Trapped in the Hoard 

Without a doubt the number one concern of teaching firefighters about fires that occur in hoarding conditions is the potential of firefighters becoming trapped inside. While this potential is present on any type of fire, hoarding presents additional challenges.  Understanding the potential for trouble should ensure all firefighters are visiting self rescue, lost orientation, and entanglement training monthly.  Let’s face it, many of us will be lucky to review and practice these procedures yearly if at all. Let’s take a look at three processes you can review to prepare yourself. 

Hoarding Concerns

As a persons home becomes full with belongings the amount of usable space is severely restricted. With this collection the potential for firefighters becoming lost inside increases. From day one most firefighters are taught orientation based on contact with a wall.  Household clutter that extends well beyond arms length from the wall is common in the hoarding conditions.  Firefighters who do not make adjustments for this danger can find themselves disoriented in a labyrinth of belongings, usually that have no secondary means of egress.  

How can this happen? Does the firefighter not see the junk?  Great questions, but there can be many factors that contribute to firefighters not seeing or suspecting clutter.  One factor is where the home is located. If inside a municipal district there may be no visible clutter from the exterior.  These hidden heavy content homes may not indicate clutter until entry. Secondly, the first room of entry my be free from clutter. In hoarding conditions not all rooms are completely packed full, there can be varying levels of stored items.  If the room of entry is open the firefighter may assume the rest of the building is the same way. 

Don’t waste time

Many firefighters ask how long they should wait before calling a mayday.  In hoarding situations the time to call should be reduced. Why, because the length of time to rescue will be increased.  If  firefighters were to find themselves in the middle of clutter without means of orientation this is a true emergency. The amount of time before declaration of the mayday should be short.  

Ideally the lost firefighter will have a search rope, TIC, and/or a hose line for orientation. If none of the potential life savers are present and you are disoriented call it……CALLL IT NOW!!  

Some firefighters feel if they call a mayday without being in true life or death danger they can be ridiculed by other members once the fire is  out.  So what! At least you will be alive to take it. If you feel the need to search out secondary means of egress and/or a point for orientation without positively knowing the direction you can find yourself going towards bigger danger, especially if you choose to crawl over stacks of debris. In heavy content conditions that best path is inside the pre-made pathway established by the occupants.  

If a firefighter does not feel the need from a mayday declaration they should begin with radio communication to inform everyone of the situation and request information that can help them become reoriented to their location or establish secondary means of egress. These communications should be short and to the point. The longer it takes to establish location the more air the firefighters will be using and less time to make an escape. Establishing air consumption rates and understanding how to function in a high stress situation can aid in the reestablishing orientation. If firefighters have even a small amount of doubt, CALL THE MAYDAY. 

Entanglement Solutions 

Inside cluttered conditions firefighters will find a variety of entanglement dangers. From large collection of Christmas Lights to wire from dryer vents ran for ferrets to travel room to room these challenges may be some that firefighters had never even thought of.  

The most important variable in the entanglement equations is identification of there presence. Not crawling into a room with a collection of wires is the BEST solution to this problem.  Making this seemingly simple statement more complex is the density and thickness of the smoke.  Limited visibility can make this near impossible.  Using the Thermal Imaging Camera (TIC) offers firefighters the tool to identify these situation.  While scanning with the TIC firefighters should look for piles of wires, tubular shaped dryer style vents, multiple electric cords, and other challenges that can entangle them. 

If a firefighter is to become entangled they must revert to solid training.  Using techniques such as the swim move, grab and cut, are both options while remembering to not pull the entanglement tighter.  Both of these techniques are commonly found in firefighter training manuals and require more time that allowed in this short blog.  If you are not familiar with these techniques click Here and Here to watch short videos on managing entanglements. 

Clearing Debris 

Whether before or after any firefighter emergency that happens inside a Heavy Content Environment will require the removal of debris. From simply moving a stack to the labor intensive task of moving massive piles clearing debris in a hostile environment comes with challenges.  

First and foremost, is the workload on the firefighters. If the work is being completed inside a smoke field environment air consumption will be increase. Lower actual working times will require more firefighters to be available to perform the task of moving the debris.  Key to knowing this problem is the identification of heavy content early in an operation to allow time for other firefighters to be on scene.  

Second, is the potential for added weight to cause a localized collapse. When clearing debris to reduce or prevent a mayday firefighters need to understand that moving the weight of a stack to lay on top of another stack could be enough added weight to cause a collapse.  

Example: Pile A has x amount of weight, while Pile B has x amount of weight.  These piles have added weight slowly over many days and weeks allowing for the structure to adjust.  Imagine if in a short amount of time the weight from pile A is put on top of pile B.  In a matter of minutes you could have double the actual weight of pile B. The weight added could stress that area of the structure enough to cause a local or complete collapse. 

It is important to understand this risk when working around the massive amounts of stuff inside a heavy content environment. When tasked with moving stacks of debris, whether for a mayday or not, firefighters should ensure the distribution of the weight is not piled in one central area that could already be near the collapse level.  Spreading the weight over a larger area will help reduce the chances of collapse danger. 

Ryan’s Advice 

Fighting structural fires will always bring an amount of risk with it.  When operating inside homes filled with massive amounts of content the risk will be higher.  Firefighters need to understand the sheer volume of physical risk required to accomplish even the most simple tasks. 

