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Missing At Risk: Understanding and Managing the Search for the Missing At Risk Alzheimer's and Dementia Subject

posted Aug 18, 2011 7:48 PM by Ken Buscho

Kimberly R. Kelly, Project Far From Home


Class Description:

 

"911...what is your emergency?"

 

"My mother is gone! She has Alzheimer’s disease and wandered away," the voice is frantic. "Please, send someone quickly!"

 

Every day across the United States, this scenario is played, and re-played, by law enforcement officers, and search and rescue teams, who respond to missing Alzheimer’s persons. Yet, while this type of call has become more and more commonplace, many persons underestimate the severity of danger that a wandering Alzheimer’s person faces.

 

'Missing At Risk: Understanding and Managing the Search for the Missing At Risk Alzheimer's and Dementia Subject' is a comprehensive course designed for law enforcement,search and rescue, fire/EMS/public safety personnel, senior care facilities or caregivers who may encounter, or search for, a missing dementia subject.

 

Because so much of the AD subject's lost person behavior manifests directly into actions in the field, searchers must clearly understand the disease process. "Missing At Risk" walks the student through the progression of the disease, and how that progression, and its related behaviors, so dramatically affect search management for these subjects.

 

Students learn, through use of audio, video, hands-on examples and actual searches, how to determine whether a subject may be suffering from Alzheimer's (or related dementias); how to properly interview family and caregivers; how to manage the search incident; facts and myths of the AD search; search methods and techniques as well as use of canines, dive teams, trackers, and medical considerations specific to the AD search; how to approach an AD subject in the field, and more.

 

It is only by understanding this disease, and how it manifests, that we can properly search for, and succesfully locate, these subjects. Education is power, and this course clearly and methodically teaches you how to properly harness the power of your teams to better manage the search for missing Alzheimer's and dementia subjects. It is this we do, so that others may live.


Contact Information: Kimberly R. Kelly, P.O. Box 2292, Ramona, California 92065760.315.1895kimberly@projectfarfromhome.org

Death and Decomposition; an Overview of Human Decomposition in the SAR Environment

posted Aug 18, 2011 7:39 PM by Ken Buscho   [ updated Aug 18, 2011 7:53 PM ]

Kimberly R. Kelly, Project Far From Home

Course Objectives:
  • Improve searcher understanding of human decomposition
  • Improve searcher recognition of human remains in a SAR environment
  • Reduce searcher psychological stress or trauma related to recovery work (1)
  • Increase professionalism related to law enforcement agencies
  • Reduce individual or team liability related to training aids or field deployment
There is perhaps no other field that requires its members to perform such difficult work as that of a search and rescue (SAR) or recovery worker, but, at the same time, gives such little support or education to that recovery worker.

From recent criminal cases of SAR members interfering with crime scenes, to not finding the subject (who is later located by family or friends within the search area), to searchers developing post-traumatic stress disorders (PTSD), lack of training or knowledge is a frequent issue.

Course attendees will discuss the process of human decomposition in a step-by-step method. After establishing a baseline knowledge, variations of decomposition (incineration, saponification, etc) will be discussed. Course is presented using live lecture, video/DVD, Powerpoint slides, and hands-on/interactive display. Attendees receive a recommended reading list, for further education, as well as hand outs. Suitable for SAR general audience; can adjust for all K9 specific audience. Awareness level course.

Wilderness Medicine Case Review Summary

posted Aug 18, 2011 6:20 PM by Ken Buscho

Dr. Sue Spano, Assistant Clinical Professor for the Department of Emergency Medicine at the UCSF-Fresno Residency Program at Community Regional Medical Center

The course will  be presented in three sections. The opening will include a brief overview of wilderness medicine, and a discussion of medical issues of that arise in outdoor environments; including exposure illness, altitude sickness, lightening, poisonous plants, toxic substances, drowning, etc. The majority of the class will focus on case based scenarios and exercises related to trauma improvisation and life-saving interventions; including wound management, slings, tourniquets, lifts and carries. Case scenarios will address predator attacks, snakebite management, and deadly landslides and rockfalls. The workshop will conclude with a wrap-up and Q&A with Dr. Spano.

Aquatic Accidents: Crisis Intervention on Scene

posted Aug 18, 2011 1:06 PM by Ken Buscho   [ updated Sep 10, 2011 11:27 AM ]

Nancy J. Rigg, Higgins & Langley Memorial and Education Fund

Critical Incident Stress Management (CISM) specialists understand that all drowning deaths and other serious or fatal accidents in the aquatic environment automatically qualify as “critical incidents.” Sudden, powerful emotional trauma can have an immediate and long-term impact on surviving family members and other witnesses who are on scene, as well as water rescue and recovery personnel responding to these emergencies.

