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Developed and maintained
by the NFCC

Control measure

Rescue a casualty at height

TRAINING SPECIFICATION

Knowledge and understanding

Control measure element Learning outcome

First aid management

Understand:

  • The Health and Safety Executive (HSE) guidance for first aid management of a person falling into suspension in a harness
  • How to recognise the symptoms of pre-syncope
  • The need to assess the condition of the casualty
  • How to stabilise the casualty, for example by maintaining an airway

Rescue

Understand:

  • The need to gain an understanding of:
    • How long the casualty has been suspended
    • The nature and mechanics of any injuries
    • The casualty’s current condition
  • How the casualty can be rescued, including the need for:
    • Specialist medical equipment
    • Medical care during the rescue
    • Extrication via a safe route or existing means of access
  • Methods that can be used, including:
    • Aerial appliances
    • Rope-based systems
  • The potential need for actions including:
    • Immediate life-saving actions
    • Raising the casualty’s legs
    • Reducing the weight of the casualty in the harness

Practical application

Control measure element Learning outcome

Identify the medical condition and needs of a casualty at height

Demonstrate the ability to:

  • Follow the Health and Safety Executive (HSE) guidance on the first aid management of a person falling into suspension in a harness, who may develop suspension intolerance

Stabilise the casualty at height and take action if there are signs or symptoms of suspension intolerance

Demonstrate the ability to:

  • Recognise the symptoms of pre-syncope
  • Stabilise the casualty by maintaining an airway
  • Recognise the signs of suspension intolerance
  • Consider raising the casualty’s legs or reducing the weight of the casualty in the harness

Use the safest method and routes to rescue a casualty at height

Demonstrate the ability to:

  • Consider the safest method to rescue the casualty, based on their medical condition and location
  • Use appropriate routes, preferably an existing means of egress such as a stairway
  • Consider the use of an aerial appliance

Identify the hazards of using rope-based systems to rescue a casualty at height and implement safe systems of work

Demonstrate the ability to:

  • Ensure that if rope-based systems are used, that they conform to regulations
  • Ensure that only specialist rope rescue teams carry out the accompanied rescue of a casualty in a stretcher

Provide appropriate medical care during the rescue of a casualty at height

Demonstrate the ability to:

  • Provide appropriate medical care throughout the rescue, which may include:
    • Spinal management
    • Airway management
  • Consider the use of specialist equipment, such as:
    • Basket stretchers
    • Spinal immobilisation