Critiques/2010-03-21
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* {{sug|26}} Tied up manager b/c was making sure the trailer was there. | * {{sug|26}} Tied up manager b/c was making sure the trailer was there. |
Revision as of 00:07, 21 April 2010
Suggestions coming from the March 21, 2010 critique regarding the March 20 mock search and the March 7 avalanche response.
Pincher Creek SAR routinely performs a critique after a Search and Rescue incident in order to learn what should be done differently or the same in the next similar incident. Critiques are not about criticism but rather about learning. They are normally chaired by a Search Manager that was not involved in the incident. The suggestions that are brought forward through the critique process are presented in this report.
Committee / Organization
The suggestions are being passed on to the indicated organizations/committees for their consideration. We recognize that not all suggestions may be appropriate, and some may already have been implemented.
PCSAR Board
Mandate Relevant to Incidents:
- Overall ability of PCSAR to accomplish its mission.
- Organizational policies
- Relationships with Tasking Agencies and Fellow Responding Organizations.
- Financing, budget
suggestions identified:
PCSAR Preplan Committee
Mandate Relevant to Incidents:
- Expertise in search and rescue.
- Standard Operating Procedures for incidents.
- Post incident critique, review and follow-up.
suggestions identified:
PCSAR Equipment Committee
Mandate Relevant to Incidents:
- Obtaining and keeping equipment ready.
suggestions identified:
PCSAR Call-Out Committee
Mandate Relevant to Incidents:
- Respond to First Call from Tasking Agency
- Contacting members during an incident.
suggestions identified:
PCSAR Membership Committee
Mandate Relevant to Incidents:
- Recruiting members.
- Tracking members contact information, skills and equipment.
suggestions identified:
PCSAR Training Committee
Mandate Relevant to Incidents:
- Training members.
suggestions identified:
Tasking Agency
Mandate Relevant to Incidents:
- Overall legal responsibility for incident.
suggestions identified:
Fellow Responding Organizations
Mandate Relevant to Incidents:
- Response to incident in accordance with their individual mandate and ability.
suggestions identified:
Suggestions by functional area
mandate
-
Suggestion #1:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
define level of response
med
first notification / tasking
-
Suggestion #2:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
clarify purpose of task
- not
-
Suggestion #3:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
on-call person to have call-out list on person - program cell phone
- already done
-
Suggestion #4:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
+ delegate to other
- Transfer of command, but didn't let people know.
- preplan cte: med
-
Suggestion #5:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
+ immediate notification by RCMP, ramp up resources
- ack
Merge from Critiques/2010-08-24/Sug14
|
call-out
-
Suggestion #7:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
wait before rushing to maximize prep time
- we're stood down often
- not
-
Suggestion #8:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
be prepared for call out at any time
- done
-
Suggestion #9:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
develop a preplan for incidents during training
- need preplan for emergency response from a training activity or any SAR worker gathering
- not ready for equipment
- med
-
Suggestion #10:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
+ had comms between different training sites
-
Suggestion #11:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
stage people at the scene
ack
investigation
-
Suggestion #12:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
+ feed into the search manager info from Family, without taking time out from the search
communications
-
Suggestion #13:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
precise communications - track description
high - training
-
Suggestion #14:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
+ field communication
focus on strengths of certain people as radio operator
-
Suggestion #15:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
be clear on understanding - confirm
- use of "no duff"
- focus on safety
-
Suggestion #16:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
too much radio traffic - finish conversation / standby
- training for radio operator,
- med
-
Suggestion #17:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
Team's request of contact and then forgotten.
- med - train for radio operator
-
Suggestion #18:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
turn radios off/down at CP
- concern about family
- feedback
- noise
- med
-
Suggestion #19:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
level of detail of patient status
- privacy
- First priority was information. Not guarding communications.
- not
-
Suggestion #20:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
+ had multiple forms of communication
-
Suggestion #21:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
being able to state urgency level of comm.
- med: train "break"
-
Suggestion #22:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
"Stand by" does not mean stop activity.
- med: training
-
Suggestion #23:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
Reports to distinguish types of tracks, footprints vs. sleds.
- repeat
resources
|
The List:
See Mobile Command Post/Incident Set Up, Search Manager Guideline 17. Action:
|
-
Suggestion #26:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
Tied up manager b/c was making sure the trailer was there.
- unavoidable
- get more core members with keys to town yard
- high
family liaison
(de)briefing
-
Suggestion #27:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
include area overview in briefing
- land owner give briefing to all teams of the lay of the land.
- clues missed, perhaps b/c not briefed by the family member
- how do we evaluate family as resource?
- low
-
Suggestion #28:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
+ teams deployed quickly
- teams got out quickly when they were tasked.
-
Suggestion #29:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
avalanche: briefing "scattered"
- high
-
Suggestion #30:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
chain of command unclear, adhoc
- A couple of people took on responsibility not in chain and recruited SAR members. Personality.
