MACHINE RESCUE AWARENESS

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MACHINE RESCUE AWARENESS

• Presented by
• Michigan State University

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Acknowledgments

• UAW
• Ford
• Focus Group
• Fire Service Instructors
• MIOSHA CET Grant

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Details

• Restrooms
• Fire Exits
• Tent Cards
• Sign-In Sheet
• Registration Forms

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Course Description

• 4-hour Awareness Level
• 24-hour Operations Level
• Technician Level

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Introductions

• Name
• Job Title
• Machine Rescue Experience

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Schedule

• Administration
• Introduction to Machine Rescue
• Rescue Scene Management
• EMS Awareness Level
• Final Activity

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MSU Train-the-Trainer Certification

• Firefighter II
• MFR
• Educational Methodology
• Hazmat Operations Level
• Machine Rescue Operations Level
• Letter from Department
• Roster and Evaluations

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Terminology

• Machine Rescue
• Rescue Mode
• Recovery Mode
• Large Machine
• Small Machine

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Table of Contents

• Introduction to Machine Rescue
• Rescue Scene Management
• EMS Awareness

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Module 1

• Introduction to Machine Rescue

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Terminal Objective

• Identify general type of machinery and level or
  response

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Module Outline

• Components of Machinery
• Machine Rescue Terminology
• Levels of Training

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Lever
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Pulleys
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Wedge
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Screw
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Wheel and Axle
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Cams
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Crank and Rod
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Gears
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Chains and Belts
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Ratchet
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Compound Machine
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Man Powered Machine
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Steam Powered Machine
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Horse Powered Machines
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Types of Machine Power Source

• Electric
• Hydraulic
• Pneumatic
• Steam

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Machine Designs

• Multitude of Tasks
• Simple Machines
• Complex Machines
• Variety of Power Sources

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Letterman Video Clip
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Machine Rescue

• Terminology

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Rescue Mode
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Recovery Mode
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Small Machine
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Large Machines
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Terminology

• Assessment
• Approach Assessment
• Hazard Assessment
• Medical Assessment
• Extrication Assessment
• Size-Up

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Terminology

• Rescue Team Officer
• Extrication Officer
• Medical Officer
• Hazards Officer

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Terminology

• Risk/Benefit Analysis
• Hot Zone
• Warm Zone

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Activity 1-1 Terminology

• Machine Rescue
• Approach Assessment
• Working Use of Terms

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Activity 1-1 Terminology

• Machine 1

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Activity 1-1 Terminology

• Machine 2

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Awareness Level

• Recognize Need for Machine Rescue
• Identify Resources
• Initiate Proper Response
• Initiate Site Control and Scene Management
• Recognize General Hazards

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Operations Level

• Awareness Level
• Size-Up
• Patient Locations and Survivability
• Make Rescue Scene Safe
• Protect Patient
• Access Patient

• Perform Extrication
• Mitigate and Manage General Hazards
• Obtain and Use Resources

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Operations Level Limitations

• No more than 2 energy sources
• No stored energy
• No specialized fall protection
• No entry into confined spaces
• No lifting, moving or spreading forces over 6,000
  pounds
• No overhead rigging for lifting or stabilization

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Conveyors
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Small MachineGear-Chain- Belt Drives
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Fork Lifts
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Food Processing
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Roller Press
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Material Hoppers
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Technician Level

• Operations Level
• Extrication from large machines
• Advanced stabilization
• Supervise personnel
• Extrication in confined spaces

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Power Press
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Robotics
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Elevated Machinery
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Incident 1
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Incident 2
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Incident 3
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Module Summary

• Machine Rescue Terminology
• Components of Machinery
• Levels of Training

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Module 2 Rescue Scene Management
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Terminal Objective

• Apply principles of Rescue Scene Management

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Module Outline

• 4-Phases of SOG
• Functional Components
• Operations Worksheets

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Standard Operating Guideline

• STEP 1-Initial Actions
• STEP 2- Plan Development
• STEP 3- Sustained Actions
• STEP 4- Incident Termination

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Operation Worksheets

• Command Worksheet
• Approach Assessment
• Extrication Planning
• Resource List
• Incident Report

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Step 1- Initial Actions

• APPROACH
• Determine a safe route
• Initial staging 50-100 feet from machine
• Begin Recon
• Assure PPE levels

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Step 1- Initial Actions

• NOTIFICATION
• Establish command
• Activate the response system
• Develop a command staging area
• Assign initial action duties

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Typical Machine Rescue Response

• Emergency Response Team
• Ambulance Company
• Local Fire Department

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IDENTIFICATION

• Recon Assignment
• Hazard Identification
• Victim Information
• Machine Details
• On-site Resources

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Hazard Identification

• Power Sources
• Electrical
• Pneumatic
• Hydraulic
• Stored Energy
• Energy Sources
• Gravity
• Momentum/ movement
• Tension

