Critiques/2010-03-21

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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.

Contents

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

Critiques/2010-03-21/Sug1:


Suggestion #1: define level of response

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


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
Critiques/2010-03-21/Sug4:


Suggestion #4: + delegate to other

    • Transfer of command, but didn't let people know.
Committee handling: unassigned
Value to PCSAR mandate: medium
Difficulty to implement: not rated



  • Suggestion #5:
Committee handling: unassigned
Value to PCSAR mandate: not rated
Difficulty to implement: not rated
+ immediate notification by RCMP, ramp up resources
    • ack
Critiques/2010-03-21/Sug6:


Suggestion #6: orient new RCMP

Committee handling: preplan (Cindy Mauthe Drake)
Value to PCSAR mandate: high
Difficulty to implement: easy
  • 2010-04-20
    • losing our liaison
    • call out procedures
      • plasticized business cards
  • plan
    • get more business card plasticized
      • Ron: to get example
      • None available
      • Janet will try to get back one
    • resource summary
      • Brett: send to Forest (done)
    • search urgency form
      • Brett: send to Forest (done)
    • arrange face-to-face
      • There are 3 different watches: A, B, C. Each will need their own meeting.
      • what resources we have
      • equipment
      • typical things we respond to

Merge from Critiques/2010-08-24/Sug14

  • 2011-11-15 preplan
    • this is an ongoing task
    • Janet continuing to work on, get business cards
  • 2012-09-18 preplan meeting
    • have 3 RCMP members that are oriented
    • plan to have sit down (Janet will do)
    • invite to mock search (review: Brett Wuth)


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
Critiques/2010-03-21/Sug9:


Suggestion #9: develop a preplan for incidents during training

Committee handling: unassigned
Value to PCSAR mandate: medium
Difficulty to implement: not rated
  • need preplan for emergency response from a training activity or any SAR worker gathering
  • not ready for equipment



  • 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

Critiques/2010-03-21/Sug13:


Suggestion #13: precise communications - track description

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


Critiques/2010-03-21/Sug14:


Suggestion #14: + field communication

Committee handling: preplan
Value to PCSAR mandate: none
Difficulty to implement: done

focus on strengths of certain people as command post radio operator

  • already doing, never comes up in real searches


Critiques/2010-03-21/Sug15:


Suggestion #15: be clear on understanding - confirm

Committee handling: unassigned
Value to PCSAR mandate: none
Difficulty to implement: not rated
  • use of "no duff"
  • focus on safety
  • on mock confusing "track" as human vs. sled
  • doesn't come up as issue


Critiques/2010-03-21/Sug16:


Suggestion #16: too much radio traffic - finish conversation / standby

Committee handling: training
Value to PCSAR mandate: medium
Difficulty to implement: not rated
  • training for radio operator,


Critiques/2010-03-21/Sug17:


Suggestion #17: Team request of by radio for command post, told to stand by, and then forgotten.

Committee handling: unassigned
Value to PCSAR mandate: none
Difficulty to implement: easy

2012-09-18 preplan

  • call back in after at a reasonable interval (common sense)


Critiques/2010-03-21/Sug18:


Suggestion #18: turn radios off/down at CP

  • concern about family
  • feedback
  • noise
Committee handling: unassigned
Value to PCSAR mandate: medium
Difficulty to implement: not rated



  • 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


Critiques/2010-03-21/Sug21:


Suggestion #21: being able to state urgency level of comm

Committee handling: training
Value to PCSAR mandate: medium
Difficulty to implement: not rated
  • train "break"


Critiques/2010-03-21/Sug22:


Suggestion #22: "Stand by" does not mean stop activity

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


Critiques/2010-03-21/Sug23:


Suggestion #23: Reports to distinguish types of tracks, footprints vs. sleds

Committee handling: preplan
Value to PCSAR mandate: low
Difficulty to implement: done
  • repeat
  • new trainees were the ones that were confusing
  • should be straigtened out right away by radio operator or search manager


resources

Critiques/2010-03-21/Sug24:


