14-23 Tech rescuerevREV.qxd 12/8/10 09:21 Page 18 . . . O How to carry out a trench T W O H TRENCH RESCUE – THE BASICS “Enough is enough” is most likely the reason why in the US it is forbidden to enter an unsecured trench or ditch, and there are strict regulations as a result of the deaths of many firefighters who perished while trying to save others. Although there are no current regulations in Europe, the same issues should be considered: Peter Schellekens from ResQtec takes a look at some of the basics. I t is human instinct, especially for emergency personnel, to try and save a person in need. Can you imagine having to see somebody trapped, covered in soil, and maybe only 1.5 meters out of reach? What would you do? Jump in and try to help him of course. This human instinct has taken the lives of many would-be responders. The chances of secondary collapse are almost certain – so what are the right procedures during a trench rescue operation? What is the deal with trench rescue? Peter Schellekens, ResQtec. ResQtec launched the new ProFix Max shore at the Interschutz in Leipzig. It has a locking mechanism that locks automatically anywhere on the cylinder stroke – just extend and lock. It is thus ideal for trench but also for structural or stabilisation purposes. ProFix Max is part of the interchangeable Octopus system eg where a standard ram can be connected to a shore or an extension can be used with the ram. 18 A trench is basically a hole in the ground, and generally most incidents take place on construction sites, such as piling holes. Due to ground stability and the type of soil and several other factors trenches can logically collapse. If there is somebody in the trench the victim might become entrapped or worse: he becomes buried under the rubble. Prolonged entrapment causes crush syndrome, an affliction whereby limbs are cut off from oxygen, and the toxins produced by the crushing of the muscles start to build up. It is general practice to not suddenly release a victim that has been trapped for longer than 15 minutes (this could occur even sooner depending on factors such as depth and temperature), as the shock caused by the release of the toxins can instantly kill. Then additional difficulties are the presence of water in the trench. The problem with rescue operations is that a second collapse is very likely. Common sense dictates that once the soil has collapsed it can happen again, especially during the motions of a rescue operation. The objective The objective is to create a safe working area (safe box) to get to the patient and treat him. The chance of a secondary collapse can be eliminated by using shores to stabilise the side of the collapsed trench. These can be made of wood but in general, mechanical shores are used seeing as they are easier and quicker to set up. The procedure In the following paragraph several aspects of trench rescue are highlighted. In no way are they complete and nor should they be used as guidance or considered as training. R FIRE & RESCUE R THIRD QUARTER 2010 To carry out a trench rescue operation formal and certified training should be always attended. TRENCH RESCUE CAN BE DIVIDED INTO DIFFERENT PHASES Phase I: size –up Issues like victim location, condition and number of victims. Immediate hazards, for example unstable ground or atmospheric hazards such as gases should be identified in advance. It is essential to determine the situation is a rescue or a recovery. It may very well be that the patient is already dead. Safety of the rescuer is at the heart of every trench rescue operation. Phase II: pre- entry operations Creating a safe working area is essential: establish working zones and create a safe distance between traffic whilst implementing measures of crowd control. Securing hazards like electricity, gas, and ventilation of the trench can commence. If there is water in the trench, try to drain it. Phase III: rescue operation Before starting work inside the trench, first sides of the trench should secured. The sides are the area most likely to collapse. They should be approached from the end. Ground pads (wooden plates) are placed to distribute weight of the soil over a larger area. Logically, excess soil is placed on one side of the trench. It should be assessed what is possible as usually space is limited. Wooden boards are also placed here to distribute the weight. Then the work can commence on making the trench safe. Place ladders generally no more than 15 meters apart so as to allow a quick exit. When working with pneumatic shores, panels (large panels and 2x10 boards) are placed between the trench wall and the shore. The shore is lowered into place, levelled, and then pressurised to support the wall of the trench. Depending on the height of the trench two or three shores are used. The shore should not be much higher than 70 cm from the Read our e-magazine at www.hemmingfire.com 14-23 Tech rescuerevREV.qxd 11/8/10 11:09 Page 19 rescue operation bottom and between shores not more than 125 cm from first. The second or the third set of panels should not be more then 1.2 meters away from the middle of the first panel. There is high possibility that the wall is uneven. Gaps can be filled using soil once the panels are in place, or airbags can be used with a large surface area pressing against the panels. Low pressure bags or the NT lifting bags can serve that purpose. Before the trench can be entered, the shores need to be mechanically locked and nailed to the wood, to eliminate the chance of movement. Trench rescue equipment There are many different ways for your department to approach a trench, the question is; what works for your department? Trench rescue generally isn’t that common, but when it does occur it’s about quick and safe response. The most important aspect of trench rescue is the shoring. Although wood shores work well, they require someone with experience and superior training, and they will always take more time than using a mechanical shore. The best way to differentiate shores is in their locking devices. Shores need to be mechanically locked before the trench is secure. This is where the difference can be made in safety and time saving. Some shores have an automatic locking device, others work with threads or pins in combination with rotating collars. Automatic locking mechanisms work best in trenches, so that going into the trench and manually locking a shore in place isn’t necessary. But then the question arises about buying of dedicated equipment: do you require shores just for use in trench? The automatic locking mechanisms currently in the market (except ResQtec’s ProFix Max, see photo and caption opposite) below) perform well in trenches, but not as well in other disciplines including stabilisation or lift support in RTCs. Many departments choose to go for a shore that can be used for several aspects of technical rescue. Conclusion It is wise to prepare for trench rescue operations as incidents will occur – not only in the US! Proper training is essential, much of which is situational awareness and knowing what to expect. Procedures and guidelines will prevent accidents. It is advised to have the kit ready to be deployed, as this will save tremendous amounts of time. It is also wise to know where you can get more shores or wood if necessary. If you are a department that wants to be prepared but don’t expect a lot of incidents, go for a multipurpose shore. As seen on front fro fr fro on ntt cover cov ove ver er Read our e-magazine at www.hemmingfire.com THIRD QUARTER 2010 R FIRE & RESCUE R 19
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