The
Health and Safety Executive (HSE) has recently conducted an extensive
review of water rescue incidents where Fire and Rescue Service
commanders have committed crew members into water to search for and
attempt the rescue and recovery of submerged casualties. Many of the
incidents reviewed involve firefighters entering water whilst wearing
their turnout gear or after removing their PPE altogether. Some
incidents involved firefighters diving beneath the water surface in an
attempt to rescue submerged casualties.
Operational
discretion for unusual or unforeseeable incidents currently determines
the best course of action for the methods deployed for water rescue. HSE
now believe this is an outdated concept. In fact, they say as that as
it’s highly likely fire crews will be called to water rescue incidents
with submerged casualties, it is “no longer appropriate for crews to be
committed to water” under the guidance of operational discretion.
Assessing Survivability Fundamental to Controlling Risk
One
of the most important decisions at a water rescue incident is whether
the action taken by crews is to rescue or recover casualties. This is
because the inherent risk in rescuing an individual outweighs the risk
in body recovery. Fundamentally, rescue personnel should not be put in
undue risk when carrying out body recovery.
To
assist incident commanders in deciding the best course of action, a
survivability model has been developed. The main factor considered in
this model is the length of time a casualty has been submerged – in
simple terms, the longer they’re in the water, the less likely it is
that crews will be conducting a rescue for a live casualty. Water
temperature also plays an important role in the decision-making process –
the chances of survivability can increase the colder water gets. These
factors should be considered when carrying out a risk assessment
on-scene and shared between all emergency services and rescue
organisations in attendance.
Agency Responsibility at Water Rescue
In
the UK, it is the role of the Police to have responsibility for missing
persons; this responsibility does not diminish in flooding or when
casualties are submerged. Whilst the guidance highlighted in this update
from HSE will be common knowledge to those agencies with specific water
rescue expertise, we feel it’s important to point out that whilst
Police co-ordinate search efforts for submerged casualties, they
recognise the crucial support provided by partner agencies such as
volunteer and professional swift water and flood rescue teams.
For submerged casualties specifically, HSE offer up the following criteria once proper risk assessment has been carried out:
– The rescue crew must be suitably trained and equipped to operate in the environment where the rescue is required.
– PPE should never be removed to conduct a rescue.
– Rescue
should be conducted on the surface of the water. If this is not
possible, rescues should be attempted using tools designed for water
rescue, such as reach type devices.