Chamber of Hoarders Online Blog

 

Crews fight flames, heavy smoke at home

 

While  studying Compulsive Hoarding Disorder and the effects that it has on today’s first responders one common problem keeps coming up.  Dealing with the occupants of these homes can prove to be a challenging problem  if you  are tasked with an emergency inside their Hoarded Environment.

Interaction with the people who collect, accumulate, and acquire this massive amounts of belongings can place the first responder in a different type of danger. Physical danger from the anger that someone can experience when someone touches his or her treasured belongings.  Let’s look at a few common tactics to diffuse the tension and protect ourselves from the dangers faced when interacting with the people who hoard.

[caption id="attachment_248" align="alignright" width="134"] Photo Courtesy of Sheperdstown Fire


Do not be judgmental

One of the hardest things to do as first reponders is to leave our values and opinions that we have established over the years behind when we discover a hoarding environment.  I have seen many first responders find these conditions and immediately become aggressive in telling the occupants that “this is the filthiest house ever” and “this place stinks” as they pull their shirt over their noses.

While this can be a very hard to resist it will put the occupant in a heightened state of sensitivity and can even evoke a response of anger or violence to the first responder.



By being non-judgmental and aware that hoarding is becoming a diagnosable physiological disorder we can further understand their deep attachment to their belongings.  Hoarding is not a choice and the inability to “let go” of their belongings that seem to have no apparent value to you and I can cause them be defensive and take offense to such statements if we were to make them.

Compulsive Hoarder’s have a hard time distinguishing between an object of great value, such as child’s baby pictures, and an item that has little apparent value, such as a stack of coupons.

This attachment may seem unimaginable by us but by understanding how they process this information can give us, the responders, the knowledge to be sensitive to their conditions when interacting with them.

Explain what is happening

While interacting with a person suffering from this affliction during the process of mitigating their emergency we have little choice but be direct sometimes, especially when dealing with a life or death emergency.

An example would be in the case of a medical emergency where we need access to the patient fast.  One problem with our aggressive nature is in the process of accessing the patient we may disrupt their world.

With the assigning of value to items folks who suffer from this also get angry at anyone who touch or “disrupt” their stacks of belongings .  If they watch you moving, touching, or tossing their treasures aside they can become angry with you and may even become violent.

One way of lessoning this potential is to explain your actions to the person in a sensitive manner before or during the actions.  Ma’am or Sir, I understand that this may upset you but we need to get you to the hospital as soon as possible, would be a direct statement to use in these circumstances.  While this is not an end all cure all it will help ease the tension felt by your patients in the case of removing them to an awaiting ems unit.

[caption id="attachment_159" align="alignright" width="134"] Photo Courtesy of Sheperdstown Fire Dept.


Move them away

One type of response may require you to relocate the occupant to another location.  In the event of a fire, we may not have time to interact with the occupant. Before making this decision you will need to conduct an interview to determine if all occupants have exited the building, and which entrance do they normally use to access the building.

When hoarding takes over an occupancy it often blocks means of entry and exit causing the occupant to use a different means of access, such as a window or ladder.

Once the interview is over and the firefight has continued you may experience the occupant going through an emotional emergency.  Remember that as our firefighters are removing, throwing, and breaking through the piles of belongings the occupant sees you as hurting their treasured items.  Anger, yelling, or even physical violence can result due to their deep emotional attachment.  This is where we may need to involve neighbors, bystanders, or even the police department to help remove the occupant to insure their and our safety.  Understanding the nature of Compulsive Hoarding Disorder will allow us to understand their emotions when dealing with their stack of stuff.

 

Conclusion:

Understanding the complexity of Compulsive Hoarding Disorder will allow you insight into dealing with the men and woman who suffer from this disorder.  It has proven that hoarding can lead to a multitude of problems from health concerns to working house fires.  One problem that we should prepare for is interacting with the people who live inside these cluttered environments and develop some strategies to deal with the potential for danger to them and us. We are sworn to protect life and property our safety is always first on the list.  By safely developing a means of interaction with people who has this disorder will allow us to help everyone in and around the hoarded environment.