Research has shown that the sooner survivors are educated about the impact of trauma the better their chances are of making a healthy recovery, even from the most tragic loss. Water rescue personnel who are well educated in CISM also have a better chance of maintaining a long and healthy career in an environment that is not only dangerous physically, but taxing emotionally.

CISM peer support resources are being made available at an increasing rate to emergency responders nationwide. Unfortunately, for those who are most seriously affected by any given tragedy – surviving family members – crisis intervention information is scarce, if available at all. And at a time when families most need sensible, accurate information and guidance, they may have no idea where or how to find it.

CISM trained chaplains and crisis counselors, including volunteers, need to be woven into the structural matrix of all water rescue and recovery protocols, including the pre-planning process. Skilled counselors can be deployed through pre-set, automatic call-out protocols to avoid confusion and ensure that appropriate resources respond quickly.

Crisis counselors can serve as liaisons with the families and others on scene, freeing dive rescue personnel to attend to other issues. They can also work with public information officers (PIOs) to protect families from media intrusion, especially during prolonged recovery missions. This is something that is frequently overlooked in the pre-planning process, which can result in added stress and trauma for family members who are waiting at the edge of the water for news about their missing loved one.

By integrating CISM trained volunteers into your response matrix, water rescue and recovery team members can also be buffered from the emotionally draining job of working with the families and others who are invested in the outcome of the mission. Trained crisis counselors can aid families, watch for signs and symptoms of shock and other physical ailments that may need medical attention, and also keep an eye on the emotional well being of rescue personnel on scene.

Field Based Leadership

posted Aug 18, 2011 12:19 PM by Ken Buscho   [ updated Aug 22, 2011 6:23 PM ]

Majid Sabetzadeh, Santa Clara Co. Sheriff Search and Rescue, YOSAR

This is an introductory level lecture for SAR members who are interested in becoming involved with field based leadership. What does your boss in incident command expect from you and how do you use your resources to get the job done. Delegation of responsibilities among your team members, managing on-scene situations, dynamically changing over to backup plans B and C, instructing team member issues about tactical decisions and much more will be covered on this course.

VX-31 Search and Rescue Team Helicopter Rescue Demo

posted Aug 18, 2011 10:27 AM by Ken Buscho

Live demonstration of the performance and capabilities of the VX-31 Search and Rescue Team and their aircraft the MH-60S Seahawk.

Mission of the VX-31 Search and Rescue Team:

The primary mission of the VX-31 Search and Rescue (SAR) Team is to provide SAR and medical evacuation (MEDEVAC) response for all agencies (military and civilian) who utilize the local flying area and the R-2508 complex. The team provides a day and night search and rescue platform for military aircraft operating in the airspace complex surrounding the Naval Air Weapons Station China Lake. As a Search and Rescue (SAR) asset, the Seahawk's crew consists of two pilots, one inland rescue air crewman, and a rescue medical technician. The aircraft can conduct both search and rescue throughout the Sierra Nevada Mountain ranges. The crew is capable of landing in rough terrain, one-wheel deployments, rappel deployments, and onboard hoist recoveries. Crews are on alert status at China Lake seven days a week.

On a daily basis, the MH-60S is used for day and night aircrew search and rescue training with occasional logistics and test support. The aircraft supports a variety of testing at China Lake, including aerial fire-fighting support and other test support roles.

As a utility helicopter, it is also used to transport personnel and equipment to hard-to-reach places around the test complex and to assist in locating and retrieving valuable equipment for flight test projects.

The team also provides civil SAR/MEDEVAC on a not-to-interfere basis with its primary mission. Civilian responses are handled in accordance with proper state and Armed Forces Rescue Coordination Center (AFRCC) notification

Helicopter Information:

MH-60S Seahawk Stats:

Length 64 ft. 10 in.
Main Rotor Diameter/Width 53 ft. 8 in.
Maximum Speed 180 KTS
Maximum Fuel/Endurance 3700 lbs./3.5 hours.
Maximum Density Altitude 13,000 ft.
Maximum Weight 23,000 lbs.
Hoist Capable 200 ft./600 lbs.
Rappel Capable 250 ft. rope
Patient Capacity (load dependent) 2 litters/7 ambulatory


Helicopter Rescue Demo Preformed by: 

United States Navy, Rescue Helicopter from China Lake.