Prevention is the best advice for mayday situations. By using good situational awareness and common sense firefighters should manage the potential  mayday causing situations.  Use the pathways for transportation routes, keep the stacks in place, pay close attention to air consumption, and always suspect that adding more weight to an already weighted down building runs the risk of collapse.  

Actionable Items

1.Review your mayday radio transmission 

2.Ensure the purchase and upkeep of wire cutters

3.Review TIÇ use in identifying wires, cables, and other entanglement hazards

4.Practice swim technique

FIREFIGHTERS in Derbyshire have held a seminar to raise awareness of the extent and impact of hoarding.

Compulsive hoarding is a debilitating psychological condition that is only just being recognised and one that can lead to issues regarding the health, wellbeing and fire safety of everyone in a hoarding home. It can also present significant risks to the community, firefighters and other agencies.

Last month 58 delegates from a wide variety of agencies from across Derbyshire representing; housing, environmental health, Age UK, care coordinators, the police and prevention and inclusion officers from the fire service came together at a multi-agency hoarding seminar hosted by Derbyshire Fire and Rescue Service.

There are approximately 50 hoarders known to the fire service in Derbyshire. It is anticipated that by working together and pooling knowledge with other services that this number will rise significantly.

Speaking on behalf of service, area manager Steve McLernon said: "By sharing information and best practice we can work together to help and protect not only those that are affected by hoarding, but also those that may have to come into contact with a hoarder or their home."  

Read More Here

Tuesday, October 14, 2014 05:39PM

 

Here is a behind the scenes look at the ChamberofHoarders.com Learning Center.  Four hours of education of Hoarding and how we need to Identify, Adjust, and attack the overloaded buldings caused by Compulsive Hoarding Disorder.

 

Since the days of the Collier Brothers in Manhattan first responders have been

   


dealing with the affects of compulsive hoarding disorder.  The ChamberofHoarders.com is a website dedicated to teaching educating first responders on the needed changes to tactics and challenges they will face when entering the hoarding environment.  From bio-hazards during a medical response to a working structural fire hoarding offers dangers that can affect responders for years.

The mission of this website is to deliver actionable content that you can put to action immediately.  Starting with this post we would like to walk you through the causes, challenges, and solutions when dealing with the conditions caused by compulsive hoarding.  Over the next 52 weeks we will be posting fresh content that offers insight into the disorder and how to change  our operations to bring everyone home safe.

History of Compulsive Hoarding: Week 1

Compulsive Hoarding Disorder is defined as  the accumulation of and failure to discard a large amount of belongings that have no apparent value, the accumulation makes living spaces unusable, and causes significant distress on the occupant (Frost and Hartl 1996) This clinical definition describes the inability to discard belongings that eventually accumulate from floor level until, eventually, ceiling height.  Compulsive Hoarders receive positive feelings from the acquiring belongings and are unable to part with them because of the negative feelings they receive when parting with them.
This collection often is comprised of things that you and I would consider to have little value. Common items collected include:

•  Newspapers

 

• Magazines

 

• Books

 

• DVD’S

 

• CD’S

These items can differ in each case of hoarding, depending on the afflicted’s compulsion.

It’s believed that Compulsive Hoarding Disorder affects between 700,000 - 1 million people.  (Hoarding Handbook… Bratiotis,C, Steketee (2011) Many think that this number is lower than the actual number.  Many cases of hoarding go unreported as the affected person often feels ashamed or embarrassed by their disorder. They don’t want “discovered” or “exposed” and often stay hidden inside their homes without allowing anyone to enter, including family members. Not allowing visitors inside will often keep the conditions hidden until an emergency happens and we, the first responders, find the conditions as we make entry to solve the problem.

Dealing with surprise can be one of the biggest challenges to first responders. Imagine responding to a seemingly normal looking home, just to open the door and find a labyrinth of belongings that reach to the ceiling.  Most often the hoarding is discovered during a routine emergency medical call or fall assist. If you discover these conditions during one of these types of responses you need to start the pre-fire process in motion to establish a “Heavy Content” environment. Getting the information should be processed through your departments normal pre -fire planning process for constancy. Adding the plan to the normal collection of multi-family and high hazards buildings will make the plan available to the street level responders.

 

Having an understanding of the complexities associated with Compulsive Hoarding Disorder is required by the responders left to deal with the mess.  It is a complex disorder that is NOT A CHOICE.  We can not cast judgement or compare their living conditions with ours.  Remember in their eyes belongings are valuable and not just trash laying around.  Using a layer of compassion and understanding when dealing with the occupants will lead to a more successful outcome.  This care should be taken in non life threatening conditions to understand, explain, and support them.  Treating them like a beloved family member is a great method of supporting their emotional needs.

If you are mean spirited and use terms such as “trash house” or “hoarder” they can have severe reactions to yourself and crew, sometimes violent reactions. One example of this type of reaction occurred in Long Beach California as a code enforcement official showed up to a home to serve notice.  The occupant shot the code enforcement officer in the head.

“Code enforcement officers arrived at the home about 8 a.m. Thursday to serve an inspection warrant in response to hoarding complaints. When they arrived he fired at them, police said, hitting one of the code officers in the head.” source  La Times 

This illustration should help us all understand how strong the compulsion to protect their belongings is. How threatened do you think a person would have to be in order to shoot a code enforcement officer? We all should keep this illustration in mind as we respond to hoarding conditions to ensure we all come home safe.