Suggestion #24: getting the stretcher out of the SARCAR was difficult

Committee handling: unassigned
Value to PCSAR mandate: not rated
Difficulty to implement: done
    • one that was easy to get out was
    • high: inventory and try out our stretchers
    • look at new rough terrain stretcher
      • larger wheel is easier on subject
      • consider sharing
  • 2010-04-20 preplan mtg
    • easy
  • 2010-05-18 preplan mtg
    • no good way to pack
    • instead get out early. See Suggestion 25
    • Fire Chief Cox say can have access to PCES rough terrain stretcher
    • no action


Critiques/2010-03-21/Sug25:


Suggestion #25: Have equipment out and ready

Committee handling: preplan (Brett Wuth)
Value to PCSAR mandate: high
Difficulty to implement: easy
    • vehicle ready
    • first aid kit
    • tent or awning to set up ready outside

The List:

  • Big First Aid Kit
  • Stretcher(s)
  • Rough Terrain Stretcher
  • Snowshoes
  • Thermarests
  • Sleeping bags
  • Hypothermia kit
  • Water

See Mobile Command Post/Incident Set Up, Search Manager Guideline 17.

Action:

  • Make copy of list for each search manager and post in SAR CAR.


Critiques/2010-03-21/Sug26:

  • Suggestion #26: Tied up manager b/c was making sure the trailer was there
Committee handling: equipment
Value to PCSAR mandate: high
Difficulty to implement: easy
    • unavoidable
    • get more core members with keys to town yard
  • 2010-04-20 preplan mtg
    • cut more keys (done)
      • check if have: Eric Bruder (done), Bryan Sundberg
      • give: Russ Lee, Dave Scott, Russ Bruder (done), John MacGarva
    • courtesy call to Al Roth (done)
  • reviewed at 2010-11-16 Preplan meeting.


family liaison

(de)briefing

Critiques/2010-03-21/Sug27:

  • Suggestion #27: include area overview in briefing
Committee handling: unassigned
Value to PCSAR mandate: low
Difficulty to implement: not rated
    • 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?



  • 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.


Critiques/2010-03-21/Sug29:


Suggestion #29: avalanche: briefing "scattered"

Committee handling: preplan
Value to PCSAR mandate: high
Difficulty to implement: hard
  • 2010-04-20 preplan mtg
    • develop preplan for incidents at CMR
    • consider mock at CMR
    • involve Bree


Critiques/2010-03-21/Sug30:


Suggestion #30: chain of command unclear, adhoc

Committee handling: preplan
Value to PCSAR mandate: high
Difficulty to implement: hard
  • A couple of people took on responsibility not in chain and recruited SAR members. Personality.
  • 2010-04-20 preplan mtg


Critiques/2010-03-21/Sug31:


Suggestion #31: use white boards to adapt to different arrival times

Committee handling: unassigned
Value to PCSAR mandate: low
Difficulty to implement: not rated
  • trailer not available
  • white sheets in overhead box


searching

Critiques/2010-03-21/Sug32:


Suggestion #32: listen to your TL

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


Critiques/2010-03-21/Sug33:


Suggestion #33: tracking - preserve intersection and funnel points

Committee handling: training
Value to PCSAR mandate: high
Difficulty to implement: not rated
  • when tracking, when coming to intersection, gate, check natural traps, gates, etc. check for sign before going in.
  • training objective


Critiques/2010-03-21/Sug34:


Suggestion #34: accountability process (vehicles, houses, etc.)

Committee handling: preplan
Value to PCSAR mandate: high
Difficulty to implement: hard
    • + 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 Value
  • 2010-04-20 preplan mtg


Critiques/2010-03-21/Sug35:


Suggestion #35: Keep sharpie in pack to mark tape

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


Critiques/2010-03-21/Sug36:


Suggestion #36: bystanders asking questions

Committee handling: training
Value to PCSAR mandate: low
Difficulty to implement: not rated
  • need higher trained person as TL, would know to send to contact.


