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Home My WebLink About210.004 - Rapid Extraction Module Support STANDARD OPERATING PROCEDURES MANUAL MUTUAL AND AUTOMATIC AID 210.004 RAPID EXTRACTION MODULE SUPPORT EFFECTIVE: JUNE 2021 Current Revision Date: 6/01/21 Next Revision Date: 6/01/24 Author’s Name/Rank: Robert J. Garcia, Engineer Review Level: 3 Administrative Support: Evelyn Yin-Zepeda, Management Analyst II PURPOSE The goal of this policy is to enable a response of Rapid Extraction Module Support (REMS) Qualified Personnel ordered by an incident to provide rescue capability on the fire-line. This policy will identify the required training, certifications, and equipment to be used by the Fresno Fire Department (FFD or Department) REMS personnel in compliance with FIRESCOPE’s Rapid Extraction Module Support, ICS223-12 document. It will also describe the process used during deployment to incidents, the responsibilities while assigned, and demobilization. APPLICATION This policy was developed with the intent to provide a clear description of the role, duties, and equipment pertinent to the position of REMS. OPERATIONAL POLICY This section intentionally left blank. OPERATIONAL GUIDELINE This policy reflects the standards established by FIRESCOPE. Personnel may be assigned to incidents that are managed by agencies that adhere to National Wildland Coordinating Group Standards (NWCG) for Medical Units. Personnel assigned to such incidents should be familiar with the NWCG Standards document. PROCESS Although the California Incident Command Certification System (CICCS) is a reflection of FIRESCOPE, the REMS position is not identified in the CICCS document. The REMS qualifications are taken from FIRESCOPE’s Rapid Extraction Module Support, ICS223-12 document. Section 210.004 Page 1 of 7 FRESNO FIRE DEPARTMENT REMS POSITION QUALIFICATIONS REQUIRED: 1. Low Angle Rope Rescue Operations 2007 (all members). 2. Rope Rescue Technician 2015 (all members). 3. Leader Single Resource Boss Qualified/Engine Boss Qualified (one member). 3.1. FFD Captain, Acting Captain if no qualified available Captain is on the Overhead hiring list (REMS Qualified). Standard hiring practice should be applied. 4. Arduous physical fitness level. 5. S-290 Intermediate wild-land fire behavior. 5.1. The online S-290 course does not meet the requirement for this position. Only the full National Wildland Coordinating Group OR State Fire Training classroom version is acceptable. 6. RT-130. 7. Attend FFD CICCS annually. DEPLOYMENT The major responsibilities of the REMS are stated below. Check in and obtain briefing from the Logistics Section Chief or the Medical Unit Leader, if established. The briefing should provide the following: o Current incident situation. o Review the Medical Plan (ICS Form 206) and “Incident within an Incident” Plan. o Incident communications and assigned channels. Anticipate needs and ensure equipment needs as necessary: o Incident base assignments o Fire line assignments o Spike camp assignments Section 210.004 Page 2 of 7 Resupply expended materials prior to next operational period. Secure operations and demobilize as outlined in the Demobilization Checkout (ICS Form 221). Maintain a Unit/Activity Log (ICS Form 214) Upon assignment, REMS personnel will work with a Battalion Chief to establish a rental vehicle (4WD Pick-Up). The REMS team will acquire the REMS equipment cache from station 11 along with any overhead equipment needed from the overhead cache. REMS personnel will verify the inventory of equipment by cross referencing the REMS inventory at station 11. REMS personnel will secure all personal gear to support a minimum of 14-day assignment with the possibility of a 21-day assignment. CONSIDERATIONS 1. Terrain will likely be very steep and unstable in areas where REMS use is applicable. 2. In many cases walking a patient out of an area with the litter basket and wheel combination may not be possible due to terrain features. 3. Rope systems may be employed to ensure that a victim and the REMS team can safely transition from the incident location to the medical evacuation site. 4. Long lowering and hauling distances maybe encountered in REMS operations. This may require the patient to be moved in multiple pitches, or rope lengths. As a result, anchors may also be required to secure the patient while the system is moved and reset. 