family member traumatic event http://www.acpmh.unimelb.edu.au/resources/resourcescommunity.html#fact_sheets after o Trauma & mental http://www.acpmh.unimelb.edu.au/trauma/about_trauma.html o Trauma & mental health – First Response http://www.acpmh.unimelb.edu.au/trauma/first_response.html a health o Australian Communications and Media Authority (ACMA - Calling the Emergency Call Service from a mobile phone: FAQs) http://www.acma.gov.au/WEB/STANDARD/pc=PC_1695 Australian Emergency Management http://www.em.gov.au/Pages/default.aspx Australian Psychological Society – Find a Psychologist http://www.psychology.org.au/findapsychologist/ Australian Psychological Society Tip Sheet – Understanding and managing psychological trauma http://www.psychology.org.au/publications/tip_sheets/trauma/ Australian Sports Commission: Critical incident management http://www.ausport.gov.au/sportscoachmag/safety/critical_incident_ management Better Health Victoria Fact Sheet – Posttraumatic stress disorder http://www.betterhealth.vic.gov.au/bhcv2/bhcpdf.nsf/ByPDF/Post_tra umatic_stress_disord er/$File/Post_traumatic_stress_disorder.pdf Better Health Victoria Fact Sheet – Trauma and families http://www.betterhealth.vic.gov.au/bhcv2/bhcpdf.nsf/ByPDF/Trauma_a nd_families/$File/Trauma_and_families.pdf Beyondblue - Looking After Yourself and Your Family after a Disaster Document1 15 http://www.beyondblue.org.au/index.aspx?http://www.beyondblue.org. au/index.aspx%3Flink_id=59.1115&tmp=FileDownload&fid=1471 Bush Search and Rescue Victoria Search Equipment www.bsar.org/equipment Bushwalking and Ski Touring Leadership - Handbook of the Bushwalking and Mountaincraft Training Advisory Board. (2000). The content of the Handbook is now available on line at http://outdoorleaderonline.org Bushwalking Victoria Insurers and Insurance Convener insurance@bushwalkingvictoria.org.au Bushwalking Victoria Risk Management Guidelines July 2011 http://www.bushwalkingvictoria.org.au/forms/Risk_Management_Guidel ines.pdf Communications for Bushwalkers March 2009 http://www.bushwalkingvictoria.org.au/brochures.html Emergency Management Manual Victoria http://www.justice.vic.gov.au/emanuals/emmv/default.htm Personal Locator Beacon - Registration http://beacons.amsa.gov.au/registration.html SPOT Satellite GPS Messenger – Subscriptions http://au.findmespot.com/en/index.php?cid=102 Travel Smart Hints for Australian Travellers http://www.smartraveller.gov.au/ Trip Intentions www.tripintentions.org http://www.police.vic.gov.au/content.asp?Document_ID=23653 Triple Zero (000) Frequently Asked Questions www.triplezero.gov.au Walksafe www.bushwalkingvictoria.org.au Document1 16