RTC Archives - IRRTC

IRRTC deliver a two-week RTC instructor course for the Irish Defence Force

IRRTC RTC instructor course - car on its roof

As part of a two-week road traffic collision instructors’ course, the Irish Defence Force was introduced to the standards and expertise of IRRTC. On the fourth day of week one, it was time to focus on trauma management in combination with technical rescue learning.

The students were introduced to the MARCH algorithm and how it focuses on being a robust system of assessment to give the user resilience in the most stressful of situations. This system of assessment is military derived, but it was taught alongside the civilian system of assessment – CABCDE.

The March system of assessment is now widely used by U.S military, the Australian military and other tactical operational organisations. IRRTC MARCH system of assessmentIt was pioneered by the British Army. This was particularly poignant given the students on the course were all military, drawn from Irish Air Corps and Engineers. Military vehicles are often in collision with civilian ones, so a need exists for this type of training. Where the training is most potent is when personnel will be operating overseas, with a limited infrastructure of response. IRRTC delivers the concept of self-sufficiency, the methodology being anyone can rescue themselves anywhere with the solutions we offer.

Throughout the day the full MARCH methodology was taught, underpinning theory and then skill sessions to practice interventions from each element of the algorithm. M (Massive Hemorrhage) and A (Airway) focused on aggressive and assertive actions to control massive bleeding and airway. IRRTC specialist instructor Mike - delivering MARCH methodologyThe mindset being, direct threat care in a hot zone manage these two elements and progress the rest of the system once in a warm, cool zone or moving vehicle towards the next echelon of care.

The students loved the training, they verbalised more was learned in one day than they had previously on ten-day medical courses. The reason for this is IRRTC focus on the learners and deliver approaches from the learner’s perspective, experience and environment. IRRTC students delivering respiratory care This was only a one-day supplemented version of the three or five day Trauma Response and Care (TRAC) courses. These courses blend theory/evidence/practice and dynamics. It would usually consist of a lecture, skill session to practice and then a dynamic scenario with live actors to replicate stress inoculation and challenge human factors. Even without the dynamic live role player scenarios, the students markedly benefited from understanding the evidence base behind interventions they were taught. IRRTC prides itself on delivering products and solutions titrated to the individual client or organisations needs.

During the technical rescue elements of the course, which primarily was the main objective with it being an accredited instructor course, scenarios were utilised to challenge the students. They were taught not only instructional methods but also all the technical and underpinning knowledge.

The technical rescue instructors being world authorities in their disciplines had enabled the students to become professional rescuers and achieve a rescue in a safe rapid timeframe. This serving to replicate a vehicle incident in a hostile or non-permissive environment. This enabled the students to now fully grasp, that given their new skills and with effective portable small rescue equipment, they were able to carry out a rescue on par with any UK FRS.

Not only this but improvise, adapt and overcome where there is a need when equipment is all used and there may be further rescue operations such as stabilisation to carry out.

A hugely successful course which was titrated to the needs of the organisation, in this case, the Irish Defence Force. This blog is to emphasise the medial and trauma elements from the course, look out for another about the technical rescue elements.

Mike – specialist instructor/director IRRTC

Remote Area Training 2020 course dates

IRRTC remote area rescue training

IRRTC have now released training dates for our Remote Area rescue course in 2020.

This course is specifically designed for teams working in remote areas across the globe. Ideal for any organisation working in remote locations where an ‘immediate’ on scene self rescue is needed. You will be taught the basic 2 day basic rescue course along with the 5 day advance rescue.

Learn how to rescue Anyone, Anytime and Anywhere!

Dates for your dairy;

  • February 10 – 14th 2020,
  • May 11 – 15th 2020 and
  • September 7 – 11th 2020

Please contact us at IRRTC for more details or click on the flyer below.

 

Close Protection Rescue Training 2020 dates

IRRTC Close protection rescue training

IRRTC have now released training dates for our Close Protection rescue course in 2020.

This course is specifically designed for security teams globally and is ideal for security services and military organisations. You will be taught ‘immediate’ on scene rescue options for your teams and your clients.

Learn how to rescue Anyone, Anytime and Anywhere!

Dates for your dairy;

  • February 10 – 14th 2020,
  • May 11 – 15th 2020 and
  • September 7 – 11th 2020

Please contact us at IRRTC for more details or click on the flyer below.

