AWS · E-5 BIB · Entry 1 of 2 · Publication

NAVY SEARCH AND RESCUE (SAR) MANUAL

NTTP 3-50.1 · CHAPTER 1, 3, 5, 6, 7

CHAPTER 1 Aviation Maritime Search and Rescue Procedures

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NTTP 3-50.1 1-1 SEP 2013 CHAPTER 1 Aviation Maritime Search and Rescue Procedures 1.1 MARITIME ENVIRONMENT By the very nature of the naval mission, the search and rescue (SAR) procedures most frequently used by the Navy are those employed within the maritime environment. This chapter establishes the standardized procedures for naval aviation SAR crews. Surface ship procedures are detailed in chapter 2. Submarine procedures are contained in ATP-57. While search procedures are well established and discussed in detail in the International Aeronautical and Maritime Search and Rescue Manual (IAMSAR) (JCS 3-50), rescue procedures are less well defined and require tailoring to the particular situation. The condition of the survivor(s), the presence of a parachute, floating debris, fire, sea state, etc., all affect the rescue procedures. This section discusses the basic procedures that are to be used for rescue. 1.2 SEARCH 1.2.1 Search Planning Factors involved in search planning are covered in detail in the IAMSAR, volumes I and II, as modified by the United States National Search and Rescue Supplement (NSRS). The extent of required planning will depend on the circumstances. For instance, the planning required for a SAR launch off an aircraft carrier (CV) in daylight, when the survivor is in sight from the flight deck, is much different from that for a launch off the same CV at night to a survivor 35 miles at sea. (Paragraph 1.9 discusses conditions of readiness.) Search planning must begin well in advance of any search and rescue situation. The assets available and their capabilities must be known beforehand. Particularly, information such as navigation, communication, and time-on-station capabilities must be readily available. 1.2.2 Search and Rescue Organization 1.2.2.1 SAR Coordinator The rescue coordination centers (RCCs), which are established worldwide by geographic location, handle the function of the SAR coordinator and, if not directly involved in the search operation, shall be informed and kept abreast of the progress of the search. 1.2.2.2 SAR Mission Coordinator While the SAR coordinator generally designates the search and rescue mission coordinator (SMC) for the specific SAR mission, in the case of a military search the officer in tactical command (OTC) or unit designated by the OTC shall assume the duties of SAR mission coordinator. The duties of SMC are outlined in the IAMSAR and NSRS.

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NTTP 3-50.1 SEP 2013 1-2 1.2.2.3 On-Scene Commander An on-scene commander (OSC) shall be designated by the SMC. In a search being coordinated by an on-scene SMC, the OSC duties may be handled by the SMC. Generally, the first search unit to arrive on scene or the unit with the best capability is designated OSC. The duties of OSC are detailed in the IAMSAR and NSRS. 1.2.3 Search Brief The units involved in a search shall receive from the SMC or OSC a complete brief of the search object including size, color, number of survivors, survival equipment, and weather conditions at the search scene. Aircraft commanders shall brief their crews in scanning procedures in accordance with (IAW) the IAMSAR and NSRS. The importance of the search brief and planning cannot be overemphasized. As much as possible, search organization and planning should be done before arrival at the scene. Time consumed for these activities after arrival can mean the difference between life and death to the survivor(s). Sweep width, search pattern selection, and track spacing should be determined as soon as possible so the search can begin immediately upon arrival at the scene. 1.2.4 Search Execution The IAMSAR and NSRS details the search patterns and the criteria for pattern selection. The SMC and OSC shall designate the search area for the individual units, shall assign search altitude, search pattern, and track spacing, and will detail communication procedures. The IAMSAR and NSRS and NWP 3-22.5-SAR-TAC, Navy Search and Rescue Information Document discuss search planning and execution. En route planning should be accompanied in the cockpit using NWP 3-22.5-SAR-TAC. Note Survivor detection probability during night/instrument meteorological conditions (IMC) can be enhanced by using forward-looking infrared (FLIR)-equipped aircraft, and/or by providing aircrews/ship lookouts with night vision goggles (NVGs). 1.2.5 Survivor Sighting Upon making a sighting, the scanner shall call out the position, by the clock method (relative to the nose of the aircraft), and the distance to the survivor. Generally, the pilot at controls (PAC) should turn so the scanner making the sighting can keep the survivor/object in sight until the PAC has visual contact. An alternate method of survivor localization that is especially effective at night or in low-visibility situations is shown in figure 1-1. The scanner spots the survivor in the water and reports: I HAVE SURVIVOR IN SIGHT AT __ O’CLOCK, __ YARDS. A crewman immediately deploys two smoke or sea markers and reports: MARKERS AWAY. The pilot not at controls (PNAC) notes the magnetic bearing to the survivor. The PAC commences a turn away from the survivor and descends to rescue pattern altitude, a turn planned so as to pass over the markers on a magnetic heading to the survivor. If the survivor is not sighted, and it is determined that the survivor has been overflown, additional markers should be deployed and a search then commenced between the two points. 1.2.6 Fixed-Wing Sighting If a fixed-wing aircraft spots the survivor, a search and rescue unit (SRU) (helicopter or ship) shall be notified, and the fixed-wing aircraft making the sighting shall remain overhead to provide heading/distance information to the SRU. Upon arrival of the SRU, the fixed-wing aircraft, flying overhead, may serve as a valuable communications link.

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NTTP 3-50.1 1-3 SEP 2013

Figure 1-1. Survivor Sighting Procedures

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NTTP 3-50.1 SEP 2013 1-4 Note The AN/SSQ-83 SAR buoy is no longer in use. The AN/SSQ-57 sonobuoy tuned to channel 15 (172.75 very high frequency (VHF)/345.5 ultrahigh frequency (UHF)-DF) will be used as a replacement in P-3 aircraft. 1.3 RESCUE PROCEDURES 1.3.1 Assessing the Rescue Situation Assessing the rescue situation begins with the crew brief and continues until survivor recovery. The following factors shall be continuously assessed, and any changes/updates shall be communicated to the entire crew: 1. Number/type of survivor(s): Military or civilian 2. Location of survivors, their relation to, and distance from each other and the SRU 3. Visible, and/or known injuries of the survivor(s): a. Mechanism of injury (MOI) b. Conscious/unconscious c. Visible bleeding d. Environmental injuries e. Broken bones. 4. Flotation devices inflated/not inflated/survivor face down in water. 5. Parachute entanglement problem/presence of a ballooned parachute. 6. Day or night/sea state/wind direction/water temperature. 7. Cooperative/uncooperative/combative survivor(s). 8. Fuel in the water. 9. Debris littering scene, and its relation to the survivor. 10. Presence of sea predators. 11. Feasibility of attempting multiple/single rescue. 12. Rescue order established according to apparent inju ries. The survivor with the worst injuries shall be rescued first. 13. Rescue swimmer (RS) deployment options. 14. Other available rescue assets to assist.

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NTTP 3-50.1 1-5 SEP 2013 1.3.2 Marking of the Survivor’s Position Marking the survivor’s position is an important phase of the rescue operation. Accurate deployment of the marker helps to avoid losing sight of the survivor, and provides a reference to the PAC when hovering over the survivor. Notes  Detailed information on survivor position-marking devices can be found in chapter 5, paragraph 5.7 of this publication, and NAVAIR 11-15-7 (series) publications.  All type, model, and /or series (NATOPS) procedures and limitations shall be strictly adhered to for the launch of any survivor position-marking devices. 1. A member of the crew spots the survivor and reports: I HAVE THE SURVIVOR IN SIGHT AT ___ O’CLOCK, _____ YARDS, TURN _______. Notes  Upon sighting the survivor, the aircraft is flown so as to directly overfly the survivor.  If not already in sight, the PNAC should attempt to locate the survivor visually as the aircraft is turning into the survivor. This will make constant visual contact as the aircraft’s nose falls onto the survivor. When in sight, verbal control should be passed to the PNAC. 2. The PAC replies: ROGER, YOU HAVE VERBA L CONTROL, and turns the aircraft until the crewmember commands: ROLL OUT.

 Should fuel be evident or suspected in the water, smoke flares should not be used. The flares may ignite the fuel.  When deploying a marking device from an aircraft, use caution not to strike the survivor.  Avoid dropping smoke flares directly upwind of the survivor as the fumes are caustic, and may injure the survivor. 3. Immediately upon passing over the survivor, a crew man marks the position by dropping a smoke flare or electric sea marker light, and reports: SMOKE/SEA MARKER AWAY. 1.3.3 Rescue Pattern The rescue pattern shall be flown in accordance with the applicable T/M/S NATOPS manual. During the pattern, approach, and hover, the crew can continue to assess the rescue scene, as the helicopter provides an outstanding vantage point for viewing the overall scenario and allows the crew to formulate the tactics and equipment to be used for the rescue. This overall view will be of great importance to the RS, as it affords a view not attainable after water entry. The factors listed in paragraph 1.3.1 should be reassessed prior to RS deployment. Note During all rescue scenarios, the RS should stay up intercommunication system (ICS)/radios as long as safely possible. This will help the RS assess the situation, and along with the entire crew, formulate a plan for recovery of the survivor(s).

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NTTP 3-50.1 SEP 2013 1-6 1.3.4 Multiple Rescue Decision A multiple rescue occurs when there is more than one survivor, and the RS remains in the water, aiding in the recovery of all survivors prior to being recovered. Sea state, visibility, and location of/distance between the survivors are all factors that should be considered before attempting a multiple rescue. To avoid fatigue, the RS shall avoid multiple rescues when a great deal of swimming (either because of distance or sea state) is required between the survivors. Additionally, the reduced visibility during a night/IMC rescue makes attempting a multiple rescue hazardous. The crew should consider either recovery or short-hauling the RS between multiple survivors if the following conditions exist: 1. A sea state of greater than 2 (see SAR tactical airborne information document (TACAID) 2. Night/IMC 3. More than 25 yards between the survivors. 1.3.5 Rescue Hover Position

When a parachute is in the rescue area, it shall be approached no closer than one rotor diameter width outside the rotor wash area to avoid either inflating or sinking the canopy. Inflating the parachute can cause damage to the aircraft should it blow into the rotor system. Sinking the parachute could also result in the entangled survivor sinking. The pilot shall establish a hover into the wind with the survivor at approximately the 3 o’clock position (figure 1-2). In addition to providing good visual contact with the survivor, this position also helps to avoid having a parachute come between the RS and the survivor.

Figure 1-2. Three o’Clock Position

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NTTP 3-50.1 1-7 SEP 2013 1.3.6 Rescue Swimmer Deployment The RS shall enter the water and assist the survivor(s) in all cases except when the helicopter aircraft commander (HAC) determines that the circumstances will endanger the RS unnecessarily. Factors to be considered include sea state, debris in water, sea predators, or fire on the water. The RS shall be deployed either by jumping the RS from the helicopter (either 10 feet and 10 knots or 15 feet and 0 knots), or via the helicopter rescue hoist (hover altitude shall be IAW T/M/S NATOPS manual). Notes  During all rescue scenarios, the RS should stay up ICS/radios as long as safely possible. This will help the RS assess the situation and, along with the entire crew, formulate a plan for recovery of the survivor(s).  The term “dressed out” applied to the RS is defined as properly attired and equipped for the planned rescue mission. When the RS is going to be deployed via jump or hoist directly into the water, or to a small surface craft that may eventually involve a water entry, the RS shall don the RS’s ensemble (chapter 5), and any additional equipment required based on the scenario (quick strop (QS), life preserver unit (LPU)-34, etc.) Prior to sitting in the doorway, the RS shall: 1. Ensure his/her helmet and ICS cord is removed and stowed in the cabin so as not to interfere with deployment. 2. Ensure the RS mask is correctly tied off to the RS harness shoulder. 3. Ensure search and rescue helicopter breathing device (SHBD) is removed from the RS’s harness and stowed in cabin. 4. If deployment is under night/IMC conditions, illumina te a 4-inch chemical light and insert into clamp on RS mask. 5. If wearing a RS dry suit, all trapped air has been purged or “burped” from the dry suit.

 The crew chief (CC) shall not open the cabin door without first ensuring that all personnel in the cabin area are either strapped into a seat, or secured to the aircraft via crewman’s safety belt.  Direct deployment (DD) procedures shall not be used if survivor still has parachute attached.  The RS shall be deployed via the rescue hoist during all night and IMC/low-visibility operations, if any other hazards exist in the vicinity, and/or at the discretion of the HAC.  Inhalation of composite fibers resulting from aircraft fires and/or aircraft material damage may be harmful to the RS. If smoke is present, the RS shall be deployed upwind, and will approach the aircraft in a manner as to avoid any smoke.

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NTTP 3-50.1 SEP 2013 1-8 1.3.6.1 Day/Visual Meteorological Conditions Procedures If the decision is made to deploy the RS, the following procedures shall be used: 1. The HAC commands: RIG FOR RESCUE. 2. The CC replies: ROGER, UNSTRAPPING. 3. The CC and RS shall unbuckle from their seat s and immediately don crewman’s safety belts. 4. As the RS dresses out, the CC shall rig for rescue: a. Don the heavy-duty hoisting glove(s). b. Prepare smoke markers. c. Ensure the rescue hoist is armed and operational. d. Prepare rescue equipment as needed.

The CC shall not open the cabin door without first ensuring that all personnel in the cabin area are either strapped into a seat or secured to the aircraft via crewman’s safety belt. e. Open cabin door IAW applicable T/M/S NATOPS procedures. 5. After the CC has readied the cabin area, the CC shall check to ensure the RS is properly attired for the planned rescue evolution and is properly secured to the aircraft via a gunners belt. When satisfied, the CC will grab the back of the RS’s harness, and guide the RS to a sitting position in the aircraft door. 6. The CC reports: RIGGED FOR RESCUE. 7. When established on final approach course to the su rvivor, and just prior to passing 30-foot altitude, the PAC commands: STAND BY TO DEPLOY SWIMMER. 8. The CC shall maintain a hold on the RS’s harness/ TRI-SAR harness (TSH) with one hand, and with the hand not holding onto the RS, signal the RS to release the crewman’s safety belt by tapping the RS once on the chest. 9. Upon receiving the command, the RS removes the cr ewman’s safety belt and ensures it is not snagged on any of the RS’s equipment. The RS will give a THUMBS UP signal to the CC when ready to deploy. 10. Upon receiving the RS’s THUMBS UP, the CC shall do a final inspection of the RS.

Both the CC and RS shall ensure that the RS and/or RS’s harness is not connected or snagged on the aircraft, another RS, or a previously recovered survivor. Special care shall be taken during multiple survivor rescues and training evolutions in which the RS may deploy more than once.

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NTTP 3-50.1 1-9 SEP 2013 11. The CC reports: SWIMMER READY, and continues to assess the rescue scene. 12. The PAC establishes a 10-foot/10-knot creep or a 15-foot hover and commands, JUMP . . . JUMP . . . JUMP . . . . 13. On the PAC’s third JUMP command, the CC shall check area clear of debris, and tap the RS three times on the shoulder, releasing the grasp of the RS’s harness as the RS jumps.

It is extremely difficult to accurately judge height above the water; therefore, the CC shall not give the signal to the RS to jump until the pilot commands, JUMP . . . JUMP . . . JUMP . . . over the ICS. The p ilot shall remain at or below 15 feet until the CC reports: SWIMMER AWAY. 14. After the RS exits the helicopter, the CC reports: SWIMMER AWAY. 15. After water entry the RS signals: I AM ALL RIGHT (chapter 6). The RS shall then perform a radio check. Note In the event the RS gives the SWIMMER IN TROUBLE signal (chapter 6), the CC shall report it to the crew and the PAC shall immediately maneuver the helicopter to the planned hoisting altitude. The CC shall direct the helicopter on top of the RS and recover the RS via the rescue hoist. 16. Crewman observes, I AM ALL RIGHT hand signal (c hapter 6) from the RS and reports: SWIMMER O.K. a. The PAC maneuvers the helicopter to the planned hoisting altitude. The PAC will report: STEADY HOVER/HOVER MODE. b. The CC then directs the PAC left and back to maintain visual contact with the RS/survivor. 17. The RS performs disentanglement/recove ry procedures as outlined in chapter 3. 1.3.6.2 Night/Instrument Meteorological Conditions Procedures RS deployment during night/IMC (low-visibility) conditions shall be conducted via hoist. The following procedures shall be used:

The large hook is the only portion of the rescue hook to be used for hoisting personnel. The small hook of the rescue hook shall never be used to hoist personnel. Note Normal night/IMC procedures are not to be confused with DD procedures in paragraph 1.3.8.

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NTTP 3-50.1 SEP 2013 1-10 1. The HAC commands: RIG FOR RESCUE. 2. The CC replies: ROGER, UNSTRAPPING. 3. The CC and RS shall unbuckle from their seat s and immediately don crewman’s safety belts. 4. As the RS dresses out, the CC shall rig for rescue: a. Don the heavy duty hoisting glove(s). b. Prepare smoke markers/matrix lights. c. Ensure the rescue hoist is armed and operational. d. Prepare rescue equipment as needed: Ensure a ll rescue equipment/devices are properly illuminated with chemical lights.

The CC shall not open the cabin door without first ensuring that all personnel in the cabin area are either strapped into a seat or secured to the aircraft via a crewman’s safety belt. e. Open cabin door IAW applicable T/M/S NATOPS procedures/limitations. 5. The PAC shall report: STEADY HOVER/HOVER MODE when achieved; this will alert the CC to the fact that the aircraft is in a safe flight regime to hook the RS to the hoist. The CC taps the cabin deck where the RS will sit for hookup to the rescue hoist. 6. The RS, wearing a properly secured crewman’s safet y belt, sits on the deck facing the cabin door and: a. Dons the rescue strop if chosen as the hoisting device. b. Locates the RS’s harness/TSH lif ting point and holds in one hand. Note The RS, rescue strop, and rescue hook shall be illuminated by a chemical light. 7. The CC brings the rescue hook into the cabin and hands it to the RS for hookup.

 The large hook is the only portion of the rescue hook to be used for hoisting personnel. The small hook of the rescue hook shall never be used to hoist personnel.  Being hooked into more than one safety device (gunners belt, crew seat restraint belt, large rescue hook) at one time may be hazardous to the RS should the helicopter encounter an emergency and have to ditch. The CC shall ensure that the RS is immediately released from the crewman’s safety belt once the RS is properly hooked in to the large rescue hook and the CC has positive physical control of the RS.

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NTTP 3-50.1 1-11 SEP 2013 8. The RS shall hook into the large rescue hook. 9. The CC shall maintain a hold on the RS’s harness/TS H with one hand, and with the free hand tap the RS once on the chest to signal RELEASE CREWMAN’S SAFETY BELT. 10. The RS will release the crewman’s safety belt, and give the CC a THUMBS UP signal to indicate the RS is ready to move to the cabin door. 11. The CC shall perform a final check of the RS by: a. Ensuring the RS is properly hooked into the large rescue hook b. Ensuring the RS, rescue strop, and rescue hook are illuminated with a chemical light c. Ensuring RS is properly attire d and equipped for planned rescue evolution and has removed helmet, ICS cord, and SHBD. 12. The CC shall maintain positive control of the RS and guide the RS to the cabin door. When satisfied that the RS is safely in the cabin door, the CC reports: HOIST IS RIGGED, STANDING BY. 13. The helicopter crew shall then maneuver the helicopt er on top of the survivor using the applicable T/M/S NATOPS procedures. 14. Once on top of the survivor, and the helicopter is maintaining a steady hover, the CC challenges: PERMISSION TO LOWER SWIMMER. 15. The PAC commands: LOWER SWIMMER. 16. The CC shall tap the RS on the shoulder three times and upon receiving a THUMBS UP signal from the RS, place tension on the cable, lifting the RS off the deck: a. If the RS’s harness (HBU-23/P) is used, the CC shall lower the RS. b. If the TSH is used: (1) The CC shall stop hoisting wh en the RS is off the deck. (2) The RS will adjust the straps of the TSH, a nd, once satisfied, the RS shall give the THUMBS UP signal to the CC indicating ready to be lowered. 17. The CC will lower the RS. The CC shall make the following reports during hoist operations: a. LOWERING SWIMMER. b. SWIMMER HALFWAY DOWN. c. SWIMMER IN THE WATER. d. SWIMMER CLEAR. e. SWIMMER IS O.K., or SWIMMER IN TROUBLE.