As I returned home from teaching the Heavy Content class to 25 firefighters from West Virginia and Ohio my phone began to ring.  “You will never believe this” was the beginning on our conversation.  Turns out that the Point Pleasant Fire Department, the host of the program, was dispatched on a confirmed working fire and they found Hoarding Conditions upon arrival.  It almost does not seem possible that they would find such a fire not more than 2 hours after sitting through the class.  Unfathomable, not really, if you think about the nature of fires in houses that have “Hoarding” or “Heavy content “inside.  Let’s take a quick review some of the more common traits found when faced with a Heavy Content fire.

Using a 380 Size up

Since taking on this topic of fighting fires in hoarding conditions I have proposed the use of a 380 degree size up, with the extra 20 degrees coming from looking in their cars.  Looking in their cars can give you a glimpse of what the interior of the house looks like.  Do I have any scientific data to back up this conclusion? Nope, but if it looks like a duck and quacks like a duck, it may be a duck. This is not a concrete identification factor but can lead a first arriving firefighter to suspect that the house is in the same conditions as their vehicle.  Read more Here Firehouse.com

The Structure can be weakened BEFORE the Fire

If the occupant suffers from the affliction of compulsive hoarding disorder and their collection of belongings has limited access to the load baring walls and ceilings identifying dangerous conditions can be hindered.  An example of this would be an event such as a busted water pipe.  The occupant has such emotional attachment to their belongings they are unwilling or unable to move their “stuff” to make the necessary repairs to the wall.  Often they will just shut the water off and not repair the damage.  This can lead to mold and rotting of the support system making the structure unstable even before the fire happens.

One example of this was shared where the side C firefighters attempted an interior push and noticed that the exterior wall had completely separated from the roof.  Beep, Beep, back the truck up!  This is a glaring example of why a 380-degree size up and expecting structural damage to be present once you identify the heavy content environment.   Will making this size up you should allow all firefighters to aid in the determination of instability and everyone should be in a defensive mindset from the beginning, realize that it’s not our fight, and hit it from the outside!

Call for help early

The biggest learning point for heavy content fires is the need for additional manpower.  Any first arriving firefighter who discovers hoarding conditions need to realize that the

[caption id="attachment_220" align="alignright" width="144"] Be Prepared For Overhaul Dangers


stress placed on the firefighters will be increased and needed rehab times will be longer.  What this means is that more firefighter will be needed to accomplish the task of putting the fire under control and an even larger amount will be needed once you transfer into the overhaul phase.  Stress kills firefighters, to reduce this stress in a Heavy Content environment we should call for help early.  It’s better to have a number of lawn shepherds in the area ready to do work than be pushing the crews who are already being pushed to their physical limits.

With hoarding comes some predictable findings.  These are just a few points that should be factored into any decision making process to make sure we all come home safe from fires in Heavy Content environments!  Let’s all join in the fight to make sure we all know what and how to keep our heads up and identify these firefighter dangers!

Highrise Fire Audio in Hoarding Conditions

Read more from Firefighting in Canada

Ontario Fire Marshal Ted Wieclawek used blunt language to describe the worst hoarding fire in Canada, the September 2010 highrise fire at 200 Wellesley St. in Toronto: The tremendous growth and spread of the fire was a result of the excessive amount of combustible materials stored on the balcony and in the suite of origin . . .

 

This is a challenging fire from Toronto Canada that I use in my program.  Listen to this compelling audio as they battle Hoarding Conditions in a High Rise Structure with multiple Maydays!

Welcome back in the Chamber of Hoarders! Now that our California trip is over it’s time to continue our mission of protecting emergency responders from the dangers associated with Hoarding.  One of the biggest learning points given when teaching this topic is the need to double estimate burn times and assume that collapse could happen at any time, why is this?  Many factors need to be considered if you are faced with hoarding conditions and structural stability is one of the biggest. Let’s take a look at small sample of the dangers associated with the collapse risks.

Lack of Maintenance

[caption id="attachment_248" align="alignright" width="224"] Photo Courtesy of Sheperdstown Fire


 

Hoarding behavior in itself tends to add to structural instability as the occupants often feel “embarrassed” or “ashamed” about their disorder.  This will not allow them to let outsiders such as family or carpenters in to fix issues that occur as a part of normal household maintenance.  An example of this would be a busted water pipe that has been leaking for days. Most folks would take the time to pull drywall, find the problem, repair it and return it to service.  With hoarding conditions, the inability to access this problem is an huge issue on top of the fact that they will not allow a qualified construction crew into fix the problem.



