The Wildfire Lessons Learned Center has released a video documenting the extraction of an injured firefighter from the 2011 Las Conchas Fire in northern New Mexico. Kenny Lovell of the Craig Interagency Hotshots is interviewed in the video and tells his story of being seriously injured, treated, and transported after being hit by a rolling rock. He suffered a broken pelvis, a broken fibula, and a large hematoma.
The title of the video, ROCK! Firefighter Extraction Success Story, describes the incident as a success. It was, in the sense that the Hotshot crew had access to equipment which was transported to the accident scene to treat and package the victim, there were several EMTs on the crew, the Hotshots had drilled for similar incidents, a helicopter with short haul capability was available, and 5 months later Mr. Lovell returned to work on the Hotshot crew. All that is great and the Hotshots and the helitack crew deserve praise for accomplishing what they did with the resources that were available..
Having said that, it is still troubling that 2 hours and 15 minutes elapsed before Mr. Lovell departed the accident scene in a helicopter, and 30 minutes later he arrived at a hospital. On the Deer Park fire in 2010 a firefighter with a broken femur was on the ground for 4 hours and 23 minutes before he was transported in a helicopter. And firefighter Andrew Palmer, who bled to death from a broken femur suffered on a fire in 2008, spent 2 hours and 51 minutes at the accident scene before he was extracted via hoist on a Coast Guard helicopter.
Agencies who place firefighters in remote areas should realize they have the ethical responsibility to supply the training, equipment, and aviation resources to at least begin transporting by air a seriously injured firefighter within an hour. I am surprised that OSHA has not cited the federal agencies for this. Of course getting injured firefighters to an appropriate hospital within the Golden Hour would be ideal, but depending on the distance involved that could be difficult. A helicopter with short haul capability can be helpful, but it is not the quickest or most efficient method for extracting an injured person. It involves several steps, especially, like in this case, when the helicopter responds to the scene without being fully configured for short haul.
Several agencies have helicopters with hoists which can quickly extract and then transport injured personnel from remote locations, including CAL FIRE, Los Angeles County Fire Department, and the Coast Guard. If the other federal and state agencies decided to take that step, it would not have to be a trial program with one helicopter like the U.S. Forest Service night flying helicopter effort this year, because other agencies have been using hoists (and night vision goggles) for decades,
“The organization is ethically and morally obligated to put an EMS program in place that is supported by the organization, and given the standardized training and equipment to make the program succeed.”
The above is from the 2010 facilitated learning analysis for the Deer Park Fire extraction, quoting a Senior Firefighter/Paramedic on the Sawtooth Helitack Crew.
Thanks go out to Brit