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NTTP 3-50.1 SEP 2013 1-12 18. After entering the water, the RS separates fro m the rescue hook/strop and, signals: I AM ALL RIGHT (see chapter 6). The RS shall then perform a radio check.

 DD procedures shall not be attempted using the RS’s harness (HBU-23/P). The RS could be seriously injured if unintentionally jerked from the water. Only personnel trained and qualified IAW Chief of Naval Operations instruction (OPNAVINST) 3130.6 (series) shall attempt DD procedures.  During normal RS deployment/recovery procedures, the RS should not remain attached to the rescue hook via his RS’s harness (HBU-23/P), or remain in the rescue strop while performing a rescue.  During high wind/high sea state evolutions, visual contact with the RS is essential; however, the RS’s options and/or mobility should not be sacrificed. Attempts at keeping the RS attached to the hoist cable will restrict the RS’s movements and impose an entanglement hazard. If the RS is unable to sever all connections with the aircraft, sudden impact movement or a high sea state may result in his becoming entangled, unnecessarily dragged through the water, or separated from the survivor. Note The RS may choose to hold the rescue strop if the survivor is nearby or if there is a high sea state. In this situation, the RS slips the rescue strop and hoist hook off over his head and then passes a single arm through the loop created by the rescue strop. This permits the RS to use both hands or, if being dragged by the hoist cable, to quickly release it. 19. The CC, upon observing the I AM ALL RIGHT hand signal (chapter 6), reports SWIMMER IS O.K., if the RS is clear of the rescue strop the CC shall direct the PAC back and left to maintain visual contact with the RS and survivor. 20. The RS performs disentanglement/recove ry procedures as outlined in chapter 3.

The RS shall ensure that no fuel is in the vicinity when using MK 124 Mod 0 flare. Note In the event of loss of visual contact with the RS and/or survivor, the HAC shall cycle the flood/hover light. The RS and/or survivor shall illuminate the strobe light or Mk 124 Mod 0 flare to aid in reestablishing visual contact. 1.3.6.3 Rescue Aircrewman Deployment to a Small Boat RA deployments to small boats may involve hoisting directly to the deck of the boat, or conditions may require that the RS deploy into the water and climb aboard the boat to affect the rescue. In either situation, the RS shall be attired for water entry. If being hoisted to the small boat, RS fins may be removed (to provide footing on boat deck) and

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NTTP 3-50.1 1-13 SEP 2013 attached to the RS by threading the harness snap hook through the fin straps and attaching back to harness. This procedure will ensure the RS has fins for propulsion should he/she be required to reenter the water from the boat. Note Upon HAC’s discretion and during a medical emergency, a qualified SMT outfitted with a TRI-SAR with flotation may be lowered to a boat to access, triage, and treat a casualty. Consideration of the helicopter-to-ship personnel transfer procedures located in section 1.7 should be considered. 1.3.7 Rescue Swimmer Recovery Procedures The following procedures apply to day or night SAR operations: 1. Upon receiving the READY FOR PICK UP hand signal (chapter 6) from the RS, the CC shall report: I HAVE A PICK UP SIGNAL and direct the helicopter on top of the RS/survivor.

 To the maximum extent possible, aircraft scheduled with SAR as a primary mission (operational or training), should not be configured with the external weapons system (EWS) pylons.  The CC shall ensure the rescue hook contacts the water before the RS touches it. Note The CC shall ensure that the rescue hook is equipped with a rescue device that has inherent flotation (rescue strop, rescue litter, rescue seat, rescue net, or rescue basket) and chemical lights, if needed (night/IMC). a. Lower and ground the hoist. 2. The CC shall observe the RS’s progress and report: a. SWIMMER/SURVIVOR APPROACHING RESCUE HOOK b. SWIMMER/SURVIVOR HOOKED UP. 3. Upon receiving the RAISE CABLE hand signal (cha pter 6) from the RS, the CC shall report: I HAVE A HOIST SIGNAL. The CC will simultaneously direct the PAC to a position directly over the RS/survivor (putting the RS/survivor as vertical to the rescue hoist as possible), and reel in hoist cable. The CC shall time the water action (if any) to ensure the RS/survivor are not jerked from the water. Note Upon hearing the SWIMMER/SURVIVOR CLEAR OF THE WATER call from the CC, the PAC may elect to raise the helicopter (with verbal commands from the CC) to a predetermined height to ensure a wave crest does not contact the RS/survivor as they are hoisted clear.

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NTTP 3-50.1 SEP 2013 1-14 4. The CC shall keep the PAC info rmed of the RS/survivor’s progress: Note The CC shall maintain control of the hoist cable at all times, paying particular attention to the RS/survivor as they approach the helicopter. The CC shall ensure the RS/survivor do not strike the helicopter. a. SWIMMER/SURVIVOR CLEAR OF THE WATER (YOU HAVE CONTROL FORWARD if applicable) b. SWIMMER/SURVIVOR HALFWAY UP c. SWIMMER/SURVIVOR AT CABIN DOOR. 5. When the RS/survivor are at the cabin door, the CC sh all position them so the survivor’s back is to the CC. The RS (if possible) should place fins on cabin deck and hand(s) on cabin entrance bulkhead or handles. In this position, the RS may pull with their arms and thrust with their hips to assist the CC in pulling in the combined weight of the survivor and RS. The RS should end up in a position straddling over the top of the survivor. When ready for transition into the helicopter, the RS should both nod his/her head to the CC and yell READY.

Do not detach the RS/survivor from the rescue hook until the RS/survivor are safely in the cabin of the helicopter. Securing the RS/survivor safely in the cabin can be accomplished (once the RS and survivor are in the cabin) by the CC paying out just enough cable to close the cabin door to a point where it is resting lightly against the cable, disconnecting the RS and survivor, and securing them in the helicopter. Once the RS and survivor are secure, the CC opens the cabin door and stows the rescue hook. Ensure applicable T/M/S NATOPS airspeed restrictions are adhered to while the hoist cable is deployed from hoist assembly, and while the cabin door is not completely closed. Note The CC should grab the survivor around the waist vice grabbing the survivor’s clothes/gear. This is the safest method of keeping control of the survivor during the transition into the helicopter cabin. 6. The CC grabs the survivor around the waist, simultane ously letting out hoist cable and pulling the survivor (and RS) into the helicopter. 7. When the RS and survivor are completely inside the helicopter, the CC shall position him/herself in the cabin door, guarding against the RS and survivor falling out. The CC shall report: SWIMMER/SURVIVOR ABOARD. 8. The CC shall pay out only enough hoist cable to a llow the cabin door to be closed as far as possible without damaging the cable. 9. Once the cabin door is closed the CC can disconn ect the RS and survivor from the large rescue hook and secure them in the aircraft.

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NTTP 3-50.1 1-15 SEP 2013 10. When the CC is satisfied the RS and survivor ar e secured properly, the CC can then open the cabin door, seat the rescue hook, and close the cabin door (as required). 11. The CC then reports: RESCUE STA TION SECURE, CLEAR FOR FORWARD FLIGHT. 12. The RS shall attend to survivor medical treatment (chapter 7) and report survivor’s condition to the HAC. At the earliest opportunity, the CC shall assist the RS with survivor medical care until flight duties require his/her attention elsewhere. 1.3.8 Maritime Direct Deployment Procedures U.S. naval helicopter crews are sometimes faced with situations in which traditional RS deployment procedures are inadequate and/or put the RS at a greater-than-acceptable risk. The DD procedure was developed as a tool for use in extreme situations, such as: rescues in the surf zone, heavy seas, high winds, moving (swift) water, ice, etc. DD procedures are another tool for the RS/helicopter crew to utilize, when necessary, and are not intended to replace the survivor recovery procedures outlined in paragraph 3.7. DD procedures shall only be utilized when the crew has determined that it is the safest method of recovery.

 DD procedures shall only be utilized by personnel qualified IAW OPNAVINST 3130.6 (series).  The QS shall only be used in conjunction with the TSH for DD and recovery of survivors. The decision to use DD procedures on a survivor with a known or suspected head, neck, spinal, or other severe injury should only be exercised when the use of traditional survivor recovery procedures (paragraph 3.7) would place the lives of the RS and/or survivor at greater risk.  DD procedures shall not be attempted using the RS’s harness (HBU-23/P). The RS could be seriously injured if unintentionally jerked from the water.  DD procedures should not be used on aviators who have ejected from aircraft, and shall not be used on aviators still entangled in a parachute.  The QS shall not be deployed to survivors without the RS. The survivors may not know how to properly use it. Notes  Use of the term “direct deployment” always refers to the RS wearing a TSH in conjunction with a QS assembly. The significant difference in DD from the traditional RS deployment/survivor recovery procedure is that the RS never unhooks from the rescue hook during the entire rescue evolution.  Hand signals are the primary means of communication for DD procedures.  During night/IMC operations the QS safety strap may be illuminated. The CC shall utilize a chemical light strap from the SAR equipment bag to attach a chemical light to the friction buckle of the safety strap in the following manner: 2 opposing hooks connected to the outboard side of the friction buckle and 1 hook connected to a chemical light.

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NTTP 3-50.1 SEP 2013 1-16 1. The CC opens the cabin door and brings the rescue hook into the helicopter for RS hookup.

 Being hooked into more than one safety device (gunners belt, crew seat restraint belt, large rescue hook) at one time may be hazardous to the RS should the helicopter encounter an emergency and have to ditch. The CC shall ensure that the RS is immediately released from the crewman’s safety belt once the RS is properly hooked into the large rescue hook and the CC has positive physical control of the RS.  The large hook is the only portion of the rescue hook to be used for hoisting personnel. The small hook of the rescue hook shall never be used to hoist personnel.  The SAR helicopter aircrew breathing device/survivor egress air (HABD/SEA) holster shall be removed from the TSH assembly of the aviation RS prior to deployment (day or night) from the helicopter. 2. The RS, wearing a properly secured crewman’s safet y belt, sits on the deck facing the cabin door and hooks into the large rescue hook in the following order: a. TSH lifting V ring (always first). b. Rescue strop (double lift recovery only; paragra ph 3.8). RS routes the rescue strop over the preferred shoulder and maintains control of it until it is utilized on the survivor. c. QS (always last): Note The detachable lifting strap of the QS can be identified by the red ban of webbing located next to the detachable lifting strap’s V ring assembly. (1) Ensure the detachable lifting strap is routed through the friction lock prior to hookup. (2) Ensure the detachable lifting strap V ring is al ways the last object hooked up to the large rescue hook. Note The RS should slide the QS friction keeper as far out as possible, ensuring as large an opening as possible is maintained in the QS assembly. This will make employment of the QS over the survivor’s head and shoulders easier. (3) RS routes the QS over the preferred shoulder and maintains control of it until employed on the survivor. d. When RS is properly equipped, RS gives the CC the THUMBS UP signal. 3. CC grabs the back of the RS’s TSH, and taps th e RS once on the chest. Upon receiving the signal, the RS releases the crewman’s safety belt. 4. CC maintains positive control of RS and directs the RS to the cabin door; RS sits in cabin door.

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NTTP 3-50.1 1-17 SEP 2013 5. CC directs the helicopter over the survivor; the HAC establishes a steady hover over the survivor and commands: STAND BY TO LOWER SWIMMER. 6. CC taps the RS three times on the shoulder; upo n receiving a THUMBS UP signal from the RS reports: SWIMMER READY. 7. The HAC commands: LOWER SWIMMER. 8. The CC hoists the RS off the deck: a. The RS adjusts the straps of the TSH for pr oper fit and comfort; when satisfied, gives the CC a THUMBS UP signal, meaning READY TO BE HOISTED. Note As the RS is being lowered to the water, the RS shall try to maintain visual contact with the survivor at all times. b. The CC reports SWIMMER ON THE WAY DOWN. Th e CC continuously keeps the HAC apprised of the RS’s position. Note The RS should be placed in the water no farther than 2–3 feet from the survivor. This can be accomplished by stopping the RS approximately 10 feet above the water, and as the RS hand signals the CC, the CC directs the HAC into the precise position required. 9. Upon RS water entry, the CC reports SWIMMER IN THE WATER. Note The I AM ALRIGHT hand signal is not required for DD procedures by the RS. 10. Upon RS contact with the survivor, the CC reports: SWIMMER HAS ENGAGED THE SURVIVOR.

When using this procedure in heavy seas, swift water, etc., the CC must take extreme care to ensure the proper amount of hoist cable is paid out. Too little cable may cause the RS/survivor to be jerked out of the water as the RS/survivor enter the trough of a wave. Too much cable paid out may cause the RS/survivor to become entangled in the hoist cable, or the cable to become entangled in debris. 11. The CC will simultaneously direct the PAC away from the RS/survivor (putting the RS/survivor at the helicopter’s 2 o’clock position), while paying out hoist cable. The CC shall ensure that enough slack is left in the hoist cable to compensate for RS movement, aircraft movement, and water action: a. Do not allow the hoist cable to coil in the water. b. Keep all of the deployed hoist cable between the helicopter and the RS/survivor. 12. The RS performs DD survivor r ecovery procedures IAW paragraph 3.8.

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NTTP 3-50.1 SEP 2013 1-18 13. The CC receives the RAISE CABLE hand signal (chapter 6) from the RS and reports: I HAVE A HOIST SIGNAL. 14. The CC will simultaneously direct the PAC to a position directly over the RS/survivor (putting the RS/survivor as vertical to the rescue hoist as possible), and reel in hoist cable. The CC shall time the water action (if any) to ensure the RS/survivor are not jerked from the water. Note Upon hearing the SWIMMER/SURVIVOR CLEAR OF THE WATER call from the CC, the PAC may elect to raise the helicopter (with verbal commands from the CC) to a predetermined height to ensure a wave crest does not contact the RS/survivor as they are hoisted clear. 15. Once the RS/survivor are clear of the water, the CC reports: SWIMMER/SURVIVOR CLEAR OF THE WATER, and continuously updates the HAC on the RS/survivor position (i.e., SWIMMER/SURVIVOR HALFWAY UP, AT THE CABIN DOOR, etc.).

Do not detach the RS/survivor from the rescue hook until the RS/survivor are safely in the cabin of the helicopter. Securing the RS/survivor safely in the cabin shall be accomplished (once the RS and survivor are in the cabin) by the CC paying out just enough cable to close the cabin door to a point where it is resting lightly against the cable, disconnecting the RS and survivor, and securing them in the helicopter. Once the RS and survivor are secure, then CC opens the cabin door and stows the rescue hook. Ensure applicable T/M/S NATOPS airspeed restrictions are adhered to while the hoist cable is deployed from hoist assembly, and while the cabin door is not completely closed. 16. Recover RS/survivor using normal recovery procedures IAW paragraph 1.3.7, items 3–12.

The CC shall not grab the survivor in any other manner than around the waist (figure 1-3). Grabbing the survivor’s clothes/gear or the QS may loosen the QS enough to allow the survivor to slip out during transition into the helicopter cabin. 17. The CC shall grab the survivor around the waist, simultaneously letting out hoist cable and pulling the survivor (and RS) into the helicopter. 18. When the RS and survivor are completely inside the helicopter, the CC shall position him/herself in the cabin door, guarding against the RS and survivor falling out: The CC shall report: SWIMMER/SURVIVOR ABOARD. 19. The CC shall pay out only enough hoist cable to a llow the cabin door to be closed as far as possible without damaging the cable.

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NTTP 3-50.1 1-19 SEP 2013

Figure 1-3. Crew Chief Grabs the Survivor Around the Waist 20. Once the cabin door is closed the CC shall disc onnect the RS and survivor from the large rescue hook and secure them in the aircraft. 21. When the CC is satisfied the RS and survivor(s ) are secured properly, the CC shall then open the cabin door, seat the rescue hook, and close the cabin door (as required). 22. The CC then reports: RESCUE STA TION SECURE, CLEAR FOR FORWARD FLIGHT. 1.4 RESCUE EQUIPMENT RIGGING, DEPLOYMENT, AND RECOVERY PROCEDURES The selection of the rescue equipment/recovery devices should be made prior to RS deployment, or as early as possible into the rescue scenario. The rescue equipment selected is determined primarily by the physical conditions of the survivor(s), and the type rescue (single or multiple survivors). It is essential that both the CC and RS are knowledgeable in the application and utilization of all rescue devices, hand signals, and voice procedures. Chapter 3 details RS procedures for various rescue devices. Chapter 6 contains RS hand signals for devices, hoist movement, equipment, and emergencies. Although voice procedures for hoisting are standard, they may vary for individual devices.

 In all situations where two or more survivors are to be lifted simultaneously, the weight-bearing limitations of the helicopter rescue hoist system shall be considered.  In all situations where it is required that the CC rig rescue equipment for deployment to a RS, and/or survivor in the water, the CC shall ensure another member of the crew has the RS/survivor in sight prior to directing attention to rigging the rescue equipment in the aircraft cabin.

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NTTP 3-50.1 SEP 2013 1-20 Notes  The CC shall maintain positive control of the survivor throughout the survivor’s transition from the rescue hoist into the helicopter cabin, until the survivor is properly secured into the aircraft.  The RS may communicate the rescue device of choice at any time during the rescue scenario, including before RS deployment. The CC should rig the rescue device at the earliest possible opportunity to ensure it is ready for immediate deployment. 1. The RS communicates: DEPLOY ______ via hand si gnal (see chapter 6), and radio (whenever possible). 2. The CC acknowledges receipt of RS’s hand signal w ith a THUMBS UP, and/or radio (whenever possible), and communicates the request to the HAC. 3. The HAC/PAC commands: RIG THE _______. 4. The CC acknowledges the command, brings the rescu e hook into the cabin, and rigs the rescue device as appropriate. 5. The CC reports: ______ RIGGED, STANDING BY TO DEPLOY _______. 6. The PAC commands: DEPLOY __________. 7. The CC acknowledges the command and lowers th e device utilizing standard voice procedures: a. LOWERING ________ b. ________ HALFWAY DOWN c. ________IN THE WATER.

The CC shall closely monitor the amount of hoist cable that is deployed during all rescue operations. The CC shall ensure that enough cable is deployed to compensate for aircraft movement and wave action/water movement. Too much cable deployed will become a hazard to the RS and/or survivor should the cable become entangled with them, the rescue device, or debris in the water. 8. Once the selected rescue device is in the water, the CC shall keep the PAC informed of the RS/survivor’s progress utilizing standard voice procedures: RS/SURVIVOR APPROACHING THE HOOK. 9. The RS places the survivor in th e selected rescue device per the procedures in chapter 3, paragraph 3.9, the CC reports: RS/SURVIVOR HOOKED UP. Note The CC shall make every attempt to ensure the rescue device used is being properly employed by the RS; if a deviation has occurred, the CC shall make every attempt to communicate with the RS, and ascertain the problem or RS’s intentions.

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NTTP 3-50.1 1-21 SEP 2013 10. Upon receiving the RAISE CABLE hand signal (chapt er 6) from the RS or survivor, the CC reports: I HAVE A HOIST SIGNAL.

 The CC shall make every attempt to ensure the hoist cable is not entangled prior to raising the hoist.

 In all cases (whether the survivor is determined to be combative, panicked, or cooperative) the rescue crewman shall not hoist survivors from an overland or maritime environment without the proper application of the selected rescue device to include safety straps or safety devices outlined in this manual. 11. The CC commences hoisting using standard voice procedures: a. RS/SURVIVOR CLEAR OF THE WATER, YOU HAVE CONTROL FORWARD. The PAC replies: ROGER, I HAVE CONTROL FORWARD. b. RS/SURVIVOR HALFWAY UP. c. RS/SURVIVOR AT CABIN DOOR.

In all situations where it is required that the CC divert his/her attention from personnel still in the water, the CC shall ensure another member of the crew has the remaining personnel in sight prior to losing visual contact with them. 12. Upon arrival of the survivor at the aircraft cabin door: a. The CC shall maneuver the survivor so the survivor’s back is to the CC. b. The CC should grab the survivor around the waist, wi th one hand, and with the other hand in front of the survivor, guide the survivor into the aircraft cabin. 13. The CC lowers the rescue hoist cable, while simultane ously pulling the survivor into the aircraft, and onto the cabin deck.

Do not detach the RS/survivor from the rescue hook until the RS/survivor are safely in the cabin of the helicopter, and the cabin door is closed (if the chosen rescue device allows the cabin door to be closed).

