Critiques/2010-08-24

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Revision as of 04:29, 21 May 2014

This page is based on the Critique report template.

Use that template to make similar pages.

Suggestions coming from the August 24, 2010 critique regarding the 2010-08-04 Quad incident and the 2010-08-18 Table Mountain incident.

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.

Contents

Participants

Rough notes


Suggestions

#SuggestionReferred to
0001Add to SAR Tasking Guidelines that the Manager on Call communicate directly with the RCMPpreplan
0002All Search Mangers should have phone contacts for EMS ambulance in order to improve on inter-agency communication and avoid mistaken directions including Channel(s) 1&2.training
0003Interagency Communication should be improvedboard
0004Equipment in SARCAR and Equipment Trailer should include Heat Blankets and Hot Packs.equipment
0005ensure that all drivers can back up and haul out the SAR trailertraining
0006Practice should be to haul trailer out to most incident.preplan
0007research best practice for transport of injured subject via truck bed, train to that standardpreplan
0008discuss (formally) with PCES the issues of navigation to call-out sites (for example: on the August 04 incident south of PC, the ambulance missed the directions.preplan
0009Subject removal and evacuation planning.training
0010clarify roles and command structure/hierarchy when several agencies are involved in/responding to the same incident.training
0011that the trailer be stored at the Fire Hallequipment
0012Training in the use of PCES radio channels (1& 2) as well as in the “Mutual Aid” channel.training
0013rope rescue equipment is transferred to the SAR trailerunassigned
0014arrange meeting with new RCMP Commanderboard
0015Had the original message gone off right at the shale slide? Was there too much hysteria?unassigned
0016Use a magnetic wand to show trailer alignment.equipment
0017Call out needs more than 15 minutes to marshal at fire hallpreplan
0018Train new call-outpreplan
0019EMS all terrain stretcher could not have gone in all way. It would have been a tough pack; Pincher SAR's would have been better.unassigned
0020EMS personnel were not outfitted to climb the mountain. They wore rubber boots, full cover-alls on a hot day.unassigned
0021No PCSAR team leader in the field.training
0022PCSAR & EMS joint training (witness a mock search). Would provide opportunity to let EMS personnel see capability of SAR.training
0023working with EMS, need to get SAR into action fasterpreplan
0024Consider using back door number to talk to Lethbridge dispatch to avoid long calls of questionspreplan
[refresh]
New suggestion #25

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: 3, and 14

Tasking Agency

Mandate Relevant to Incidents:

  • Overall legal responsibility for incident.

Suggestions for the Tasking Agency are passed through the Board.

Fellow Responding Organizations

Mandate Relevant to Incidents:

  • Response to incident in accordance with their individual mandate and ability.

Suggestions for fellow responding organizations are passed through the Board.

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: 1, 6, 7, 8, 17, 18, 23, and 24

PCSAR Equipment Committee

Mandate Relevant to Incidents:

  • Obtaining and keeping equipment ready.

suggestions identified: 4, 11, and 16

PCSAR Call-Out Committee

Mandate Relevant to Incidents:

  • Respond to First Call from Tasking Agency
  • Contacting members during an incident.

suggestions identified: none

PCSAR Membership Committee

Mandate Relevant to Incidents:

  • Recruiting members.
  • Tracking members contact information, skills and equipment.

suggestions identified: none

PCSAR Training Committee

Mandate Relevant to Incidents:

  • Training members.

suggestions identified: 2, 5, 9, 10, 12, 21, and 22

PCSAR Technology Committee

Mandate Relevant to Incidents:

  • Technology support

suggestions identified: none



Suggestions

Critiques/2010-08-24/Sug/0008:


Suggestion #8: discuss (formally) with PCES the issues of navigation to call-out sites (for example: on the August 04 incident south of PC, the ambulance missed the directions.

Committee handling: preplan
Value to PCSAR mandate: medium
Difficulty to implement: easy

Action: Pre-plan to hold joint critique among SAR, Ambulance Services, EMS and Fire Dept..

How to say "local maps are wrong. This is how you get there." Local knowledge. Dispatch passing incomplete info.

Reviewed at 2010-10-19 Preplan meeting.

Critiques/2010-08-24/Sug/0009:


Suggestion #9: Subject removal and evacuation planning.

Committee handling: training
Value to PCSAR mandate: high
Difficulty to implement: medium

Acton: Training should prepare joint exercise among SAR, PCES, Ambulance Services on Evacuation Planning.

Reviewed at 2010-10-19 Preplan meeting.

Critiques/2010-08-24/Sug/0010:


Suggestion #10: clarify roles and command structure/hierarchy when several agencies are involved in/responding to the same incident.

