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Questions and Answers
What is the preferred method for aerial rigging?
What is the preferred method for aerial rigging?
What is the maximum load allowed when using the aerial device as a Change of Direction (COD) or high point rigging?
What is the maximum load allowed when using the aerial device as a Change of Direction (COD) or high point rigging?
What is the recommended procedure for securing a patient with a suspected spinal injury?
What is the recommended procedure for securing a patient with a suspected spinal injury?
What is the purpose of the belay line in aerial rigging?
What is the purpose of the belay line in aerial rigging?
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What is the recommended procedure for inspecting and maintaining life safety rope?
What is the recommended procedure for inspecting and maintaining life safety rope?
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What is the purpose of the U joints on the aerial platform?
What is the purpose of the U joints on the aerial platform?
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What is the primary purpose of the lowering system?
What is the primary purpose of the lowering system?
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What is the purpose of edge protection when using rope or webbing?
What is the purpose of edge protection when using rope or webbing?
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What is the recommended procedure for inspecting and maintaining harnesses?
What is the recommended procedure for inspecting and maintaining harnesses?
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What is the recommended procedure for maintaining an inventory of rescue equipment?
What is the recommended procedure for maintaining an inventory of rescue equipment?
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What is the primary purpose of the guidelines developed by St. Johns County Fire Rescue?
What is the primary purpose of the guidelines developed by St. Johns County Fire Rescue?
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According to the guidelines, which of the following is NOT included in the scope of these guidelines?
According to the guidelines, which of the following is NOT included in the scope of these guidelines?
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What is the minimum operational level required for all Operations Section personnel, according to the guidelines?
What is the minimum operational level required for all Operations Section personnel, according to the guidelines?
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Which of the following is NOT a responsibility at the Awareness Level, according to the guidelines?
Which of the following is NOT a responsibility at the Awareness Level, according to the guidelines?
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According to the guidelines, what is the definition of a rope rescue operation?
According to the guidelines, what is the definition of a rope rescue operation?
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According to the guidelines, which of the following statements is true regarding rope rescue operations?
According to the guidelines, which of the following statements is true regarding rope rescue operations?
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What is the minimum staffing requirement for Transport Area security?
What is the minimum staffing requirement for Transport Area security?
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Where is the Transport Area typically located in relation to the incident activities?
Where is the Transport Area typically located in relation to the incident activities?
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What type of medical facilities should be notified in the event of an overwhelming influx of patients arriving by non-conventional transport means?
What type of medical facilities should be notified in the event of an overwhelming influx of patients arriving by non-conventional transport means?
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Who is responsible for orchestrating patient transport to appropriate receiving facilities in the Transport Area?
Who is responsible for orchestrating patient transport to appropriate receiving facilities in the Transport Area?
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What are examples of non-conventional transport options for patients mentioned in the text?
What are examples of non-conventional transport options for patients mentioned in the text?
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In what circumstances may LEO need to interview patients prior to transportation from the scene?
In what circumstances may LEO need to interview patients prior to transportation from the scene?
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What is the minimum number of SJCFR personnel that should be part of the recommended RTF staffing?
What is the minimum number of SJCFR personnel that should be part of the recommended RTF staffing?
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What is the primary responsibility of the SJCFR lead in an RTF?
What is the primary responsibility of the SJCFR lead in an RTF?
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What is the purpose of the Casualty Collection Point (CCP)?
What is the purpose of the Casualty Collection Point (CCP)?
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What is the recommended characteristic for a CCP location?
What is the recommended characteristic for a CCP location?
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What is the recommended procedure for patients entering the CCP?
What is the recommended procedure for patients entering the CCP?
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What is the recommended treatment approach for the most critical patients in an ASHER incident?
What is the recommended treatment approach for the most critical patients in an ASHER incident?
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What is the recommended approach for restocking equipment in the CCP during extended operations?
What is the recommended approach for restocking equipment in the CCP during extended operations?
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What is the recommended approach for using non-conventional transport of patients if the conventional transport by ambulance is overloaded?
What is the recommended approach for using non-conventional transport of patients if the conventional transport by ambulance is overloaded?
