Поисково-спасательные работы в городских условиях при обрушениях зданий.

Location, extrication, and initial medical stabilization of victims trapped in structural collapse

Urban search and rescue (abbreviated as USAR or US&R) is a type of technical rescue operation that involves the location, extrication, and initial medical stabilization of victims trapped in an urban area, namely structural collapse due to natural disasters, war, terrorism or accidents, mines and collapsed trenches. The causes of USAR incidents can be categorised as accidental and deliberate. Structural collapse incidents can comprise unstable or collapsed structures in an unsafe position. Usually collapse incidents leave voids inside the debris that can result in numerous casualties trapped under large amounts of very heavy and often unstable debris. USAR services can be faced with complex rescue operations within hazardous environments. Incidents experience shows that people are often found alive many hours and days after rescue operations commence, and the corresponding services should be planned accordingly. USAR teams in different countries may be organised in a variety of ways, but they are often associated with firefighting services. The increasingly complex methods and procedures, and the modern ability to bring in teams from far afield has brought a very strong drive for standardization within nations and internationally, most obvious in the role of the United Nations' International Search and Rescue Advisory Group (INSARAG) in large natural disasters. Urban search and rescue is considered a multi hazard discipline, as it may be needed for a variety of hazards including earthquakes, cyclones, storms and tornadoes, floods, dam failures, technological accidents, terrorist activities, and hazardous materials releases.

USAR task forces are often categorized for standardization. Depending upon the classification, there may be close to 70 positions. To be sure a full team can respond to an emergency, USAR task forces have at the ready more than 140 highly trained members. A task force is often a partnership between local fire departments, law enforcement agencies, federal and local governmental agencies and private companies. In the United States, these can be federally endorsed teams or state teams activated through mutual aid agreements. In England, the responsibility for USAR lies with local authority fire and rescue services. Equipment supplied to them is part of a government initiative known as the New Dimension programme, which provides the training and equipment. USAR teams bring together, in an integrated response: highly trained personnel from the emergency services along with engineers, medics and search dog pairs, specialised equipment effective communications established methods of command and control logistical support procedures to request international assistance if required under an international search and rescue framework. The training that teams receive is an ongoing procedure combining classes from the local fire and rescue services and government agencies.

In a disaster situation the goal of a search and rescue operation is to rescue the greatest number of people in the shortest amount of time, while minimizing the risk to the rescuers. In the United States, the organization of USAR operations is now standardized under the National Incident Management System, which was in scattered usage before Hurricane Katrina but has since become the standard under [Presidential Directive 5 (HSPD 5]). Katrina proved the difficulty of coordinating multiple disaster response teams from around the country when some used ICS and some used their own local organizational models.

The first step is to gather facts and make decisions on the course of action. Factors include what types of structures are involved, the extent of damage, the layout of the building(s) involved, what hazards are present (such as downed power lines, natural gas leaks, flooding, animals, hazardous materials, or a structure susceptible to additional collapse during the rescue), and what rescue personnel and equipment are available. Structural damage can be categorized as light, moderate, or heavy. Sizeup is an ongoing process which should continue during all phases of search and rescue so operations can be modified as needed.

Searchers should use a buddy system or two in, two out system and have backup teams available. Techniques for searching for potential victims are based on identifying possible locations of victims, or areas of entrapment. Areas of entrapment inside damaged structures are called voids. There are several types of voids, such as the pancake void (multiple floors of a building have collapsed diagonally onto each other), and the lean to void (a single wall or floor has collapsed diagonally against another wall). Voids can also include spaces where victims may have entered for self protection during a disaster such as under desks or in bathtubs or closets. Once the potential areas of entrapment have been identified and the potential number of victims sized up, search operations should commence in an orderly manner, beginning with verbally calling out for victims to identify their location if possible, and searching using a systematic search pattern. Possible search patterns include triangulation (using three searchers approaching a potential area of entrapment from three different directions), a right/left search pattern (one team searches the left side and one team the right side of a building), or a bottom up/top down search pattern. Searchers should stop frequently to listen for noises or attempted communication from victims; often this can involve all searchers stopping activity at specified periods of time to listen. In situations where multiple structures are searched such as after a hurricane, the outside of buildings can be marked using the appropriate marking systems to indicate buildings which have already been searched, the results of the search, and to avoid duplication of search efforts.

Trapped victims are removed and medical aid rendered as necessary. The triage system can be used to prioritize medical aid with those needing immediate attention aided first. Removal or stabilization of debris is often necessary to remove victims. This can be accomplished using leveraging to lift the object, or cribbing (constructing a rectangular wooden framework known as a box crib underneath the object to be stabilized). Leveraging and cribbing can be combined. Victims who are ambulatory can then self extricate, or victims can be removed using lifts, drags, or carries. Removal of victims should be done so as to avoid any further injury: Where any neck or back injury is suspected, the cervical spine should be immobilized first before attempting to move victims, and dragging should be avoided in situations where the presence of debris (e. g., broken glass) would cause further injury by doing so.

Clear standards for marking searched structures are an important part of the process. There are two systems in widespread use, INSARAG and FEMA (Federal Emergency Management Agency).