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OLD FORGE FIRE DEPARTMENT
SWIFTWATER RESCUE PROCEDURES for SUPPORT PERSONNEL
SCOPE 
This procedure applies to all members of the Old Forge Fire Department that are responsible for emergency response. 

PURPOSE 
The purpose of this procedure is to provide a guideline for conducting all water rescue/recovery operations.

TACTICAL CONSIDERATIONS 
Phase I Arrive on scene. 

Take command. Size up. 

First arriving Engine & Truck Company Officers should have the training and knowledge needed to size up the situation and if there is a need to notify the 93 Swiftwater Rescue Team (SWRT). All Engine & Truck Company personnel who are conducting a size up, assisting the 93 SWRT, etc, must be in a PFD anytime they are within 20 feet of the water source (river, flooded street, etc) and not in structural turnout gear. The ranking Engine or Truck Company Officer should keep all personnel away from the hazards until the arrival of the 93 SWRT. If the operation becomes a high risk one, Command will want the equipment and experience of the 93 SWRT to avoid any further incidents, or the potential to add victims to the situation.

A. Secure responsible party or witness. 
Command should secure a witness as soon as possible after arriving on scene. This will help in identifying and locating the problem the problem. 

B. Assess the need for additional resources. 
Command should immediately begin assessing the need for additional resources. If additional resources are necessary, Command should put in an early call for them. If later, it is determined that they are not necessary, Command can put those units back in service. 

C. Assess the hazards. 
Command should do an immediate assessment of the present hazards. Command may want to assign an individual the Safety Officer. The Safety Officer will be responsible for identifying the hazards present and to have them secured if possible. If it is not possible to secure hazards, Safety Officer will notify all personnel of the hazards and notify Command so that an action plan can be established. Some hazards associated with water rescue operations would be: volume, velocity, and temperature of water, floating debris, unusual drop-offs, hydraulic effects, and depth of water. 

Phase II Pre-Rescue Operations 

A. Make the general area safe. 
Command or his/her designee should begin to make the general area safe. On water rescue operations, this would include securing the area and not allowing civilian personnel in to the water. In swiftwater rescue incidents, Command should assign an Upstream Sector to spot floating debris.

B. Pre-rescue/Recovery. 
Depending on the action plan established, Command may want to activate the 93 Swift Water Rescue Team (SWRT), and once on scene a Swiftwater Rescue Team IC & Officer will be assigned. The 93 SWRT IC will use Unified Command as put forth in NIMS to coordinate the water rescue with any & all entities involved in the rescue. The SWRT Officer will be responsible for gathering all equipment and personnel necessary to operate according to the action plan. SWRT Incident Commander will assign rescue personnel to conduct the rescue, and support personnel to support the rescuers, during the actual rescue phase. SWRT Officer & SWRT IC should have an alternative action plan should be communicated to all personnel operating in the rescue area.

Phase III Rescue Operations 
After pre-rescue operations are complete, the SWRT Officer & SWRT IC,  shall put forth the action plan for the removal of the victim(s), a backup plan should be in place. Rescue operations should be conducted from low risk to high risk order. Rescues should be conducted with the least amount of risk to the rescuer necessary to rescue the victim. Low risk operations are not always possible, the SWRT Officer shall communicate with Command the risk/benefit of the operation. SWRT IC should assign downstream personnel, with throw bags, and an opposite water-side/bank-side sector for incidents involving swiftwater rescue. The order of water rescue from low risk to high risk will be: 

TALK the victim into self-rescue. If possible, the victim can be talked into swimming to shore or assisting the rescuers with his/her own rescue. If a victim is stranded in the middle of a flash flood, this will not be prudent. 

REACH,
If possible, the rescuer should extend his/her hand or some other object, such as a pike pole, to remove the victim from the water. 

THROW 
If the victim is too far out in the water to reach, rescuer(s) should attempt to throw the victim a throw bag or some piece of positive flotation (i.e., PFD, rescue ring). Downstream personnel should be in position during the actual rescue operation. If the victim is able to grab the throw bag, the rescuer can pendulum belay or haul the victim to the nearest bank. Care should be taken to assure the victim will be belayed to a safe downstream position. 

ROW 
If it is determined that a boat based operation shall be run, Command should assign a company on the opposite bank to assist SWRT Officer in establishing an anchor for a rope system. The company on the opposite bank will be made aware of the action plan. SWRT Officer will be responsible for seeing that the rope system used for the boat based operation is built safe and proper. A minimum of 2 point tether should be built for swift-water operations. SWRT IC or the SWRT Officer should consider personal protective equipment (PPE) for victim(s). 

GO 
If it is not possible to ROW (boat base operation) to the victim, SWRT Officer should consider putting a rescuer in the water to reach the victim. This is a very high risk operation. Only rescuers with the proper training and equipment should be allowed to enter the water. Prior to the rescuer actually proceeding into the water, he/she shall discuss the action plan, including specific tasks and objectives, hazards and alternate plans. The rescuer shall never be attached to a life line without the benefit of a quick-release mechanism. The rescuer should take PPE of at least a PFD to the victim. Members shall not do a breath-hold surface dive in an attempt to locate a victim beneath the surface of the water. 

ASSESSING THE VICTIM 
Once the rescuer(s) have reached the victim, they should do an immediate assessment of the victim; a quick assessment of the ABC's and the exact method of entrapment. If the victim is conscious, the rescuer should determine if the victim can assist in his/her own rescue. If the victim is unconscious, the rescue must be quick. If it has been determined to be an underwater or recovery operation, SWRT IC & SWRT Officer should proceed with a dive operation. Depending on the length of submersion, Swiftwater Incident Command will decide on a dive rescue or recovery operation. If the victim can assist in his/her own rescue, the rescuers should proceed with the rescue action plan. The victim should be brought to shore as soon as possible. 

TREATMENT 
As soon as the victim is brought to safety, an assessment should be done by ALS personnel. Treatment shall be administered as per local protocol. If necessary, the victim shall be transported to the appropriate facility. 

Phase IV Termination 

SWRT Incident Commander should begin termination as soon as possible after the victim has been removed from the water. This shall include securing all the equipment used for the rescue and personnel accountability. This may also include witnesses, photo's, victim's personal affects or equipment used in the rescue. Members should not become part of a towing operation to remove vehicles from the water. One company should stand by for rescue if a tow truck driver insists on retrieving the vehicle. Command should also consider activating the C.I.S.D. for extraordinary or extended operations. 
 

I. PREPARE FOR TERMINATION 
A. Personnel accountability.
B. Equipment accountability. If there has been a fatality, SWRT Officer or IC may consider leaving equipment in place for investigative purposes.
C. Re-stock vehicles.
D. Consider debriefing.
E. Secure the scene. Return to service.
Additional Considerations: 
F. HEAT. Consider rotation of crews.
G. COLD. Consider the affects of hypothermia on victim and rescuers.
H. RAIN/SNOW. Consider the affects of rain or snow on the hazard profile.
I. TIME OF DAY. Is there sufficient lighting for operations extending into the night.
J. Consider the affect on family and friends; keep family informed.
K. Consider news media; assign a P.I.O.