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Rescue Philosophy

Rescue Philosophy…

Philosophically speaking it is invaluable to have all rescuers on the same page to ensure an "EXCELLENT" Rescue.
Excellence = Expertise, Efficiency and Expedience.
Priorities:  
Self Rescue, Rescue Team, Bystanders, Unstable Subjects, Stable Subjects, Equipment
Order of Operations:
Most rescues require rescues to be performed in the following sequence: Locate, Access, Stabilize, Transport
Risk Assessment:  
Low to High Risk (RETHROG)
This model promotes rescuer safety by reducing their exposure to risk
Talk, Reach, throw, Row, Go, Tow, Specialty Rescue (Helo/Scuba)
Acceptable level of Risk (ALR)
Use the most effective technique first AS LONG AS it is below your (your group's) Acceptable Level of Risk (ALR).  Consistently i the situation by asking "Can I (do this), Should I (do this)". Only take a particular action if you can answer with a double affirmative "YES I Can and YES I Should"
Management: 3 Key Roles
Leadership (assign roles, change the plan, take charge of transitions, assign medical evaluation, transport
decision) 
Safety (establish downstream perimeter, containment, rescue ready)
Rescuers (access, stabilize the subject, once stable look to Leadership for transport options)
 
Incident Command System (ICS)
Rescuers predetermine their organization with Leadership, Safety and Rescuers (in that order). This is often seen is professional rescue services such as the military, police, civil protection and fire service.
Management Evolution (ME) 
Stable Subject (ability to signal, not obviously injured, stationary): Leadership, Safety, Rescuers
Unstable Subject (airway compromise, injured, still moving downstream): Rescuers, Safety, Leadership…

 

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