TIME: 9-11-11 1100-1200 Lower Lawn Area. The helicopter will also be available all weekend on the Upper Lawn Area for display and the crew will be there to answer any questions.

Bios:
Pilot in command:
LCDR Ken Gilbert, Senior SAR pilot/instructor for VX-31
Assigned to China Lake SAR since 11/06 
19 years US NAVY active duty service as a Naval aviator
5,500 hours flying multiple type/model/series US Navy helicopters and fixed wing aircraft.
             
Co-Pilot:
LT Neal Barham, SAR pilot/instructor
Assigned to China Lake SAR since 11/08
10 years US NAVY active service as a Naval Aviator
2,100 hours flying US Navy helicopters and fixed wing aircraft

Helicopter Inland Rescue Aircrew Crewchief:
AWS1 Anthony Michalski, senior air crewmen, lead SAR
Instructor Assigned to China Lake SAR since 4/09,
14 years US NAVY active service as a Naval Air crewman flying H-60 and H-3 helicopters

Helicopter Inland Rescue Air crewman (HIRA):
AWS2 Eric Potter 
Assigned to China Lake SAR since 8/10
8 years US NAVY active service as a Naval Air crewman flying H-60 helicopters

Search and Rescue Medical Technician and HIRA:
HM2 Benjamin Hernandez 
Assigned to China Lake SAR since 11/06 as a SAR medical technician/hospital corpsman
8 years active duty US NAVY service.





CHP Helicopter SAR Hoist Operations

posted Aug 18, 2011 9:59 AM by Ken Buscho   [ updated Aug 18, 2011 10:05 AM ]

Jeff Andriese, Pilot, and Mike Crain, Flight Officer/Paramedic

This is an introduction to the California Highway Patrol Regional Air Operation multi- mission helicopter operations training: Law Enforcement, Medevac, and Search and Rescue, with an emphasis on hoist operations. 

Participants will receive ground instruction on the proper use of the Bauman Bag, Stokes Litter, Horse Collar, and the use of a tag line while maintaining a high level of safety. The training will take place at the helicopter and the participants will be instructed how to “package” a victim, connect to the hoist hook and manipulate the tag line.

A flight demonstration using the Bauman Bag with a tag line will be performed. The training location will be next to Fresno County Sheriff helicopter “Eagle” and the training will be combined when general helicopter SAR and safety is discussed.

After the class the helicopter will be on display for the rest of the day (pending emergency calls) and the crew will be available to answer any questions you might have.

Adventures in Geo: What Google Brings to the Fight

posted Aug 18, 2011 9:24 AM by Ken Buscho

Sean Maday, Google, Geospatial Engineer

Consumer demands for powerful hardware, user-friendly software, and seamless collaboration are changing user expectations for mapping applications. Just a few years ago the field of geographic information systems was highly specialized. Today, everyone walks around with detailed maps and high resolution satellite imagery on the smartphones in their pockets. Google is very much at the center of this paradigm shift. This session will show examples of how Google Maps, Google Earth, and Google Fusion Tables can be used to craft fast, flexible, and user-friendly applications that have relevance to search and rescue operations

Uses of a Local Urban Search and Rescue Resource

posted Aug 12, 2011 11:02 PM by Ken Buscho   [ updated Aug 18, 2011 9:35 AM ]

Bob Van Tassel, Captain, Fresno Fire Truck 4
Jeff Young, Ladder Captain and Rescue Team Leader, Fresno County Fire / CALFIRE

The term Urban Search and Rescue (US&R) usually call to mind a FEMA task force of rescuers in jumpsuits packing their equipment on pallets for deployment to Hurricane Katrina or an earthquake in Haiti. These teams sift through rubble, shore buildings and search collapsed areas for survivors in disaster zones but what about smaller local incidents? What if you had someone trapped in a storm drain or buried in a collapsed trench? Many rescuers and managers are aware of some form of a US&R team in their area and would like to know what they can provide. This class includes both lecture and hands on exercise. It will provide an overview of local US&R resources, capabilities, training and access. The hands on exercise will divide the class into smaller groups for rotation through a series of stations that will allow a rescuers and managers to operate equipment and evaluate capabilities.

Introduction to Electronic Direction Finding

posted Aug 12, 2011 8:30 PM by Ken Buscho

Lt. Col. Carol Denise Edwards

Introduction to the equipment and theory of Direction Finding for the ELT or the PLB. This class will include a review of several types of common ELTs and PLBs and highlight the different tools and techniques used to locate them. Also included, will be a discussion of the 2009 changes, and there will be time for Q&A. There will be a short practice scenario with equipment available for hands-on learning.

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