David A. Greene Published Writing - Spring 2008
|
|
(From Carolina Fire-Rescue EMS Journal - Spring
2008)
Rapid
Intervention: Rescuing the Rescuers Rapid intervention is thought
of by many to be a relatively new task.
Well, relative to the history of the fire service anyway.
Chief Brunacini says that, “Beyond approximately one and half
sections of hose into the structure, rapid intervention becomes not very
rapid.” This quite often
being the case, we should minimize the time it takes to activate a rapid
intervention team by as much as possible.
Most of the functionally strong firefighters out there would rather
be punched in the gut than be assigned to the rapid intervention team at a
fire. It is often thought of as the equivalent of being assigned
the decontamination functions at a haz mat call or as an attendant at a
confined space incident. However,
those functions are equally as important to the grand scheme of the
incident as the entry function. Rapid
intervention is a much more important function at a structure fire than
any other activity that takes place on the fire ground. A rapid intervention team (RIT),
regardless of any derivative of the words or any cool acronyms used (i.e.
RIT, RIC, FAST), is a team of firefighters dedicated to rescuing any
firefighter inside that becomes lost, trapped or otherwise has a bad day.
Don’t be mislead, rapid intervention can fool you much like the
fire service in general does. Most
people were attracted to the fire department by the image of the flashing
lights and loud sirens that we use going to calls.
Once we became firefighters, we found that responding was but a
very small part of the job and our knowledge base, skills, and problem
solving abilities are not critical until after we arrive at the call.
Rapid intervention has very little to do with the image of having
two firefighters “standing outside the fire”, especially if one of
those firefighters has no PPE on and the other that does is out by the
street talking to the pump operator. It has a lot more to do with having two firefighters, who
have a very high level of training, perhaps higher than the attack team,
properly equipped with thermal imagers, rope, irons, backup air supplies,
hand lights, wire cutters, ray guns, and whatever else they might need to
affect a rescue of the folks inside having bad days and transmitting a
“Mayday”. At every call, the incident
commander performs a risk/benefit analysis in order to determine how to
proceed operationally. There
is no single more profound change to the operation than someone
transmitting a “Mayday”. This is the moment in time where the rapid intervention team
has to forget about the “lights and sirens” image and go to work to
solve what will likely be one of the most difficult problems that can be
encountered on the fire ground.
The focus of the incident shifts from saving the building to saving
the firefighters, and if we happen to confine the fire to the building,
block, census tract, or zip code of origin, then that’s good too. Communication is the key to a
successful rescue of a rescuer. Searching
a 100,000 square foot mercantile occupancy could conceivably take a day or
two longer than the lost/trapped/injured firefighter’s air supply can
hold up. Therefore, the
lost/trapped/injured firefighter must be able to narrow the search down by
transmitting their approximate location.
In the absence of this, the Incident Commander should have an idea
of the last operating location of the missing firefighter.
Communication is also essential between any potential freelance
rescuers who previously occupied outdoor functions on the fire ground
(i.e. the tanker/tender driver who intends on donning full PPE/SCBA and
performing a John Wayne style rescue alone and without the knowledge or
permission of the Incident Commander).
Accountability becomes paramount once the rapid intervention team
is activated to insure that there is not more than one firefighter to be
rescued at the time of the “Mayday” and later on in the incident.
Adequate communication can also help the rapid intervention team
determine what tools may be needed to extricate the lost/trapped/injured
firefighter. Once the rapid intervention
team arrives at the firefighter, who is literally now just a highly
trained occupant/victim, a size-up must be performed which is very similar
to that of the first arriving company officer sizing up the building and
fire conditions. Hopefully,
the firefighter can be quickly extricated to safety, if not; hopefully the
equipment the RIT brought with them can extend the firefighter’s air
supply and can be used to extricate the victim. If this too is not possible, then we fall back to
communication. The RIT should
communicate exactly what they will need to extricate the firefighter.
Remember at this point of the incident, the Incident Commander is
wishing he or she had never been promoted and will be quick to supply the
rapid intervention team with any additional personnel or equipment
necessary to send the firefighter home to their family at the end of the
shift. As incident commanders, what
can we do to help in this process? Always
stay two steps ahead of the incident.
If the IC has had several search teams unsuccessful in locating the
“Mayday” firefighter, additional personnel, air supplies, and
equipment may be needed warranting another alarm or two, or six.
In some departments, a “mayday” being called automatically
triggers the next sequential alarm. In
any “mayday” case, stay ahead of the curve, call for additional
resources early, before you run out of the resources you have.
If the firefighter is being extricated, medical treatment and
transport available at the scene needs to be evaluated.
If an advanced life support ambulance is not present, the IC should
order one early, as soon as the Mayday is received and not as the injured
firefighter is dragged out the front door.
If there is no trauma center or burn center close by, the IC should
consider air evacuation of the injured firefighter once extricated from
the building. This should
require ordering a helicopter early in the event.
Once the firefighter has been treated and transported the IC is
likely going to be functionally shaken, to say the very least.
Another officer may want to assist with or assume command and take
the incident to its completion. As firefighters, what can we do
to help in this process? First,
we need to recognize a fundamental attitudinal adjustment that is needed
throughout the fire service. It
is okay to call a “Mayday”. It
is okay to ask for help. Firefighters
become trapped, get hurt and lost in fires, sometimes “it” happens.
It’s what we do when it happens that will define us.
Consider this. A firefighter who becomes trapped by a snagging hazard on
their SCBA, quickly alerts their partner and calls a “Mayday” with 20
minutes of air left, this allows for their partner, and the rapid
intervention team 15 minutes worth of cutting with wire cutters before
things become dicey. Now, if
the same firefighter is trapped the same way says nothing, tries to get
free, and is separated from their partner with 20 minutes of air left.
Their partner realizes a few minutes later that they are alone,
backtracks and finds the trapped firefighter, who has been physically
working hard to get free, with less than 10 minutes of air left.
The rapid intervention team is activated and now arrives with less
than 5 minutes to establish an alternate air supply or free and extricate
the firefighter to safety. Depending
on the occupancy size, 5 minutes may not be a very long time.
If we as firefighters become trapped, lost or injured, we should
immediately transmit a “Mayday” using the appropriate local
procedures. We also need to
realize that being assigned to the rapid intervention team is an awesome
responsibility, and not a curse from above.
We should take the responsibility seriously and be vigilant in our
fire ground duties to fulfill that role.
Remember, the incident commander is relying on the rapid
intervention team to be properly equipped and ready to go at a second’s
notice. The nature of this
responsibility, call it protecting our own, guarding other firefighters’
lives, or being “our brother’s keeper”, is something that is
flashier than any “light and siren” show, more important than being on
the attack team, and greater than any other position we could hold on the
fire ground. The
responsibility is not one we should meet with disgust and irreverence, but
one we should meet with respect, honor and commitment. The result will be a safer fire
ground on which we can perform. Although
firefighters may get tunnel vision while attacking a fire, they should be
able to answer any “what if” questions with a highly skilled, well
equipped, and responsible rapid intervention team that is braced on the
starting blocks ready to sprint into action to rescue the rescuer. Be safe and do good. |