 

Thanks for stopping by chamberofhoarders.com as we begin the year long journey of discovery…..

 

As always you can learn more about Hoarding in our online Learning Center… Click Here! 

When firefighters enter a burning building many different factors come into play.  One huge factor that can affect the outcome of the operation is the presence of increased amounts of belongings, caused by a person afflicted with compulsive hoarding disorder.  As their collection of stuff accumulates the danger in hoarding firefighting increases.

[caption id="attachment_882" align="alignright" width="180"] Firefighter Enter Hoarding


Over the past two years of reaching out to fire departments from around the world some common challenges kept coming up.  Inability to hit the seat of the fire, shielding from the heat , and difficulties in escape were top of the list.  This past weekend the chamber of hoarders had a unique opportunity to enter a “live fire” environment to experience these variables.

With the assistance of the Frontier Fire Company in Wheatfield New York a hoarding environment was set up and multiple scenarios were run.  The results were a confirmation of all the research collected. Each variable was looked at individually and together with great success.  It truly served as a reminder that hoarding changes our operations and if we are unwilling to adjust our operation it may not be successful.

Shielding from the Heat

With many safety measures in place the fire rotations started with a firefighter between the stacks of belongings with a thermal imager.  What we learned was a confirmation and an amazing result. While the other instructors took a beating from the heat in front of and behind the stacks of stuff the inside firefighters documented floor temperatures of 125 degrees with thermal imagining, shielded from the heat.

Documenting these temperatures was an unofficial, non- scientific example of the true dangers of the hoarding environment.  No monitors, measuring equipment, or recording devices were in place, just a group of firefighters with thermal imaging cameras watching something amazing.  The hoard shielded the firefighter from the heat.  It restricted the heat and pushed it past and around.  These results proved a multiple amount of points.

• Hoarding can give interior firefighters a false sense of environment


• Shielding can allow firefighters to push further inside without experiencing the normal heat levels


• Stacks of stuff can trap firefighters


• Victims can have more survivable thermal temperatures when insulated with hoarding.

With the recent research on flow paths coming to light the need to adjust them for hoarding  firefighting was revealed inside the burn room in New York this past weekend. It reconfirmed the dangers of the insulation provided by the interior conditions.  This insulation can hide the hidden heat and dangers until it’s too late.  Most firefighters advance into burning buildings using their senses to determine how far and deep they are to go.  In hoarding conditions they may keep pushing unaware of the hidden dangers waiting for them. Dangers that could present themselves in the form of rollover, flashover, or backdraft, trapping the firefighters because they don’t have secondary means of egress.

[caption id="attachment_883" align="alignright" width="120"] Hoarding Firefighting


 Conclusion

Confirmation that the shielding is real was not a surprising result.  This weekend just reconfirmed what we have been learning from survival stories from around the world.  Hoarding conditions can act as an insulator keeping high temperatures away from the victim or firefighter in the middle.  We need to educate firefighters to be aware that this shielding can lead to poor judgment to just how far we should push.

Identify, adjust, and attack when Hoarding is discovered!!!!!!!

 FDIC Flow Path Video. 

 

Since attacking the problem of emergency responses in Hoarding Conditions, from the perspective of first responders, the questions from the family members of people who are suffering from Compulsive Hoarding Disorder keep coming in.  How can I help my family member? How do I make their home safer are a small examples of the questions that are commonly asked.

]

Hoarding Fire Safety Should include a Escape Plan


Answering these questions is complex and has no one simple answer, but there are some steps to help protect your loved one from the dangers of fires in hoarding conditions.  While these simple steps may not eliminate the risks to them it can improve the chances of survival if a fire were to happen. Since starting the research into hoarding fire safety many common causes have been identified.  Sharing these common causes will help family members protect their loved ones until they can be treated by the mental health professionals.

 

Cooking Fires

Cooking fires are commonly seen in the fire service today. Hoarding conditions complicate these types of fires because the clutter has accumulated to the edge of the heating source.  When the belongings are allowed to invade the space adjacent to the stove the potential for cooking fires goes up.  If you add ordinary combustibles to a heat source the resulting fire can spread fast and trap the occupant who is in the kitchen.

0"] Hoarding Fire Safety In the Kitchen.


Fire proofing your family member’s kitchen may be a huge undertaking, especially if the hoarding level is at or above waist level.  Compulsive hoarding disorder prohibits the occupant from distinguishing between things that have great or little value. If you were to try and move their “treasured” valuables you will be met with passionate resistance. Being understanding and compassionate in your response will keep the family member at ease as you try to explain the risk for fire.

Approaching them with some tradeoffs will allow them to move their belongings away from the heating source, thus reducing the risk for a cooking fire.  Example: “Can we take the belongings from the counter and move them over to the table, away from the stove.”  If the family members understand how the thought process works they will focus on a positive solution to this problem.

This approach may be met with resistance and take time to explain the risks of cooking fire inside their environment.  Persistence with this process will be needed and the kitchen may need to be revisited multiple times as the family member replaces the belongings that have been moved.