Over time, the water will begin to rot away at the structural components that support the floors, walls, and/or roof.  This can put them in such a weakened state that they be in danger of collapse before the first drop of water is applied.  It can also lead to a false sense of security to the first arriving firefighters who may feel some give in the floor area and not suspect collapse could be crawling into a disaster.  Once you have made the discovery of heavy contents it should be automatically assume that the structure is in a weakened state.

Load Levels

It has been well documented that people that are afflicted with Compulsive Hoarding Disorder may assign a value to any type of object. From books and magazines to car parts, you may discover many different types of belongings hidden inside a home with hoarding conditions.  Making the determination of what is being collected will help an incident commander make a quick analysis of the potential for a life threatening collapse or the potential to NOT GO IN!

A good rule of thumb to keep everyone safe in hoarding conditions it to double the estimated burn time.  If you estimate it takes 5 minutes to discover a fire, 2 minutes to call 911, and 8 minutes to get water on the fire you should take this 15 minutes and assume that it has been burning for over 30!  This will put everyone in a defensive mindset even if you choose to go interior!

 

Structural collapse can be the most dangerous effects of a building on fire experienced by today’s firefighters. It’s our job to learn the cues and clues of a structural collapse.  It is even more important to identify hoarding conditions to make sure that we are not caught in a situation that was unstable before it caught on fire!

 

Be safe everyone and thanks for the visit to the Chamber!

TAYLOR (WXYZ) - Authorities in Taylor battled a house fire Wednesday morning that they say was clogged with debris.

Police closed a section of Goddard Road near Oak Street around 5:30 a.m. where the home was burning. They said it looks like a hoarder may have occupied the home at one point.

The large amount of debris stored in the house fueled the fire and caused the Taylor fire chief to call for the fire marshal, a building inspector and a back-hoe.

STAY WITH WXYZ.COM AND 7 ACTION NEWS FOR UPDATES.

Read more: http://www.wxyz.com/dpp/news/debris-from-possible-hoarder-fuels-taylor-house-fire#ixzz2KoAYYvWW

 

Check out this news interview with Ryan Pennington from ChamberofHoarders.com.  WCHS TV stopped by to interview him during his presentation of Hoarder Homes: Piles of Hazards for firefighters.  Check out this Hoarder News Story

LANSING — A wind chill well below zero and a fire consuming a house so filled with belongings that firefighters could not safely enter it culminated in a headache for Lansing firefighters Tuesday morning.

Crews were called to a two-story house shortly before 9 a.m. in the 800 block of North Pine Street, on the northwest corner of Pine and Madison Streets, for a fire officials believe started in the kitchen.

However, crews quickly decided it was safer to stay outside the home to battle the blaze due to “a large number of belongings” throughout the home, said Lansing Fire Department Public Information Officer Eric Weber.

Read More Here

WRCBtv.com | Chattanooga News, Weather

 

CHATTANOOGA, TN (WRCB) - We have an update on what McKamey Animal Center has called the worst animal hoarding fire this area has ever had.

Dozens of cats died when an East Brainerd home burned Saturday.

Chattanooga firefighters say piles of clutter made getting to the fire a challenge in a house filled with at least 50 cats. They also say fecal matter covered the home. Now McKamey Animal Center is investigating to determine if animal abuse and neglect charges will be filed.

A family of four rent the Elaine Trail home in East Brainerd. The husband, wife and two sons escaped the fire unharmed, but dozens of their cats didn't.

"The majority of the cats died in the fire. We now have 17 survivors," McKamey Animal Center Director Karen Walsh said.

Those surviving cats are now quarantined at McKamey Animal Center undergoing treatment. Many are singed, shaking, and in shock after firefighters pulled them out from piles of clutter inside the burning home.

"Suffered from heat and from soot and some of them from the water. Some of them got singed. A few were burned, but they were also breathing in that smoke as well," Walsh said.