5. Hand Crews may deploy in front of the litter basket to clear the trail and identify hazards. 6. A Rigger in front of the system pre-setting anchors saves valuable time. 7. A REMS standard equipment cache should be assembled and stored prior to an incident so it is readily available at the time an Incident Management Team decides to implement REMS at an incident. 8. Utilization of the raising/lowering system may be beneficial during the hike into a patient as well as during an extraction. Section 210.004 Page 3 of 7 INFORMATION Wildland firefighting is an inherently dangerous part of our profession. While safety is the primary concern during all operations, unintended incidents do occur which result in injury or illness to firefighters. It is the intent of the REMS to provide firefighters who are unable to egress under their own power, a safe and secure transport off the fire- line while simultaneously receiving the appropriate medical attention. While REMS does not intend to replace ground or air transport, ideal conditions may not exist due to a number of circumstances such as heavy smoke inversion, no roads, or equipment malfunctions. REMS provides incident managers another option to reach incapacitated firefighters, with fully equipped resources, prepared to package and transport injured or ill personnel off the fire-line to the appropriate medical care unit. While this position manual recommends minimum staffing levels of the REMS, it is not intended to exclude the potential need to augment staffing levels based on the complexity of the rescue. FRESNO FIRE DEPARTMENT REMS INVENTORY LIST PPE/GEAR 4 BK radios (FFD assigned Radio) 4 BK radio battery clam shells (FFD assigned) 4 Web gear with Fire Shelter 5 Sleeping bags (1 for patient mandatory) 4 Cots optional (Out of County Cache from 11’s) 4 Tents optional (acquired from supply at incident) BED OF PICK-UP 2 Stokes Basket with head lashing (1 collapsible minimum) 1 Stokes Wheel 1 Sledgehammer 5 Pickets 1 Leg Splint 1 Air way bag Fix a Flat Tire Plugs 1 SKED ROPE/HARNESS BOX 2 Class 3 harnesses 2 200’ 11mm general use rope with bag 4 300’ 11mm general use rope with bag Section 210.004 Page 4 of 7 RIGGING BAG 1 1 Whistle 4 Glow sticks 1 Roll Flagging 1 Headlamp 1 4’ Hose Edge protection 1 Ice tray edge protection 1 20’ Rope Anchor Sling 1 Orange webbing 20’ 1 Yellow Webbing 12’ 1 Green Webbing 6’ CMC Clutch (5 aluminum carabiners, 2 yellow 7mm prussik, 2 blue 7mm prussik, 2 prussik minding pulleys, 1 anchor plate) Rigging Bag 2 1 Roll Fiber Tape 1 Roll Flagging 1 Headlamp 1 4’ Hose Edge protection 1 Ice tray edge protection 1 20’ Rope Anchor Sling 1 Orange webbing 20’ 1 Yellow Webbing 12’ 1 Green Webbing 6’ 2 prussik minding pulley 1 double prussik minding pulley 1 Class 2 harness CMC Clutch (5 aluminum carabiners, 2 yellow 7mm prussik, 2 blue 7mm prussik, 2 prussik minding pulleys, 1 anchor plate) OVER THE SIDE BAG 3 Stokes Pre-Rig (red and blue pre-made 2” webbing) 2 Blue Webbing 15’ 1 Green Webbing 6’ 1 Long 8mm Prussik Blue 1 Short 8mm Prussik Yellow 1 Class II Harness 4 Aluminum Carabiner 1 Steel Carabiner 1 Head Lamp 1 anchor plate 1 prussik minding pulley Section 210.004 Page 5 of 7 OVER THE SIDE BAG 4 1 Whistle 4 Glow sticks 1 Shears 1 Headlamp 2 Rolls Flagging 1 roll med tape 2 yellow webbing 12’ 1 green webbing 5’ 1 Class 3 Harness 1 Victim Harness 1 Class 2 harness 5 Steel Carabiners 1 Short 8mm prussik yellow 1 Long 8mm prussik blue ROAD BOX 1 Box 4 Class II harness 1 Evac Aid Stretcher 2 Hose Edge Protection Hose 8 Short 8 mm Prussik yellow 8 Long 8 mm Prussik blue 8 Short 7 mm Prussik yellow 8 Long 7 mm Prussik blue 2 Orange webbing 20’ Anchor sling for engine duals with edge protection 2 Blue Webbing 15’ anchor sling for pick-up duals with edge protection 8 Green Webbing 6’ 8 Orange Webbing 20’ 8 Yellow Webbing 12’ 8 Blue Webbing 15’ 5 Prussik Minding Pulleys 2 2’ hose edge protection 2 16’ rope anchor slings 2 load releasing straps 1 single blue pulley 4 anchor plates 2 brake bar racks 15 steel carabiners 1 8 plate 1 back padding (emergency blanket) 1 knee padding (emergency blanket) 1 Victim Fire Shelter Fix a Flat Tire Plugs Section 210.004 Page 6 of 7 DEFINITIONS This section intentionally left blank. CROSS-REFERENCES Standard Operating Procedures Manual Section 210.003 Mutual Aid Agreements FIRESCOPE’s, Rapid Extraction Module Support, ICS223-12 Section 210.004 Page 7 of 7