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NTTP 3-50.1 SEP 2013 1-22 Note If the chosen rescue device does not allow for the cabin door to be closed, the CC shall maintain physical control of the survivor at all times until the survivor is secured safely inside the aircraft cabin. 14. When the survivor is completely inside the he licopter, the CC shall position him/herself in the cabin door, guarding against the survivor falling out, the CC shall report: SURVIVOR ABOARD. Note Ensure applicable T/M/S NATOPS airspeed restrictions are adhered to while the hoist cable is deployed from the aircraft rescue hoist assembly and while the cabin door is not completely closed. 15. The CC shall pay out only enough hoist cable to a llow the cabin door to be closed as far as possible without damaging the cable. 16. Once the cabin door is closed, the CC shall: a. Remove the survivor from the rescue device. b. Secure the survivor in an aircraft seat. c. If applicable, complete survivor flotation procedures IAW paragraph 1.5. d. Evaluate the survivor’s co ndition, and report it to the HAC. 17. When the CC is satisfied the survivor is pr operly secured, the CC can then open the cabin door and continue with RS/survivor recovery procedures, or seat the rescue hook, and close the cabin door (as required). 18. The CC then reports: RESCUE STA TION SECURE, CLEAR FOR FORWARD FLIGHT. 1.4.1 Rescue Hook The rescue hook is the primary rescue device used in all rescue operations and is always used in conjunction with other devices for recovering survivors and transferring personnel. When the rescue hook is employed, the following special notes, warnings, and procedures apply: Notes  If the UH-1N helicopter is utilized as the SRU, the RS shall connect the survivor’s gated D ring directly into the large rescue hook. If dual hoisting is desired, the RS shall then hook the RS’s harness lifting V ring directly into the large rescue hook. This note applies to all survival harnesses that utilize a Gated D ring as a hoisting point.  If the RS is wearing the TSH, the RS shall connect the survivor’s Gated D ring directly into the large rescue hook. If dual hoisting is desired, the RS shall then hook the TSH lifting V ring into the large rescue hook. This note applies to all survival harnesses that utilize a gated D ring as a hoisting point.  Due to the design characteristics of the CMU-30 and CMU-33 Type I survival vests, it is necessary to hook the survivor’s gated D ring directly into the large rescue hook, regardless of what harness the RS is using. If dual hoisting is desired, the RS shall then

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NTTP 3-50.1 1-23 SEP 2013 hook the lifting V ring from the RS’s harness into the large rescue hook. If this procedure is not followed (RS hooks his/her snap hook into the survivor’s gated D ring), the survivor may hang too far below cabin deck and CC may not be able to pull up into the aircraft.  If possible, use the rescue strop instead of the gated D ring of the CMU-30/33 Type I survival harness for hoisting the survivor. 1.4.1.1 Rigging the Rescue Hook

The large hook is the only portion of the rescue hook to be used for hoisting personnel. The small hook of the rescue hook shall never be used to hoist personnel. 1. The CC shall ensure a rescue device (normally the r escue strop) with inherent flotation ability is attached to the rescue hook prior to lowering it to the RS/survivor. 2. During night/IMC operations the r escue hook shall be illuminated. The CC shall utilize a chemical light strap from the SAR equipment bag to attach a chemical light to the rescue hook equipment ring (figure 1-4). 1.4.1.2 Rescue Hook Deployment

 Extreme care shall be used not to place fingers in or around the hoist assembly bumper compressing spring due to possibility of a crushing injury to fingers during hoisting operations.  When lowering the rescue hook to any surface (water, ship, ground, etc.), the CC shall always ensure the rescue hook is grounded prior to any personnel coming in contact with it. Failure to ground the hook will result in a minor electrical shock to the person that it comes in contact with, and the arcing electricity may ignite any fuel in the area.  The CC shall closely monitor the amount of hoist cable that is deployed during all rescue operations. The CC shall ensure that enough cable is deployed to compensate for aircraft movement and wave action/water movement. Too much cable deployed will become a hazard to the RS and/or survivor should the cable become entangled with them, the rescue device, or debris in the water.

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NTTP 3-50.1 SEP 2013 1-24

Figure 1-4. Rescue Hook with Chemical Lights Attached to the Equipment Ring 1.4.1.3 Rescue Hook Recovery

 Extreme care shall be used not to place fingers in or around the hoist assembly bumper compressing spring due to the possibility of a crushing injury to fingers during hoisting operations.  The CC shall make every attempt to ensure the hoist cable is not entangled in any way prior to raising the hoist.  The CC shall use extreme caution to ensure that the survivor’s gated D ring and the RS’s harness snap hook are not disconnected during the transition into the cabin. The CC shall be vigilant and ensure that the survivor’s gated D ring and the RS’s snap hook do not twist and inadvertently disconnect. This warning applies to all survival harnesses that utilize a Gated D ring as a hoisting point.

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NTTP 3-50.1 1-25 SEP 2013 1.4.2 Rescue Strop The rescue strop is primarily used on nonaviator/civilian survivors, and allows for the RS and survivor to be hoisted at the same time. When the rescue strop is employed, the following special notes, warnings, and procedures apply:

Deploying the rescue strop to a nonaviator survivor without the aid of a RS is not recommended and should only be performed when no RS is readily available from a nearby SRU, and immediate survivor recovery is deemed necessary. Nonaviator personnel are not familiar with the rescue strop procedures and self-application of rescue strop arm retaining straps is near impossible. Rescue strop recovery without proper application of the arm retaining straps may result in survivor falling out of the rescue strop during recovery. Note If possible, use the rescue strop vice the gated D ring of the CMU-30/33 Type I survival harness for hoisting the survivor. 1.4.2.1 Rigging the Rescue Strop Notes  The CC shall ensure the rescue strop arm retaining straps are properly stowed prior to lowering the rescue strop to the RS/survivor.  During night/IMC operations the free end of the rescue strop shall be illuminated. The CC shall utilize a chemical light strap from the SAR equipment bag to attach a chemical light to the lifting V ring of the free lifting strap (figure 1-5). The CC shall bring the rescue hook into the cabin, and hook one of the rescue strop lifting V rings into the large rescue hook.

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NTTP 3-50.1 SEP 2013 1-26

Figure 1-5. Rescue Strop with Chemical Lights Attached to the Free End 1.4.2.2 Deploying the Rescue Strop

The CC shall closely monitor the amount of hoist cable that is deployed during all rescue operations. The CC shall ensure that enough cable is deployed to compensate for aircraft movement and wave action/water movement. Too much cable deployed will become a hazard to the RS and/or survivor should the cable become entangled with them, the rescue device, or debris in the water.

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NTTP 3-50.1 1-27 SEP 2013 1.4.2.3 Rescue Strop Recovery

 The CC shall make every attempt to ensure the hoist cable is not entangled in any way prior to raising the hoist.  In all cases (whether the survivor is determined to be combative, panicked, or cooperative) the rescue crewman shall not hoist survivors from an overland or maritime environment without the proper application of the selected rescue device to include safety straps or safety devices outlined in this manual. 1. When the survivor is at the cabin door, the CC s hould grab the survivor around the waist, or the rescue strop assist handle (secondary) with one hand. 2. With the other hand in front of the survivor, guide the survivor into the aircraft cabin. 3. Once the cabin door is closed, the CC shall: a. Release the rescue strop arm retainer straps and remove the rescue strop from the survivor. b. Secure survivor into aircraft seat. 1.4.3 Collapsible Rescue Basket (McCauley Basket) Note The collapsible rescue basket (McCauley Basket) was designed for use in helicopters that do not routinely employ a RS as part of the crew. The rescue basket is a simple and safe rescue device that can be lowered to a survivor (military or civilian) and easily utilized without RS assistance. The rescue basket is designed for lifting one survivor at a time. When the rescue basket is employed, the following special notes, warnings, and procedures apply. (See figure 1-6.) 1.4.3.1 Rigging the Rescue Basket Note During night/IMC operations there are no specific points to illuminate on the rescue basket. The CC shall utilize a chemical light strap from the SAR equipment bag and attach a chemical light to the rescue hook equipment ring. 1. The collapsed rescue basket is la id flat on the cabin deck; the CC shall grasp the upper frame of the rescue basket and lift straight up (figure 1-7). 2. The CC shall ensure that each of the four intern al support brackets of the collapsible rescue basket are moved into the locked position. The CC shall visually verify that all four supports are fully secured into the locking mechanism. 3. Ensure bail locking device is engaged. 4. Hook large rescue hook into the lifting eye of the rescue basket.

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NTTP 3-50.1 SEP 2013 1-28

Figure 1-6. Collapsible Rescue Basket; Built-In: 44" Length × 20" Width × 40" Height

Figure 1-7. Collapsible Rescue Basket; Broken- down: 44" Length × 20" Width × 9.5" Height 1.4.3.2 Rescue Basket Deployment

 The CC shall closely monitor the amount of hoist cable that is deployed during all rescue operations. The CC shall ensure that enough cable is deployed to compensate for aircraft movement and wave action/water movement. Too much cable deployed will become a hazard to the RS and/or survivor should the cable become entangled with them, the rescue device, or debris in the water.

 The rescue basket is lightweight and may become unstable while hoisting down to the water due to winds or rotor wash. The CC shall use extreme care to avoid striking survivor/RS or obstacles with the rescue basket.

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NTTP 3-50.1 1-29 SEP 2013 1.4.3.3 Rescue Basket Recovery

The CC shall make every attempt to ensure the hoist cable is not entangled in any way prior to raising the hoist. 1. Once the rescue basket is at the cabin door, the CC shall ensure the survivor remains inside the rescue basket until ordered to disembark (figure 1-8). 2. The CC will simultaneously pull rescue basket into ai rcraft cabin while slowly reeling out hoist cable until rescue basket is far enough into cabin to safely disembark the survivor. 3. The CC shall close the cabin door, leaving just enough room for the hoist cable (without crimping it), remove the survivor from rescue basket, and secure the survivor in the cabin. Continue until all survivors are recovered. 4. Upon recovery of last survivor/R S, remove the rescue hook from lifting point and stow basket as necessary. 5. Open cabin door and stow rescue hook. 1.4.4 Rescue Net The rescue net is used as a rescue device primarily in the case of multiple survivors. The rescue net is a simple and safe rescue device that can accommodate up to two survivors, or one survivor accompanied by the RS during hoisting. When the rescue net is employed, the following special notes, warnings, and procedures apply.

Figure 1-8. Survivor Aboard the Collapsible Rescue Basket

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NTTP 3-50.1 SEP 2013 1-30 1.4.4.1 Rigging the Rescue Net Notes  During night/IMC operations the rescue net shall be illuminated. The CC shall utilize two chemical light straps from the SAR equipment bag, and attach a chemical light to the nylon rope just above the middle frame flotation on both sides of the rescue net opening (figure 1-9).  Assembly of the rescue net outside the cabin door with the net attached to the rescue hook via the lifting ring will expedite the assembly evolution. 1. The lower frame is unfolded face dow n, allowing the frame to snap open. 2. The rescue net is suspended on the rescue hook by the lifting ring, and the sleeves of the upper support ribs are slid over the swivel joints to rest on the support rib stops (figure 1-10). Note Refer to NAVAIR 13-1-6.5 for release pins attachment. 3. The lower support rib is folded up and connected to the middle frame trip ring with release pins (figure 1-11). 4. The CC shall ensure the rescue net safety strap is a ttached to the proper anchor point of the cabin deck prior to rescue net deployment to expedite recovery operations. 1.4.4.2 Rescue Net Deployment

The CC shall closely monitor the amount of hoist cable that is deployed during all rescue operations. The CC shall ensure that enough cable is deployed to compensate for aircraft movement and wave action/water movement. Too much cable deployed will become a hazard to the RS and/or survivor should the cable become entangled with them, the rescue device, or debris in the water.

The rescue net is lightweight and may become unstable while hoisting down to the water due to winds or rotor wash. The CC shall use extreme care to avoid striking survivor/RS or obstacles with the rescue net.

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NTTP 3-50.1 1-31 SEP 2013

Figure 1-9. Rescue Net with Chemical Lights Attached

Figure 1-10. Upper Support Rib Sleeves Slid over Swivel Joints

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NTTP 3-50.1 SEP 2013 1-32

Figure 1-11. Lower Support Ribs Folded up and Connected to the Middle Frame Trip Ring

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NTTP 3-50.1 1-33 SEP 2013 1.4.4.3 Rescue Net Recovery

 The CC shall make every attempt to ensure the hoist cable is not entangled in any way prior to raising the hoist.  The CC shall not transfer the survivor(s) into the aircraft cabin without first connecting the two safety “V” straps snap hooks to each side of the rescue net via the V rings attachment points. Failure to connect the safety straps will allow the rescue net to swing out, and away from the helicopter as the survivor exits the net, endangering both the exiting survivor, and any personnel still inside the rescue net. 1. Once the rescue net is at the cabin door, the CC sh all connect the two safety strap snap hooks to the V rings on the lower frame of the rescue net (figure 1-12). 2. The CC shall pull the safety straps tight a nd report: SAFETY STRAPS CONNECTED. The PAC replies: ROGER, BOARD SURVIVORS. Note If the RS is accompanying one survivor in the rescue net, the survivor shall be boarded first. 3. The CC shall board one survivor at a time, ensuring the first survivor is safely secured into a seat before diverting attention to the second survivor. 1.4.5 Rescue Seat The rescue seat is designed for use in the maritime or overland environment and is primarily used for self- recovery of aviators without the assistance of a RS. When the rescue seat is employed, the following special notes, warnings, and procedures apply:

The rescue seat can only be utilized in a maritime environment if it has a flotation collar installed. 1.4.5.1 Rescue Seat Rigging Note During night/IMC operations the rescue hook equipment ring shall be illuminated. The CC shall utilize a chemical light strap from the SAR equipment bag to attach a chemical light to the rescue hook equipment ring. 1. The CC shall ensure all seats are stowed in the “UP” position. 2. The CC shall ensure all safety straps are properly stowed. 3. The CC shall bring the rescue hook into the cab in and hook the large rescue hook into the rescue seat hoisting point (figure 1-13).

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NTTP 3-50.1 SEP 2013 1-34

Figure 1-12. The Crew Chief Connects the Safety Strap to the V rings of the Rescue Net and Pulls it Tight

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NTTP 3-50.1 1-35 SEP 2013

Figure 1-13. The Crew Chief Connects the Rescue Seat into the Large Rescue Hook 1.4.5.2 Rescue Seat Deployment

 The rescue seat should not be deployed to civilian survivors without the aid of a RS.  The CC shall closely monitor the amount of hoist cable that is deployed during all rescue operations. The CC shall ensure that enough cable is deployed to compensate for aircraft movement and wave action/water movement. Too much cable deployed will become a hazard to the RS and/or survivor should the cable become entangled with them, the rescue device, or debris in the water. 1.4.5.3 Rescue Seat Recovery

 The CC shall make every attempt to ensure the hoist cable is not entangled in any way prior to raising the hoist.  Do not grab the survivor from the back. This could cause the survivor to slip off of the rescue seat.

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NTTP 3-50.1 SEP 2013 1-36 Notes  Only one survivor, or one survivor accompanied by a RS, shall be hoisted at one time (figure 1-14). CC recovery into the cabin of two survivors without RS assistance is extremely difficult.  If the RS elects to be hoisted with the survivor, the RS shall wear the adjustable safety strap in the same manner as the survivor.  If hoisting an unconscious survivor with the rescue seat, the RS shall be hoisted along with the survivor. 1. When the survivor is at the cab in door, the CC shall put an arm around the survivor’s waist and rescue seat. 2. With the other hand in front of the survivor, guide the survivor into the aircraft cabin. 3. As the CC lowers the survivor into the aircraft, the survivor and the rescue seat are pulled inboard, causing the seat to tilt into the aircraft. 4. The CC continues to lower the seat until the edge of the support fluke is resting on the aircraft deck (figure 1-15).

Care shall be taken not to pinch the survivor while lowering to the deck due to the fluke folding. 5. The CC then continues to lower the rescue seat until the survivor’s back is on the deck of the aircraft. 6. Once the cabin door is closed, the CC shall release the rescue seat safety straps and remove the survivor from the rescue seat. 1.4.6 Rescue/Medical Evacuation Litter Procedures The rescue/medical evacuation (MEDEVAC) litter is the on ly rescue device in which use of the trail line assembly is mandatory. When the rescue/MEDEVAC litter is selected as the r escue device, the following notes, warnings, and procedures shall be used. Notes  The rescue (stokes litter) and the SAR MEDEVAC litter are different pieces of equipment. For the purposes of this section, they will be combined into the “Rescue/MEDEVAC litter” and any differences in procedures will be noted using the specific equipment nomenclature.  Use of patient restraint straps with hook-and-pile tape are no longer authorized. The rescue litter (stokes) is required to have the color-coded buckle type patient restraint straps (P/N: 140). The SAR MEDEVAC litter is required to have a new frame cover that integrates the color-coded buckle type patient restraint straps (P/N: 402-2).

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NTTP 3-50.1 1-37 SEP 2013

Figure 1-14. Survivor Aboard the Rescue Seat with the Safety Strap Properly Utilized

Figure 1-15. The Crew Chief Lowers the Rescue Seat Until the Edge of the Support Fluke Is Resting on the Helicopter Deck

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NTTP 3-50.1 SEP 2013 1-38 1. The RS communicates: DEPLOY RESCUE LITTER via radio and/or hand signal (chapter 6). 2. The CC acknowledges receipt of RS’s hand signal and communicates it to the crew. 3. The PAC commands: RIG THE RESCUE LITTER. 4. The CC acknowledges the command and rigs the rescue/MEDEVAC litter: Note During night/IMC operations the rescue litter shall be illuminated. A chemical light strap will be attached to both the head and foot end of the rescue litter on the same side as the “V” strap. Two chemical lights will be attached to each strap. a. Build up the SAR MEDEVAC litter (if used). b. Properly connect the rescue litter sling assembli es to the rescue/MEDEVAC litter (figure 1-16). Color coded: Red—head, White—foot. c. Connect the trail line V-strap (figure 1-17) to the correct side of the rescue/MEDEVAC litter for the type aircraft being hoisted into (head forward for H-46/H-53, feet forward for all other helicopters). d. Attach the snap hooks of the trail line assembly case to anchor points on the cabin decking, nearest the cabin door (figure 1-18). e. Attach the snap hook of the tr ail line to the trail line V-strap. f. Attach the weighted shot bag to the shot bag clip of the trail line.

All personnel handling the trail line during the hoisting procedure shall have gloves with leather, or other appropriately reinforced, palms. Note If needed, the CC shall tie the line-handling gloves (included in the trail line assembly) to the trail line. This can be accomplished by tying a slipknot just above the shot bag clip. Place the trail line gloves in the knot and tighten the knot to secure the gloves, so the RS/crewmember may retrieve the gloves before using the trail line. g. Attach the line-handling gloves to the trail line. h. Ensure the patient restrain t straps are properly stowed. i. The CC reports: RESCUE/MEDEVAC LITTER RIGGED, STANDING BY TO DEPLOY TRAIL LINE.

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NTTP 3-50.1 1-39 SEP 2013

Figure 1-16. MEDEVAC Litter Connection Points for the Hoisting Slings and Trail Line Assembly

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Figure 1-17. Trail Line Assembly Connection Points for the MEDEVAC and Stokes Litter

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NTTP 3-50.1 1-41 SEP 2013

Figure 1-18. The Crew Chief Deploys the Weighted End of the Trail Line Assembly 5. The PAC commands: DEPLOY TRAIL LINE. 6. The CC acknowledges the command and lowe rs trail line hand-over-hand to the RS. 7. The CC observes the RS grabbing the trail line, and after receiving a THUMBS UP signal from the RS reports: RS HAS THE TRAIL LINE, STANDING BY TO DEPLOY RESCUE/MEDEVAC LITTER. 8. The PAC commands: DEPLOY RESCUE/MEDEVAC LITTER. 9. The CC acknowledges the command and lowers the rescue/MEDEVAC litter, using standard advisory reports:

The CC shall ensue the RS does not come in physical contact with the Rescue/ MEDEVAC litter until it has touched the water (trail lines are nonconductive and will not ground the litter).