The Chattanooga Fire Department ruled the fire accidental, possibly electrical, but animal control is doing it's own investigation for animal abuse and neglect.

"Sometimes these cases aren't prosecutable. They're more of someone who needs help," Walsh said.

In Chattanooga, you're required special permits if you have more than seven cats. This family did not have those permits. Walsh says it's impossible to take care of 50 cats and that the fecal matter throughout the home likely played a role in the fire spreading so quickly.

Story from Wrcbtv.com

 

How often do you train with your portable radios? In today’s fire service most all firefighters carry portable radios, how often do you review what is important traffic.  One such transmission should be Heavy Contents. 

From a street level, jumpseat riding, firefighter like me to the chief of the department allowing them all to transmit a discovery of hoarder conditions should be encouraged if you are face with an extra amount of contents, such as those found in a hoarder home.  Compulsive hoarding can be found at many different levels (1-5) that have their own characteristics.  Using you cues and clues from the first alarm to the backing in of the last truck will help you all come home safe.  Let’s take a look at vital transmitions that should be made if hoarding conditions are discovered.



1)      Blocked Entrance points:  Often in hoarding conditions entry doors and exits are no longer able to be used.  From a level 3 or above multiple doors and windows will become blocked as their hoard accumulates and block them.

2)      Overloaded yards:  Many times a hoarded environment will spill over into their yards.  These are the easiest conditions to identify, but keep in mind that building codes inside city limits front yards will not show, but backyards can.

3)      Overloaded attic spaces: In the beginning of a collection of belongings the attic space can be the beginning.  If a firefighter finds an overloaded attic space, the Heavy Content should be transmitted.

4)      Hoarded Cars: Why this is not a concrete declaration, a discovery of a hoarder condition in their car can clue you into a possible heavy content environment inside the home.

 

These are some quick tips to review with your firefighters, both young and old.  If you see something say something.  Make the call to announce a heavy content environment to everyone on scene and responding to make sure we all identify, adjust, and attack these Hoarder Fires.

One common factor that keeps coming up during the my research of fires in Hoarding conditions is the increase danger to firefighters.  One of the most dangerous times of the

[caption id="attachment_220" align="alignright" width="144"] Be Prepared For Overhaul Dangers


firefight is in the overhauling of the fire.  Once the flames have been knocked down and the process of ensuring all the smoldering fires begins firefighters can be exposed to a number of dangers.  Let us take a look at some of the dangers you may be faced with when overhauling a Hoarder Fire.

Structural Damage

A huge point of learning that I drive home during my hoarder fires class is the need of understanding that hoarding conditions can cause structural damage before the first drop of water is applied.  Cluttered houses make it near impossible to maintain, evaluate, or repair damaged support members. Common situations seen include rotting wood, termite damage, and water damage that does unnoticed for an extended amount of time. Adding to this problem is the weight of the belongings. Then expose them to fire and you have a recipe for a structural collapse in the making.

 



With these conditions in mind one of the first evaluations that needs made is the condition of the structural supports once the fire has been placed under control  Making a path that leads to an inspection point should be a top priority as ceilings need pulled and measure of burn is estimate.  There have been many occurrences of floors completely burning through floor trusses and the floor comes to rest on the hoard.  If the floor feels “spongy” in heavy contents conditions it’s time to get everyone out as this could be what’s causing the condition.

Lingering Toxins

The dangers of the byproducts of incomplete combustion, otherwise known as smoke, are hammered home to firefighters everywhere.  Exposure to these carcinogens can be at the greatest risk during the overhaul phase of a fire.  Many firefighter’s let their guard down as the smoke isn’t as thick or dense, then remove their SCBA exposing themselves to carbon monoxide, benzene, and formaldehyde, to name a few.  This danger has been addressed in many departments but in hoarding conditions, the danger is increased.  Deep seeded, smoldering piles of debris can be found hours into the overhaul process.  When “digging” in make sure to expect these toxins may be present and protect yourself by continuing to wear your SCBA.

Air monitoring a fire during the overhaul process has always been a good practice.  During overhauling a hoarder condition more monitoring can be helpful.  Due to the amount of clutter and reduced airflow each room that firefighters are working in should be monitored for air quality to insure firefighters are not being exposed.