Electrical Fires

Another leading cause of fires inside hoarding conditions are electrical fires.  Having stacks of belongings closely placed near electrical outlets increase the risks of fire from a sparking electrical outlet.  Much like the cooking fires the ordinary combustibles, newspapers and like materials, can make a fire more likely and increase the burn rate trapping occupants.

Moving the stacks of belongings away from the outlets is a simple solution to this problem.  Approaching the family member with the example of electrical outlet malfunction and explain that you are not asking to throw anything away, just move it away from the outlet will ease the pain felt when approached with the thought of losing their “treasures”.   Explaining the process of “moving” not “removing” the items can reduce their anxiety.

"] Hoarding Fire Safey


A blaring similarity, in electrical fires, seen in the hoarding environment, is caused by extension cords.  They are commonly stacked one on top of the other as electric outlets become unusable.  If an electric outlet becomes non-functioning the occupant often just runs an extension cord from a functioning one increasing the chance of overloading one outlet.  When you enter the family members home you should take time to investigate the status (usable or not) of all the outlets in the home.  This access can be difficult as the access to them can be blocked with the hoard.  Use the pathways established by the occupant to access the points available first before trying to go through the stacks.

Escape Plan

Much like the education given to elementary students in fire prevention month family members afflicted with compulsive hoarding disorder should be exposed to the exit their home plan.  Fires today are known to double every thirty seconds, offering less time for occupants to escape.  Taking the time to explain this danger to your family members will help offer some simple solutions, while starting the treatment plan.

Taking the time to explain this danger and evaluate the presence of multiple exits paths is paramount for their safety.  Example: “If a fire were to happen in the current condition blocking this only exit, you will burn to death” While this sounds somewhat extreme it may be necessary to bring home the dangers presented by not having multiple exit points in their home.

Ask your family member “What is your plan in the event of a fire and this pathway is blocked?”

 

Smoke detectors

By far the most important part of the visit should be the instillation of smoke detectors in EVERY room.  When hoarding conditions are present available airflow for smoke can be restricted.  This restriction can delay the time needed for a standard smoke detector to be alerted.  Delayed alerting can lead to less time for escape of an occupant.  Expecting this delay should lead family members to install more smoke detectors, one in each room.  Mounting them on the ceiling in the center of the room is a best option, if the stacks of stuff allow.  If not the closest proximity to the center ceiling will allow for the most coverage.

Hoarding Fire Safety Conclusion 

Dealing with loved ones that are dealing with compulsive hoarding disorder can be an emotion filled challenge that takes years.  Keeping a positive, reassuring approach that always keeps in mind the complexity of Compulsive Hoarding Disorder can lead to a successful safety intervention.  While this is not a cure it is an intervention that could save your loved ones life.  Make sure to reach out to your local fire departments, hoarding tasks forces, mental health professionals, and health officials for resources to help in your journey.

 

Additional Links:

http://www.hoarders.org/f-c.html

http://childrenofhoarders.com/wordpress/

http://hoardingdisorderinstitute.com/

How much risk are you willing to take?  While attending the 2013 Ohio Fire and EMS expo in Columbus Ohio last week it seemed clear that first responders don’t fully understand Hoarding Dangers and how they can affect safety.  Having the opportunity to travel and meet the brave men and women who serve as first responders is a HUGE honor.  In this past week’s travel is where this lack of understanding became crystal clear in these conversations.It’s like clockwork that when someone hears that I am studying responses in Hoarding Conditions they immediately start into a story of a response.  These stories always involve the words “lucky” and/or “fortunately” something happened or it could have been bad.  As an educator these words are like fingernails on a chalkboard.

[caption id="" align="alignright" width="265"] Hoarding Dangers: Glassware Image from http://hoardingwoes.wordpress.com/2012/09/30/hoarding-the-glassware/


I would like to share two conversations that came from Ohio.  Sharing these conversations is not a judgmental or an effort to “bash” anyone, but rather an attempt for everyone to learn from their experience.

Hoarding Danger in Piles:

The most troubling story was, by far, the firefighter who described a fire where they had to crawl over piles and piles of belongings to fight the fire.  They described hoarding at a level 3 and went on to explain that the interior firefighters had to crawl over multiple stacks of belongings to access the fire, which sounded rather small.

The conversation described the difficulties of traversing the stacks and how “lucky” they were to make the fire room and have a successful firefight.  With the hair standing up on the back of my neck I began to question them and after some time the “I never thought of that’s came”.  Often we all don’t think of a certain danger until someone exposes us to it.  Their response is common when dealing with hoarding conditions.  Without being judgmental we should all be exposed to the danger possessed by the stacks of stuff.

Let’s review some of the factors and why firefighters should not crawl over stacks of stuff and exactly how dangerous it is.

• Stability of the Piles


• What are the Stacks Comprised of (magazines, books, Glassware)


• Collapse Risk


• Entrapment dangers (wires, yarn, extension cords)


• Weight of the firefighter


• Need for rapid escape


• Height of Stacks (putting firefighter closer to the ceiling and hotter temps)

Each of the above danger can place a firefighter in a life or death situation at a moment’s notice.  Mix one with another and a recipe for disaster is on the horizon.

Example: Firefighters making an interior push choose to crawl over a stack of glassware. The weight of each firefighter plus gear added to the instability of the stacks causes a collapse of the stack downward then adding a side collapse covering the firefighters with sharp glass.