Critiques/2010-03-21/Sug37:


Suggestion #37: type 1 search on narrow trail: walk 1 behind the other, 1 look forward, 1 left, 1 right

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



  • 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

Critiques/2010-03-21/Sug39:


Suggestion #39: decision making around patient transport

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


Critiques/2010-03-21/Sug40:
  1. REDIRECT Critiques/2010-03-21/Sug/0039


Critiques/2010-03-21/Sug41:
  1. REDIRECT Critiques/2010-03-21/Sug/0039


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 exercise artifact

stand down

Critiques/2010-03-21/Sug43:


Suggestion #43: don't leave until released

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


CISM

prevention, public education

travel

Critiques/2010-03-21/Sug44:


Suggestion #44: facilitate vehicle access to search site

Committee handling: preplan
Value to PCSAR mandate: low
Difficulty to implement: hard
  • shutdown highway to get SAR teams into resort
  • difficulty of dust
  • tasking agency

only the RCMP can shut down road, we might request

  • only one incident where has came up
  • lots of other possible entries onto the road
    • could assume road closed, when unexpected traffic


planning

Critiques/2010-03-21/Sug45:


Suggestion #45: develop medical response plan at Command Post

Committee handling: preplan
Value to PCSAR mandate: high
Difficulty to implement: medium
  • incorporates Critiques/2010-03-21/Sug50
    • Put ambulance on stage, or standby
  • 2010-04-20 preplan mtg
    • develop checklist
    • medium difficulty
  • 2010-05-18 preplan mtg
  • 2013-06-19 preplan mtg
    • to do: Janet to find sample check list
  • 2014-01-21 preplan meeting
    • Janet retired



  • 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
Critiques/2010-03-21/Sug58:


Suggestion #58: identify & communicate who's in charge (Incident Commander)

Committee handling: preplan
Value to PCSAR mandate: high
Difficulty to implement: medium
  • get/use ICS vests.
  • need labels on vests
    • consider Velcro
    • Ron consider Econo Cleaners.
    • $15 each for badge completed
    • High Value
  • 2010-04-20 Preplan mtg
    • use whiteboard
      • to do: Ron to prepare
    • repetition and practice
    • handheld megaphone
      • $250 for loud hailer
      • propose to board
    • difficulty: medium
  • 2010-05-18 preplan mtg
    • to do: Ron to look for resource that can make these for us
    • See ICS/Colours
  • preplan 2013-06-19
    • White board is done and stored in new command post
    • Color coded vests are in in command post
    • Ron to get badges from crow signs


Critiques/2010-03-21/Sug59:


Suggestion #59: visible identification (vests?) - responders

Committee handling: preplan
Value to PCSAR mandate: high
Difficulty to implement: medium
  • 2010-04-20 preplan mtg
    • vests were in SARCAR, but SARCAR was not required
  • 2010-05-18 preplan mtg
    • some vests were in equipment trailer, which went out
    • could issue to each member (or those that regularly respond)



  • 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
Facts about Critiques/2010-03-21RDF feed
Committee handling Suggestion/Committee/List/unassigned  +, Suggestion/Committee/List/preplan  +, Suggestion/Committee/List/training  +, and Suggestion/Committee/List/equipment  +
Description define level of response  +, + delegate to other
    • Transfer of command, but didn't let people know.  +, orient new RCMP  +, develop a preplan for incidents during training  +, precise communications - track description  +, + field communication  +, be clear on understanding - confirm  +, too much radio traffic - finish conversation / standby  +, Team request of by radio for command post, told to stand by, and then forgotten.  +, turn radios off/down at CP
  • concern about family
  • feedback
  • noise  +, being able to state urgency level of comm  +, "Stand by" does not mean stop activity  +, Reports to distinguish types of tracks, footprints vs. sleds  +, getting the stretcher out of the SARCAR was difficult  +, Have equipment out and ready  +, Tied up manager b/c was making sure the trailer was there  +, include area overview in briefing  +, avalanche: briefing "scattered"  +, chain of command unclear, adhoc  +, use white boards to adapt to different arrival times  +, listen to your TL  +, tracking - preserve intersection and funnel points  +, accountability process (vehicles, houses, etc.)  +, Keep sharpie in pack to mark tape  +, bystanders asking questions  +, type 1 search on narrow trail: walk 1 behind the other, 1 look forward, 1 left, 1 right  +, decision making around patient transport  +, don't leave until released  +, facilitate vehicle access to search site  +, develop medical response plan at Command Post  +, identify & communicate who's in charge (Incident Commander)  +, and visible identification (vests?) - responders  +
Difficulty to implement not rated  +, easy  +, done  +, hard  +, and medium  +
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  +, 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 medium  +, not rated  +, high  +, none  +, and low  +
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