 

PPV during Overhaul

Using PPV during this phase is another good way of removing the toxins.  Positive Pressure Ventilation is a concerning topic in hoarding conditions for two reasons. 1) Dangers of increasing the fire volume, rapidly, 2) fueling smoldering piles in different rooms.  Both of these reasons are why I have shied away from suggested using PPV.  One area that I would recommend its use is during the overhaul phase as one concern should have been illuminated. Once the “main body” of fire has been knocked down and we have switched to the overhaul phase the danger will be lessoned.

This still leaves the danger of smoldering piles of debris in multiple rooms. We should always keep this danger in our minds if PPV is chosen.  Firefighters inside the building during they overhaul phase have the chance to be trapped by fire if the smoldering pile flares up.  To insure that PPV is used safely each group overhauling should have a charged hoseline, make sure they have a secondary means of egress, and good coordination with command in the timing of PPV use.

 

Hoarder fires are NOT normal structural fires.  They are a complex fire that has many different issues that must be addressed, including the overhaul phase.  This article has covered just 3 of the many dangers.  Review these dangers with your crew to prepare them to dig in when the overhaul phase begins!  S

Story From  Wchs6

(WEEK) Sam and Barbara Garland's Pekin, Illinois home is now just a pile of debris.

The house caught fire early Sunday morning.

Pekin Firefighters were on the scene for 12 hours, forced to demolish the home to search for the victims buried inside.

They uncovered the bodies of the Garlands later that night.

Deputy Fire Chief Brian Cox says the amount of personal property in the house made it impossible to get inside.

"The front door was completely blocked. From what I understand the upstairs of the house was just packed to the ceiling with stuff," Cox said.

Hoarder Response from a Northeastern Fire Department:

Initial dispatch info is for sparking/arcing on the utility pole in front of the complainant's residence, at 12:08am. We respond with a crew of 3 (driver (a LT filling in), Sr  firefighter serving as acting officer (myself) and a FF) (non emergency per SOG) and arrive on scene in 5 minutes, with PD on location.  PD reports to us that he has been on location for 2 minutes, has observed nothing, spoken with the complainant, who informed him he still had power, etc.  PD leaves for a priority call at that point.  We observe nothing with regards to the pole, we quickly check some surrounding homes to confirm they have power, etc.  I go to the door to talk to the complainant and get further detail.  He reports he observed what he believed to be arcing or sparking while he was arriving home and called it in.  At this point approx. 10 minutes has passed since initial call.  I return to the street, talk to the LT, we agree the best path forward is to have dispatch make contact with the utility company to follow up in the morning and to advise the homeowner to call back should he experience any issues.  I return to the front door to talk to the resident.



As I am going over our standard details with him about following up, etc. he reports he heard a loud sound, a "bang" as he described it, in his basement.  Shortly after he makes that statement, and before I could even reply, another loud noise comes from the house, what sounds to be in the basement.  At this point, I ask him to leave the structure, verify that no one else was at home, and inform my LT of the situation.  We return to the street, we put airpacks on, grab the TIC and hand tools off the rig, I take the other FF on the crew into the house, with the LT assuming command at the street, and he requests the balance of the structure assignment.  The conditions on the first floor were EXTREMELY clean.  Nothing out of place.  It looked straight out of better homes and gardens.  I opened the basement door and attempted to turn on the light switch.  Nothing.  Doesn't work.  I call my LT as I go down the stairs to ask the occupant if the lights in the basement worked normally.  Occupant reports they do not.  I turn on my hand light while descending the stairs and it is what we refer to has "high density content".  There is nothing but 2 small paths maybe 18 inches wide, one from the base of the stairs to the south end of the basement where the washer, dryer, fuel oil tank and oil burner were located, and another small path that went to the west, where the switch panel and a man door to the outside were located.  It was stacked to waist level, or higher everywhere throughout a 20x50 space.  Everything ranging from boxes with various contents to folded cardboard boxes banded together and stacked to piles of clothes, and everything else under the sun.