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Hazard Identification

• Biological Hazards
• Blood-borne
• Airborne
• Urine
• Feces
• Physical Hazards
• Overhead objects
• Sharp objects
• Hot objects
• Slip/ trip
• Atmospheric Hazards

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Victim Assessment

• Number of victims
• Their Location
• Their Condition

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Machine Details

• Type of Machine
• Energy and Power sources
• Recycle potential
• Weight
• Above or below ground

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ISOLATION

• Zoning
• Hot Zone, Warm Zone, Limit Access
• Evacuation
• Injured Victims, Untrained Rescuers, Bystanders,
  Unassigned Emergency Personnel, Trapped Victims
  (self-rescue)

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PROTECTION

• Establish PPE Requirements
• Required items
• Prohibited items

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PROTECTION

• Mitigate hazards from outside the machine
• Power/Energy
• Physical Hazards
• Control Nearby Machines
• Test/Control Atmosphere
• Control Utilities

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Assignments for Initial Actions

• Recon
• Zoning (Site Control)
• Hazard Mitigation
• MEDICAL

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Step 2- Plan Development

• Rescue/Recovery
• Offensive/Defensive
• Operations/Technician
• Resource Needs

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Risk vs. Gain
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Operations Level Machine

• Small machines
• No more than 2 power sources
• No stored energy
• Less than 3 tons

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Typical Operations Level Machines

• Hoppers
• Conveyors
• Gears
• Gears
• Belts

• Pulleys
• Rollers
• Forklifts

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Typical Technician Level Machines

• Large Machines
• Power Presses
• Robotics
• Machines in confined spaces
• Elevated machinery
• Extreme Loads (gt 6,000 lbs)

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Step 2- Plan Development

• Rescue/ Recovery
• Offensive/ Defensive
• Operations/ Technician Level
• Resource Needs

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Step 3-Sustained Actions
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Step 3 Sustained Actions (Briefing)

• Scene Awareness
• Incident Action Plan
• Hazards
• PPE Requirements
• Victim Information
• Machine Details
• Decontamination/ Rehab areas
• Communications
• Primary Entry Team Communications
• Secondary Communications
• Emergency Signals

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Step 3 Sustained Actions (Assignments)

• Hazards
• Recon
• Zoning
• Mitigation
• Medical
• Patient Assessment
• Stabilization
• Transport
• Extrication
• Lifting/ Moving
• Cutting
• Disassembly
• Support
• Equipment

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Step 4-Incident Termination

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Step 4-Incident Termination

• Personnel
• On Scene
• Follow up
• Equipment
• Recovery
• Inventory
• Recondition
• Restoration

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Step 4-Incident Termination

• Site Transfer
• Official transfer to AHJ
• Documented time and name
• Briefing on conditions
• Documentation
• Internal incident report and narrative
• MFIRS

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Functional Components
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Module Summary

• 4-Phases of SOG
• Functional Components
• Operations Worksheets

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Module 3

• EMS Awareness

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Terminal Objective

• Demonstrate patient care techniques

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Module Outline

• Duties and Responsibilities
• Medical Hazards
• Medical Resources
• Patient Assessment
• Injuries
• Short-Term Support

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Duties and Responsibilities

• Prompt Response
• Safety of Responders
• Scene Overview
• Level of Medical Care

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Medical Hazards

• Bloodborne Pathogens
• Airborne Pathogens
• Hazard Controls CARP
• Body/Substance Isolation

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Medical Resources

• Nurse
• Doctor
• Emergency Response Team
• Police
• Fire
• EMS

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Patient Assessment

• Size-Up
• Initial Assessment
• Head to Toe Exam
• Medical History
• Ongoing Assessment

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Open Fractures
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De-Gloving
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Impalement
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Amputations
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Clamping Injury
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Burns
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Electric Shock
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Crushed Limbs
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Crush/ Compartment Syndrome
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Scene 1

• Injury?
• Medical Hazards?
• Patient Care Provided?
• Level of EMS Response Needed?
• Info to Responding Medical Organization?

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Scene 2

• Injury?
• Medical Hazards?
• Patient Care Provided?
• Level of EMS Response Needed?
• Info to Responding Medical Organization?

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Scene 3

• Injury?
• Medical Hazards?
• Patient Care Provided?
• Level of EMS Response Needed?
• Info to Responding Medical Organization?

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Short-Term Patient Support

• Need for Short-Term Support
• From Beneath or Above
• Makeshift Support
• Engineered Support

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Short-Term Patient Support Engineered
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Short-Term Patient SupportMakeshift
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Module Summary

• Duties and Responsibilities
• Medical Hazards
• Medical Resources
• Patient Assessment
• Injuries
• Short-Term Support

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First Due-Activity

• Establish and utilize an Incident Management
  System at a machine rescue incident.
• Conduct a size-up.
• Establish site control techniques..
• Identify resource needs.
• Recognize possible non-entry rescue operations.

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Course Summary

• Module 1 Terminology, Components of Machinery
  and Levels of Response
• Module 2 Rescue Scene Management
• Module 3 EMS Awareness