I-B-15 Stokes Basket Procedures 02/06/2023

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Questions and Answers

What is the function of the barrelman during a hoisting operation?

To monitor weather conditions

To monitor patient conditions and assist the travel of the basket (correct)

To check the integrity of the rope

To assist the patient in the basket

Which standard is NOT referenced for maintaining rope rescue operations?

NFPA 1983 Standard on Life Safety Rope

MDFR Medical Operations Manual Protocol 40

MDFR SOP I-I-6 Isolation Lock Out/Tag Out Procedures

NFPA 1901 Standard for Automotive Fire Apparatus (correct)

What is the purpose of a belay line in rope rescue operations?

To keep the stokes basket from falling

To serve as a backup to the main line (correct)

To assist in patient stabilization

To provide additional lifting power

What type of carabiners are approved for use with MDFR stokes baskets?

Locking-type carabiners Signup and view all the answers

Which system is used to secure the patient in a stokes basket?

Life-safety rated webbing system Signup and view all the answers

What does the Change of Direction (COD) refer to in rope rescue operations?

A fixed pulley or carabiner that changes rope direction Signup and view all the answers

Which procedure allows Unit Officers-in-Charge (OICs) to modify existing protocols?

MDFR Standard Operating Procedures Signup and view all the answers

What type of pulley system is known as the AZTEK Set-of-Fours?

A small, life-safety rated pulley system Signup and view all the answers

What is the primary purpose of the CMC Pelvic Harness during stokes basket operations?

To secure patients during vertical hoisting operations Signup and view all the answers

What type of rope is used as the Main Line in stokes basket operations?

Red ½“ life-safety rated rope Signup and view all the answers

Which of the following is NOT a responsibility of the Incident Commander during a stokes basket operation?

Directing the ladder driver/operator on hand signals Signup and view all the answers

Why should stokes baskets not be hoisted through a constricted opening?

It increases the risk of patient entanglement Signup and view all the answers

What is the preferred method of communication during stokes basket operations?

Hand signals from the signal person Signup and view all the answers

What is the minimum number of tag lines required during stokes basket operations?

One tag line Signup and view all the answers

What is the role of the Signal Person during a stokes basket operation?

To communicate with the ladder or platform operator Signup and view all the answers

What should all patients be secured to before being placed in the stokes basket?

A backboard Signup and view all the answers

During a rescue operation, what must the position of the stokes basket be maintained at?

Parallel to the ground Signup and view all the answers

What is the purpose of using two anchor straps during stokes basket operations?

To provide redundancy and enhanced safety Signup and view all the answers

What is required of unit OICs when requesting apparatus for a stokes basket operation?

To assume command and advise the Fire Alarm Office Signup and view all the answers

How should movement of the patient occur during stokes basket operations?

In a smooth manner to avoid shock loads Signup and view all the answers

What must be done if the CMC system is not available during patient tie-in?

Consult a TRT unit for proper tie-in methods Signup and view all the answers

What should not be used when a patient must be moved through a restricted or confined opening?

Hydraulic cranes Signup and view all the answers

Which knots are specified for rigging the Stokes Baskets?

Double-loop figure 8 knots Signup and view all the answers

What is the preferred method for securing patients in a Stokes Basket?

CMC Patient Tie-in System Signup and view all the answers

What should be done when a barrelman is required during an extraction?

Evaluate necessity based on patient's condition Signup and view all the answers

How should the ladder apparatus be positioned during a high point change of direction operation?

Lined up with the outriggers Signup and view all the answers

What is true regarding the use of tag lines with a Stokes Basket in Air Rescue operations?

They prevent spinning but break away on entanglement Signup and view all the answers

Which component is crucial for the barrelman when securing to the round ring?

Foot loop or etrier for positioning Signup and view all the answers

What factor is crucial when raising and lowering operations are conducted with the ladder?