At this time the 2nd due arrives and I advise the LT of the conditions and tell him to have the 2nd due crew stand by while we work in the basement.   I made the decision to head towards the panel box on the west wall.  As we advanced, we had to physically remove obstacles from the path, while walking sideways.  The piles were so high that I was actually considering withdrawing and attempting to make entry from the man door on the outside, as it appeared to be a shorter path to the panel box.  As we approached the panel box I realized the path terminated before reaching the box.  At that point I used the TIC to look for preliminary heat signatures in the walls around the panel box and in the panel box itself.  We had about 5 more feet to physically reach the panel box.  We removed approximately 20 boxes stacked, plus an old washer and dryer,  to get to the panel box.  We confirm nothing is tripped in the box.  At this point I observe the man door, which is about 5 feet further west along the same wall, is physically open, more than just ajar.

I ask the LT via radio to talk to the occupant to confirm that the door was previously closed.  Homeowner confirms it was.  I make my way to the door and observe fresh footprints in the snow immediately outside the door.  At this point my instinct is that  the home owner didn't secure the door previously and/or it was forced open by wind, banging against piles of junk around it.  We retreat back down the path we cleared and make our way back to the stairs and then to the south wall, where the functioning washer/dryer, oil burner and tank were located, walking sideways and moving items out of our path as we go.  I got close enough to get a good signature off the TIC, confirmed no issues on that wall and began working back towards the stairs again.  Total elapsed time to check the basement, over 20 minutes from time of entry to the structure. That was the part that shocked me more than the conditions we encountered...over 20 minutes...almost 25 actually.  I thought when I reached the bottom of the stairs and evaluated the situation it might take 10 minutes versus the usual 5 or so it would take under more ideal circumstances.  It took a hell of a lot longer than that.  That was the aspect that surprised me the most, was the sheer amount of time and delay in being able to fully investigate the situation in the basement.

We determined the noise was most likely due to the unsecured door contacting a junked hot water heater in its path and put everything back in service.It was a unique experience, and the hoarding conditions led to creating a situation that actually forced us to deal with them, had the hoarding conditions not existed, the situation that necessitated us to investigate would have never occurred.  Then we were forced to deal with the conditions themselves.

Learning Point:

In hindsight, if I had it to do over again, I would have withdrawn from the basement and attempted to make entry via the man door, which was the shorter path to the panel box, however we still would have had to check the other wall anyway.  No win situation I guess, but I think it would have been less labor intensive and quicker to have withdrawn and attempted entry from another direction and had a second crew work their way through to the south wall from the base of the stairs and even then I am not too keen on the idea of committing 2 crews under those conditions, with the real possibility of entrapment/entanglement, etc.

Chamber Quick Tips:

• When Hoarding is Discovered search for alternate routes of Entry


• Prepare yourself for the Extra Workload


• Thermal Imaging is required in Hoarding Situations


• Use a uncharged Hoseline or Search rope to help stay oriented in case of TIC failure

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Police ID woman found after house fire

ALBUQUERQUE, N.M. (KRQE) - Albuquerque Police said the elderly woman found dead in a house fire over the weekend was the homeowner, Juanita Adams, 84.



APD is still waiting on the autopsy report to learn how she died.

The first broke out early Saturday morning at her home on Lexington Ave Northeast near Juan Tabo and Candelaria.

Arson investigators are still working to determine the cause.

Neighbors told KRQE News 13 the home had become a hub of activity recently with aquantinces of Adams' son who lived with her there.

"A lot of different vehicles all hours of the night, lot of crap going on," said Jim Bride.

This is not the first time the home has come under scrutiny in fact it has been on the city's radar since 2010 when the safe city strike force was called by neighbors.

"With regards to some hoarding and minimal housing issues," said Joe Martinez.

Read More Here

See original Story before the fire Here

WEST PHILADELPHIA - January 9, 2013 (WPVI) -- Officials say an elderly man has died in a fire that destroyed one home and damaged neighboring homes in Philadelphia's Parkside section early Wednesday morning.



The fire broke out around 2:15 a.m. on the 4900 block of Brown Street.

Fire crews arrived to heavy flames showing on the first floor.

Authorities believe the elderly victim may have been a hoarder. Firefighters had to fight through lots of debris while trying to extinguish the blaze.

The victim was found alone inside the house.

Investigators say, there was no evidence of working smoke detectors in the home.

Read More   Here