Committee handling: training
Value to PCSAR mandate: high
Difficulty to implement: medium

Action: Joint training on Incident Commanding

Reviewed at 2010-10-19 Preplan meeting.

See User:Brett Wuth/Working Notes/2012-12-01 leadership training

Critiques/2010-08-24/Sug/0011:


Suggestion #11: that the trailer be stored at the Fire Hall

Committee handling: equipment
Value to PCSAR mandate: not rated
Difficulty to implement: done

To have a faster response.

Reviewed at 2010-10-19 Preplan meeting.

Critiques/2010-08-24/Sug/0012:


Suggestion #12: Training in the use of PCES radio channels (1& 2) as well as in the “Mutual Aid” channel.

Committee handling: training
Value to PCSAR mandate: not rated
Difficulty to implement: not rated

Action: Training exercise

Same as Critiques/2010-08-24/Sug2.

Reviewed at 2010-10-19 Preplan meeting.

  • duplicate
Critiques/2010-08-24/Sug/0013:


Suggestion #13: rope rescue equipment is transferred to the SAR trailer

Committee handling: unassigned
Value to PCSAR mandate: not rated
Difficulty to implement: done

Reviewed at 2010-10-19 Preplan meeting.

Critiques/2010-08-24/Sug/0014:


Suggestion #14: arrange meeting with new RCMP Commander

Committee handling: board
Value to PCSAR mandate: high
Difficulty to implement: not rated

also preplan

Cpl. Lorne Cobb.

To know what we do, build trust. Consider inviting to tabletop, critique.

Reviewed at 2010-10-19 Preplan meeting.

Merge into Critiques/2010-03-21/Sug6.

Critiques/2010-08-24/Sug/0015:


Suggestion #15: Had the original message gone off right at the shale slide? Was there too much hysteria?

Committee handling: unassigned
Value to PCSAR mandate: low
Difficulty to implement: not rated

Not our mandate.

Did public in Table Mtn incident over react?

How do we know what is fact/fiction?

Reviewed at 2010-10-19 Preplan meeting.

Critiques/2010-08-24/Sug/0016:


Suggestion #16: Use a magnetic wand to show trailer alignment.

Committee handling: equipment
Value to PCSAR mandate: low
Difficulty to implement: not rated

Small ticket. No need for magnet. Remove when done. V-skirt to guide in. Could be done at welding shop.

Critiques/2010-08-24/Sug/0017:


Suggestion #17: Call out needs more than 15 minutes to marshal at fire hall

Committee handling: preplan
Value to PCSAR mandate: high
Difficulty to implement: done

Need to give 30 minutes. Focus on efficiency.

Reviewed at 2010-10-19 Preplan meeting.

Reviewed at 2013-06-19 Preplan meeting.

  • Problem is that people at the end of the list only have a few minutes to arrive at the fire hall, whereas the people at the start have plenty of time.
  • Easiest solution is to use our new automated call out system.
  • Eric Bruder to check with Linda on deployment and work on making this as soon as possible.
Critiques/2010-08-24/Sug/0018:


Suggestion #18: Train new call-out

Committee handling: preplan
Value to PCSAR mandate: high
Difficulty to implement: done

(Olga and Mavis)

Reviewed at 2010-10-19 Preplan meeting.

also: callout committee

Critiques/2010-08-24/Sug/0019:


Suggestion #19: EMS all terrain stretcher could not have gone in all way. It would have been a tough pack; Pincher SAR's would have been better.

Committee handling: unassigned
Value to PCSAR mandate: low
Difficulty to implement: not rated

Re: Table Mtn.

The stretcher actually could have been taken all the way. It's critical to get a backboard into situations like this. May need to send a hasty team ahead of the stretcher.

Reviewed at 2010-11-16 Preplan meeting.

Critiques/2010-08-24/Sug/0020:


Suggestion #20: EMS personnel were not outfitted to climb the mountain. They wore rubber boots, full cover-alls on a hot day.

Committee handling: unassigned
Value to PCSAR mandate: not rated
Difficulty to implement: done

EMS was available first. Came from Beaver Mines.

Action:

Reviewed at 2010-11-16 Preplan meeting.

Critiques/2010-08-24/Sug/0021:


Suggestion #21: No PCSAR team leader in the field.

Committee handling: training
Value to PCSAR mandate: high
Difficulty to implement: easy

Original issue was "A bear had been seen before, but not all knew that a bear was in area." but the root cause was that a safety briefing was missed, in fact there was no briefing, because there was no team leader in the field.