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NTTP 3-50.1 SEP 2013 1-42 10. The CC reports: LITTER IS IN THE WATER. 11. Upon observing the RS disconnecting the rescue/ MEDEVAC litter from the rescue hoist, the CC reports: LITTER IS CLEAR OF THE RESCUE HOOK. Note If the rescue/MEDEVAC litter was sent down without the rescue strop on the rescue hook, the CC shall connect the rescue strop to the rescue hook for rescue/MEDEVAC litter recovery. 12. The CC shall utilize verbal commands or crew hover to direct the helicopter back and left minimizing rotor wash interference with the RS/survivor. This will also facilitate visual contact with the RS/survivor. The hover position should be no closer to the RS/survivor than one rotor diameter outside the rotor wash area (figure 1-19). 13. The RS places the survivor in the rescue/MEDEVAC litter using procedures in chapter 3. 14. Upon receiving the hand signal from the RS, th e CC shall report: I HAVE A MOVE IN FOR PICK-UP SIGNAL. 15. The CC shall utilize verbal commands or crew hover to direct the helicopter back on top of the RS/survivor. Note Throughout the hoisting operation, the hoist operator, using standard voice procedures or crew hover, shall direct the helicopter into maintaining a stable hover over the RS/survivor. 16. The CC lowers the rescue hook (with rescue strop attached) to the RS for hook up. The CC shall use standard voice calls to keep the PAC/crew informed of progress: a. SWIMMER/SURVIVOR APPROACHING THE HOOK b. RESCUE LITTER HOOKED UP c. I HAVE A HOIST SIGNAL. 17. Upon receiving the RAISE CABLE hand signal, the CC shall raise the rescue/MEDEVAC litter to a point just on top of the surface. The rescue/MEDEVAC litter should be planned out/completely horizontal, and directly underneath the helicopter. The RS shall give the STOP HOISTING hand signal to the CC when satisfied with the position. 18. The CC reports: SWIMMER PERFORMING SAFETY CHECK. 19. Upon receiving a THUMBS UP signal from the RS , the CC reports: I HAVE HOIST SIGNAL, and hoists the rescue/MEDEVAC litter to the cabin door utilizing standard voice reports: a. LITTER IS CLEAR OF THE WATER b. LITTER IS HALFWAY UP c. LITTER IS AT CABIN DOOR.

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NTTP 3-50.1 1-43 SEP 2013

Figure 1-19. The Rescue Swimmer Uses the Trail Line to Keep the Litter Parallel to the Helicopter’s Longitudinal Axis

The direction in which the rescue/MEDEVAC litter enters the aircraft is critical. Failure to position the patient in this manner could result in further injury to the patient or damage to the aircraft. Note The confined space of the H-60 cabin requires that the litter enter the cabin feet first in order to properly attend to the survivor once in the aircraft. However, the litter may enter the cabin head first if the situation warrants this to be the most appropriate method. 20. The CC and RS work together to guide the rescu e/MEDEVAC litter into cabin correctly. The RS uses the trail line to turn the rescue/MEDEVAC litter, while the CC lowers and guides the rescue/MEDEVAC litter into the cabin (figure 1-20). 21. The CC reports: SURVIVOR ABOARD, RECOVERING TRAIL LINE. The CC recovers the trail line hand-over-hand and stows it in the cabin where it will not hinder movement. The CC shall then report: TRAIL LINE SECURED, RECOVERING SWIMMER. 22. The RS is recovered using the st andard procedures in paragraph 1.3.7. 23. After the RS is recovered, the CC readies the cabin for forward flight and reports, RESCUE STATION SECURED, CLEAR FOR FORWARD FLIGHT.

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NTTP 3-50.1 SEP 2013 1-44

Figure 1-20. The Crew Chief, While Paying Out Hoist Cable, Guides the MEDEVAC Litter into the Helicopter 1.5 SURVIVOR FLOTATION IN THE HELICOPTER Once a survivor is safely onboard the aircraft, the survivor’s personal flotation device should be deflated or replaced. 1. The optimum procedure is to remove or deflate th e survivor’s personal flotation device and replace with a personal flotation device from the aircraft (life preserver personal (LPP)-1/A, LPU-32/P, etc.). 2. Should the survivor(s) injuries preclude removal of fl otation or donning new flotation, the flotation should be deflated and the survivor should be placed in a rescue/MEDEVAC litter with a chest pad after medical treatment is completed. 1.6 HELICOPTER LIFE RAFT DEPLOYMENT Life rafts carried by naval helicopters are designed and intended for use by the helicopter crew and passengers in case of helicopter ditching at sea. These life rafts are not specifically designed for deployment in SAR scenarios, (i.e., to be deployed by the helicopter crew, and inflate upon reaching the ocean surface).

Use applicable T/M/S NATOPS procedures, altitude, and airspeed limitations for life raft deployment scenarios.

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NTTP 3-50.1 1-45 SEP 2013 Notes  The recommended altitude/airspeed limitations for deploying a multiplace life raft (MPLR) (series) life raft (inflated or uninflated) is 10/10 or 15/0.  Rescue crews should be aware that deploying rafts to survivors will reduce the number of life rafts available for helicopter crew and passengers in the event of a mishap. SAR duty/plane guard helicopters should consider taking an additional life raft to deploy in SAR situations. 1.6.1 Uninflated Life Raft Deployment 1. If a RS is available, he/she should be deployed in to the water first to inflate subsequently deployed life rafts and assist survivors in boarding. 2. If survivors are suspected to be military aircrew, ra ft may be deployed and survivors if conscious/uninjured can inflate and board raft unassisted.

The helicopter crew shall take every precaution to ensure the uninflated life raft does not strike the survivor(s) in the water. 3. Uninflated life raft deployment should be close enough to survivor(s) to ensure survivors can locate and inflate raft immediately, especially in low-visibility/night scenarios. 1.6.2 Inflated Life Raft Deployment The following procedures are for MPLR series life rafts only.

 MPLR series life raft shall not under any circumstance be attached to an aircraft and deployed for immediate inflation without a weak link installed.  Rescue crews attempting to deploy a raft in such a fashion as to inflate upon reaching ocean surface should be thoroughly familiar with NA 13-1-6 series manuals outlining the applicable equipment and manual-inflation procedures. Improperly deployed life raft inflight can result in damaged/punctured rafts or rafts blown back into aircraft rotor system. 1. Attach one snap hook of the weak link to the equipment ring of the double rescue hook. If the rescue hoist is in use, attach the weak link snap hook to a cabin deck ring closest to the door. 2. Attach the free snap hook of the weak link to the snap hook located at the end of the MPLR actuation/mooring line. 3. Ensure applicable T/M/S altit ude/airspeed restrictions are met. 4. Push (do not throw) life raft out of the cabin door, guiding it straight down with free hand.

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NTTP 3-50.1 SEP 2013 1-46 1.7 HELICOPTER-TO-SHIP PERSONNEL TRANSFER Notes  The RS shall be lowered to the ship if the ship’s deck crew is not familiar with personnel transfer and/or the CC is unable to visually ensure proper hookup procedures.  Trail-line procedures may be used during personnel/equipment transfer. Refer to paragraph 1.7.2. The hoisting procedures are as follows: 1. When the transferee is connected to the large rescue hook and completely ready for hoisting, the RS/deck crew gives the CC the “raise cable” signal (chapter 6). 2. Once clear of the deck, the CC shall recover the tr ansferee IAW the procedures outlined in paragraph 1.4, steps 10–18. 1.7.1 Hoisting Vest While the hoisting vest is not a maritime rescue device, it can be used for transfer of personnel from ship to helicopter. The CC shall ensure the vest is worn with a flotation device and that it is attached properly to the large rescue hook (figure 1-21).

Figure 1-21. Hoisting Vest

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NTTP 3-50.1 1-47 SEP 2013 1.7.2 Helicopter-to-Ship Trail-Line Hoisting Procedures There are situations that can make the transferring of personnel by helicopter to or from surface vessels extremely hazardous due to vessel size, movement, and/or location of obstructions. Sea state and/or weather conditions may also decrease the pilot’s ability to maintain a steady hover over a vessel. Use of the trail line in such situations will greatly increase the safety of ship-to-helicopter transfers while lessening the pilot workload. The vessel should be underway, preferably into the seas. The helicopter makes an approach across the vessel’s deck, normally from starboard to port, dragging the weighted trail line into the grasp of deck personnel. The helicopter can then hover close aboard but clear of obstacles. The helicopter shall hover at least twice as high as its horizontal distance from the vessel. For example, if the hover is maintained so that the vessel is kept just outside of the rotor arc, the hover altitude should be equal to or greater than the rotor diameter. The following are the helicopter trail-line procedures:

 Deck personnel may not be able to prevent the person who is being hoisted from entering the water if the helicopter hovers so far from the vessel that the trail line angle is less than 60 degrees.  Under no circumstances shall the CC allow the ship’s crew to tie off a line from an airborne helicopter. In the event that the trail line is intentionally or unintentionally attached to the ship, the CC shall notify the PAC and immediately accomplish T/M/S NATOPS procedures for a fouled rescue hoist cable.

Notes  More information on the trail line assembly can be found in chapter 5.  During the execution of the trail line hoist, 10 degrees and 20 degrees relative winds may be more favorable than the norm of 30 degrees relative wind.  At the discretion of the HAC, the RS may be hoisted down to the ship to assist the ship’s crew with the hoisting procedure. 1. Pilot commands, MAN THE RESCUE STATION FOR TRAIL LINE HOIST. Notes  The trail line is attached to the equipment ring of the rescue hook for all rescue devices except the rescue/MEDEVAC litter, in which case it is attached to the rescue/MEDEVAC litter V-strap.  A weak link has been incorporated, which will break if excessive force (approximately 450 pounds) is applied to the trail line. 2. The CC replies: ROGER, UNSTRAPPING, and rigs the trail line for deployment: a. Attach the snap hooks of the trail line assembly case to anchor points on the cabin decking, nearest the cabin door. b. Attach the snap hook of the trail line to the equipment ring of the rescue hook (figure 1-22).

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Figure 1-22. Trail Line Connected to the Equipment Ring of the Rescue Hook c. The CC shall attach the weighted shot ba g to the shot bag clip of the trail line.

All personnel handling the trail line during the hoisting procedure shall have gloves with leather, or other appropriately reinforced, palms. Note If needed, the CC shall tie the line-handling gloves (included in the trail line assembly) to the trail line. This can be accomplished by tying a slipknot just above the shot bag clip. Place the trail line gloves in the knot and tighten the knot to secure the gloves, so the RS/crewmember may retrieve the gloves before using the trail line. d. Attach the line-handling gloves to the trail line. 3. The CC reports: TRAIL LINE RIGGED, STANDING BY TO DEPLOY TRAIL LINE. 4. The PAC commands: STAND BY TO DEPLOY TRAIL LINE. 5. The CC replies: STANDING BY TO DEPLOY TRAIL LINE. 6. The PAC maneuvers the helicopter to a steady hover over the ship’s deck.

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NTTP 3-50.1 1-49 SEP 2013 7. The PAC commands: DEPLOY TRAIL LINE.

Do not deploy the trail line without adequate weight attached. Note The CC shall deploy the trail line hand-over-hand out of the aircraft. 8. The CC acknowledges the command, and lowers the trail line hand-over-hand (figure 1-19), keeping the PAC informed of progress using standard voice terminology: a. LOWERING TRAIL LINE b. TRAIL LINE HALFWAY DOWN c. TRAIL LINE ON DECK d. DECK CREW HAS TRAIL LINE. 9. The CC reports: STANDING BY TO DEPLOY THE (RESCUE DEVICE). 10. The PAC commands: DEPLOY THE (RESCUE DEVICE). 11. The CC acknowledges the command, and lowers th e appropriate rescue device, using the standard terminology: a. LOWERING (RESCUE DEVICE) b. (RESCUE DEVICE) HALFWAY DOWN c. (RESCUE DEVICE) ON DECK.

Excess hoist cable on the deck of the ship is a hazard. Excess hoist cable should be deployed by the CC grabbing the hoist cable and creating a loop. This will allow the CC to meter out slack in the hoist cable by loosening the grip on the hoist cable and allowing it to slide through the hand. 12. Once the rescue device is on the ship’s deck, more hoist cable shall be deployed to allow for relative movement between the vessel and the helicopter. 13. The CC shall keep the PAC advised of deck stat us and relative position of the aircraft. Upon receiving a THUMBS-UP signal from the deck crew, the CC shall report: I HAVE A RAISE CABLE SIGNAL. 14. The CC shall recover the rescue device using the following voice procedures: a. TAKING TENSION ON HOIST

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NTTP 3-50.1 SEP 2013 1-50 b. (RESCUE DEVICE) TENDED BY DECK PERSONNEL c. (RESCUE DEVICE) CLEAR OF THE DECK d. (RESCUE DEVICE) IS PLUMB TO RESCUE HOIST. 15. Once the rescue device is plumb (directly underneath) , standard voice procedures shall be used to retrieve the rescue device into the aircraft: a. SURVIVOR HALFWAY UP b. SURVIVOR AT THE CABIN DOOR. 16. Upon arrival of the survivor at the aircraft cabin door, the CC shall maneuver survivor/rescue device as required (see paragraph 1.4) for transition into the aircraft cabin.

Do not detach the RS/survivor from the rescue hook until the RS/survivor are safely in the cabin of the helicopter, and the cabin door is closed (if the chosen rescue device allows the cabin door to be closed). Note If the chosen rescue device does not allow for the cabin door to be closed, the CC shall maintain physical control of the survivor at all times until the survivor is safely secured into the aircraft. 17. When the survivor is completely inside the he licopter, the CC shall position him/herself in the cabin door, guarding against the survivor falling out. The CC shall report: SURVIVOR ABOARD. Note Ensure applicable T/M/S NATOPS airspeed restrictions are adhered to while the hoist cable is deployed from the aircraft rescue hoist assembly, and while the cabin door is not completely closed. 18. The CC shall pay out only enough hoist cable to a llow the cabin door to be closed as far as possible without damaging the cable and/or trail line. 19. Once the cabin door is closed, the CC shall: a. Remove the survivor from the rescue device. b. Secure the survivor in an aircraft seat. 20. The CC opens the cabin door IAW T/M/S NATOPS procedures and reports: SURVIVOR (OR EQUIPMENT) SECURED IN AIRCRAFT. STANDING BY TO HAUL IN TRAIL LINE. 21. The PAC commands: HAUL IN TRAIL LINE.

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NTTP 3-50.1 1-51 SEP 2013 22. The CC acknowledges the command, hauls in the trai l line hand-over-hand, and stows it in the cabin where it will not hinder movement. 23. The CC closes the cabin door and repor ts: AFTER STATION SECURED, CLEAR FOR FORWARD FLIGHT. 1.8 EMERGENCY PROCEDURES 1.8.1 Rescue Hoist Failure During a Rescue In the event of a rescue hoist failure during a rescue, the CC shall notify the HAC and perform rescue hoist failure procedures IAW T/M/S NATOPS manual/PCL. If determined that the rescue hoist is jammed and/or unusable, the crew shall make a decision on how to recover the RS/survivor. If personnel are attached to the rescue hoist at the time of the failure, the PAC should lower the helicopter until the personnel are in the water and can safely unhook from the rescue hoist. If lowering the personnel into the water is too hazardous to the personnel on the rescue hoist, the PAC should, at a minimum, lower the helicopter until the personnel are at a reasonable altitude should the rescue hoist cable break. 1.8.2 Jammed Rescue Hoist Procedures 1. After completing the T/M/S NATOPS procedures for rescue hoist failure, the CC determines that hoist is jammed, and reports: RESCUE HOIST IS JAMMED/UNUSABLE. STANDING BY TO PERFORM JAMMED RESCUE HOIST PROCEDURES. 2. The HAC acknowledges, and reports: PERFORM JAMMED HOIST PROCEDURES. Note Due to the close proximity of the rescue hoist support to the number two engine intake on H-60 airframes, the crewman’s safety belt shall be fed over the rescue hoist support from aft to front. 3. The CC attaches the waist belt portion of the crewman’s safety belt (crewman’s safety belt) over the boom/support of the rescue hoist (figure 1-23). 4. The CC attaches the shackle of the cable grip (parag raph 5.4.1.3) to the snap hook of the crewman’s safety belt strap. 5. The crewman connects the cable grip to the hoistin g cable by placing the cable between the jaws of the cable grip, shackle end up. Note If at all possible, the personnel on the hoist should be lowered into the water prior to attempting step 6. 6. The CC pulls the safety strap to shorten it until slack is visible in the rescue hoist cable, which relieves tension on the rescue hoist drum and brake assembly. 7. If personnel on the hoist were lowe red into the water, the PAC must lift the personnel clear of the water by raising the collective flight control. The CC shall advise the PAC when personnel are well clear of the water.

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Figure 1-23. Emergency Securing of the Rescue Hoist Cable 8. The CC reports: JAMMED HOIST PROCEDURES COMPLETED, CLEAR FOR FORWARD FLIGHT. Note During transit, it is recommended that the personnel on the rescue hoist be no higher than 30 feet above ground level (AGL), and airspeed be no faster than safe single engine airspeed. 9. The PAC acknowledges, and keeps the helicopter within T/M/S NATOPS limitations for maneuvering with a rescue hoist load. 10. The CC shall keep the PAC apprised of the personne l’s condition, oscillations, and height above the water. 1.8.3 Severed Rescue Hoist Cable In the event that the rescue hook has been either intentionally or unintentionally severed from the hoist cable, it may be possible to fix the problem in flight, and continue to use the rescue hoist. In this instance, the hoist quick splice plate (paragraph 1.8.4) may be rigged.

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NTTP 3-50.1 1-53 SEP 2013 Note Normally, a Lucas Western or Breeze Eastern Rescue Hoist will be rendered unusable if the rescue hoist cable is severed utilizing the squib (emergency separation device), due to the squib’s location in the hoist assembly. 1. If time permits, and continued use of the rescue hoist is desired/needed, the rescue hoist cable should be cut with the pneumatic rescue hand tool or manual rescue hand tool, using the following procedures. Note Failure to properly prepare the rescue hoist cable prior to cutting will result in the hoist cable unraveling when it is cut. a. A strong type of tape, such as ordnance tape, shoul d be tightly wrapped around desired area to be cut. b. Cut the rescue hoist cable directly below the tightly wound tape. Note If unable to prepare the hoist cable prior to cutting, the cable might be salvaged by taping it tightly, either where the unraveling stops, or as high up towards the rescue hoist as possible. Once taped, let out a small amount of hoist cable and retape. Continue with this procedure until the unraveling stops. Once good rescue hoist cable is found, use the above procedures at a point 1–2 feet above that spot. 1.8.4 Rigging the Hoist Quick Splice Plate The hoist quick splice plate assembly (figure 1-24) affords the CC the opportunity to fit a severed rescue hoist cable with a new rescue hook. The following notes, warnings, and procedures apply:

 Failure to rig the cable through the hoist quick splice plate properly will result in the cable slipping out of the quick splice when tension is applied.  The hoist quick splice plate may not engage the rescue hoist upper limit switch. Separation of the quick splice/rescue hoist cable is possible when the hoist quick splice plate assembly reaches the upper limit switch of the rescue hoist. The rescue hoist shall not be fully raised when using the hoist quick splice plate. Note A properly rigged quick splice will not affect (degrade) rescue hoist weight limitations. 1. Lace the hoist cable through the numbered holes starting with “1.” 2. Place the bitter end of the cable b ack under itself between holes “3” and “4.” 3. Once correctly routed through all five holes, the bitte r end of the cable shall be routed under the retainer clip (figure 1-24). 4. The quick splice is ready to use, and normal hoisting may be resumed.

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NTTP 3-50.1 SEP 2013 1-54 1.8.5 Cable Splice (P/N AMTC-R2008-0) Procedures

Failure to rig the cable through the cable splice properly will result in the cable slipping out of the cable splice when tension is applied. Notes  A properly rigged cable splice will not affect (degrade) rescue hoist weight limitations. The top plate serves to secure the cable and trip the hoist upper limit (cable stop) switch.  Hoist cable routing instructions are etched on the face of the cable splice plate. 1. Start by placing the cable bitter end across the face plate of the cable splice. 2. Route the cable through the slots of the cable splice beginning with the slot marked number “1.” 3. Route cable around the back and through the slot marked number “2.” 4. Route the cable over the bitter end and through slot number “3.” 5. Route the cable around the back and through slot number “4.” 6. Route the cable up and through slot number “5” ensu re you have routed the cable over the bitter end. 7. Route the cable through the locking sl ot on the top plate of the cable splice. The cable splice is ready to use, and hoisting may be resumed.