- high
-
Suggestion #31:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
use white boards to adapt to different arrival times
- trailer not available
- white sheets in overhead box
- low
searching
-
Suggestion #32:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
listen to your TL
- obvious, low
-
Suggestion #33:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
tracking - preserve intersection and funnel points
- when tracking, when coming to intersection, gate, check natural traps, gates, etc. check for sign before going in.
- training objective
- high
-
Suggestion #34:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
accountability process (vehicles, houses, etc.)
- + simple accountability (flagging)
- Check vehicles that aren't associated with staff.
- Flag vehicle you know. Staff, searchers.
- Clarification needed on process for vehicle accountability 3 different ways of doing it. Same for flagging houses.
- Use marked tape. "Search and Rescue"
- use of colours to distinguish different status
- how to handle flagging being taken off
- coordinate with other agencies
- high
-
Suggestion #35:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
Keep sharpie in pack to mark tape.
- training: low
-
Suggestion #36:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
bystanders asking questions.
- training: low
- need higher trained person as TL, would know to send to contact.
-
Suggestion #37:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
walking 1 behind the other,
- training: med
-
Suggestion #38:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
reinterpretation of assignment. when does a clue become a change of assignment? Could you change assigned search type without confirmation from command.
- comes with experience
extrication
-
Suggestion #39:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
decision making around patient transport
- judgement call
- training: more practice with these scenarios
- high
-
Suggestion #40:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
protocol for subject movement
- same as 39
-
Suggestion #41:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
Need training on medical decision making in the field.
- same as 39
access/return from segment
-
Suggestion #42:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
never split team returning from field
- training exercize artifact
stand down
-
Suggestion #43:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
don't leave until released
- low
CISM
prevention, public education
travel
-
Suggestion #44:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
facilitate vehicle access
- shutdown highway to get SAR teams into resort
- difficulty of dust
- tasking agency
planning
-
Suggestion #45:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
develop medical response plan at Command Post
- high
-
Suggestion #46:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
use people that know the area, even if family
- search management team reluctant to use land owner because he was also family member. Very useful to use people that know area. Could have explained roads and trails. Transport.
- overhead team discuss how much to include family members
- be prepared to deal with consquences of including family
- previous
logistics
-
Suggestion #47:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
assess outside EMS capabilities
- are they able to travel into site
- discuss ahead of time with PCES
- med
-
Suggestion #48:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
check who was qualified
- track which level of medical training available.
- low
-
Suggestion #49:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
assign task through central pt.
- incident specific
- use safety office
-
Suggestion #50:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
Put ambulance on stage, or standby.
- previous sug: medical preplan
operations
-
Suggestion #51:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
balancing priorities with multiple subjects
- handled appropriate
media
family
-
Suggestion #52:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
+ family liaison
post ops
-
Suggestion #53:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
Nobody should leave until everything is packed up to go. Don't leave until released.
- same as before
learning
(e.g., how this critique was organized, mock search goals, exercise techniques)
-
Suggestion #54:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
more scenarios
- on the mock
- not more subjects
- command post issue
misc
-
Suggestion #55:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
use the best equipment -> index criteria
- not understood
-
Suggestion #56:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
get stuff ready sooner, incl. vehicle
- covered earlier
-
Suggestion #57:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
identify & communicate CP
- SAR signs on vehicle
- low
-
Suggestion #58:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
identify & communicate who's in charge
- high
-
Suggestion #59:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
visible identification (vests?) - responders
- get/use ICS vests.
- high
-
Suggestion #60:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
+ accountability at hill
-
Suggestion #61:
- Committee handling: unassigned
- Value to PCSAR mandate: not rated
- Difficulty to implement: not rated
Had radio reception, but no phone reception. use mountain safety office.
- Knowing in advance where good facilities are at CMR - e.g. command post.
- handled
Committee handling | Suggestion/Committee/List/unassigned +, and Suggestion/Committee/List/preplan + |
Description | orient new RCMP +, getting the stretcher out of the SARCAR was difficult +, and Have equipment out and ready + |
Difficulty to implement | not rated +, easy +, and done + |
Full page name | Critiques/2010-03-21 + |
Person handling | Cindy Mauthe Drake +, and Brett Wuth + |
Review | unspecified + |
Sequence number | 1 +, 2 +, 3 +, 4 +, 5 +, 6 +, 7 +, 8 +, 9 +, 10 +, 11 +, 12 +, 13 +, 14 +, 15 +, 16 +, 17 +, 18 +, 19 +, 20 +, 21 +, 22 +, 23 +, 24 +, 25 +, 26 +, 27 +, 28 +, 29 +, 30 +, 31 +, 32 +, 33 +, 34 +, 35 +, 36 +, 37 +, 38 +, 39 +, 40 +, 41 +, 42 +, 43 +, 44 +, 45 +, 46 +, 47 +, 48 +, 49 +, 50 +, 51 +, 52 +, 53 +, 54 +, 55 +, 56 +, 57 +, 58 +, 59 +, 60 +, and 61 + |
Value to PCSAR mandate | not rated +, and high + |