You can see the dangers in the above example.  Not knowing what is in the piles of belongings should be the number one reason why we should NOT crawl over stacks of belongings.  Adding the weight of a firefighter to an unstable situation can lead to a mayday.   Do the occupants crawl over the stacks or walk around them?

Occupants use the pathways to access the usable space inside the house and so should we.  Using the “goat paths” for interior access is the safest way to gain interior access without collapsing piles of belongings on beneath the firefighters.  Think about walking to the stage of a theater, would you crawl over the rows of seats or use the isle to access the stage.

It was a Clean Hoarder House:

Another hoarding story from this trip was a assistance call where they described a Clean Hoarder Environment.  This mindset is troubling because of the hidden dangers that may not be seen because of the accumulation of belongings.

[caption id="" align="alignright" width="240"] How clean can it be. Hoarding Dangers


While the environment may look “clean” from the view point of a responder, do we truly know what lies beneath the hoard.  Without access to walls, rooms, and the inability to see the floor do we truly know what’s underneath the stacks of stuff.  The answer is NO.

 

Stacks of belongings in the home can hide dangers for first responders.  Rodents, insects, mold, and animal excrement’s can all be dangerous to responders and all can be hiding beneath stacks of stuff that appear to be clean.  Without the ability to clean and maintain a home, due to the hoarding, the occupant may never truly have the ability to clean, sanitize, or remove problem areas.  This accumulation can be dangerous for them and us.

If you find a hoarding condition that must be entered we MUST assume the worse situation possible and choose to wear our PPE properly.  Assuming that the hoarding area is “clean” is an assumption that can lead to Bio Hazard exposure.  Once discovered we should take the appropriate precautions and choose to wear ALL of our PPE to make sure we don’t care these dangers home to our families.

 

Review:

Emergencies in hoarding conditions should be identified, adjusted for, and then attacked with different approaches by all first responders.  Crawling over debris and not choosing to wear proper PPE are just two dangers that could cause injury or death.  Make the choice to avoid them both when, not if, you are called to enter the hording environment.

 

 

Since the days of the Collyer Brothers, in Manhattan, first responders have been dealing with the excessive accumulation of belongings caused by compulsive hoarding disorder. We have just “dealt” with the challenges and continued on our way to solve the problem. Today we are seeing an abundance of these types of emergencies.  Many different theories exist on why we are seeing an increase in the number of compulsive hoarders, but without a doubt emergency responders are seeing an, almost, epidemic level of responses inside hoarding conditions.

Compulsive Hoarding disorder is defined as: The accumulation of and failure to discard large amounts of belongings that have little or no value.  This compulsive accumulation eventually takes over their home to where it cannot be used for its intended purpose.

How does this disorder directly affect the first responders?

As the accumulation of belongings start the dangers to the occupants and first responders big to pile up, just like the stacks of stuff.  The challenging environment that follows offers challenges with entry, exit, and an increase in available fuel for a fire.  Along with these challenges firs responders can be faced with multiple biological dangers caused from rodents, human, and animal waste.  Each one of these dangers is major challenges for first responders.

[caption id="attachment_158" align="alignright" width="180"] Photo Courtesy of Twin Cities Fire Wire.


Who discover these environments?

People that are afflicted with compulsive hoarding disorder are very reclusive and often do not allow people to enter their homes.  Many of these folks feel “embarrassed” or “ashamed” as they are aware of how their disorder is seen by people.  If no one is allowed to enter their home it is common for the first responders are often the first people to discover the conditions. They will keep to themselves until they have a medical emergency, fire, or experience a need to call 911. This call brings the local responders to the environment, often unprepared for what they find.

What are the Cues and Clues that hoarding is Present?

One of the most common questions asked: “Can you tell from the outside of a house that Hoarding conditions exist?”  The answer is, YES.  While it is not a 100% certainty there are some common ques and clues that can lead you to assume that the home is filled with belongings.   Identifying these common clues will lead to a better informed decision making process and adjustments to keep responders safer.

Why did you choose this topic?

Many folks ask why Ryan chose this topic.  Just like many fire departments that call for presentations on this topic my home department ran back to back fires in hoarder conditions.  Much like most to Google I went and what was discovered was amazing, NOTHING.  Keyword searching for Hoarder Fires, Hoarding Firefighting, Hoarding dangers to First Responders, and others resulted in large amounts of documentation of the Mental Health Aspects of this disorder, but no attention was being given to the first responders who go rushing in…

How often are these emergencies happening?

It seems like every day another story of a hoarding emergency is being reported, somewhere in the world.

Here are some links from the Past week:

Baldwin Fire Company

Wayland Massachusetts

Evendale Ohio

These are just three examples in the past number of weeks.

How can the Chamber of Hoarders Learning Center Help?

With training budgets shrinking faster than a sinking ship, we searched for an affordable alternative to offer our class to the fire-ems service.   From these request the chamber of Hoarders Learning Center was born.  It is a 24-7, 365, accessible, and affordable option for responders to sit through 4 plus hours of education.  It can be viewed on mobile, desktop, tablet, or any device with internet access.

Do you travel to present?