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NTTP 3-50.1 1-55 SEP 2013

Figure 1-24. The Crew Chief Places the Bitter End of the Rescue Hoist Cable Under the Retainer Clip 1.9 AVIATION SEARCH AND RESCUE READINESS CONDITIONS The following readiness conditions are to be utilized for search and rescue. 1.9.1 SAR Condition I The aircraft shall be spotted for immediate launch. It shall be headed into the relative wind with rotor blades spread, starting equipment plugged in, and a landing signal enlisted (LSE), starting crewman, plane captain, and required plane handlers standing by. Unless otherwise directed, at least four tie-downs shall be attached to the aircraft. The flight crew shall be ready for launch in all respects, with all personal equipment attached and adjusted as in flight. When the air officer passes the word to stand by to launch the Condition I helicopter(s), engines shall be started without further instructions; however, rotor engagement and launch shall be positively controlled by the tower. 1.9.2 SAR Condition II The same conditions apply as for Condition I, except that flight crews shall stand by in the ready rooms or in other such suitable locations.

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NTTP 3-50.1 SEP 2013 1-56 1.9.3 SAR Condition III Main rotor blades may be folded and the aircraft need not be in position for immediate launch; however, it must be parked so as to allow direct access to a suitable launch spot. A tow bar shall be attached to the aircraft and a specific LSE, tractor driver, handling crew, and starting crewman shall be designated and assigned to each helicopter. These personnel must be thoroughly briefed so that when the order is given to prepare launch, the aircraft can be safely and expeditiously moved into position and readied for launch. Flight crews should be briefed for the launch and be standing by at a designated location. 1.9.4 SAR Condition IV This is similar to Condition III except that minor maintenance may be performed on the aircraft if no delay in launch is involved.

CHAPTER 3 Rescue Swimmer Procedures

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NTTP 3-50.1 3-1 SEP 2013 CHAPTER 3 Rescue Swimmer Procedures 3.1 RESCUE SWIMMER PROCEDURES Immediately upon water entry, the RS establishes visual communications with SRU personnel, and indicates I AM ALL RIGHT via hand signal. The aviation RS shall next perform a radio check with the SRU. The RS will then approach the survivor(s). 3.2 UNITED STATES NAVAL LIFESAVING APPROACH PROCEDURES A U.S. Naval Rescue Swimmer may utilize three approaches: Rear Surface Approach, Front Surface Approach, and the Underwater Approach. These approaches may be employed on either conscious or unconscious survivors, with or without flotation.

Prior to the RS taking physical control of a survivor, the RS shall take into account the type of injuries the survivor has communicated. An unconscious survivor automatically communicates an injury to the head, neck, or spine. The RS shall use only enough force as necessary to gain positive control of the survivor, being ever mindful of the RS’s duty to prevent further injury to the survivor. Note If the RS chooses to give up his/her personal flotation, refer to Survivor Emergency Flotation Procedures in paragraph 3.6.1 of this chapter. 3.2.1 Rear Surface Approach The Rear Surface Approach is the most common approach used by RSs. The rear surface approach should be used for all conscious survivors. The following procedures are to be used for the rear surface approach: 1. Approach the survivor from the rear, with head out of the water and eyes on the survivor. 2. Upon reaching 6–8 feet of distance from the surv ivor, execute a quick reverse and attempt to establish communications (figure 3-1). Note If the survivor appears unresponsive, splash and yell to get the survivor’s attention. 3. Secure survivor in a cross-chest carry, or equipment/collar tow (see paragraph 3.3).

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Figure 3-1. Rear Surface Approach (1 of 3)

Figure 3-1. Rear Surface Approach (2 of 3)

Figure 3-1. Rear Surface Approach (3 of 3)

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NTTP 3-50.1 3-3 SEP 2013 3.2.2 Front Surface Approach The front surface approach should be the RS’s first choice when approaching an unconscious survivor. The following procedures are to be used for the front surface approach: 1. Approach the front of the survivor with head out of the water and eyes on the survivor. 2. Upon reaching an arms-length distance from the survivor, execute a quick reverse (figure 3-2A). 3. Timing the movement, the RS’s ar m crosses down above and firmly grasps the back of the survivor’s wrist, right hand to right wrist, or left hand to left wrist. The RS then leans back, flutter kicks, and pulls the survivor’s arm across and in front of the RS’s body, turning the survivor around (figure 3-2B). 4. When the survivor’s back is fully turned, the RS places the survivor in a cross-chest carry, or equipment/collar tow (figure 3-2C). Note If the survivor is conscious, every attempt shall be made to approach the survivor from the rear. This can be accomplished by either asking the survivor to turn around, or by swimming to the rear of the survivor and executing a rear surface approach. 3.2.3 Underwater Approach Used primarily for approaching a panicked survivor (definition of a panicked survivor can be found in paragraph 3.6.4). The following procedures are to be used for the underwater approach:

Do not use the underwater approach if the survivor is wearing and/or entangled in a parachute. Note The tending line, when attached to a surface RS, may interfere with the underwater approach. 1. Approach the front of the survivor with head out of the water and eyes on the survivor. 2. Upon reaching a distance of 6 to 8 feet from the su rvivor, assess the situation. When comfortable, execute a surface dive and swim under the survivor (figure 3-3A). Note The RS must be aware of the added buoyancy of the wet/dry suit and avoid premature surfacing. 3. Execute a half turn (the survivor’s back should be toward the RS) and surface (figure 3-3B). 4. While surfacing, place survivor in a controlled cross-chest carry (figure 3-3C).

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Figure 3-2. Front Surface Approach A. SWIMMER DIVES C. PLACES SURVIVOR IN A CONTROLLED CROSS-CHEST CARRY B. PASSES UNDER SURVIVOR

Figure 3-3. Underwater Approach

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NTTP 3-50.1 3-5 SEP 2013 3.3 CARRY PROCEDURES The two carries to be utilized by the RS are: cross-chest carry, and equipment/collar tow.

Prior to the RS taking physical control of a survivor, the RS shall take into account the type of injuries the survivor has communicated. An unconscious survivor automatically communicates an injury to the head, neck, and spine. The RS shall use only enough force as necessary to gain positive control of the survivor, being ever mindful of the RS’s duty to prevent further injury to the survivor. 3.3.1 Cross-Chest Carry The procedures for the cross-chest carry (figure 3-4) are: 1. From a position behind the survivor ’s shoulder, the RS reaches across the chest and pulls the survivor from under the armpit with the back of the RS’s hand. 2. The survivor’s shoulder is then tucked securely in to the RS’s armpit and the arm firmly clamped against the survivor’s chest. 3. The RS turns to the side with the hip directly ag ainst the small of the survivor’s back. The RS strokes vigorously with the legs, using a flutter kick to provide propulsion. Note The cross-chest carry may be difficult to perform on personnel with inflated flotation devices. 4. Should the survivor become panicked and resist th e RS’s grasp, the RS shall lock his/her free hand under the survivor’s armpit to complete a controlled cross-chest carry. 3.3.2 Equipment/Collar Tow The procedures for the equipment/collar to follow:

Do not grasp the survivor in a manner that may result in restricted breathing or circulation. 1. Grasp the survivor’s shirt collar or flight equipm ent (not flotation) from behind and between the shoulder blades with the arm straight and locked at the elbow (figure 3-5A and B). 2. The RS assumes the sidestroke position, and strok es vigorously with the legs, using a flutter kick to provide propulsion.

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NTTP 3-50.1 SEP 2013 3-6

Figure 3-4. Cross-Chest Carry

Figure 3-5. Equipment/Collar Tow 3.4 RELEASE/ESCAPE PROCEDURES In the event the RS is grabbed by either a panicked or a combative survivor, the RS must be able to break free from both a front and a rear head hold (escape), or immediately reverse the physical contact of the survivor and regain control without harming the survivor or themselves (release). Note If the RS is unable to determine whether the survivor is panicked or combative, the RS should escape from the survivor’s grasp, move to a safe distance, and reassess the situation. The RS should then utilize the appropriate procedures prior to reattempting physical contact/control of the survivor. Panicked or combative survivor procedures are outlined in paragraph 3.6.4.

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NTTP 3-50.1 3-7 SEP 2013 3.4.1 Front Head Hold Release The survivor grasps the RS from the front, about the head, with both arms. The survivor may scissor the RS’s waist with the legs. The release procedures are as follows: 1. As soon as the survivor’s arms are felt encircling the head, the RS takes a quick “bite” or breath of air, and tucks chin down and to one side. The RS extends his/her arms outward, moving them rapidly upwards several times, which will produce downward movement, submerging the survivor and RS (figure 3-6A). 2. If the survivor’s head is on the right of RS’s head, the RS brings his/her right arm up and over the encircling arm and places hand securely against survivor’s right cheek, the little finger against the side of survivor’s nose and thumb hooked under the jaw (figure 3-6B). Note If the survivor’s head is at the RS’s left side, the method is reversed. 3. The remaining free hand of the RS is brought up bene ath the survivor’s other arm, seizing it in a grip with the thumb just above the survivor’s elbow. 4. In one continuous motion, the survivor’s head is pr essed out and around with the right hand while the left hand is lifting the survivor’s arm over the RS’s head and sweeping it across to the far side. This is a pressing movement, and it is continued until the survivor’s back is to the RS (figure 3-6C). 5. The RS’s left hand continues to hold the survi vor’s arm until the right hand can be shifted from the survivor’s face to the chest and brought into a controlled cross-chest carry (figure 3-6D). Note Should the survivor’s head be on the RS’s left side, the method is reversed. 6. If survivor places a scissors lock on the RS with their legs, the scissors lock is rarely held after the head hold is released. However, if it is not released, the RS should use one hand between the ankles to unlock the survivor’s crossed feet. 3.4.2 Front Head Hold Escape When grasped around the head and shoulders from the front by the survivor, the RS shall immediately: 1. As soon as the survivor’s arms are felt encircling th e head, the RS takes a quick “bite” or breath of air and tucks chin down and to one side. The RS extends his/her arms outward, moving them rapidly upwards several times, which will produce downward movement, submerging the survivor and RS (figure 3-7A). 2. Without pause, the RS places both hands on the front of the survivor’s hips with the heels of the hands against the body, fingers extended, and thumbs grasping the survivor’s sides. By forcefully pressing and extending the arms, the RS pushes the survivor’s body back and up toward the horizontal position. This leverage will loosen the survivor’s grasp (figure 3-7B). 3. The RS can free his/her head with a combination of tucking the chin inward and hunching the shoulders. The survivor is then pushed away (figure 3-7C). 4. The RS surfaces at a safe dist ance to reassess the situation.

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NTTP 3-50.1 SEP 2013 3-8

Figure 3-6. Front Head Hold Release

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NTTP 3-50.1 3-9 SEP 2013

Figure 3-7. Front Head Hold Escape 3.4.3 Rear Head Hold Release The rear head hold is perhaps the worst situation for a RS. The RS must quickly and correctly use the following procedures to avoid possible injury or drowning: 1. As soon as the survivor’s arms are felt encircling the head, the RS takes a quick “bite” or breath of air, and tucks chin down and to one side. The RS extends his/her arms outward, moving them rapidly upwards several times, which will produce downward movement, submerging the survivor and the RS (figure 3-8A). 2. The RS places both hands on the survivor’s wrist (e ither top or bottom), and pulls down toward the RS’s hips, rotating the hand and sliding the other hand up to the survivor’s elbow (figure 3-8B and C). 3. With a combination of twisting inward and down on the survivor’s wrist, and pushing the survivor’s elbow upward (figure 3-8D), the grip is released. The survivor’s forearm is straight across the survivor’s back, and the survivor is in front of the RS (figure 3-8E). 4. From this position behind survivor, the RS sha ll place survivor in a controlled cross-chest carry. 3.4.4 Rear Head Hold Escape The rear head hold is perhaps the worst situation for a RS. The RS must quickly and correctly use the following procedures to avoid possible injury or drowning: 1. As soon as the survivor’s arms are felt encircling the head, the RS takes a quick “bite” or breath of air, and tucks chin down and to one side. The RS extends his/her arms outward, moving them rapidly upwards several times, which will produce downward movement, submerging the survivor and RS (figure 3-9A). 2. The RS brings the hands up to underside of each of the survivor’s elbows. While keeping the chin tucked in and hunching the shoulders, RS pushes forcefully upward freeing the head (figure 3-9B). 3. The survivor is then pushed back, away from the RS. The RS turns to face the survivor, prepared to prevent subsequent grasps. 4. The RS swims well out of reach of the survivor, surfaces, and reassesses the situation.

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NTTP 3-50.1 SEP 2013 3-10

Figure 3-8. Rear Head Hold Release

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NTTP 3-50.1 3-11 SEP 2013

Figure 3-9. Rear Head Hold Escape 3.5 PARACHUTE-DISENTANGLEMENT PROCEDURES Aviation personnel who have bailed out/ejected from their aircraft and are entangled in their parachutes present the RS with both the greatest challenge, and the greatest danger. Because of the various types and configurations of harnesses, fittings, and flotation devices, the RS shall maintain continuous training and proficiency in the use of all survival and parachute equipment being utilized by aviators. The NAVAIR 13-1-6 (series) publications discuss all equipment currently in use in greater detail. Additionally, SAR crews (station, carrier battle group, and amphibious ready group) should receive briefings from each aircraft squadron in the local area on the aircraft escape systems, aviators’ survival equipment in use at least once a year, and prior to deployment.

Spinal immobilization is essential to ejection egress aircrew. Aircrew who eject from aircraft must be presumed to have spinal injuries. The RS should treat all survivors involved in an incident with a “high index of suspicion” (chapter 7) as a probable head, neck, or spinal injury regardless of whether the survivor reports any pain or injury. Utilizing the rescue/SAR MEDEVAC litter for recovery is highly recommended to help prevent a potentially life-threatening or permanent neurological injury. In conjunction with use of the rescue/MEDEVAC litter, total spinal immobilization, including cervical collar, should be applied at the earliest convenience. 1. The RS shall never go underneath a parachute canopy. Both the RS and survivor could become trapped and drown should the canopy collapse and sink.

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NTTP 3-50.1 SEP 2013 3-12 2. The parachute shall never be allowed to come betw een the RS and the survivor. The RS could lose sight of the survivor and/or become entangled in the parachute and/or suspension lines. 3. DD procedures shall not be used in an y parachute-disentanglement rescue scenario. 4. When the survivor is entangled in a parachute that is submerged, the RS must act swiftly and efficiently in disentangling the survivor. A submerged parachute billowed and inflated with water current will pull personnel, rafts, and small boats under the water. 3.5.1 Entanglement in Shroud Lines The most common type of disentanglement situation occurs when the aviator is entangled in shroud lines, with the parachute canopy collapsed and partially or totally submerged. Specific procedures for shroud line removal can be found in paragraph 3.7.7. 3.5.2 Ballooned Canopy Procedures If the survivor is covered with a ballooned (or deflated) parachute canopy, the RS shall use the following procedures: 1. While approaching the canopy, attempt to establish communications with the survivor. 2. Swim to the parachute edge closest to the survivor and opposite the apex of the parachute canopy (figure 3-10). 3. Lift the edge of the parachute, pull shroud line(s) until the survivor is within reach and the canopy is gathered into the RS’s hand (figures 3-11 and 3-12).

Figure 3-10. Attempt to Establish Communication with the Survivor

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NTTP 3-50.1 3-13 SEP 2013

Figure 3-11. Lift the Edge of the Parachute

Figure 3-12. Pull Shroud Line(s) Until the Surviv or Is Within Reach, and the Canopy Is Gathered into the Rescue Swimmer’s Hand

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NTTP 3-50.1 SEP 2013 3-14

Prior to the RS taking physical control of a survivor, the RS shall take into account the type of injuries the survivor has communicated. An unconscious survivor automatically communicates an injury to the head, neck, and spine. The RS shall use only enough force as necessary to gain positive control of the survivor, being ever mindful of the RS’s duty to prevent further injury to the survivor. 4. The RS uses his/her free arm to turn the survivor ar ound (if required), and places a firm grip on back of the survivor’s harness. 5. In one motion, pull the survivor back, and push the parachute over the survivor’s head (figure 3-13). 6. With the survivor out from under the parachute, con tinue to pull the survivor into the wind, and away from the parachute canopy. 7. When the survivor is towed well clear of the parachute canopy, use disentanglement/recovery procedures applicable to the type of harness the survivor is wearing (paragraph 3.7).

Figure 3-13. In One Motion, Pull the Survivor Back, and Push the Parachute over the Survivor’s Head

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NTTP 3-50.1 3-15 SEP 2013 3.5.3 Sinking Parachute Should the survivor be entangled in a submerged parachute, and the RS comes to the conclusion that he/she will not be able to disentangle the survivor prior to the parachute pulling the survivor under water, the following procedures should be utilized. Notes  The surface RS shall follow procedures established in chapter 2, paragraph 2.7.3.2.  Use of the aviation RS’s radio is critical, as it will greatly reduce the amount of time taken to communicate the RS’s intentions. 1. The RS shall signal for assistance from a rescue boat, if available, using either the aviation RS’s radio, and/or the hand signal found in (chapter 6). If no rescue boat is immediately available, the RS shall signal the helicopter over into a hover position, directly over the survivor. 2. The RS will then attach the survivor’s surviv al harness lifting device into the large rescue hook, and immediately continue disentanglement procedures. 3. The helicopter’s rescue hoist shall be used to main tain the survivor’s head above the water while the RS disentangles the parachute and readies the survivor for recovery.

The helicopter’s hoist operator will adjust the hoist to compensate for hover variations and to maintain a steady hover over the survivor’s position; under no circumstances shall the survivor be hoisted out of the water while any part of the parachute is still attached. Note The RS may choose to unhook the survivor from the large rescue hook when the RS has completely disentangled the survivor from the sinking parachute. This will enable the RS to complete the required survivor recovery procedures IAW paragraph 3.7. 3.6 RESCUE SWIMMER EMERGENCY PROCEDURES 3.6.1 Survivor Emergency Flotation Procedures During the course of a rescue scenario, the RS may be faced with survivors with damaged or no flotation devices. If only one survivor has flotation problems, the RS may choose to complete the rescue without additional flotation devices for the survivor. When providing flotation to the survivor(s), the following procedures shall be used: Note If the RS is wearing the TRI-SAR harness, the flotation cannot be removed. The RS shall signal the SRU for flotation (chapter 6). The SRU should hoist down a personal flotation device, or deploy a raft to the RS. If the survivor has damaged/no flotation, the RS may give the survivor flotation using the procedures in paragraphs 3.6.1.1 and 3.6.1.2.

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NTTP 3-50.1 SEP 2013 3-16 Note Prior to RS deployment, every attempt should be made to determine if the survivor has operable flotation. If it is determined that survivor(s) has no flotation, the survivor’s flotation is inoperative, or the survivor’s flotation status cannot be determined from the SRU, the RS should deploy with a personal flotation device, or one-man raft. The RS may be deployed via jump or hoist while holding a flotation device and should be placed as close to survivor(s) as possible to preclude excessive swimming. 3.6.1.1 Cooperative Conscious Survivor with Damaged/No Flotation 1. If the RS chooses to give the survivor his/her pe rsonal flotation (LPU-28/P), the RS shall attempt to ascertain the survivor’s level of cooperation. If the survivor is deemed cooperative, the RS: a. Approaches the survivor using the front surface approach, and establishes communications. b. Upon reaching a distance of 6 to 8 feet from the survivor, executes a quick reverse. c. Removes RS’s mask, unclips and removes the LPU-28/P, and replaces mask. Notes  If time/the survivor’s condition permits, the RS should inflate the LPU-28/P via the oral inflation tube—this will ensure the LPU-28/P is not overinflated, and fits over the survivor’s head. This will also preclude the need to swap the survivor’s flotation once aboard the SRU.  A fully inflated LPU-28/P may be difficult for some survivors to place over the head. In this instance, the RS may instruct the survivor on venting off some of the LPU-28/P’s air. Once the survivor is in the RS’s control, the RS can replace the air as necessary via the oral inflation tube, or by pulling beaded inflation lanyard.  The RS should not let go of the LPU-28/P back strap until completion of step “g.” d. Inflate the LPU-28/P, hold onto the back strap, and pass it to the survivor. Notes  The RS should wait until the survivor has some source of flotation available prior to instructing them to remove their cranial, helmet, oxygen mask, etc.  The LPU-28/P will not fit over a cranial, or helmet. If the survivor is unable to tread water and remove their cranial/helmet, pass the survivor the LPU-28/P and instruct them to do so prior to attempting the donning of the LPU-28/P. e. Instruct the survivor to place the LPU- 28/P over his/her head, with the pocket facing out. f. While the survivor is donning LPU-28/P, the RS shall swim around to the right and behind survivor with the back strap in RS’s right hand. g. Place the left arm across the survivor’s chest, under the flotation, and grasp the LPU-28/P’s waist buckle. Fit the back strap around the survivor’s back, and clip it into the waist buckle. Tighten the back strap. h. Complete the rescue using normal disentangl ement/recovery procedures in paragraph 3.7.