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What is the recommended procedure for identifying multiple CCPs that are established during an incident?
What is the recommended procedure for identifying multiple CCPs that are established during an incident?
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What is the recommended approach for identifying multiple RTFs that are deployed during an incident?
What is the recommended approach for identifying multiple RTFs that are deployed during an incident?
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What is the primary purpose of this guide?
What is the primary purpose of this guide?
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What is the definition of a 'tower' as used in this guide?
What is the definition of a 'tower' as used in this guide?
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What is the minimum personal protective equipment (PPE) required for personnel working near a potential fall hazard?
What is the minimum personal protective equipment (PPE) required for personnel working near a potential fall hazard?
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What is the primary responsibility of the Safety Officer in a tower rescue operation?
What is the primary responsibility of the Safety Officer in a tower rescue operation?
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What is the minimum number of Special Operations responders required to conduct a tower rescue operation?
What is the minimum number of Special Operations responders required to conduct a tower rescue operation?
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Which of the following is NOT a required position for a tower rescue operation?
Which of the following is NOT a required position for a tower rescue operation?
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What is the primary consideration for selecting the appropriate rescue technique?
What is the primary consideration for selecting the appropriate rescue technique?
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What medical condition must be addressed when dealing with a victim in prolonged body suspension?
What medical condition must be addressed when dealing with a victim in prolonged body suspension?
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What is the primary responsibility of the Rig Master in a tower rescue operation?
What is the primary responsibility of the Rig Master in a tower rescue operation?
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Which of the following is NOT an indicator that it is safe to approach the scene before radio confirmation?
Which of the following is NOT an indicator that it is safe to approach the scene before radio confirmation?
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What should the initial Unified Command (UC) start to develop based on the information provided?
What should the initial Unified Command (UC) start to develop based on the information provided?
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Which of the following should be considered when selecting the staging area?
Which of the following should be considered when selecting the staging area?
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What should responding units attempt to do when approaching the staging area?
What should responding units attempt to do when approaching the staging area?
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According to historical data, what should responding Chief Officers consider regarding local medical facilities?
According to historical data, what should responding Chief Officers consider regarding local medical facilities?
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What should Chief Officers assume in accordance with SJCFR policy?
What should Chief Officers assume in accordance with SJCFR policy?
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What should be established as soon as reasonably possible, according to the text?
What should be established as soon as reasonably possible, according to the text?
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What should be considered regarding communications, according to the text?
What should be considered regarding communications, according to the text?
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What should the initial arriving SJCFR Chief Officer and LEO Command vehicles do, according to the text?
What should the initial arriving SJCFR Chief Officer and LEO Command vehicles do, according to the text?
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What should be considered when establishing an Incident Public Information Officer (PIO), according to the text?
What should be considered when establishing an Incident Public Information Officer (PIO), according to the text?
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What is the primary role of the Rescue Task Force (RTF) during an Active Shooter/Hostile Event?
What is the primary role of the Rescue Task Force (RTF) during an Active Shooter/Hostile Event?
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What is the primary responsibility of SJCFR personnel during an Active Shooter/Hostile Event?
What is the primary responsibility of SJCFR personnel during an Active Shooter/Hostile Event?
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Which of the following is NOT a potential indicator of an Active Shooter/Hostile Event upon arrival?
Which of the following is NOT a potential indicator of an Active Shooter/Hostile Event upon arrival?
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What should be the initial action taken by SJCFR personnel if they have any indication that the situation is an Active Shooter/Hostile Event?
What should be the initial action taken by SJCFR personnel if they have any indication that the situation is an Active Shooter/Hostile Event?
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What is the recommended response for SJCFR units when responding to an Active Shooter/Hostile Event?
What is the recommended response for SJCFR units when responding to an Active Shooter/Hostile Event?
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Which of the following is NOT a responsibility of the first-arriving SJCFR unit during an Active Shooter/Hostile Event?
Which of the following is NOT a responsibility of the first-arriving SJCFR unit during an Active Shooter/Hostile Event?
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What is the purpose of the Tactical Emergency Casualty Care (TECC) training program?
What is the purpose of the Tactical Emergency Casualty Care (TECC) training program?