Yes, Ryan Pennington has presented his program to over 600 first responders in 2013.  If you are interested in hosting a program contact  Ryan33@suddenlink.net  Make sure to watch the presentation page for upcoming dates of presentations

[caption id="" align="alignright" width="281"] Cluttered Fire Picture credit KHOU.com


HARRIS COUNTY, Texas –- Firefighters said clutter inside a westside home hindered their efforts to put out an overnight blaze.

The fire was reported on Paso Dobble Drive at Paso Del Sol Drive around 12:30 a.m. Friday, according to officials with the Community Volunteer Fire Department in Mission Bend.

A couple inside the home made it out safely and drove to a nearby fire station to ask for help.

Firefighters found fire inside the home’s kitchen and made a fast attack to get it under control. They said parts of the dining and living rooms were also damaged, however. Officials said they had trouble fighting the fire because clutter in the home was blocking the front door.

The Harris County Fire Marshal is investigating what started the blaze

Read more Here 

Without a doubt, the number one question asked is “How can I tell if the home is a Hoarder Home”.  The answer: You will need to look for the Cues and Clues of Clutter. If you are driving your district, running medical emergencies, or driving home from work you should be on the lookout for the hoarded homes in your district.  Knowing the conditions BEFORE a fire happens will make you better prepared when you arrive.  How do you find a hoarder home?  Let’s look and a new approach to identifying a clutter home in your district.

Street Level View

As we drive the streets in our districts we should be on the lookout for unique challenges.  These include a hoarder home and the potential for a response.  When driving past these homes you should be looking out for some typical cues:

• Hoarded front yards


• Large privacy fence covering back yard


• Cluttered front porches


• Blocked windows


• Overgrown shrubs, bushes or trees


• Multiple vehicles in yard that are full

These cues and clues should trigger a need for further investigation.  If you suspect one or more of the above you should begin to investigate a little deeper, but how?

[caption id="attachment_543" align="aligncenter" width="300"] Aerial view of a Cluttered House


Overhead View

Without an invitation or a need we cannot enter your property but the eye in the sky always knows.  Taking to your computer and using tools such as Google earth can let you get a bird’s eye view of the property to confirm your suspicions.  Find a point of interest, address, or something to give you a reference point and view the property from overhead.  This perspective will allow you to view the backyard, side yard, and potentially the windows without physically walking the property.

 Read More about Pre-Fire Planning Here:

http://chamberofhoarders.com/3-things-your-department-should-do-about-hoarding/

 

Read more about Non-Fire Dangers in Hoarder Homes Here:

http://chamberofhoarders.com/hoarder-homes-more-dangers-than-fire/

[caption id="" align="alignright" width="223"] New York City Hoarder Fire


Hoarding fire Staten Island

STATEN ISLAND , N.Y. -- City firefighters rescued 30 small dogs from a blaze that ignited in a two-story home -- apparently owned by a "hoarder" -- in the Clifton section of the borough.

The call about a fire at 3 Bowen Street came in at 9:29 p.m. It was under control by 9:59 p.m., said an FDNY spokeswoman.

"It looks like there was a Colliers' mansion condition in the house; that's what we call a hoarder's house," said an FDNY spokeswoman.

Read More

http://www.silive.com/news/index.ssf/2013/08/fdny_rescues_30_dogs_during_a.html

[caption id="" align="alignleft" width="270"] Hoarder Fire


Firefighters are battling fire at the home of a hoarder in Evendale. The fire broke out Friday around 1:30 pm at 3520 Glendale Milford Road. Crews from Evendale, Glendale and Springdale have been called to help fight the fire. Firefighters were forced to take up a defensive position when they could not get through the front door because of the hoarding. There are no reports of injuries.

Read More at: http://www.local12.com/news/features/top-stories/stories/fire-at-hoarders-home-evendale-1471.shtml

Read more: http://www.metrowestdailynews.com/news/x1837074408/Framingham-investigates-hoarding-at-Winter-Street-home#ixzz2ccHL1Fdd

After spending the last two days reviewing pages and pages of tragic events, which lead to a Line of Duty Death, searching for the effects of clutter, hoarding, or large amounts of debris. A huge point of learning kept coming up.  It wasn't the clutter that killed the firefighter; it was the clutter that kept the firefighter from being able to escape the primary killer….a rapid fire event or collapse.

[caption id="attachment_505" align="alignright" width="135"] Photo Courtesy of the Dix Hills Fire Dept,


This point of learning kept me up all night long trying to figure out how to share this information with all firefighters in a sensitive, yet stern way. The last thing that any of us should do is disrespect a fellow firefighter when learning how they died, but we all should honor them by learning the how’s and why’s.

How’s and why’s constantly included these factors.

1. Extended burn times


2. Hidden pockets of fire.


3. Elevated collapse risks


4. Blocked secondary means of egress

While some had one, most had two or three of the above factors that contributed to the death of a firefighter.  We can make adjustments for these factors, most of us do. But we need to make sure that we are adjusting for them ALL.  One can be dangerous, but combine multiple factors together, and it is a firefighter killer.

We need to take some steps to make sure we don’t underestimate our enemy, the fire.  Using some common assessments during the firefight can give you a buffer of safety and keep you thinking about the potential for death.