IRRTC approved SFJ training provider

IRRTC are pleased to announce that we are now approved SFJ training providers. This recognised award enables us to gain formal accreditation for the training we deliver as a nationally recognised qualification.

SFJ Awards develop and deliver nationally recognised qualifications for the Justice and Community Safety Sector, the Legal Sector, Local Government and the Military.

IRRTC is committed to ensuring the training we provide is of the highest quality and fully meets the requirements, the sector and assessments in which they are approved for.

To learn more about SFJ awards visit their website or get in contact with us and we can discuss your training requirements further.

Mobile Emergency Rescue Kit – comes to the rescue

Irrtc remote rescue

What would you do if your team was looking after a client or were working in a remote location and there was a serious road accident? Would you be able to get them out if they were physically trapped? Would you be able to rescue your clients or your team mates and save their lives? Or would you just hope that the local emergency rescue services will be informed, close by, sufficiently trained and carry the necessary emergency rescue equipment to save you?

For many years good friends of ours in the close protection and military sectors have said to us that what is really needed whilst transporting their clients and personnel is the ability to carry out an emergency rescue immediately following a vehicle incident whether it is accidental or a deliberate attack on their vehicles, some of which, may be armoured presenting even further rescue difficulties.

Consider your team travelling in a vehicle to a location that is remote or has limited local rescue capability compared to the UK. A vehicle accident or attack occurs, consider then if within that team or a following vehicle – there is the capability to proactively react and carry out effective rescue operations and medical interventions. With the right training and equipment you can literally have a UK FRS capability in the boot of your vehicle or support vehicle. That goes some way towards what we aim to achieve for clients, organisations and other services where a clear benefit and need is identified.

If you are carrying your own rescue and medical provision with you then wherever you are or whatever the circumstances you have a fighting chance of saving your own lives and that of those you are sworn to protect.

(IRRTCEmergency Rescue kit please contact us for further details and pricing)

Even in major European cities it can take as long as 15-20 minutes for an emergency response to arrive at the scene of an accident from the time of call and in rural areas much longer. Having an onboard rescue capability could literally mean the difference between life and death. After all if you can’t access and extricate the patient then you can’t administer effective medical care.

It is true that modern vehicles are stronger and safer than vehicles of years gone by but the flip side to this is that when these vehicles are involved in severe collisions, or even attacks, then it is much more difficult to release any trapped casualties within the vehicle due to the strength of modern materials such as Boron steel. Our team has many years of vehicle emergency rescue experience and have witnessed numerous first-hand incidents where the only way to release occupants is with the use of specialist hydraulic rescue equipment.

Having a Haligan (hooligan) tool, crowbar and a hammer is certainly not sufficient to carry out rescues from modern vehicles!

Security and Close Protection teams are responsible for ensuring safety of their clients and as a result should be prepared for all eventualities. Clients of protection teams will also ‘certainly’ be reassured that your teams carry emergency rescue tools and are effectively trained to use them during an emergency therefore providing a further reason why your services should be employed to protect them, their families and their clients.

Why hasn’t this approach been taken before?

For many years it was only possible to have a sufficient rescue capability if you had a large hydraulic generator, hydraulic hoses and large heavy rescue tools. This meant that it was not realistically possible to provide a portable emergency rescue solution.

However, advancements in hydraulic tool design and the advances in battery technology now mean that it is possible to produce tools capable of in excess of 50 tonnes of cutting and spreading forces that can now be combined into smaller and lighter tools without the need for generators or hoses. As a result it is now possible to have a state of the art emergency rescue capability in your car which will allow you to have an immediate rescue intervention on the scene of any accident or incident.

There is now a wide range of small powerful rescue tools which will permit rescue operations and greatly increase survivability rates by allowing rapid extrication of injured casualties whatever your location. These tools and associated training will be particularly useful to the following sectors:

  • Security & Close Protection teams
  • Corporate Risk Management
  • Military units & Special Forces
  • Counter Terrorism teams
  • Emergency Responders
  • Organisations working in remote locations

However, in relation to using these tools it is vitally important that they are used in the correct manner and that personnel are familiar with the wide multitude of techniques employed during rescue operations. Failure to do so could result in damage to the tools or even worse – Injury to the users!