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What is the primary objective of the Unified Command Post during an Active Shooter/Hostile Event?
What is the primary objective of the Unified Command Post during an Active Shooter/Hostile Event?
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What should SJCFR personnel be aware of when responding to an Active Shooter/Hostile Event?
What should SJCFR personnel be aware of when responding to an Active Shooter/Hostile Event?
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What is the main purpose of conducting preplans on towers in response areas?
What is the main purpose of conducting preplans on towers in response areas?
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Where should the tower rescue preplan form be kept?
Where should the tower rescue preplan form be kept?
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What information should the tower rescue preplan cover?
What information should the tower rescue preplan cover?
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What is the goal of the policy outlined in the text?
What is the goal of the policy outlined in the text?
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What is the difference between an Active Shooter (AS) and an Active Assailant (AA)?
What is the difference between an Active Shooter (AS) and an Active Assailant (AA)?
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What is the purpose of a Casualty Collection Point (CCP)?
What is the purpose of a Casualty Collection Point (CCP)?
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What is the difference between Cover and Concealment?
What is the difference between Cover and Concealment?
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What is the purpose of a Forward Command Post?
What is the purpose of a Forward Command Post?
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What is the definition of an Improvised Explosive Device (IED)?
What is the definition of an Improvised Explosive Device (IED)?
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What is the main responsibility of the Rig master during a rope rescue operation?
What is the main responsibility of the Rig master during a rope rescue operation?
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What is the minimum number of trained personnel at the Operations Level required to conduct a basic rope rescue operation?
What is the minimum number of trained personnel at the Operations Level required to conduct a basic rope rescue operation?
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What is the purpose of a Class III harness in a rope rescue operation?
What is the purpose of a Class III harness in a rope rescue operation?
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What is the primary responsibility of the Edge man during a rope rescue operation?
What is the primary responsibility of the Edge man during a rope rescue operation?
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Which type of rope is allowed for actual rope rescue operations?
Which type of rope is allowed for actual rope rescue operations?
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Who is responsible for watching the rescuer and signaling the haul/lower team during a rope rescue operation?
Who is responsible for watching the rescuer and signaling the haul/lower team during a rope rescue operation?
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Study Notes
Tower Rescue Operations
- The purpose of the tower rescue guide is to provide information to personnel to assist in the mitigation of tower rescue incidents.
- The scope of the guide is to assist initial arriving units and special operations personnel in the mitigation of tower rescue incidents, maintaining compliance with NFPA 1006, NFPA 1670, and NFPA 1983.
First Arriving Unit
- The first arriving unit will establish command in accordance with Department policy.
- Ensure no personnel or civilians take any action that would jeopardize their safety.
- Perform scene assessment and evaluate the need for additional resources.
- Establish working zones around the incident area (Hot, Warm, and Cold).
- Mitigate all hazards associated with the tower (de-energize power, lock out/tag out, consult preplan, etc.).
- Estimate the height of the victim's location, obtain victim information, and try to establish contact.
Arrival of Special Operations Apparatus
- Special Operations officer will obtain a complete briefing from IC.
- Develop a rescue plan based on the information gathered and the tower preplan.
Positions
- A minimum of seven Special Operation responders will be required to conduct a tower rescue operation.
- The following positions will be required to hold a minimum certification of Operations Level rope rescue training:
- Operations
- Safety
- Main Climbers
- R.I.T. Climbers
- Rig Master
Rescue Techniques
- The technique implemented will be based on tower height, victim location, tower structure, personnel available, and preplan information.
- Life safety rope is the only rope allowed for actual rope rescue operations.
Medical
- Prolonged body suspension creates several issues that must be considered when determining patient care and rescue.
- Compartment syndrome and reflow must be addressed and appropriate treatment planned.
Preplans
- Preplans should be conducted on towers in response areas to ensure personnel safety and expedite the rescue process.
- The tower rescue preplan form should be filled out and kept on file in the preplan book.
Edge Protection
- Always protect sharp edges that come in contact with rope or webbing.
Raising System
- A raising system appropriate for the task will be utilized.
- The mechanical advantage should not be so great that the haul team does not feel significant resistance or is not over-exerting.