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NTTP 3-50.1 3-17 SEP 2013 2. If the RS chooses to give the survivor an LPU-32/ P from the SRU the RS shall attempt to ascertain the survivor’s level of cooperation. If the survivor is deemed cooperative, the RS:

 The LPU-32/P is not designed for use as SAR equipment. Due to its design, the RS will be limited in its use on a survivor.  Never inflate the LPU-32/P prior to fitting it on a survivor. Due to the design of the oral inflation tubes, it is extremely difficult to vent off air as needed to fit it over the survivor’s head. Note The NAVAIR 13-1-6.1-2 authorizes a 12-inch extension belt for the LPU-32/P waist belt. Both the SRU crew and the RS should ensure that the 12-inch extension belt is present on the deployed LPU-32/P for ease of fitting it to the survivor. a. Approaches the survivor using the front surface approach, and establishes communications. b. Upon reaching a distance of 6 to 8 feet from the survivor, executes a quick reverse. Note The RS should not let go of the LPU-32/P back strap until completion of step “f.” c. While holding onto the back strap: (1) Unzip the LPU-32 all the way to help the survivor fit it over his/her head. (2) Pass it to the survivor. Note An LPU-32/P that is not inflated and fully unzipped should fit over a cranial, or helmet. If the survivor is unable fit the LPU-32/P over his/her head, instruct them to remove their cranial/helmet and retry. d. Instruct the survivor to place the LPU-32/P over his/her head; as the LPU-32/P is completely reversible, it does not matter which side is facing out. Note For step “e” the RS will have to determine which side of the survivor the waist buckle is on. For example, if the waist buckle is on the RS’s left side (facing the survivor), the RS shall swim around to the right of the survivor with the back strap in the RS’s right hand. Reverse as necessary. e. While the survivor is donning LPU-32/P, the RS shall swim around behind the survivor with the back strap in RS’s appropriate hand.

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NTTP 3-50.1 SEP 2013 3-18 f. Place the appropriate arm across the survivor’s chest, under the flotation, and grasp the LPU-32/P’s waist buckle. Fit the back strap around the survivor’s back, and clip it into the waist buckle. Tighten the back strap.

Failure to inflate both lobes of the LPU-32/P will result in the survivor floating low in the water, and may cause the survivor to ingest water and/or drown. g. Inflate the LPU-32/P by pulling both beaded handles. h. Complete the rescue using normal disentangl ement/recovery procedures in paragraph 3.7. 3. If the RS chooses to give the survivor an LRU- 18/U life raft from the rescue platform, the RS shall:

 Upon approaching the survivor, the RS shall attempt to ascertain the survivor’s level of cooperation. If the survivor is deemed cooperative, the RS shall:  The LRU-18/U shall never be used as a flotation device on an unconscious survivor, or a survivor with a suspected head, neck, or spine injury. Note The LRU-18/U life raft has a single beaded CO2 inflation activation lanyard and two oral inflation valves (red). When pulled, the CO2 cartridge fills the top four lobes of the life raft only. This is to make embarkation of the life raft easier. The bottom five lobes of the LRU-18/U are inflated manually via the uppermost oral inflation tube. The bottom oral inflation tube controls the top four lobes. a. Approach the survivor using the front surface approach, and establish communications. b. Upon reaching a distance of 6 to 8 feet from the survivor, execute a quick reverse. c. While holding on to the carry straps, pull the beaded handle to inflate the LRU-18/U. Note The RS should not let go of the LRU-18/U tending line until completion of step “d.” d. Push the life raft to the survi vor, and instruct the survivor to board the life raft. Once safely aboard, the RS can instruct the survivor to inflate the bottom half of the LRU-18/U via the upper oral inflation tube.

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NTTP 3-50.1 3-19 SEP 2013 e. If the survivor is unable to board the LRU-18/ U under his/her own power, the RS can assist using the following steps: Note The RS should not let go of the LRU-18/U tending line until completion of step “2.” (1) The RS puts the survivor in a left ar m cross-chest carry or equipment/collar tow. Note The RS should be in between the life raft and the survivor. (2) The RS shall grab the LRU-18/U with his/her right hand approximately 1/3 of the way down the length from the head of the life raft. (3) Pull down forcefully on the life raft and simulta neously pull the survivor across your body into the life raft. Continue this until the survivor’s head and torso are positioned inside the LRU-18/U. (4) Without letting go of the life raft, slide down to th e survivor’s feet and push them inside the life raft. (5) Assist the survivor in maneuvering around inside th e life raft until the survivor is in the most stable position possible. (6) Instruct the survivor on how to blow up the bottom portion of the life raft using the upper most oral inflation tube (as desired). f. Complete the rescue using normal disentangl ement/recovery procedures in paragraph 3.7. 3.6.1.2 Unconscious Survivor with Damaged/No Flotation 1. When the RS chooses to give up their personal LPU-28/P to an unconscious survivor with damaged/no flotation, the RS shall: a. Approach the survivor using the front surface approach and attempt to establish communications/determine unresponsiveness. b. Upon reaching a distance of an arm’s lengt h from the survivor, execute a quick reverse. c. Remove RS’s mask, unclip and remove LPU-28/P, and replace mask. Note It may be difficult to fit a fully inflated LPU-28/P over some survivor’s heads. In this instance, the RS may vent off some of the LPU-28/P’s air. Once the LPU-28/P is over the survivor’s head, the RS can replace the vented air via the oral inflation tube, and continue donning procedures. d. Inflate the LPU-28/P. The RS shall then place hi s/her right arm through the LPU-28/P neck hole, pocket facing in. e. Use front surface approach procedures, and put the survivor into a cross-chest carry. Note Remove the survivor’s oxygen mask/helmet/cranial if applicable.

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NTTP 3-50.1 SEP 2013 3-20 f. Place the LPU-28/P over survivor’s head with pocket facing out. This is done with RS’s right arm, while keeping the survivor in a left-hand cross-chest carry. g. Place the left hand across the survivor’s chest, under the flotation, and grasp the LPU-28/P’s waist buckle. Fit the back strap around the survivor’s back and clip it into the waist buckle. Tighten the back strap.

Lack of respiratory function (breathing) is a life-threatening condition. If the survivor is not breathing, the RS shall give two rescue breaths to the survivor, safely complete all applicable disentanglement/recovery procedures, and signal the SRU for immediate recovery of the survivor. After the completion of applicable disentanglement/recovery procedures, the RS shall continue rescue breathing for the survivor. h. Check for breathing: (1) If the survivor is speaking, breathing is present. (2) Visually check the surv ivor’s mouth and/or nose. (3) Feeling for breath using the side of the RS’s face or bare hand. (4) Putting the RS’s mask under the survivor’s mouth/nose and check for fogging. i. If breathing isn’t present, or can’t be confirmed, give the survivor two rescue breaths by slightly tilting head and pinching nose.

Use of the rescue/MEDEVAC litter is the first choice of recovery devices for an unconscious survivor. The only exceptions would be that the survivor has immediate life-threatening injuries (no breathing, severe arterial bleeding), or extraordinary environmental conditions exist that prohibit rescue/MEDEVAC litter use. j. Continue with survivor disentangl ement/recovery procedures (paragraph 3.7). 2. When the RS chooses to utilize an LPU-32/P (from the SRU) on an unconscious survivor with damaged/no flotation, the RS shall: Note The NAVAIR 13-1-6.1-2 authorizes a 12-inch extension belt for the LPU-32/P waist belt. Both the SRU crew and the RS should ensure that the 12-inch extension belt is present on the deployed LPU-32/P for ease of fitting it to the survivor. a. Approach the survivor using the Front Surface Approach and attempt to establish communications/determine unresponsiveness.

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NTTP 3-50.1 3-21 SEP 2013 b. Upon reaching a distance of an arm’s lengt h from the survivor, execute a quick reverse. Notes  The LPU-32/P is not designed for use as SAR equipment. Due to its design, the RS will be limited in its use on a survivor.  Never inflate the LPU-32/P prior to fitting it on a survivor. Due to the design of the oral inflation tubes, it is extremely difficult to vent off air as needed to fit it over the survivor’s head.  An LPU-32/P that is not inflated and fully unzipped should fit over a cranial, or helmet. c. Unzip the LPU-32/P. Note The RS should place the LPU-32/P over the arm with the waist buckle forward; this will allow the RS to easily fit it to the survivor with the waist buckle on the survivor’s right side. This will allow the RS to clip the back strap into the waist buckle without having to switch arms or twist the waist belt assembly. d. The RS shall place his/her right arm through the LPU-32/P neck hole. e. Use front surface approach procedures and put the survivor into a cross-chest carry. Note Remove the survivor’s oxygen mask/helmet/cranial as needed. f. Place the LPU-32/P over the survivor’s head. This is done with RS’s right arm, while keeping the survivor in a left-hand cross-chest carry. g. Place the left hand across the survivor’s chest, under the flotation, and grasp the LPU-32/P’s waist buckle. Fit the back strap around the survivor’s back, and clip it into the waist buckle. Tighten the back strap.

Failure to inflate both lobes of the LPU-32/P will result in the survivor floating low in the water, and may cause the survivor to ingest water and/or drown. h. Zip up the LPU-32/P. i. Inflate the LPU-32/P by pulling both beaded handles.

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NTTP 3-50.1 SEP 2013 3-22

Lack of respiratory function (breathing) is a life-threatening condition. If the survivor is not breathing, the RS shall give two rescue breaths to the survivor, safely complete all applicable disentanglement/recovery procedures, and signal the SRU for immediate recovery of the survivor. After the completion of applicable disentanglement/recovery procedures, the RS shall continue rescue breathing for the survivor. j. Check for breathing: (1) If the survivor is speaking, breathing is present. (2) Visually check the surv ivor’s mouth, and/or nose. (3) Feeling for breath using the side of the RS’s face or bare hand. (4) Putting the RS’s mask under the survivor’s mouth/nose, and checking for fogging. k. If breathing isn’t present, or can’t be confirmed, give the survivor two rescue breaths by slightly tilting head and pinching nose.

Use of the rescue/MEDEVAC litter is the first choice of recovery devices for an unconscious survivor. The only exceptions would be that the survivor has immediate life-threatening injuries (no breathing, severe arterial bleeding), or extraordinary environmental conditions exist that prohibit rescue/MEDEVAC litter use. l. Continue with survivor disentangl ement/recovery procedures (paragraph 3.7). 3.6.2 “Safing” the Survivor During the course of a rescue, the RS may determine that there is a need to physically disengage from the survivor prior to completing the rescue/recovery of that survivor into the SRU. Once the RS begins disentanglement/recovery procedures on a survivor, the RS shall not physically disengage from that survivor unless that survivor has been “safed.” For the purposes of this manual, this action will be termed “safing the survivor.” Some examples of situations where the RS may decide to “safe” and disengage from a survivor prior to completion of the recovery are: 1. There are mixed survivors such as mi shap helicopter aircrew and passengers/troops. 2. The RS needs to recover and inflate life rafts/flotation devices deployed by the SRU. 3. The medical or survival equipment condition of another survivor suddenly degrades to a point in which that survivor needs immediate assistance.

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NTTP 3-50.1 3-23 SEP 2013 The following conditions shall be met before the survivor is considered “safe:” 1. The survivor is breathing and has no apparent, immediate, life-threatening injuries. 2. The survivor is wearing operable flotation, or is in an operable life raft. 3. The survivor is completely free of enta nglement, and not attached to a parachute. 4. If at night, the RS should attach a lighting device to survivor (strobe light, chemical light, etc.). Listed below are some conditions that would preclude the RS from disengaging from a survivor prior to rescue completion. This list is not all-inclusive: 1. If rescuing the survivor woul d be quicker than “safing” them. 2. If the survivor has apparent, immediate, life-threaten ing injuries (not breathing, or bleeding severely, etc.). 3. Environmental concerns such as sea predators, h eavy seas, temperature, restricted visibility, etc. 3.6.3 Staging Survivors in Life Rafts (Aviation RS Only) Single or multiplace life rafts make excellent staging areas for multiple-survivor rescue scenarios. In the event of a multiple rescue in which numerous survivors are at the rescue scene, and the helicopter has a multiplace life raft available, the RS shall: Notes  Refer to chapter 1, paragraph 1.6 for helicopter life raft deployment information.  The CC and RS personnel shall be thoroughly familiar with single and multiplace life raft operating procedures. General information on single and multiplace life rafts can be found in chapter 8 of this manual. Detailed information can be found in the NAVAIR 13-1-6.1-1. 1. Signal to helicopter to deploy a life raft via radio or hand signal (chapter 6). 2. Swim to deployed raft or rescue hook with ra ft attached. Disconnect from rescue hook and inflate (if applicable). 3. Once raft is inflated, right the raft if it is upside down. Notes  If more than one life raft is used, every effort shall be made to tether the life rafts to each other.  If severely injured survivors are identified, the RS shall take immediate action to rescue those survivors first. 4. Instruct/assist survivors to board or hold onto raft. 5. If possible, the RS should instruct the survivors on the recovery plan of action: a. The rescue order—who will be rescued, first to last b. How the survivors will be transferred to the SRU

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NTTP 3-50.1 SEP 2013 3-24 c. Any safety precautions for the rescue device to be used: (1) During ingress/hookup of the rescue device (2) During the hoisting evolution (3) During transition into the SRU, to include not assisting or attempting egress from the rescue device until ordered by the CC. Note If the helicopter is equipped with a rescue net, two survivors may be removed from the raft and towed to the rescue net simultaneously. 6. Extract the survivors one at a time from the life raft using procedures outlined in paragraph 3.7.8 of this chapter. Help the survivors swim far enough away from the life raft so that rotor wash does not affect the remaining survivors in the life raft, and signal to the SRU to deploy the selected rescue device.

In all cases (whether the survivor is determined to be panicked, combative, or cooperative) the RS shall not hoist survivors from an overland or maritime environment without the proper application of the selected rescue device to include safety straps or safety devices outlined in this manual. 7. Utilize the selected rescue device IAW paragraph 3.9. 3.6.4 Uncooperative Survivor 1. U.S. naval RSs are sometimes faced with situ ations where the survivor can be categorized as uncooperative. Uncooperative survivors can be categorized into two distinct types: panicked and combative. 2. A panicked survivor normally desires to be rescued , but is in an uncomfortable or unfamiliar environment, and is usually so frightened of drowning that they could pose a danger to the RS and themselves. Calming a panicked survivor can usually be accomplished by verbal assurances from the RS and/or being provided with flotation. Once the panicked survivor has been calmed down and is willing to be rescued, utilize the appropriate rescue procedures outlined in this chapter. 3. A combative survivor may not in itially desire to be rescued, and may actively resist assistance from the RS. The combative survivor may intentionally try to harm the RS and/or themselves when approached. This type of behavior can continue indefinitely, even after repeated attempts by the RS to provide assurance and recovery. Indications that a survivor might be combative are: a. Prior mentally unstable behavior, suicide attempt, voluntarily jumping into the water. b. Suspected or known enemy, foreign personnel demons trating hostility toward Americans, or suspicious personnel aboard vessels being detained.

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NTTP 3-50.1 3-25 SEP 2013 3.6.4.1 Combative Survivor Procedures

 RSs shall not be deployed into the water to recover enemy or hostile survivors armed with weapons.  The recovery of enemy or hostile survivors should only be attempted using a rescue boat or ship’s J-Bar davit with armed security personnel on station in the rescue boat or ship’s forecastle. Helicopter recovery of an enemy or hostile survivor should only be used under conditions of operational necessity.

 DD procedures should not be used on a combative survivor. If DD procedures are utilized, the RS shall be deployed to a safe distance from the survivor (6–8 feet). If the RS determines that the survivor is going to remain combative, the RS should disconnect from the rescue hook, reattach the quick strop to the large rescue hook and signal the CC RAISE CABLE. Combative survivor procedures should then be utilized.  A single RS should not attempt the recovery of a combative survivor without assistance from a rescue boat and/or a second RS. 1. Approach the survivor and attempt to establish ve rbal communication. Attempt to calm the survivor with verbal reassurance and/or commands. 2. If the survivor is actively combative, do not attempt to immediately gain physical control of the survivor. The RS should remain at a safe distance (6–8 feet) from the survivor, and continue to assess the situation. 3. If the survivor does not have operable flotation, the RS should attempt to provide a flotation device (LPU-28/P, life raft, or personal flotation device from the SRU) to the survivor while still maintaining a safe distance. 4. Communicate with the SRU and brief the situation. 5. Request assistance utilizing aviati on RS’s radio, and/or hand signal: a. REQUEST RESCUE BOAT ASSISTANCE (chapter 6). b. REQUEST THE ASSISTANCE OF A SECOND RS (chapter 6). The second RS is a backup to the primary RS, and has the following responsibilities: (1) Ensuring the safety of the primary RS. (2) Assuming control of scene as the primary RS, as needed. (3) Deploying with any rescue equi pment requested by the primary RS. (4) Assuming/helping with communication duties to the SRU(s), once on scene. (5) Assisting the primary RS as required.

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NTTP 3-50.1 SEP 2013 3-26 Note There are no dual RS procedures for combative survivors. The backup RS should act as a safety observer and assist the primary RS as required. 6. Use the following modified recovery procedures: a. Maintain 6–8 feet distance from the survivor, re main vigilant (ready to render immediate assistance), and wait for the survivor to tire, calm down, or ask for assistance. b. Be patient. Attempt to calm the survivor a nd provide flotation to the survivor if needed. c. Assume physical control of the survivor only when deemed safe. Do not attempt to rescue an actively combative survivor unless the following conditions occur: (1) The survivor requests assistance (2) The survivor becomes unconscious/incapacitated. d. Ensure the survivor has no weapons: (1) If conscious, direct the survivor to maintain hands in view at all times. (2) Once physical control is established, the RS sh all remain vigilant for the survivor to become actively combative or the presence of any weapons. e. Recover the survivor using appropriate procedures for the device chosen. 3.6.4.2 Combative Survivor Recovery to the SRU 1. The rescue boat or ship’s forecastle is the preferred recovery vehicle. If a rescue boat or ship is unavailable, recovery may be made to a helicopter.

In all cases (whether the survivor is determined to be panicked, combative, or cooperative) the RS shall not hoist survivors from an overland or maritime environment without the proper application of the selected rescue device to include safety straps or safety devices outlined in this manual. a. Rescue strop: (1) The RS shall fit the survivor with th e rescue strop as outlined in paragraph 3.9.2. (2) The RS shall correctly employ the arm retain ing straps prior to communicating the RAISE CABLE signal via the aviation RS’s radio and/or hand signal (chapter 6). b. Direct deployment: (1) Shall only be used by RSs qualified in DD procedures IAW OPNAVINST 3130.6 (series). The QS shall only be used in conjunction with the TSH. (2) The RS shall always correctly employ the QS crotch strap prior to communicating the RAISE CABLE signal via the aviation RS’s radio and/or hand signal (chapter 6).

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NTTP 3-50.1 3-27 SEP 2013 3.6.4.3 Care and Control of a Combative Survivor Onboard an SRU 1. The SRU shall notify the OSC of the situation, th e survivor’s condition, and request medical and security personnel assistance at SRU recovery location. 2. The SRU crew shall remain vigilant during transit. A member of the SRU crew, or security personnel shall be stationed next to survivor at all times during transit to provide immediate physical control if required.