It must also be considered that these lightweight and powerful tools also have many other potential uses rather than just vehicle rescue and can be utilised in a wide variety of circumstances for military, counter terrorism and special forces teams.

Medical vs Physical rescue

The way to view rescue provision is to consider this; it has an equal weighting in relation to the problem. This means that ideally the methodology is fifty percent technical/physical rescue and fifty percent medical rescue. These two ideally work harmoniously with each other, to simply save life in the context of a vehicle accident. Of course, additional dynamics like the severity of the incident, geographical location and time of day are all factors that can affect the problem. It must be borne in mind however, even with the odds stacked against you having a technical rescue capability and a medical capability is not to be underestimated.

There are many examples where this technical/medical capability has not existed, and life has been lost. We can’t undo what is done, but we can adapt, prepare and be ready to react and respond better next time. Why wait for tragedy if you can play a part in reducing it.

The medical aspects are vital. Consider travelling in areas or locations where medical response is poor, non-existent, ill equipped or just too far away from where an incident has occurred. Simply the option to dial the emergency services and know a response will attend is not an option in many places around the world. A solution needs to be self-sufficient, skilled, equipped and able to help yourselves or your team/colleagues.

Our methodology is borne out of military experience, humanitarian experience, professional rescue experience and exposure gained from operational functionality over a prolonged period. This methodology works, it gets results it can make a difference meaning it can save life.

Our approaches to trauma and injury are evidence based, proven and honed even from extreme environments like on the battlefield. They are taught in an assertive and disciplined sense to deal with problems in order of severity, often from lessons learned in those extreme environments. If it works in those environments, often hours away from definitive care then it can work anywhere.

It is certainly clear to us that when it comes to trauma care then the military are the world leaders and when it comes to vehicle rescue then Fire and Rescue services are the experts. So this is why we have brought together the best and most experienced instructors in both fields to help and educate others to help preserve life.

We hope that you have found this article thought provoking and if you would like to know more we would be happy to hear from you and answer any questions you may have. Please browse our website to find all our full contact details and further information and services available.

“Drive Carefully.”

Neil Pedersen
Founder and Business director
International Road Rescue and Trauma Consultancy ltd – “IRRTC”

The article was first published in the Security Middle East magazine. This magazine goes out widely in the Middle East region. Click here to see the full editorial spread on pages 56-57.

Prolonged Field Care (PFC)

vehicle rescue techniques in very remote locations

Can it get any worse?

The vehicle has rolled, it’s unusable, and the driver is trapped by vehicle damage, resting position and injuries. We are not supposed to be here. We need help. I can’t call for it, I can’t draw attention to us, I can’t just sit here and let our team and situation deteriorate…

This is just one example of many real-world situations that could easily happen, and you may not have the option to call for additional resources to help, due to location and nature of operating. It’s now starting to go dark, you can smell burning in the accident vehicle – you need to act, you always knew situations like this could happen. How prepared are you now for this reality?

We have raised awareness previously in Circuit Magazine issue 39, about the benefit of rescue provision, and having a medical capability. Rescue tools as we have shown, are now lightweight, portable and it really is possible to rescue yourself or team from a situation that previously you would have been at the mercy of. As important as the tools to carry out rescue, along with the skill and aptitude to use them, is the ability to medically manage a team member or even a principle!

Consider the option of this in an environment totally unfamiliar to you, or one that has hostile implications. What are the effects of location; time of day; weather; injured people; local infrastructure; and your ability to achieve your task of safe and secure transport of important people or whatever it maybe. These are odds that are now stacking against you.

In this incident, we may have one or several trapped and injured people, and if the ability existed to effectively deploy use of rescue tools, light and portable and incredibly effective – rescue could begin straightaway. If another vehicle or team was also at location, this rapid reactive response would allow access into the vehicle to treat injured people. If the tools were accessible in the accident vehicle itself, and if occupants were able to, they could be potentially used to make egress and escape out of it if no other vehicle or teams were at location to help. There is therefore significant potential with a light portable bespoke rescue kit. So, we can now facilitate a rescue in a self-sufficient manner, of equal capability to UK Fire and Rescue, and begin it sooner than you would get a rescue response in UK and wherever in the world!

