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  • Rescue Squad SOP's

    Well I've tried in various other forums and have not received any feedback at all so I figured I would try an Extrication / Rescue forum to get some help. My fire department is taking delivery of a new Pierce Rescue Squad on October 25th and we are trying to draft a set of SOP's for Rescue Squad Operations. We have tried to get information from other Rescue Companies in our county but of the 6 Rescue Companies we tried not a one of them have one in place. We are looking for ideas on the following topics: Riding Positions, Running Assignments, Training Requirements or any other pertinent information. If anyone out there can help us PLEASE reply to this message, we would greatly appreciate it. If there are any Rescue Companies of Fire Companies that run Rescue Squads out there that would like to fax a copy of their SOP's to me my fax number is 301-745-3017. Thanks you in advance for your time and any information you may be able to provide.

  • #2
    When you say "Rescue Squad" i will take that to be an extrication squad? (also know in my area as Heavy Rescue).
    My depts. Heavy Rescue assignment is as follows:
    Truck rolls first (before ambulance to all MVA's)
    minnimum personel is a driver/mpo, officer, EMT, emt helper and two firefighters.
    max is four additional firefighters (but a crew of four firefighters is the most managable).
    riding assignments:
    Driver: get us there safely, run truck (PTO genarator, pump) provide lighting with tower and stand lights if appropriate. Help shuttle tools to staging area if all other tasks are complete and pump is not being used(300 gal h2o and 30gal afff foam).
    OIC: If no Chief (makes for a quicker call (LOL)) become incident comander. If chief on scene assigned "extrication officer". Survey scene for safety, provide guidence and support for team on ongoing basis. get crew home safe.
    EMT: Patient care. Is in direct contact with extrication officer while on scene. Provides updates to extrication officer on patient status and extrication needs.
    Emt helper: runner/extra set of hands for the EMT in charge.
    FF#1: Take hazard control bag and 30 lb. co2 extinguisher to 10-15 feet from scene. proform 360 servey and report findings to extrication officer and crew. Control or minimize all hazards. (hazard control bag: riggers bag filled with handtools, and other control items ex.golf tees, rubber mats and hose clamps, shaving cream, baking soda, window punch) Responsible for removing glass if extrication is required, removal of lubrication, removal of plastic (looking for pretensioner etc) and cutting of seatbelts. when done becomes 2nd tool man.
    ff#2: proform 360 survey. stabilize vehicle (crib) and provide purchase points for tool operator.
    ff#3: proform 360 survey. stabilize vehicle with #2. when complete help #4 setting up tools. become back up man.
    ff#4: proform 360 survey. Set up hyd. rescue tools in staging area (Hurst w/ manifold) 3 tools. primary tool operator.

    If night time all personel will take flashlights off of truck with them.

    Additional firefighters will help setup tools, 2nd tool off of gas power unit and plan B, C, D etc. (sawsall, air tools, hand tools etc.

    If it is not an extrication, all of the above remains the same except for tool setup and hazard removal (glass etc.). extra ff (#4 and up) would provide trafic control and help with patient care.

    Truck is equipt with all BLS EMS supplies including c-collars, backboards and o2.

    Overall setup time from truck stop to tool on operation about one minute (but rarely longer than two. (scene dependant).

    sorry this was so long.hope it helps.
    will fax other info.

    doing it "So Others May Live".


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    • #3
      SOML,
      Thanks for your input. An addition question I have is: Does your dept. run an Engine along with your truck? When you said "truck" I am assuming you mean a ladder truck. Our primary concern is which to bust the doors with first Engine or Rescue Squad and your depts. thinking behind the way that you run them. Thanks

      Comment


      • #4
        Our "Heavy Rescue" is a truck by our standards but, is not a ladder.Our truck us a Pierce Dash chassis with a large command/rescue body on it. It carries 300gal H2O and 30 gal afff foam.the longest ladder carried on it is a 14' extension ladder.The real ladder (pierce/bronto 112')stays behind on MVA's.
        We roll an ambulance with 1 to 5 people out of our main hose 2nd due (behind the rescue) followed by a 1250 gpm pumper w/afff foam. Station 2 rolls an ambulance and a 1500 gpm pumper. Both ambulances are ALS equipt.
        The Chief decided about 8 years ago (when we got the new rescue) that the best scenario was to get the medical and the tools to free an entraped victim to the scene as soon as possible. This scenario may not work for everybody but, it works for us. You have to remember that you can always change the roll pattern if it dosn't seem to be working out for the best.