Restraints will preclude the survivor from being able to egress/swim in the event of an aircraft mishap or rescue boat capsizing during transit. Rescue personnel may need to provide assistance to the survivor to egress the SRU in the event of a mishap. 3. Once aboard the SRU, the survivor should be secured into a rescue/MEDEVAC litter at the earliest opportunity. If aboard a helicopter, cabin doors and windows should be secured. 4. Rescue personnel shall assess condition of survivor and provide medical treatment during transit. 5. Once the SRU is safely aboard ship or ashore, a me mber of the SRU crew shall transfer the survivor to awaiting medical and/or security personnel. 3.7 SURVIVOR DISENTANGLEMENT/RECOVERY PROCEDURES The following recovery procedures (paragraphs 3.7.1 through 3.7.15) are the foundation of United States Naval Rescue Swimmer training and shall be used for all survivors encountered. These procedures are applicable to all survivors (aviator, nonaviator, military, and civilian) and all applicable steps shall be utilized in the order found below, always starting with 3.7.1 and always ending with 3.7.15. 3.7.1 Assess the Situation Assessing the situation begins in the SAR recovery unit (SRU) en route to the rescue scene. The entire rescue crew should assess the situation and formulate tactics for the rescue based upon the following information: 1. Number/type of survivor(s): Military or civilian. 2. Location of survivors, their relation to, and distance from, each other and the SRU. 3. Visible and/or known injuries of the survivor(s): a. Mechanism of injury (chapter 7) b. Conscious/unconscious c. Visible bleeding d. Environmental injuries (chapter 7) e. Broken bones. 4. Flotation devices inflated/not inflated/survivor face down in water.

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NTTP 3-50.1 SEP 2013 3-28 5. Parachute entanglement problem/presence of a ballooned parachute. 6. Day or night/sea state/wind direction/water temperature. 7. Cooperative/uncooperative/combative survivor(s). 8. Fuel in the water. 9. Debris littering scene, and its relation to the survivor. 10. Presence of sea predators. 11. Feasibility of attempting multiple/single rescue. 12. Rescue order established according to apparent inju ries. The survivor with the worst injuries shall be rescued first. 13. RS deployment options. 14. Other available SRUs and RSs. 3.7.2 Establish Communication 1. If the survivor(s) are known to have a radio, th e SRU crew shall attempt to communicate with the survivor(s) via radio prior to RS deployment. Notes  The aviation RS shall deploy with a radio IAW paragraph 5.2.1. Radio communication between the RS and the SRU is essential should the rescue situation significantly change from the original assessment.  The aviation RS shall communicate via radio with the SRU for all situations in which a hand/light signal will not effectively convey the RS’s intentions with regard to rescue tactics and/or recovery method.  One member of the SRU crew shall maintain continuous visual contact with the RS at all times while the RS is in the water.  Every SRU present at the rescue scene shall monitor the assigned primary radio frequency (normally 282.8 MHz) of the aviation RS at all times, until all personnel including the RS are recovered. 2. After RS deployment, the RS shall signal the SRU I AM ALRIGHT via hand signal (chapter 6): a. The aviation RS shall conduct a radio check with the helicopter. 3. The RS will then approach the survivor. During th e approach, the RS shall have his/her head up and eyes on the survivor. The RS shall attempt to establish verbal and/or visual communication with the survivor.

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NTTP 3-50.1 3-29 SEP 2013

Prior to the RS taking physical control of a survivor, the RS shall take into account the type of injuries the survivor has communicated. An unconscious survivor automatically communicates an injury to the head, neck, and spine. The RS shall use only enough force as necessary to gain positive control of the survivor, being ever mindful of the RS’s duty to prevent further injury to the survivor. Note During the approach, the RS shall continue to assess the situation, and the condition of the survivor(s), including any injuries the survivor(s) communicate to the RS. 3.7.3 In Close, In Control Using the appropriate approach outlined in paragraph 3.2 of this chapter, the RS shall approach the survivor and attempt to gain physical control of the survivor to begin recovery/disentanglement procedures and injury assessment. Maintaining physical control of a survivor throughout the rescue scenario is paramount. The RS maintains physical control of a survivor by either utilizing the cross-chest carry or equipment/collar tow, or by general physical handling during disentanglement/recovery procedures. The RS may also hook the RS’s harness snap hook (aviation RS only) into the survivor, or grasp the survivor’s body with their legs to free the RS’s hands for use. Using either a cross-chest carry or equipment/collar tow (paragraph 3.3), pull the survivor into the wind and away from the parachute canopy (if present), any debris, etc.

The RS shall continuously check that the survivor is breathing per chapter 7, and assess the survivor’s injuries throughout the rescue evolution. Note The RS shall attempt to grasp the survivor using established approaches, carries, escapes, and releases IAW paragraphs 3.2 through 3.4 of this chapter. 3.7.4 Remove Oxygen Mask/Check for Breathing Note If the survivor is still wearing an oxygen mask attached by both bayonet fittings, this may indicate shock, unconsciousness, or other injuries, which preclude the survivor from removing the mask on their own. This may indicate a need for immediate recovery and advanced medical care. 1. Completely remove the oxygen mask from the surv ivor’s helmet by removing both bayonet-type fittings, and pulling the mask away from the survivor’s face. Do not attempt any other disentanglement procedure until the survivor is checked for breathing (figure 3-14).

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NTTP 3-50.1 SEP 2013 3-30 Notes  Currently there are two types of oxygen mask release fittings in use. They are both bayonet-type fittings, and look similar.  The old-style bayonet fittings (figure 3-15) are released by pushing the tab releases located on the sides of the mask away from the survivor’s face.  The new type of bayonet fittings can be recognized by a black cover over the position of the old-type release tabs (figure 3-16). To release the new-type bayonet fittings, push the release button and pull the mask away. 2. Immediately after removal of the oxygen mask from the helmet, check for breathing: a. If the survivor is speaking, breathing is present. b. Visually check the survivor’s mouth and/or nose. c. Feeling for breath using the side of the RS’s face or bare hand. d. Putting the RS’s mask under the survivor’s mouth/nose and check for fogging. 3. If breathing can’t be confirmed, then give two breaths by slightly tilting head and pinching nose.

Lack of respiratory function (breathing) is a life-threatening condition. If the survivor is not breathing, the RS shall give two rescue breaths to the survivor, safely complete all applicable disentanglement/recovery procedures, and signal the SRU for immediate recovery of the survivor. After the completion of applicable disentanglement/recovery procedures, the RS shall continue rescue breathing for the survivor.

Figure 3-14. Remove Oxygen Mask/Check for Breathing

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NTTP 3-50.1 3-31 SEP 2013

Figure 3-15. Old-Style Bayonet Fittings

Figure 3-16. New-Style Bayonet Fittings

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NTTP 3-50.1 SEP 2013 3-32 3.7.5 Clear the Survivor’s Head, Neck, and Chest 1. Clear all obstructions, shroud lines, and raft lanyard (if applicable) (figure 3-17). 2. Check for injuries to the surv ivor both visually and by feeling for deformities. If any injuries are discovered that interfere with airway, breathing, and/or circulation (ABCs) and/or may be considered life threatening, the survivor should be recovered by the fastest means possible. Examples of life-threatening injuries that may be assessed by a RS in the water are: a. No breathing b. Severe bleeding.

When utilizing a quick fitting harness, the survivor may be wearing the LPP-1/1A or LPU-32/P flotation device; therefore, the RS shall disconnect the chest quick ejector snap before inflating the survivor’s personal flotation device (figure 3-19). Inflating the LPP-1/1A or LPU-32/P before disconnecting the chest quick ejector snap could severely injure, or even crush, the survivor’s chest. This warning applies to all quick fitting harnesses that utilize a chest quick ejector snap. Notes  Quick fitting harnesses: There are two types of quick-fitting harnesses (United States Navy (USN) and United States Air Force (USAF)) using two different parachute configurations. Both quick fit harnesses can accommodate either the backpack or chest pack–type parachute systems.  Both the USN and USAF quick fitting harnesses utilize the same quick ejector fittings. One fitting is located on the chest strap, and one on each leg strap. To release the quick ejector fittings, pull up on the lever (figure 3-18). The USAF quick fitting harness incorporates a J-1 fitting (figure 3-18) on each shoulder strap, which releases the deployed parachute from the harness. 3. USN/USAF quick fitting harness with backpack, release the quick ejector snap on the center of the survivor’s chest (figure 3-19). 4. USN/USAF quick fitting harn ess with chest pack includes: Notes  Either the right or left side of the chest pack could be safety-pinned, making it difficult to release.  Do not release both sides of the chest pack parachute assembly. Release one side only. a. Disconnect one spring snap on the chest pack parachute assembly to give access to the chest quick ejector snap. b. Release the quick ejector snap on the center of the survivor’s chest (figure 3-19).

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NTTP 3-50.1 3-33 SEP 2013

Figure 3-17. The Rescue Swimmer Clears All Obstructions and Shroud Lines from Survivor’s Head, Neck, and Chest

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NTTP 3-50.1 SEP 2013 3-34

Figure 3-18. United States Navy Quick Fit Harness (top); United States Air Force Quick Fit Harness (bottom)

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NTTP 3-50.1 3-35 SEP 2013

Figure 3-19. The RS Releases the Quick Ejector Snap on the Center of the Survivor’s Chest 3.7.6 Inflate the Survivor’s Personal Flotation Device

 When any type of aviator helmet is worn in conjunction with the LPP-1/1A or LPU-32/P life preserver, do not inflate the life preserver until the helmet chinstrap is loosened, or the helmet is removed. Failure to loosen the chinstrap may cause the chinstrap to block the survivor’s airway due to the flotation assembly pushing up on the helmet.  The RS shall make every attempt to ascertain the condition of the survivor’s flotation prior to deploying. Regardless of the type of RS harness used, it is always good practice to deploy with an additional personal flotation device for the survivor (if needed). The benefits of deploying with an additional personal flotation device are two-fold: safety—the RS will not have to give up his/her flotation to the survivor, and speed—it will take less time, as the RS will not have to take the time to remove their flotation. Notes  If the survivor’s flotation is inoperable, the RS may give up his/her LPU-28/P, or don survivor with a personal flotation device from the SRU. Fitting the survivor with a personal flotation device is always a safe practice, and will make disentanglement/recovery procedures easier to accomplish in a timely and safe manner (figure 3-20).  Use of the TRI-SAR harness (TSH) by the RS will require the RS to anticipate the need to deploy with flotation for the survivor(s) from the SRU.

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NTTP 3-50.1 SEP 2013 3-36  It is highly recommended that the survivor be fitted with working flotation prior to continuing with rescue procedures. The decision is the responsibility of the RS, who should have the greatest situational awareness of the rescue scene.  Dependent on the flotation assembly installed on the various harnesses in use, the RS must use the appropriate inflation procedures. 3.7.7 Disentangle the Survivor; Head-to-Toe

 The RS shall exercise extreme care when it becomes necessary to cut shroud lines; an open-bladed knife shall only be used as a last resort.  The “Spinal Highway” disentanglement technique shall not be used on a survivor with a known or suspected injury to the head, neck, or spine. Note Submerge as many times as required to ensure all shroud/suspension lines are clear of the survivor. Use the side of the survivor as a reference, and work from head to toe, proceeding hand-over-hand along the side, removing any entanglements and debris. Suspension lines shall be cut only if necessary. Utilize a pocket shroud cutter.

Figure 3-20. Rescue Swimmer Inflates the Survivor’s Flotation as Needed

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NTTP 3-50.1 3-37 SEP 2013 1. Clear all shroud/suspension lines. 2. Integrated torso harness includes:

The integrated torso harness should never be removed in the water. The integrated torso harness incorporates the lifting “D” ring and removal of the harness may increase the risk of the survivor drowning as the flotation device would have to be removed first. Notes  The Koch fittings are located on each of the survivor’s shoulders (figure 3-21) and release the deployed parachute from the survivor’s harness. Release the Koch fittings by lifting the cover plate, pushing down on the locking bar, and separating the fitting (figure 3-22).  Any harness that utilizes Koch fittings for parachute release will have a parachute harness sensing release unit (PHSRU) integrated into the Koch fitting. The PHSRU is an integral part of the Seawater Activated Release System (SEAWARS). More information can be found in chapter 8 of this manual.

Figure 3-21. One of the Many Versions of the United States Navy Integrated Torso Harness

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NTTP 3-50.1 SEP 2013 3-38

Figure 3-22. Integrated Torso Harness Koch Fittings Note If the SEAWARS fails to activate/separate the survivor’s parachute, the RS will have to release the Koch fitting as described above. No harm will come to the RS if the SEAWARS activates while the RS is touching the unit. a. Release the Koch fittings about the survivor’s shoulders (figure 3-23). Notes  The oxygen hose is connected to the rigid seat survival kit (RSSK) seat pan by a quick-release bayonet fitting. To release, lift guide ring and pull out (figure 3-24).  Locate the quick release fitting by running your hand along the O2 hose starting from its connection point at the base of the RSSK until found. b. Release the oxygen hose from the seat pan (RSSK) (figure 3-24). Note The leg straps connect the RSSK to the aviator. A mini-Koch fitting is located on each leg strap. The mini-Koch fittings are released in the same manner as the shoulder Koch fittings. c. Release the survivor’s seat pan (RSSK) by rel easing the leg mini-Koch fittings located on or around each of the survivor’s hips (figure 3-25).

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NTTP 3-50.1 3-39 SEP 2013

Figure 3-23. The Rescue Swimmer Releases the Koch Fittings about the Survivor’s Shoulders

Figure 3-24. Oxygen Hose Connection

Figure 3-25. Release the Survivor’s Seat Pan (RSSK) by Releasing the Leg Mini-Koch Fittings Located on, or Around, Each of the Survivor’s Hips

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NTTP 3-50.1 SEP 2013 3-40 3. USN quick fitting harness (figure 3-18) includes: Note The shoulder straps of the USN quick fitting harness are removed by sliding the straps off the survivor’s shoulders, and pulling the survivor’s arm completely through (figure 3-26). a. Remove the survivor’s shoulder straps (figure 3-26). Note The USN quick fitting harness leg quick ejector snaps are located on the survivor’s hips (figure 3-18). b. Release survivors leg quick ejector snaps (figure 3-27). c. The harness should fall away. 4. USAF quick fitting harness (figure 3-18) includes: Note After releasing the J-1 fitting and clearing the parachute attachment, the RS should close the J-1 fitting to prevent it from becoming a snag hazard. a. The parachute shall be detached from the quick fitting harness by releasing the J-1 fittings on each of the survivor’s shoulders (figure 3-18).

Figure 3-26. The Rescue Swimmer Remov es the Survivor’s Shoulder Straps

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NTTP 3-50.1 3-41 SEP 2013

Figure 3-27. The Rescue Swimmer Releases th e Survivor’s Leg Quick Ejector Snaps Note The shoulder straps of the USAF quick fitting harness are removed by sliding the straps off the survivor’s shoulders, and pulling the survivor’s arm completely through (figure 3-26). b. Remove the shoulder straps (figure 3-26). Note The USAF back pack harness leg quick ejector snaps are located on the survivor’s hips (figure 3-18). c. Release leg quick ejector snaps (figure 3-27). d. The harness should fall away.

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NTTP 3-50.1 SEP 2013 3-42 5. CMU-30 (figure 3-28) and CMU-33 Type I (figure 3-29) survival vests include:

 Use of the PRU-60/P22P-15 (soft) and PRU-61/P22P-15 (hard) integrated body armor in conjunction with the CMU-30 or CMU-33 Type I survival vest will cause the survivor to float dangerously low in the water, thus increasing the risk of the survivor drowning (especially if unconscious).  The RS shall ensure the hard body armor is removed immediately after inflation of the survivor’s personal flotation device. Note If the hard armor plates are present, and the survivor’s flotation is inflated, release the plastic clasp that holds the two flotation lobes together. This will facilitate easier removal of the front hard armor plate. If the survivor does not have hard armor installed and/or the survivor’s flotation has failed, disregard this note. a. Check for and release the hard armor plates from the survival vest.

Newer models of the CMU-30 or CMU-33 Type I survival vests have cylindrical beads on the beaded pull handle, vice older models with round beads similar to flotation inflation lanyards. Do not confuse the beaded pull handle for release of the back hard armor plate with the beaded handles used on the survivor’s flotation assembly. b. Locate and identify the beaded pull handle for re lease of the back hard armor plate (figure 3-29).

Pull the beaded pull handle out and away from the survivor until it completely detaches from the survival vest (approximately 18 inches). The back hard armor plate should fall away. (1) If either the beaded pull handle fails to complete ly detach from the survival vest and/or the back hard armor plate does not fall away, the RS shall: (a) Check and release the snaps hol ding the beaded pull handle onto the front of the survival vest, and pull the beaded pull handle again. (b) Release the back hard ar mor retaining straps from the Loop Loc fittings on both of the survivor’s shoulders.

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NTTP 3-50.1 3-43 SEP 2013 (c) Pull the back hard armor plate free of the hook/p ile tape located on the rear of the survival vest.

Do not fully unzip the survival vest. Unzip the survival vest only enough to fully expose the front hard armor plate nylon web handle. (d) Unzip the survival vest to expose th e front hard armor plate nylon web handle.

Care shall be taken to ensure that the front hard armor plate does not contact the survivor’s face as the RS pulls it free of the survival vest.

Figure 3-28. CMU-30 Survival Vest

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NTTP 3-50.1 SEP 2013 3-44

Figure 3-29. CMU-33 Type I Survival Vest (e) Grasp the nylon web handle of the front hard armor plate located on the center of the survivor’s chest, inside the survival vest. Pull the front hard armor plate free from its hook/pile tape and discard. 3.7.8 Life Raft Extraction (If Needed) Use the following procedures to extricate a survivor from a life raft.

Ensure the proper method of life raft extrication is used on survivor(s) with known or suspected injury to the head, neck, or spine.

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NTTP 3-50.1 3-45 SEP 2013 Notes  The point at which disentanglement procedures become hindered by the survivor’s position in the life raft is the point at which the RS should extricate the survivor from the life raft. Once the survivor is in the water, the RS resumes disentanglement procedures from where the RS left off.  Life rafts should be used to the maximum extent possible for staging survivor(s), until recovery can be accomplished.  At the discretion of the RS, the life raft may be punctured with a knife and sunk before, during, or after the survivor has been removed.  Always inform the survivor of your intentions with regard to extricating them from the life raft—failure to do so may cause the su rvivor to panic and become uncooperative. 1. Sink the life raft from under survivor(s). Use only this method of life raft extraction if the survivor has a known or suspected injury to the head, neck, or spine. This method should be the RS’s first choice in all single survivor rescue scenarios.

Prior to the RS taking physical control of a survivor, the RS shall take into account the type of injuries the survivor has communicated. An unconscious survivor automatically communicates an injury to the head, neck, and spine. The RS shall use only enough force as necessary to gain positive control of the survivor, being ever mindful of the RS’s duty to prevent further injury to the survivor. a. The RS positions him/herself behind the survivor, wi th a firm grasp of the survivor’s harness/flight suit (do not grab flotation), between the shoulder blades. b. With one hand, the RS removes his scabbard knife while maintaining control of the survivor with the other hand. The RS then uses his knife to deflate the life raft. This is done well clear of the survivor, ensuring not to injure the survivor or the RS. c. While the life raft is deflating, the RS st ows scabbard knife (if practical), or discards it.

Do not utilize the “pull” method of life raft extrication (below) if the survivor has a known or suspected injury to the head, neck, or spine. 2. Pull the survivor from the life raft. Note If the survivor’s harness/clothing do not afford the RS adequate control of the survivor, the RS may elect to grab the survivor under both armpits. The RS shall ensure that this method will not cause the survivor further injury.

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NTTP 3-50.1 SEP 2013 3-46 a. The RS positions him/herself behind the survivor; the RS’s knees will be against the life raft and will have a firm grasp of the survivor’s harness, flight suit, or clothing between the shoulder blades (do not grab flotation). b. The RS simultaneously pulls the survivor up a nd over the life raft lobe, while pushing down and away with his/her knees against the life raft lobe.

Do not utilize the “roll” method of life raft extrication (below) if the survivor has a known or suspected injury to the head, neck, or spine. 3. Roll survivor(s) out of the life raft. a. The RS positions him/herself behind the survivor , and will have a firm grasp of the survivor’s harness/flight suit (do not grab flotation) between the shoulder blades. b. The RS will roll the survivor and life raft either to the left or right. Normally, the RS will rock the survivor/raft twice, side to side, and will roll the survivor on in order to gain momentum. c. On the third roll, the RS will roll the survivor into the water. d. Once the survivor is in the water, the RS imme diately rights the survivor by rolling him/her onto his/her back.