What is needed now is to assess and begin to manage the injuries and develop a med plan to execute. Given the problems of location, time of day, severity of injuries and all the other odds stacking up – it is imperative to have a plan and the means to carry it out as best as practicable. Planning and preparation must be the key and never an assumption that a situation and scenario can be managed.

Getting back to the incident example, – in this present situation the injured team member or members changes the game. Due to operational theatre of location and those stacked odds, we can’t get this casualty to medical care and treatment in the same way we may take for granted back home. Our only choice maybe; to manage the casualty ourselves. Now, who has thought and prepared for that? The team may be hours away from a safe point of care; how on earth could this care be achieved? You simply cannot afford to run out of options or hope; you must believe you can make a difference.

Any algorithm-based checklist can be used to treat a trauma casualty, but what happens at the end of that checklist? It is well known that in the U.S, all military personnel are taught the three phases in Tactical Combat Casualty Care (TCCC). These are Care under Fire, Tactical Field Care and then Tactical Evacuation Care. A civilian version now exists contextualised for US emergency medical services in a civilian environment Tactical Emergency Casualty Care (TECC).

Stages-of-combat-casualty-care

These systems are evidence based, but they rely on getting the casualty to a higher and more capable skill set within a small timeframe. You do not or may not have this luxury in austere, remote or hostile environments. Now there is only you and your team to manage this casualty. Welcome everyone if you were not aware, to the concept of ‘prolonged field care’ (PFC). Within military and tactical settings, small teams have looked after injured casualties over an extended amount of time, for many hours and even days. What was once the territory of Special Operations Forces (SOF) is now beginning to develop wider. US forces have pioneered this concept and the 10th Special Forces Group, operating out of Fort Carson in Colorado have developed a whole framework of evidence-based education and methods. I do absolutely take my hat off to US forces here; their medical skill and capability is superb. This is seen by many now, as part of the potential future to military medical capability.

IRRTC medic PFCPFC can be carried out at a high level of capability, with equipment, drugs, medicines, interventions & techniques. This, I suppose, if the aptitude of the operator is proficient enough, is where it is at its most potent. It can also be carried out at a simpler level too; it is about the concept, planning and preparation. Of course, with simpler interventions and lower levels of medical capability supporting an injured casualty for 72 hours will be difficult. However, we can still use the concept for benefit once we reach the end of our checklist and are not sure what to do next – because that will happen. Nothing can be left to chance, because the concept of PFC when you grasp it fully enables you to see and realise problems and contingencies you might not have considered or thought about previously.

It is all about capability along the continuum of care, from the point of injury to the point where you can get a casualty to the next higher level of care.

*Below the continuum of care estimated times only

Initial algorithm-based treatments in the first hour from point of injury

The casevac – shock, vital signs, casualty’s presentation managed on the move in a vehicle – timeframe 3 – 6 hours

The patient hold – using nursing practices to try and manage and improve casualty outcome – timeframe 3 – 72 hours

Medical evacuation with the whole team for movement and management of casualty to the next level of care 7 hours to UTC (co-ordinated universal time)

Of course, all this depends on location, context, situation and severity, but it is valuable even at the more basic level. It is difficult to justify the training approach in written form from here. PFC training is extremely cost effective and can be as complex or basic as it needs to be. The U.S approach is to replicate realism as much as possible, which is certainly advantageous. This must be weighed against scenario-based training with high focus on high quality casualty care. What also must be borne in mind is use of equipment and techniques that are usable in the real world.

Can you predict these types of occurrences? You cannot, and with the greatest planning, intelligence, topography and risk profile information, unexpected occurrences can and will still occur. So maybe the way to consider this is to expect the unexpected and this may go some way towards adopting the correct mind-set.

This is considered to be a proven method of thinking. Top performers, regardless of profession, know the importance of picturing themselves succeeding in their minds before they do so in reality. In a similar vein, if you can forwardly visualise an adverse event in your mind, it is proven potentially that you may react better to it in real world. Of course, you do not know how you will react until your first ‘contact’ but afterwards you have that answer for future occurrences. The power of psychology and how that affects decision making is a powerful weapon in your armamentarium of capability; use it to your advantage.

These are some of the approaches we incorporate into our training and methodologies. PFC concepts are also part of our approach and if you would like to know more we would be happy to hear from you. Please visit our contact page to find our full contact details. We would be happy to answer any questions you may have on how we can assist your teams.