Ensuring all lines are free to travel Signup and view all the answers

Which method is not accepted for the primary attachment of a barrelman?

Simple rope knot Signup and view all the answers

When utilizing a Stokes Basket for helicopter operations, how should the ring be adjusted?

Close to the patient's chest Signup and view all the answers

What should be monitored to prevent overload when using ladder apparatus for high point operations?

The capacity of the ladder attachment point Signup and view all the answers

What is necessary for patients while being hoisted in a Stokes Basket during Air Rescue?

Securing them with a patient tie-in system Signup and view all the answers

How should the extended tail of the belay line be used?

Attached to the Stokes Basket if necessary Signup and view all the answers

Study Notes

Rope Rescue Operations Overview

Rope rescue operations involve various methods to deploy and configure raising and lowering systems, prioritizing safety.
The Technical Rescue Bureau (TRB) enforces consistent training and equipment standards for life safety during these operations.

Recognized Standards

NFPA 1983: Guidelines for Life Safety Rope and Equipment in Emergency Services.
NFPA 1670: Standards for Operations and Training in Technical Search and Rescue.
Specific MDFR Standard Operating Procedures (SOP) regarding rope rescue, confined space entry, and isolation lock out/tag out are also referenced.

Equipment and Terminology

AZTEK Set-of-Fours: A small, life-safety rated pulley system for rescue operations.
Barrelman: An MDFR-certified technician accompanying the stokes basket, monitoring patient conditions during hoisting.
Belay Line: A backup blue ½“ life-safety rated rope used for added security during rescues.
Carabiner: Life-safety rated locking links for attaching ropes to harnesses and anchors; only locking type approved by TRB is used.
Change of Direction (COD): A mechanism (pulley or carabiner) that redirects the path of the rope.
Stokes Basket: A rigid device for safe transport of patients during rescues, equipped with a four-legged harness.

Stokes Basket Operations

Stokes Basket operations are used when patient movement is delayed or poses safety risks; suitable for above or below-grade patient removal.
Procedures must adhere strictly to established SOPs, requesting Elevated Victim assignments when necessary.

Operational Procedures

Size-up Assessment: Unit Officers-in-Charge (OICs) will assume command and communicate with the Fire Alarm Office (FAO) to request necessary apparatus for operations.
Incident Commanders (IC) will perform a thorough size-up to assess the safety and efficiency of rescue methods and determine ladder placement for clear travel paths.
Patient weight and apparatus capacity must be considered; no overloading is permitted.

Safety Measures

Patients should be secured to backboards before being placed in Stokes Baskets for ease of transfer.
Mandatory use of CMC Patient Tie-in System for patient securement; alternative tie-in methods require consultation with TRT.
Stokes Baskets must always be hoisted with two anchor straps for safety redundancy, and a minimum of one tag line is required to manage swing.

Communication

A designated signal person will manage communication between the ladder operator and the rescue team using hand signals or radio.
Use of mannequins for drills is promoted, and live victim drills are strictly controlled.

Special Operations

Extrications from confined spaces or high-angle rescues must involve TRT units.
Mechanical advantages (like cranes) should not be utilized for patients in confined spaces; a rope-based system should be employed.
Rigging requirements include robust knot tying and patient harness systems to prevent movement.

Elevated Operations

Air Rescue is involved if Stokes operations require helicopter evacuation; unique protocols and equipment may apply.
Proper hoisting procedures must be followed to ensure patient safety during air evacuation.

Stokes Basket Inventory

Essential inventory includes CMC/Traverse Rescue Stokes Basket, 4-point harness, X-large carabiners, anchor straps, edge protection, CMC Patient Tie-in System, and appropriate length tag lines.

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Description

Test your knowledge on the standards and techniques of rope rescue operations. This quiz covers the essential guidelines set by the National Fire Protection Association (NFPA), focusing on life safety and equipment usage in emergency situations. Enhance your understanding of safe deployment and configuration in rescue scenarios.