Happens a lot when we are working with other agencies. Lack of our leadership when we work with PCES. We assume they will do it.

First member that arrives should assume leadership for our organization.

How to coordinate between 2 different agencies.

Who know that the bear was there? SRD knew? There's always a bear in that area. Was it a risk?

Action:

  • Train senior PCES in SAR approach.
  • General training - every team needs a leader.
    • Renew training for all members, including senior members, that whenever together must identify a team leader.

Reviewed at 2010-11-16 Preplan meeting.

Preplan 2012-09-18

  • refer to train committee
  • lesson: every time you approach a group and its not obvious who is in charge, ask explicitly "who's in charge?"
    • if you get an ambiguous answer, ask for precision
    • encourage our partners to be explicit, clear cut
    • teams merging
      • team leaders shall have a quick discussion on which leader will be over-all for both teams
      • usually the leader of the first team on site

see User:Brett Wuth/Working Notes/2012-12-01 leadership training

Critiques/2010-08-24/Sug/0022:


Suggestion #22: PCSAR & EMS joint training (witness a mock search). Would provide opportunity to let EMS personnel see capability of SAR.

Committee handling: training
Value to PCSAR mandate: medium
Difficulty to implement: medium

also preplan committee

Action:

  • Verify that they're interested
  • run session on one of their training days

Reviewed at 2010-11-16 Preplan meeting.

Critiques/2010-08-24/Sug/0023:


Suggestion #23: working with EMS, need to get SAR into action faster

Committee handling: preplan
Value to PCSAR mandate: high
Difficulty to implement: medium
  • want to get response time lower
    • should marshal at fire hall
    • consider pagers
    • consider radios
    • consider one-way radios
    • consider call-out through dispatch

Sketch out a typical timeline for a rescue response. Focus on each element.

Get phone call out quicker.

Shell has a call-out system. ACRO uses a phone system that can play a message to everyones phone numbers in just a couple of minutes.

Could call back number have a PCSAR-owned voice mail box that any call-back person could review. Can receive and answer multiple calls at a time. Recorded "greeting" message gives updated/additional details. Members leave message only if they are able to respond.

Sign-in via call-out system.

Muster at site not firehall.


Reviewed at 2010-11-16 Preplan meeting.

Critiques/2010-08-24/Sug/0024:


Suggestion #24: Consider using back door number to talk to Lethbridge dispatch to avoid long calls of questions

Committee handling: preplan
Value to PCSAR mandate: medium
Difficulty to implement: easy

When calling 911, there are sometimes delays when forced to answer questions that are not relevant, like background info on caller.

  • Dave will discuss with Chris

Reviewed at 2010-11-16 Preplan meeting.

Facts about Critiques/2010-08-24RDF feed
Committee handling Suggestion/Committee/List/preplan  +, Suggestion/Committee/List/training  +, Suggestion/Committee/List/equipment  +, Suggestion/Committee/List/unassigned  +, and Suggestion/Committee/List/board  +
Description discuss (formally) with PCES the issues of navigation to call-out sites (for example: on the August 04 incident south of PC, the ambulance missed the directions.  +, Subject removal and evacuation planning.  +, clarify roles and command structure/hierarchy when several agencies are involved in/responding to the same incident.  +, that the trailer be stored at the Fire Hall  +, Training in the use of PCES radio channels (1& 2) as well as in the “Mutual Aid” channel.  +, rope rescue equipment is transferred to the SAR trailer  +, arrange meeting with new RCMP Commander  +, Had the original message gone off right at the shale slide? Was there too much hysteria?  +, Use a magnetic wand to show trailer alignment.  +, Call out needs more than 15 minutes to marshal at fire hall  +, Train new call-out  +, EMS all terrain stretcher could not have gone in all way. It would have been a tough pack; Pincher SAR's would have been better.  +, EMS personnel were not outfitted to climb the mountain. They wore rubber boots, full cover-alls on a hot day.  +, No PCSAR team leader in the field.  +, PCSAR & EMS joint training (witness a mock search). Would provide opportunity to let EMS personnel see capability of SAR.  +, working with EMS, need to get SAR into action faster  +, and Consider using back door number to talk to Lethbridge dispatch to avoid long calls of questions  +
Difficulty to implement easy  +, medium  +, done  +, and not rated  +
Full page name Critiques/2010-08-24  +
Sequence number 8  +, 9  +, 10  +, 11  +, 12  +, 13  +, 14  +, 15  +, 16  +, 17  +, 18  +, 19  +, 20  +, 21  +, 22  +, 23  +, and 24  +
Value to PCSAR mandate medium  +, high  +, not rated  +, and low  +
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