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        • #5
          Our "Heavy Rescue" is a truck by our standards but, is not a ladder.Our truck us a Pierce Dash chassis with a large command/rescue body on it. It carries 300gal H2O and 30 gal afff foam.the longest ladder carried on it is a 14' extension ladder.The real ladder (pierce/bronto 112')stays behind on MVA's.
          We roll an ambulance with 1 to 5 people out of our main hose 2nd due (behind the rescue) followed by a 1250 gpm pumper w/afff foam. Station 2 rolls an ambulance and a 1500 gpm pumper. Both ambulances are ALS equipt.
          The Chief decided about 8 years ago (when we got the new rescue) that the best scenario was to get the medical and the tools to free an entraped victim to the scene as soon as possible. This scenario may not work for everybody but, it works for us. You have to remember that you can always change the roll pattern if it dosn't seem to be working out for the best.


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          • #6
            sorry for the double post....didn't get the TY message and sent it again.

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            • #7
              Guys
              As part of our SOP, we absolutely do not move patient or touch vehicle until it is fully cribbed. This occurs as soon as the outer and inner circles are inspected and cleared. I'm sure you do this, but it was not clearly mentioned. STAY SAFE!!!GOD BLESS!

              Comment


              • #8
                My squad runs as follows:
                Accidents, depending on location, get:
                1-2 engines
                1-2 BLS ambulances
                1 squad (us)
                0-1 ALS ambulances

                engines control hazards (fuel, battery, etc.) and assist EMS
                ambulances perform EMS & Transport
                squad stabilizes vehicle and extricates patient.

                If the squad arrives prior to the engine or ambulance, we perform EMS & Control Hazards ourselves. Typically someone from an ambo or engine enters the car to stabilize the patient(s).

                The officer sizes up & decides plan of action. Unless he says otherwise the plan is Stabilize, Glass, Doors, Roof, Dash, Etc. (Steering wheel, seat , pedals...) After Stabilization, most evolutions occur simutaneously (we might have 5-6 hydraulic tools running at once)

                The Driver deploys equipment that may be needed as the rescue develops, as well as ensures adequate lighting, engaging the hydraulic pump, etc.

                While enroute to the call, the senior FF in the crew area gives the initial assignments to the other FFs in the rear. As we are a vol. dept. crew size varies, for us between 4 & 8 total.

                Initial Assignments:
                Cribbing (typically 2 FFs, who use Hydraulic tools when initial stabilization is complete)
                Windshield Kit (Typicaly the Sr. FF, who then 'floats' as needed)
                Tools (Typically 2 FFs)

                When information is recieved stating that the car is overturned or on its side, all members are assigned to cribbing until the car is stabilized. Otherwise stabilization is usually finished before the tools are brought to the vehicle.

                Sean


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                • #9
                  As a Fire Chief in a small town in NYS I recently ran into the same problem that you are now discribing. I scearch the net and found a very complete set of SOP'S from the Charlottesville Fire Dept. Although they are a rather large Dept, I think that you will find much of what you are looking for at there web site. I E-mailed there Chief and him told me that I could use any or all of there SOP'S that would help me. I hope that this is of help to you

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                  • #10
                    I believe that most extrications in and around Charlottesville aren't handled by the Fire Dept. at all, but rather by the local rescue squad....Charlottesville-Albemarle Rescue Squad (CARS)http://warhammer.mcc.virginia.edu/cars/

                    Last I heard they had a very well run ALS and Technical Rescue programs, even if their hometown college football team is substandard.

                    Go Hokies!

                    Sean Brooks

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                    • #11
                      HI ROB, IF YOU WANT ANY INFORMATION IN REGUARDS TO S.O.G.'S FOR THE RESCUE DIVISION AT STATION 75, CONTACT ME AND I WILL PROVIDE YOU WITH THE PRINTED COPIES THAT I HAVE IN MY POSSESSION. THE CHIEF OPERATING OFFICER HAS HAD MY DISC WITH THESE PROPOSED S.O.G.'S ON FOR AT LEAST 2 YEARS. LUCKELY I HAVE A PRINTED COPY. IF YOU NEED ANY ASSISITACE WITH TRAINING ETC. TO PUT RESCUE SQUAD 13 IN SERVICE CONTACT ME AND I'M SURE WE CAN GET YOU SOME HELP.

                      TODD SMITH

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                      • #12
                        Todd,
                        Thank-you for your help! Its going to be very interesting to see how things go with Rescue Squad 13. We have alot of people that have taken Rescue Tech recently and alot more that have signed up to take Rescue Specialist, but we, as others in the county lack people that are "Street Smart" and we are trying to make the Standard Operating Procedures as "User Friendly" as possible. I would really appreciate a printed copy of the S.O.G's from 75 we asked someone before but it fell to the wayside and we never received them, you could fax them to the station, Atten. Rob H. (301-739-8516) or bring them one day that you work at MGVFC. I also contacted Resq10 (Steve S.) he said that 10 had SOP's in place but we've never seen them either. I think we really have the extrication part of the Recue Squad business down pretty good, its just the "specilized" thats going to give us a problem, just like everyone else. Thanks again, Rob H.

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