Lowering System
- An approved friction device compliant with NFPA standards will be utilized.
Stokes Basket Operations
- If the patient has a suspected spine injury, always secure the patient to the backboard before placing into the litter.
- All patients will be secured to the basket using the most effective method in relation to the extent of injuries and the situation.
Aerial Rigging
- Aerial ladders are not designed as high point anchors.
- Extreme care should be used to prevent side loading or overloading the tip.
- Low point rigging with a COD is the preferred method for aerial rigging.
Life Safety Rope
- All department life safety rope will be in compliance with NFPA 1982.
- All life safety and training rope will be labeled with the load limit, color, number of the cut from the spool, rope diameter, and length.
Termination
- During the termination phase, all personnel must remain attentive.
- Many trip and fall hazards still remain.
- All gear must be inspected and inventoried before placing back in service.
- A debrief will be conducted at the earliest opportunity.### RTF Deployment and Operations
- RTF deployment depends on factors such as threat level, number of victims, victim wounds, and triage color assignment.
- An RTF should have a minimum of 5 SJCFR personnel, including at least 2 Paramedics, and 2 LEO.
- Each RTF member should have a department-issued BPE with stocked medical equipment, a portable radio, and a CCP Bag from SJCFR Rescue.
- Each RTF will identify one LEO and one SJCFR lead, who will serve as command for their respective subordinates.
RTF Command and Operations
- The LEO lead will control the movement of the RTF, while the SJCFR lead will be responsible for patient care.
- In the event of multiple RTF deployments, they will be identified sequentially (e.g., RTF-1, RTF-2, etc.).
- SJCFR personnel assigned to an RTF will maintain situational awareness, including identifying potential improvised explosive devices.
Casualty Collection Point (CCP)
- A CCP is a protected location where victims can be staged for triage and provided immediate lifesaving intervention until a planned evacuation to a formal Transport Area is established.
- The CCP should provide concealment of vehicular ingress and egress and be established early in the incident.
- The LEO Contact Teams will establish an initial CCP and notify UC.
- In the event of multiple CCPs, they will be identified sequentially (e.g., CCP-1, CCP-2, etc.).
Medical Interventions
- Medical treatment should be based on the TECC's Threat-Based Care model.
- The most critical patients have usually sustained penetrating injuries to the chest/abdomen area and require immediate transport.
- Victims triaged as "BLACK" will not be moved unless directed by UC.
Transport Operations
- The Transport Area will be controlled by SJCFR personnel responsible for orchestrating patient transport to appropriate receiving facilities.
- Transport Area security staffing shall include a minimum of 1 LEO.
- The Transport Area will be located in a safe location relative to the incident activities and is typically located in the cold zone.
- Non-conventional transport options for patients may include LEO cruisers, Fire/Rescue or LEO Command/Staff vehicles, buses, and transport.
Technical Rescue Operations
- Rope rescue operations have a potential to be extremely dangerous to the victim and responder.
- The three operational levels are Awareness Level, Operations Level, and Technician Level.
- The purpose of the guide is to prevent the unnecessary loss of life or injury due to improper procedures or improper use of equipment.
Rope Rescue Operations
- Rope rescue is defined as any rescue attempt that requires rope and related equipment to safely gain access to, and remove victims from, hazardous geographic areas.
- The first arriving unit will establish command in accordance with Department policy.
- Ensure that no personnel or civilians take any action that would jeopardize their safety.
- All personnel will don appropriate PPE to include helmet and gloves at a minimum.
- All personnel working near a potential fall hazard will be secured by a tether line.
Special Operations Response
- The Special Operations officer will obtain a complete briefing from IC and develop a rescue plan.
- Always consider the victim's condition and safety.
- A minimum of five personnel trained at the Operations Level for rope rescue should be utilized to conduct a basic rope rescue operation.
- Assigned responders hold certification and competencies at the minimum of Operations Level in rope rescue training.
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Description
Learn about the basic guidelines for technical rope rescue operations developed by St. Johns County Fire Rescue to prevent unnecessary loss of life or injury. This guide provides direction for first arriving units and Special Operations apparatus during all phases of a rope rescue operation.