1)      Double burn time estimates

2)      Use outside crews to coordinate secondary means of egress

3)      Scan the building for exits while approaching

4)      Constant updates to command as your hose advance progresses

5)      Be aware of Hidden Fire

Keeping these tips and keeping your head will allow you to expect the unexpected, when dealing with the large amounts of clutter.  Adjusting how we operate in a hoarding situation will allow us to search, attack, and overhaul the home safely.

HOARDER HOMES ARE NOT BREAD AND BUTTER FIRES……...

Make sure you Identify, adjust, and attack to make sure we all come home safe!!!!!!

[caption id="" align="alignright" width="300"] Hoarder Fire NSW Fire Department


One question that keeps coming up, time and time again, when dealing with hoarder homes, is how do we keep the piles of belongings stable and prevent them from falling on us or the occupant.  This is a challenging question with a multiple different answers, dependent on the situation.  From fighting a fire to removing a patient on an ems run this challenge can be met head on to keep the stuff off of us. Let’s look at a few simple ways to keep the massive amount of belonging in their place while we perform our tasks.



Firefighting:

The most challenging part of fighting a fire in hoarder conditions is keeping the belongings in the same place.  From a VEIS search to advancing a hoseline dealing with the stacks will be difficult.  One way of stabilizing these piles is to avoid them at all costs.  The clinical term used is “Goat Paths” and this is how the occupant accesses their home.  By using these pathways will allow you to minimize the movement of the belongings, if the pathways are wide enough to allow.  Enviably you will know some things over, but if you make an effort to keep the hose low on the stacks and crawl toward the bottom of the pile you can help prevent a collapse.

While staying low will not be an end all, cure all it will use the base to keep them in place. Another benefit in staying low is to avoid the heat that you will be exposed to if you choose to go over the piles of belongings.  Every 12 or so inches equals 100 degrees and with some hoarding conditions that means a 200 degree spike.

If you can’t stay low you may be creative in your thought process.  Bringing an attic ladder, or two, or a salvage cover can offer you a tool to help keep the stuff in place.  If you choose an attic ladder, try to place it at waist level, when standing, to stabilize the middle of the pile.  This will be a labor intensive task and you will need to pay close attention to your air supply.  Often times there will not be enough space to lay it flat, so you will need to angle it upward to the ceiling level to capture as much surface area as possible.  Choosing a salvage cover will also be challenging.  Pre-rigging it for a quick and sometimes not complete deployment will be needed.   If fire conditions allow you can carry it inside and deploy it over the pile.  The cover will need to have some weight to it, not the lighter weight blue style.  During this process you may need to knock over some of the pile to help stabilize it.  When choosing this method a thermal imagining camera and due diligence is needed to make sure you are NOT exposing the firefighters or cover to high heat conditions.

Accessing the exterior:

One pressing problem with hoarding is accessing the exterior of the home.  From collections in the back yard to side yard full of belongings gaining access can be a hazardous.  Using some of the above mentioned tactics can be used, but also using ground ladders to stabilize the outside belongings may also be used. Laying it on top, to the side, or a combination of both can be used to make pathways of access.  Removing of privacy fencing of other barriers may be necessary to make this achievable due to the fact that they often use them to “Hide” their hoard.

You may also choose to use a salvage cover in combination with grounds ladders to make a stable environment as well.  Much like a ladder chute, to collect water, you can use two ladders and a salvage cover to make pile of belongings more stable to walk around, or worst case, climb over.   Climbing over these massive amounts of material can be challenging even with chutes and ladders to help offer stability.

 

Conclusion

From stabilizing the piles to maneuvering around them entering a hoarded environment offers man challenges.  Taking the time to stabilize the pile will allow you a greater level of safety as your exit routes will stay clearer.  One thing needs to be remembered when crawling in, your way out may become blocked, no matter how hard you try.  Using the paths to fight a fire or access a patient is a “best practice” when dealing with hoarding.  Getting creative and using some technical rescue skills will also allow you to enter and exit safely.  Remember that unless you practice these you WILL NOT be proficient at them.  Add some of these recommendations to your next drill and see if you can stabilize the stacks……..

Welcome back into the chamber of hoarders.  After some time away we are back and well into summer preparing emergency responders to face the challenges of compulsive hoarding disorder environments.  This week we are going to look back at a training topic that we have visited before, with a new twist.  It is vitally important to allow firefighters to communicate their findings on each response; this is even truer when faced with massive amounts of clutter found inside hoarder homes.  From pulling on scene to making a interior attack, each and every firefighter should be taught what to say, who to say it too, and how to say it when a hoarding environment is suspected.  Example, “ interior to command we are experiencing Heavy Content”, “command received.”  Often this is where this line of communication ends, not allowing incoming units or firefighters that didn’t receive this message aware of the potential for danger.  It’s time for us to change how we process, receive, and announce situations.

 

[caption id="attachment_388" align="alignright" width="275"] Courtesy of Oxford Pa Fire Department


Firefighter Level

Being the eyes and ears of the responders is a role that each firefighter should be given.  Constantly scanning, evaluating, and searching for potential dangers should be trained on until they become automatic. During this training is where we should introduce them to cues and clues that a hoarding situation is present.