Anonymous
Specialist Instructor IRRTC
International Road Rescue and Trauma Consultancy ltd – “IRRTC”

The article was first published in the Circuit Magazine issue 40. Click here to see the full editorial spreads on pages 74-80.

A ‘cut’ above the rest?

IRRTC e-force rescue tools

Imagine if five Boeing 747 jets full of people crashed every day of the year killing everybody on board – Do you think you would hear about it on the news?

That’s equates to around the same number of people killed (1.2 million) on the roads every year around the world and this figure does not include to further ‘50 million’ who are injured. This figure is expected to rise to 1.4 million deaths by the year 2030.

In addition to the grief and suffering they cause, road traffic collisions constitute an important public health and development problem with significant health and socioeconomic costs. Considerable economic losses are not only incurred by victims and their families, but also by organisations and nations as a whole: road crashes cost most countries 1–3% of their gross national product.

It is believed that organisations across the globe can make a significant contribution in reducing the impact of these incidents by providing training in both their medical and vehicle rescue capabilities to key staff and locations.

In addition, as well as ensuring your staff, guests and clients are protected in the event of an emergency these added skills could also contribute to the local emergency response arrangements in remote locations and therefore assist in building positive local relationships in the surrounding communities.

‘Rescue just got personal and portable’

For many years it was only possible to have a sufficient rescue capability if you had a large hydraulic generator, hydraulic hoses and large heavy rescue tools. This meant that it was not realistically possible to provide a portable rescue provision.

However, advancements in hydraulic tool design and the advances in battery technology now mean that it is possible to produce tools capable of in excess of 50 tonnes of cutting and spreading forces that can now be combined into smaller and lighter tools without the need for generators or hoses. As a result it is now possible to have a state of the art rescue capability in your car which will allow you to have an immediate rescue intervention on the scene of any accident or incident.

There is now a wide range of small powerful rescue tools which will permit rescue operations and greatly increase survivability rates by allowing rapid extrication of injured casualties whatever your location. These tools and associated training will be particularly useful to the following sectors:

  • Security & Close Protection teams
  • Corporate Risk Management
  • Military units & Special Forces
  • Counter Terrorism teams
  • Emergency Responders
  • Transportation of goods in remote locations

However, in relation to using these tools it is vitally important that they are used in the correct manner and that personnel are familiar with the wide multitude of techniques employed during rescue operations. Failure to do so could result in damage to the tools or even worse – Injury to the users!

Managing Corporate Risk

Many corporations around the world work in remote environments and in countries with poor road infrastructure. Due to their locations it is often necessary to travel long distances on dangerous roads which is due to the driving standards of other road users, weather conditions and also poorly maintained roads.

As part of their corporate risk assessments companies often overlook that one of the biggest risks to their personnel and visiting guests is the journey from point of arrival to their final destination or whilst visiting sites around a country.

In the event of a vehicle incident in many areas of the world it is highly unlikely that there will be any type of rescue services in close vicinity to your vehicle incident and occupiers of vehicles could be trapped and injured for extremely long periods of time before any assistance arrives (if at all) and therefore it is vitally important to have an onboard capability to carry out basic rescue interventions and provide lifesaving emergency medical equipment. Rescue options can range from having a single battery powered hydraulic combination tool in the rear of the vehicle to having a fully equipped support vehicle attached to your convoy.

More importantly however is having personnel who are both medically and technically trained in the event of an emergency and who are capable of rescuing and maintaining life until further support arrives.

Security and Close Protection

For many years colleagues of ours in the close protection industry and military have said to us that what is really needed whilst transporting their clients and personnel is the ability to carry out an emergency rescue immediately following a vehicle incident whether it is accidental or a deliberate attack on their vehicles, which, may even be armored presenting even further rescue difficulties.

It must be remembered that whilst in the UK we are fortunate enough to have some of the best emergency and rescue services in the world but this is not the case in many parts of the world. If you are lucky enough to get a local service it is likely that is not carrying equipment that is capable of carrying out a rescue from a modern vehicle with modern construction techniques.

All of these factors greatly reduce the chances of survival following a vehicle incident especially when time is of the essence. After all you cannot effectively treat a casualty unless you can get them out of the vehicle!

