Canyon confined space hoist rescue op

MikeD

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Staff member
Called out for a rescue northeast of TUS for a 16 yo climber who fell approximately 50' onto rocks below. 5 person crew of pilot, co-pilot, hoist operator/rescue technician 1, tactical team member, and hoist operator/rescue technician/EMT 2 (me). County sheriff helo was down for mx, and the state police helo didn't have a full crew, so it came to us.

Patient was critical with multiple severe injuries, requiring on scene treatment, packaging onto a spineboard and hoist extraction via stokes basket with the rescue tech/EMT as double-up rider for a 215' AGL hoist level due to surrounding terrain that the helo had to remain clear of in order to maintain an escape direction if needed.

All went well except for a mismanaged tag line to the stokes basket which wasn't kept taut and wasn't kept at a 45 degree or less angle for effectiveness, resulting in a spin on the way up as soon as the bottom of the rotor wash was reached. Luckily the hoist operator was able to counter the spins with cable manipulation that kept it from getting too bad, but the fairly confined space/terrain prevented normal techniques such as ditching the tag line and flying forward slowly to leave rotor wash behind the bird instead of underneath and allowing the load to stabilize, being unable to be utilized. The hoist operator just had to manage the situation himself. On my end, the ride was fairly wild as I was trying to signal the tag line guy to move away and make more angle as well as keep the line taut. Normally, of the ground person doesn't create that angle on the ground or is unable to on the ground such as being on a ledge, then the helo can normally slide over any direction to create that angle itself with the load to the ground, but in this case the terrain next to the helo didn't allow for that. And a higher hoist height wouldn't have helped as we had only 70' more cable available to maximum extension, and with a stokes basket, being as low as you can is best.....a longer length of hoist cable out makes managing the load at the end of the cable more and more difficult/challenging for the hoist operator, especially with a spin or a sway of the load.

7 minutes to the hospital. We don't normally transport patients to the hospital, we just normally do the rescue only via hoist or short haul ropes unless the situation dictates transport or no other means is available. Patient in this case was barely conscious and never alert or oriented, along with major injuries that were tough to treat, so direct to the hospital was an obvious choice.

 
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That looks like a less than fun ride up. I've got very little experience with hoist ops going up (almost everything I've done is down via rappel or lowering and then hoofing out, but it seems that you'd need a lot more space to run the tag line out for it to be effective. Obviously low on your list of concerns with a low a and o patient, but still seems like something to consider prior to hoisting up.
 
That looks like a less than fun ride up. I've got very little experience with hoist ops going up (almost everything I've done is down via rappel or lowering and then hoofing out, but it seems that you'd need a lot more space to run the tag line out for it to be effective. Obviously low on your list of concerns with a low a and o patient, but still seems like something to consider prior to hoisting up.

I briefed the tag line guy on the ground prior to the helo coming back in: keep the tag line 30-45 degrees and keep it taut, but do not yank on it....steady pressure only. Maneuver as you need to to keep that angle, if you dont notice the helo doing it. And two, the line is going to get real hot, real quick, as its running through your gloves, so wrap something more around those climbing gloves you have on.

On point 1, the confined space was a problem on both ends: the helo couldnt slide any direction to create the angle needed while still facing a relative headwind, and the tag line handler couldnt move far enough away on the ground to make up for it on his end. Normally, one or both of those options are available; this time it was a rare case where both werent very available.

On point 2, he failed to heed my advice and his hands started burning. If that occurred, I told him to go hand over hand with the line. Not as effective as gripping it and letting it run through, but its better than just a slack line that is ineffective.

Hoist is primary if the bird is hoist capable. Fast rope or rappel in, with a long line/short haul extraction is secondary, or primary if the bird isnt hoist equipped (only our L/M models are, our A models are not).
 
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I find it interesting that an AF Reserve Pavehawk pilot is flying around in the back of CBP Blackhawks as a Rescue Technician/EMT. :rolleyes: As much as I liked being a crewmember, I would much rather be up front.
 
I find it interesting that an AF Reserve Pavehawk pilot is flying around in the back of CPB Blackhawks as a Rescue Technician/EMT. :rolleyes: As much as I liked being a crewmember, I would much rather be up front.

The result of an overly diversified resume?
 
Wow! To think that when I was younger I actually paid money to ride a tilt-a- hurl that seemed to do what I saw in your video.

In all seriousness @MikeD thanks for doing what you do.
 
I find it interesting that an AF Reserve Pavehawk pilot is flying around in the back of CBP Blackhawks as a Rescue Technician/EMT. :rolleyes: As much as I liked being a crewmember, I would much rather be up front.

Funny you mention that. In the older days of the USCG, prior to having rescue swimmers, and with the old Sikorsky HH-52A Sea Guard helos (later replaced by the HH-65 Dolphin), the Sea Guard flew with only a crew of 3: Pilot, co-pilot, and hoist operator. Back then, a rescue basket was lowerd and those needing rescue had to get into it themselves. If anyone on the ground or the water needed assistance, the co-pilot would leave his crew station and get lowered down the hoist to provide that assistance. There have even been awards conveyed with this:

https://aoptero.org/medals/citation_addison_ronald_c_cm.pdf
 
Wow! To think that when I was younger I actually paid money to ride a tilt-a- hurl that seemed to do what I saw in your video.

In all seriousness @MikeD thanks for doing what you do.

The result of an overly diversified resume?

MikeD, Badass achievement was already locked, now it's just cemented.

When these technical rescues happen spotless, they are a work of art.

When you have these problems with a tech rescue where things had the potential to go bad very quick, it makes me feel like this when I finally make it onboard the helo or onto the ground........ :D (lightly NSFW)

 
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