Here are a few:

• Blocked doors and Windows


• Cluttered yards or Porches


• Cars Full of Belongings

If you encounter any of these situations a message should be transmitted to command.  Announcing the presence of hoarding conditions will put everyone in a more defensive mindset and allow the commander to call for additional resources.  Extra manpower, more apparatus, and needed rehab sector are all areas that need reinforced when dealing with hoarder conditions.  If the IC doesn’t know they need them, why would they call for them?  Make the call, even if you are wrong.  If they are not needed they can be released and returned to service.

 

 

 

Incident Commanders

Being in command of a fire when the announcement of heavy contents is made requires some direct actions.  First action is to communicate the findings to the dispatch center to share the message with everyone responding and on scene. Second action is to call for more help.  With hoarding conditions firefighters air consumption will be greater, thus lowering their work time and will need a longer rehab period because of the stresses placed on them while working in these overloaded spaces.  Knowing this a commander should request additional units to respond to the scene. Third action should be a second rapid intervention team.  If a firefighter is inside and experiences a Mayday, it will require a larger number of firefighters to access and remove them.

A good rule of thumb for any commander is the rule of doubles.  If you discover hoarding double the number of firefighters, RIT team members, and double the rehab time allowing your firefighters to adequately recover from the larger workload. The worst thing that you could do is place your firefighters into a stressful environment and not allow them time to recover before going back.

Conclusion

If you see something, say something!

If you hear something, Dispatch Something!

 

If you allow your firefighters to make the announcement of a potential hoarding situation it will allow all commanders to use the rule of doubles and call for the help needed.  Hoarding can place us all at a greater risk do to the compression of belongings that has taken years to accumulate.  Make the adjustments if you are faced with these conditions and make sure we all go home!

On Saturday May 11,2013 Jumpseat Training brought a new level of training to the West Virginia Public Safety Expo in Charleston WV.  Expanding their wildly popular classroom session, Hoarder Home's Piles of Hazards for Firefighters, to include a hands on session.  Evolution's within simulated Hoarding conditions added a new level of learning and perspective to the class. This was the first time for "hands on" evolution on Hoarder Fire Training.

Allowing students to experience the challenges faced with hoarding conditions took the learning to the next level.  When firefighters are faced with hoarding conditions they must change how they operate to remain oriented to their location and adjust how the search inside these conditions.

Many great learning points were discovered by students and instructors. Jumpseat Training would like to send out a HUGE thank you to the foll0wing supporters for making this session a overwhelming success:

WV Public Safety Expo

Resa III

Drager Thermal Imaging

BullEx Smoke Generator 

Darin Virag, Training Captain Charleston WV Fire Department

FoxFury Lighting Solutions 

FDcam.com

Look for more hands on training from Jumpseat Training Soon!

 

 

One complication that firefighters face inside a home that has hoarding conditions is the need for extensive overhaul.  Stacks of compressed belongings can lead to an extended overhaul and often will reveal hidden pockets of fire.  This news video shows an example of the complications of overhauling a hoarder fire as they were called back three times for rekindles.  There are only a few options when dealing with hoarder fires and overhaul.  Keep an eye out soon for more from ChamberofHoarders.com

 

News9.com - Oklahoma City, OK - News, Weather, Video and Sports |

 

Here is a Link to a previous article on Overhauling Hoarder Fires 

Story From 23ABCnews Bakersfield 

BAKERSFIELD, Calif. - A messy home made for difficult conditions during an early-morning fire in Northwest Bakersfield.

The fire started at approximately 2:00 a.m. Tuesday in the attic of a small house on Gulf Street.

Firefighters with the Kern County Fire Department said they had a hard time locating the home's address.  The house was built in a primarily industrial area north of Gilmore Drive and west of Highway 99.

When crews arrived on-scene, they said the firefighting effort was made difficult because the home was cluttered with lots of items.

A woman living inside the home managed to escape unharmed.  No firefighters were injured in the blaze, and there is no estimate on damages.

By Assistant Fire Chief Sam Terry

[caption id="attachment_387" align="alignright" width="198"] Pictures Courtesy of Oxford Fire Department


April 30, 2013

***WITH AUDIO***

Box 2104

At 0643 hours, the Union Fire Company No. 1 and the Cochranville Fire Company (27) was alerted for a reported house on fire in the 200 block of Old Limestone Road in the Russellville section of Upper Oxford Township.



Engine 27-2 was the first to arrive reporting smoke showing. The Engine pulled into the driveway and the crew deployed an 1.75" into the house.

Assistant 21 (Terry) arrived immediately after and established the "Old Limestone Command" and requested the Box to be filled. This added the Bart Township Fire Company (51) and the West Grove Fire Company (12/22/32).

[caption id="attachment_388" align="alignright" width="275"] Courtesy of Oxford Pa Fire Department


Engine 21-1 (Capt. Obenchain) arrived and took the end of the driveway. The crew stretched a 5" supply line to Engine 27-2 and then went into the scene and deployed a second 1.75" handline.

Crews encountered intense heat and smoke throughout the house as they attempted to advance. Due to the interior conditions, both crews backed out and began an exterior attack.

Read More Here 

Audio From Fire Here 

 

Chamber of Hoarder Learning Points:

• First arriving supervisor called for the second alarm immediately


• Interior crews pulled out once they discovered the heavy contents


• Crews attacked from the sides


• Rehab sector was established and extended


• Overhaul was extended to account for the amount of belongings