Security and Close Protection teams are also responsible for ensuring safety of their clients and as a result should be prepared for all eventualities. Clients of protection teams will certainly be reassured that your teams carry rescue tools and are effectively trained to use them during an emergency which also provides a further reason why their services should be employed to protect their clients.

Combined approach to Rescue.

The way to view rescue provision is to consider this; it has an equal weighting in relation to the problem. This means that ideally the methodology is fifty percent technical/physical rescue and fifty percent medical rescue. These two ideally work harmoniously with each other, to simply save life in the context of a vehicle accident. Of course, additional dynamics like the severity of the incident, geographical location and time of day are all factors that can affect the problem. It must be borne in mind however, even with the odds stacked against you having a technical rescue capability and a medical capability is not to be underestimated. There are many examples where this technical/medical capability has not existed, and life has been lost. We can’t undo what is done, but we can adapt, prepare and be ready to react and respond better next time. Why wait for tragedy if you can play a part in reducing it.

Consider your team travelling in a vehicle in a location that is remote or has limited local rescue capability compared to UK. A vehicle accident occurs, consider then if within that team or a following vehicle – there is the capability to proactively react and carry out effective rescue operations and medical interventions. You have literally got UK FRS capability in the boot of a vehicle, what is key is the capability to use it to its full potency. That goes some way towards what we aim to achieve for clients, organizations and other services where a clear benefit and need is identified. This is only one example, benefits and potential are huge and the approach can be titrated and multifaceted to wide raging needs.

The medical aspects are vital. Consider travelling in areas or locations where medical response is poor, non-existent, ill equipped or just too far away from where an incident has occurred. Simply the option to dial the emergency services and know a response will attend is not an option in many places around the world. A solution is to be self-sufficient, skilled, equipped and able to help yourselves or your team/colleagues. Our medical methodology is borne out of military experience, humanitarian experience, professional rescue experience and exposure gained from operational functionality over a prolonged period. This methodology works, it gets results it can make a difference meaning it can save life. Our approaches to trauma and injury are evidence based, proven and honed even from extreme environments like on the battlefield. They are taught in an assertive and disciplined sense to deal with problems in order of severity, often from lessons learned in those extreme environments. If it works in those environments, often hours away from definitive care then it can work anywhere.

Neil Pedersen
Founder and Business director
International Road Rescue and Trauma Consultancy ltd – “IRRTC”

The article was first published in the RISK UK Magazine. Click here to see the full editorial spread on pages 48-49.

The Evolution of Vehicle Rescue Provision

IRRTC Holmatro rescue gear

Even in major cities across the world it can take as long as 15-20 minutes for an emergency response to arrive at the scene of an accident from the time of call and in rural or remote areas it can be much longer. These times I know from experience after 28 years as an operational fire officer can be affected by weather conditions, location of incident, road conditions, crew availability (Retained/Part time or volunteer stations) and also traffic build up.

It is true that modern vehicles are stronger and safer than vehicles of years gone by but the flip side to this is that when these vehicles are involved in severe collisions then it is much more difficult to release any trapped casualties within the vehicle due to the strength of modern materials such as Boron steel or other materials. Our team has many years of vehicle rescue experience and have witnessed numerous first-hand incidents where the only way to release occupants is with the use of specialist hydraulic rescue equipment.

With the above in mind I would like you to consider the following question?

Should other emergency services and non-emergency organisations be trained in vehicle rescue?

I know that the above question may initially promote uproar of ‘absolutely not’ or ‘that’s absurd’ or ‘that’s our job’ but I implore you to consider the question for a moment and then also consider the following:

Medical response worldwide tends to be a mix of varying level of expertise ranging from Trauma Consultants in helicopters to voluntary responders with limited trauma experience in their own vehicles but they all have one thing in common – They are trying to save lives. Therefore, why don’t we at least consider the possibility of having ‘Rescue first responders’ who may be able to provide initial stabilisation of a scene, casualties and begin rescue operations until a full response arrives and the rescue is then transferred to them?

In many situations the Police or medical services are on scene first before the fire service that then assess the situation and then mobilise the fire service leading to delays in rescue activities. If they had even a limited capability and basic awareness they could begin rescue operations in readiness for a full rescue attendance.

