Thursday, May 19, 2016

Live Victim Training Search

This is a paper on a live victim training search that I participated in. Thought some of y'all might be interested in reading it.



Live Victim Training Search

            This paper is on a live victim training search that I participated in with the Columbus State EMS-1107 Wilderness Search and Rescue/First Responder class. We had several Field Training Exercises throughout the semester that involved a “search” scenario, however I am choosing this one since it involved an actual “live” victim and therefore was the closest to a real-world scenario.
             To give a brief overview, we were given a map split into several zones and were all broken up into small groups in order to search assigned zones. Naturally, a search and rescue mission places way more emphasis on locating clues of the missing person’s whereabouts than actually locating the lost individual themselves. In this case, the clues were several empty cans of Pabst Blue Ribbon beer located casually around the park. Several empty beer cans, could, of course indicate a depressed or despondent individual; probably one that wandered off on purpose and did not want to be found. During the course of the search, we were given several updated briefings, i.e. “This just in: We have just received word that our subject just lost his job, his wife left him, etc.” This, of course, helped confirm the idea that the individual was intentionally lost and despondent. The subject was eventually found, lying “unresponsive” hidden in the woods. Upon finding him, we proceeded to assess and stabilize the patient’s condition, and then package him up in the SKED and promptly extricate.
            The good and bad:
            There was fairly good teamwork involved, however, there were *many* ways that this exercise could have played out better. A large part of it was the lack of communication among many of us. While it has been said in the emergency services that “the only stupid question is the one that isn’t asked,” it is understandable that many of us, very particularly those of us who are still somewhat new to the emergency and medical services, are still often hesitant to speak up or ask questions when something isn’t understood right away. We tend to feel like we will sound stupid or ignorant, even despite being told over and over again that “the only stupid question is the one that isn’t asked.” A couple also lacked confidence on the uneven terrain (i.e. rocks on the marina) and a couple also tended to wander off and fail to listen to directions. Several were not comfortable reading the maps or using the radios as well. The instructors made as much a point as possible to place at least one who had been experienced in the emergency or medical field for a fairly long time with the “rookie” groups. The instructors, as well as a few higher-ranking SAR personnel also shadowed us, but we were required to pretend that they “weren’t there”- we were not allowed to ask them questions, or for help or input. We had to figure everything out on our own. While it is extremely important that we are “shadowed” by someone more experienced of course, I do believe that the feeling of being watched and analyzed could have added to the anxiety and self-consciousness of many. The end result of all this, mostly the lack of communication, was that we were extremely delayed in finding the victim. It took us the entire day, when it honestly only should have taken us a couple of hours. Needless to say, in a real-world scenario, this would not have been acceptable.
The instructors, as well as the other SAR personnel (including the “victim”) were good on giving constructive criticism, communicating our errors, asserting that the search should have ended much earlier than it did, and encouraging us to learn from our faults.
            Tip and points:
            Overall, as was said, many of us must learn to work on our communication skills. There overall was not enough communication among most of us; most of us were all over the place; it was mostly chaotic and, as said, in a real-world scenario this very well could have caused the mission to end in disaster or tragedy. I myself am guilty of this; I was emotionally abused at a school years ago and still to this day lack confidence in many areas due to that. I am one that does not like to ask questions for fear of sounding “stupid” or “ignorant.” However, I do believe that many of these courses, as well as the people that surround me in them, are doing great for my self-esteem and well-being, and ironically, I always tell those in my group that I work for “the only stupid question is the one you don’t ask!” This particularly goes for us who are somewhat new to the emergency services. Many, if not most of us, are timid or lack confidence at first administering emergency care. Often we’re all over the place. That is okay in a training scenario or course (and of course we’re not expected to get everything right the first few times) but in a real-life case, it can mean life or death. Those such as myself, who have anxiety and/or panic disorders of course, must work extra hard. This is why we practice and practice of course – practice makes perfect. (I always keep reminding myself to just breathe and I’ll be fine!) One thing to think about also is, “What if this was me or one of my loved ones?” Meditation, prayers to the Goddess Brighid, positive affirmations, do what you want to settle down. If you want something and work hard enough to get it, no matter what the adversary – you *will* succeed.
Overall I think the biggest thing holding us “rookies” back is our lack of confidence. You are your worst enemy, and if you can simply learn to face your fears, swallow your pride, communicate, and admit when you screw up, you, everyone, and everything will be fine.         

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