In relation to non – emergency organisations who work in remote areas or certain specialist industries wouldn’t it make sense for them to have their own basic rescue capability as the timescales for rescue are certainly going to be extended? In addition to this organisations would clearly benefit from training in PFC (Prolonged Field Care) which is a well-known approach in military sectors but not widely known or understood in civilian industries – We will publish an article on PFC soon, so be sure to visit our news section again.

Ask yourself this question also – Does the injured person care which Organisation rescues them as long as the rescuer is making their situation better for them and they are receiving good quality care and support?

This is why we have developed two ‘specialist rescue courses’ for non- emergency organisations – a ‘2 day introduction to rescue’ and a ‘5 day full rescue course’ each of which include Scene safety, Technical rescue and Medical rescue training. We also recommend a bespoke ‘Emergency response rescue kit’ to support this training.

I know the whole issue is a contentious one and therefore I would like to open up a debate so you can provide us with your views on this news article.

If you would like to contribute to this debate either in support or against the idea of other organisations training in vehicle extrication please visit our contact us page and send us your thoughts and reasons on our form in the contact us section. We will be happy to respond to you and also include some of your thoughts into the next issue.

Why hasn’t this approach been taken before?

For many years it was only possible to have a sufficient rescue capability if you had a large hydraulic generator, hydraulic hoses and large heavy rescue tools. This meant that it was not realistically possible to provide a portable rescue solution.

However, advancements in hydraulic tool design and the advances in battery technology now mean that it is possible to produce tools capable of in excess of 50 tonnes of cutting and spreading forces that can now be combined into smaller and lighter tools without the need for generators or hoses. As a result it is now possible to have a state of the art rescue capability in your car which will allow you to have an immediate rescue intervention on the scene of any accident or incident.

With the right training and equipment you can literally have a Fire service capability in the boot of your vehicle or support vehicle. That goes some way towards what we aim to achieve for clients, organisations and other services where a clear benefit and need is identified.

There is now a wide range of small powerful rescue tools which will permit rescue operations and greatly increase survivability rates by allowing rapid extrication of injured casualties whatever your location.

These tools and associated training will be particularly useful to the following sectors:

  • Corporate Risk Management;
  • Emergency Responders and
  • Organisations working in remote locations.

However, in relation to using these tools it is vitally important that they are used in the correct manner and that personnel are familiar with the wide multitude of techniques employed during rescue operations. Failure to do so could result in damage to the tools or even worse – Injury to the users!

Medical vs Physical rescue

The way to view rescue provision is to consider this; it has an equal weighting in relation to the problem. This means that ideally the methodology is fifty percent technical/physical rescue and fifty percent medical rescue. These two ideally work harmoniously with each other, to simply save life in the context of a vehicle accident. It must be borne in mind however, even with the odds stacked against you having a technical rescue capability and a medical capability is not to be underestimated.

Our methodology is borne out of military experience, humanitarian experience, professional rescue experience and exposure gained from operational functionality over a prolonged period. This methodology works, it gets results it can make a difference meaning it can save life.

It is certainly clear to us that when it comes to trauma field care then the military are the world leaders and when it comes to vehicle rescue then Fire and Rescue services are the experts. So this is why we have brought together the best and most experienced instructors in both fields to help and educate others to help preserve life.

We hope that you have found this article thought provoking and if you would like to know more or take part in our debate we would be happy to hear from you and answer any questions you may have. Please explore our website to find our full contact details and further information and services available.

“Drive Carefully.”

Neil Pedersen
Founder and Business director
International Road Rescue and Trauma Consultancy ltd – “IRRTC”

The article was first published in the FIRE Middle East Magazine (FME ISSUE 37: APRIL 2018)
and covers 22 countries in the middle east. Click here to see the full editorial spread on pages 44-45.

IRRTC – Emergency Rescue kit

IRRTC have now teamed up with Weber Rescue UK to produce the first ever vehicle ‘Emergency Rescue kit’ which is lightweight, portable and powerful. The kit is easily carried in the rear of any vehicle. The kit contains everything you need to carry out an effective rescue whilst protecting yourself and your casualty. The Milwaukee battery system is also transferable to other items of optional equipment such as a Reciprocating saw , Impact driver and mobile lighting . You can now carry out effective vehicle rescue for Anyone, Anytime and Anywhere! (Gloves also included) Please contact us at IRRTC for more details.

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