The life raft should be sunk prior to conducting the final check of the last survivor. Empty, inflated life rafts pose a hazard to navigation, and create unnecessary SAR efforts when discovered later by surface or aviation platforms. Notes  If the OSC deems the recovery of the life raft appropriate for the mishap investigation, then it shall only be recovered via a rescue boat or ship, not by the helicopter.  Once the survivor is clear of the life raft, and the RS deems that there is no further use for it, the RS should use the scabbard knife to deflate the life raft prior to continuing with disentanglement/recovery procedures. The RS should be aware that some large multiplace life rafts have two inflation chambers that require puncturing to fully deflate the raft. 4. When the survivor is clear of the life raft, and the life raft is properly disposed of, the RS shall continue with the survivor disentanglement/recovery procedures. 3.7.9 Tow the Survivor Clear Tow the survivor into the wind, and if possible, away from the life raft, parachute (if present), debris, and fuel.

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NTTP 3-50.1 3-47 SEP 2013 3.7.10 Perform a Final Check of the Survivor 1. Continue to check for breathing and assess injuries. 2. Complete head-to-toe disentanglement check. 3. If needed, contact the SRU, and communicate any deviations from normal recovery procedures.

If the survivor is not breathing, or has an injury the RS identifies as immediately life threatening, the rescue hook/rescue strop should be the recovery device of choice. 3.7.11 Signal READY FOR PICK-UP The RS shall signal the SRU for the desired recovery device if other than the rescue hook or rescue strop. 3.7.12 Hook into the Survivor (Aviation RSs Only) If the survivor is wearing aviation survival equipment, and the RS has selected hoist recovery of both himself and survivor together (dual), the RS shall: Notes  At this point, hooking into the survivor may or may not be a permanent procedure during the recovery phase. Hooking into the survivor ensures the RS and survivor will not be separated during the swim to the double rescue hook.  Using the large hook of the double rescue hook as the primary recovery device for the survivor requires special care depending on the type of survival harness the survivor in wearing. Refer to paragraph 3.9.1 for specific survival harness procedures. 1. Integrated torso harness (figure 3-21), CMU-30 (fi gure 3-28), and CMU-33 Type I (figure 3-29) survival vests include: Hook the RS harness snap hook to the survivor’s gated D ring. 2. For all other harnesses, hook the RS’s harn ess snap hook to the survivor’s lifting V ring. 3.7.13 Hook into the Large Rescue Hook Depending on the recovery method and device selected, the RS shall:

Spinal immobilization is essential to ejection egress aircrew. Aircrew who eject from aircraft must be presumed to have spinal injuries. The RS should treat all survivors involved in an incident with a “high index of suspicion” (chapter 7) as a probable head, neck, or spinal injury; regardless of whether or not the survivor reports any pain or injury. Utilizing the rescue/SAR MEDEVAC litter for recovery is highly recommended to help prevent a potentially life-threatening or permanent neurological injury. In conjunction with use of the rescue/MEDEVAC litter, total spinal immobilization, including cervical collar, should be applied at the earliest convenience.

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NTTP 3-50.1 SEP 2013 3-48

When hoisting personnel, the large hook of the rescue hook shall always be used, without exception. Under no circumstances is it permissible to use the small hook of the rescue hook to hoist personnel. 1. For aviation RS’s harness (HBU-23/P and TRI-SAR), and surface RS’s harness, procedures can be found in paragraph 3.9.1. 2. For other rescue devices, procedures can be found in paragraphs 3.9.2 to 3.9.5. 3.7.14 Perform a Safety Check 1. The RS shall check the rescue hook, harness lifti ng D/V rings, snap hooks, and rescue equipment lifting points for security. Ensure all lifting points are hooked into the large rescue hook. 2. The RS shall ensure all safety straps are properly secured. 3. Ensure the hoist cable or line is not fouled on equipment, debris, the survivor, or the RS. 4. The RS shall grasp the rescue hook with one hand to protect the RS’s and survivor’s faces from whiplash of the cable/rescue hook during hoisting.

In all cases (whether the survivor is determined to be panicked, combative, or cooperative) the RS shall not hoist survivors from an overland or maritime environment without the proper application of the selected rescue device to include safety straps or safety devices outlined in this manual. 3.7.15 Signal RAISE CABLE 1. The RS signals RAISE CABLE with free hand (figure 3-30). 2. As tension comes on cable, the RS should wrap hi s/her arms and legs around the survivor (figure 3-31). 3.8 AVIATION RESCUE SWIMMER DIRECT DEPLOYMENT PROCEDURES

 The rescue strop shall not be used for DD, unless used in conjunction with the QS for the DD Double Lift Procedure (Below).  The QS shall only be used in conjunction with the TSH for DD and recovery of survivors.  The QS safety strap shall be used in all training evolutions.

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Figure 3-30. After the Safety Check, th e Rescue Swimmer Signals RAISE CABLE 1. The RS is deployed IAW paragraph 1.3.8 (figure 3-32). 2. When being hoisted into the water, the RS shoul d be placed no farther than 2–3 feet from the survivor (figure 3-32).

If the survivor is placed in the QS device facing away from the RS, there is a possibility of the survivor being injured and/or rendered unconscious due to the extreme pressure placed on the chest area. Placing survivor in the QS in this manner shall only be performed as a last resort in an extreme situation (i.e., swift water, heavy surf, etc.) in which the RS may only get one chance to put the survivor in the QS, or the time required to place the survivor in the QS correctly would threaten the life of the RS and/or survivor. 3. The RS shall attempt to face the survivor, and grab the survivor’s arm that coincides with the arm that the RS has the QS positioned on, i.e., the RS’s right hand grabs the survivor’s left arm if the RS and survivor are facing each other. Note The detachable lifting strap of the QS can be identified by the red ban of webbing located next to the detachable lifting strap’s V ring assembly.

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NTTP 3-50.1 SEP 2013 3-50 4. The RS slides the QS off his/her arm and along the survivors arm, placing the QS over the survivor’s head and shoulders. The QS may also be applied to the survivor by: a. Moving the QS over the survivor’s feet, and up the legs and torso. b. Disconnecting the QS’s detachable lifting strap V ring from the large rescue hook, pulling it out of the friction keeper: (1) Wrap the QS around the survivor’s back. (2) Route the QS’s detachable lifting strap V ring b ack through the friction keeper, and reconnect it to the large rescue hook.

Figure 3-31. Rescue Swimmer and Survi vor Being Recovered Via Direct Deployment System

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Figure 3-32. As the Rescue Swimmer is Being Hoisted Down to the Survivor, the Rescue Swimmer Points to Survivor in the Water; This Helps the Crew Chief Deploy Rescue Swimmer to Within Arm’s Reach of the Survivor When the Rescue Swimmer Contacts the Water

5. The RS then pulls the QS up into the armpits of the survivor, as high on the survivor’s back as possible. 6. The RS slides the QS friction keeper as close as po ssible to the survivor, placing constant pressure on the friction keeper to hold it in place by simultaneously holding both lifting straps with one hand.

Failure to keep a tight hold of the QS lifting straps will allow the friction keeper to loosen. This may allow the survivor to slide out of the QS during hoisting, or, if the safety strap is utilized, allow the majority of the survivor’s weight to transfer from under the armpits to the survivor’s groin area. 7. With his/her free hand, the RS shall reach around a nd pull the safety strap out of the storage pocket located on the back of the QS. 8. Route the safety strap between the survivor’s legs, and attach the safety strap snap lock to the friction keeper. Do not cinch the safety strap down at this time. 9. The RS performs a safety check: a. The RS shall check the rescue hook, TSH lifting V ring, and QS lifting V rings for security. The RS shall ensure all lifting V rings are hooked into the large rescue hook. b. The RS shall ensure the QS detachable lifting strap is properly routed through the friction keeper.

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NTTP 3-50.1 SEP 2013 3-52 c. The RS shall ensure all safety straps are properly secured. d. Ensure the hoist cable is not fouled on equipment, debris, the survivor, or the RS.

In all cases (whether the survivor is determined to be panicked, combative, or cooperative) the RS shall not hoist survivors from an overland or maritime environment without the proper application of the selected rescue device to include safety straps or safety devices outlined in this manual. 10. The RS signals RAISE CABLE either by the aviatio n RS’s radio, or by hand signal (chapter 6): a. The RS shall immediately grasp the rescue hook with free hand to protect the RS’s face from whiplash of the hoist cable/rescue hook during hoisting. b. After tension has come on the hoist, the RS sha ll release the rescue hook, and reach down and adjust the QS safety strap just enough to take up the excess slack. Do not cinch the safety strap tightly against the crotch of the survivor. Aviation RS Maritime DD Double Lift—When recovering a hypothermic or potentially hypothermic survivor, the double-lift method of DD is an expedient alternative to the rescue/MEDEVAC litter. The standard rescue strop is used in conjunction with the quick strop to hoist the survivor in a semisupine position (figure 3-33). Sound judgment shall be used to ensure that the correct method of recovery is utilized to prevent further injury to the survivor.

Figure 3-33. Survivor Being Recovered Via the Direct Deployment Double-Lift Method

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NTTP 3-50.1 3-53 SEP 2013 Notes  Prior to deployment, the RS shall ensure the correct connection of all rescue devices into the large rescue hook. In the case of the double lift, the RS’s TRI-SAR lifting V ring is hooked up first, then the rescue strop second, and finally the QS (making sure the QS detachable lifting strap routed through the friction keeper, and is the last item hooked into the large rescue hook).  The detachable lifting strap of the QS can be identified by the red band of webbing located next to the detachable lifting strap’s V ring assembly. 1. The RS is deployed IAW paragraph 1.3.8. 2. When being hoisted into the water, the RS shoul d be placed no farther than 2–3 feet from the survivor. Note Sliding the rescue strop over the survivor’s head is the preferred method to fit the survivor with the rescue strop. Any method that would require the RS to unhook the QS from the large rescue hook in order to unhook the rescue strop should be avoided. 3. The RS shall attempt to face the survivor, and grab the survivor’s arm that coincides with the arm that the RS has the rescue strop on, (i.e., the RS’s right hand grabs the survivor’s left arm if the RS and survivor are facing each other). 4. The RS slides the rescue strop off of his/her arm and along the survivors arm, placing the rescue strop over the survivor’s head and shoulders.

In all cases (whether the survivor is determined to be panicked, combative, or cooperative) the RS shall not hoist survivors from an overland or maritime environment without the proper application of the selected rescue device to include safety straps or safety devices outlined in this manual. 5. The RS shall fit the survivor with the rescue st rop as IAW paragraph 3.9.2 and ensure the rescue strop safety straps are properly utilized. Note During a double-lift recovery, the QS safety strap is not used. 6. The RS slides the QS over the survivor’s feet, secu ring the QS around the survivor’s knees by sliding the friction keeper as close to the survivor as possible, placing constant pressure on the friction keeper to hold it in place, by simultaneously holding both lifting straps with one hand. 7. The RS performs a safety check: a. The RS shall check the large rescue hook, TSH lifting V ring, rescue strop lifting V rings, and QS lifting V rings for proper attachment points and security. The RS shall ensure all lifting V rings are hooked into the large rescue hook.

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NTTP 3-50.1 SEP 2013 3-54 b. The RS shall ensure the rescue strop safety straps are properly secured. c. The RS shall ensure the QS detachable lifting strap is properly routed through the friction keeper. d. Ensure the hoist cable is not fouled on equipment, debris, the survivor, or the RS.

In all cases (whether the survivor is determined to be panicked, combative, or cooperative) the RS shall not hoist survivors from an overland or maritime environment without the proper application of the selected rescue device to include safety straps or safety devices outlined in this manual. 8. The RS signals RAISE CABLE either by the aviation RS’s radio or by hand signal (chapter 6). The RS shall immediately grasp the rescue hook with free hand to protect the RS’s face from whiplash of the hoist cable/rescue hook during hoisting. 3.9 RESCUE DEVICE PROCEDURES In all RS rescue device procedures, the RS shall communicate to the SRU the desired rescue device, using the appropriate hand signal and/or RS radio (aviation).

 When hoisting personnel, the large hook of the rescue hook shall always be used, without exception. Under no circumstances is it permissible to use the small hook of the rescue hook to hoist personnel.  In all cases (whether the survivor is determined to be panicked, combative, or cooperative) the RS shall not hoist survivors from an overland or maritime environment without the proper application of the selected rescue device to include safety straps or safety devices outlined in this manual. 3.9.1 Aviation RS’s Harness (HBU-23/P), Aviation RA’s TRI-SAR Harness, and Surface RS’s Harness Notes  The surface RS’s harness does not allow for the RS to “hook in” to the survivor, but many of the notes and warnings for the different types of survival harnesses apply. The surface RS shall utilize the hookup procedures listed below for hoisting the survivor only, and at the surface RS’s discretion, hook into the large rescue hook with the surface RS’s harness lifting V ring for dual recovery of both the RS and survivor.  For the purposes of paragraph 3.9.1, the aviation RS’s harness includes the HBU-23/P and the TRI-SAR harness. When a procedure names a specific harness, that procedure is for that specified harness only.  When at all possible, the RS should work from behind the survivor.

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NTTP 3-50.1 3-55 SEP 2013 1. RS only: Hook the RS’s harness lif ting V ring into the large rescue hook. 2. Integrated torso harness (figure 3-21) includes:

If the survivor is wearing an integrated torso harness, use extreme caution to ensure that the survivor’s gated D ring and the RS’s harness (HBU-23/P) snap hook are not disconnected before hoisting. Upon reaching the aircraft door opening and while bringing in the survivor, ensure that the gated D ring and snap hook do not twist and inadvertently disconnect. Notes  If the UH-1N helicopter is utilized as the SRU, the RS shall connect the survivor’s gated D ring directly into the large rescue hook. If dual hoisting is desired, the RS shall then hook the RS’s harness lifting V ring directly into the large rescue hook.  If the RS is wearing the TRI-SAR harness, the RS shall connect the survivor’s gated D ring directly into the large rescue hook. If dual hoisting is desired, the RS shall then hook the TRI-SAR harness lifting V ring into the large rescue hook. a. Snap the RS’s harness (HBU-23/P) snap hook into the survivor’s gated D ring, and the large rescue hook into the HBU-23/P lifting V ring, to recover both the RS and the survivor. b. Snap the large rescue hook directly into the survi vor’s gated D ring for recovery of the survivor only. 3. CMU-30 (figure 3-28) and CMU-33 Type I (figure 3-29) survival vests include:

If the survivor is wearing a CMU-30/33 Type I survival harness, use extreme caution to ensure that the survivor’s gated D ring and the RS’s harness snap hook are not disconnected before hoisting. When tension is applied via the rescue hoist, ensure survivor’s gated D ring is not side loaded. Upon reaching the aircraft door opening and while bringing in the survivor, ensure that the gated D ring and snap hook do not twist and inadvertently disconnect. If a rescue strop is unavailable, or the CMU-30/33 Type I gated D ring is chosen as the rescue device: a. Snap the RS’s harness snap hook into the survivor’s gated D ring. b. Snap the RS’s harness lifting V ring into the large end of the double rescue hook (DRH).

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NTTP 3-50.1 SEP 2013 3-56 4. SV-2 harness includes:

To prevent injuring the survivor, the RS shall check for a fist-sized space between the survivor’s lifting V ring and chest prior to hoisting a survivor wearing an SV-2 style survival harness. a. Snap the RS’s harness snap hook into the survivor ’s lifting V ring. The large rescue hook into the RS’s harness lifting V ring for recovery of both the RS and the survivor. b. Snap the large rescue hook directly into the survi vor’s lifting V ring for recovery of the survivor only. 5. TRI-SAR harness includes hooking survivor’s lifting V ring directly to large hook of the double rescue hook. 6. All other survivor vests/parachute harnesses: a. Snap the RS’s harness snap hook into the survivor’s lifting V ring. b. Snap the RS’s harness lifting V ring into the large rescue hook. 7. The RS shall perform a safety check, and signa l RAISE CABLE IAW paragraphs 3.7.14 and 3.7.15. 3.9.2 Rescue Strop When the rescue strop is selected as the primary recovery device, the arm retainer straps shall be put around both of the survivor’s arms. The arm retainer straps should ideally go over both of the survivor’s arms, above the elbows, and be cinched down tightly to preclude the survivor’s arms from slipping out. If the arm retaining straps are employed incorrectly, there is a high possibility that the survivor’s arms will raise above the head, and allow survivor to fall from the rescue strop during hoisting. The RS shall place the rescue strop on the survivor using the following procedures: Note The arm retainer straps shall be outboard when placing the rescue strop on the survivor. 1. Tow the survivor to the rescue strop using the cross-chest carry or equipment/collar tow. Note If possible the RS should work from behind the survivor. Working from behind the survivor provides the advantages of speed and control. 2. With one hand on the survivor, grasp the free (b itter) end of the rescue strop and pass it between the survivor’s back and RS’s stomach. Hold the rescue strop in place by squeezing it between the survivor and himself/herself.

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NTTP 3-50.1 3-57 SEP 2013 3. With one hand on the survivor, use the free hand to grasp the rescue hook. The RS shall then plunge the rescue hook into the water behind the survivor’s arm, and push forward and up so the rescue hook comes out of the water on the front side of the survivor’s body near the chest. The RS shall squeeze the survivor’s shoulder/chest between the upper and lower arm creating a single arm control. The RS may now release the tow/carry hand from survivor. 4. With one hand on the rescue hook maintaining single arm control, grasp the rescue strop free-end lifting V ring with free hand, plunge under the water, forward and up so the V ring surfaces on the front side of the survivor close to the chest. The RS shall squeeze both arms together at the elbows to maintain a double arm control of the survivor. Note If the RS has short arms or the survivor has a large frame, the RS may experience difficulty attaching the rescue strop free-end V ring to the rescue hook in front of the survivor while in a position behind the survivor. The RS may need to slightly submerge behind the survivor and hook rescue strop free-end V ring to rescue hook around upper abdomen. If the RS is unable to connect strop from behind the survivor, he/she shall quickly release grasp of rescue hook and rescue strop, and move to the front of the survivor to complete the recovery procedures below. 5. Connect the rescue strop free-end lifting V ring into large rescue hook. 6. Position the rescue strop tightly under the survivor’s armpits, and on the upper half of the survivor’s back.

 If the rescue strop/arm retaining straps are not utilized around both arms due to a severe injury to one arm, the aviation RS shall attempt to communicate to the SRU the survivor’s injuries, and the deviation from normal rescue strop procedures prior to hoisting the survivor.  If the rescue strop arm retaining straps are not utilized around both arms due to a severe injury to one arm, the RS shall accompany the survivor up the hoist to ensure the survivor does not fall out of the rescue strop.  In all cases (whether the survivor is determined to be panicked, combative, or cooperative) the RS shall not hoist survivors from an overland or maritime environment without the proper application of the selected rescue device to include safety straps or safety devices outlined in this manual. Note If the survivor has a severe injury to one arm, and other considerations preclude the use of a more appropriate rescue device, the arm retaining straps should be applied around the uninjured arm only. 7. Unsnap both arm retainer straps from the rescue strop and route around survivor’s arms and under the rescue strop lobes. Ensure the arm retaining straps are as high up the survivor’s arms as possible (above the survivor’s elbows).

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Failure to route the arm retaining straps tightly around survivor’s arms, above the elbows, can result in the survivor falling out of the strop. In all cases where the retaining straps are not large enough to be routed correctly above the elbows, alternate means of rescue is mandatory. 8. Connect the arm retaining strap snap hook to the arm retainer strap V ring. 9. Pull the webbing on the arm retainer strap V ring until the arm retaining straps are secured tightly around the survivor’s upper arms. 10. The RS shall move in front of the survivor if not already there. The RS connects the RS’s harness lifting V ring into the large rescue hook. 11. The RS shall perform a safety check, and signa l RAISE CABLE IAW paragraphs 3.7.14 and 3.7.15. 3.9.3 Rescue/MEDEVAC Litter The rescue/MEDEVAC litter should be the primary recovery device if the survivor is an ejected aviator, or the RS suspects a head, neck, or spinal injury based upon the initial assessment of the survivor’s condition. Depending on environmental conditions and the proficiency of the RS and SRU crew, a single disentanglement and rescue/MEDEVAC litter recovery may take anywhere from 10–30 minutes from rescue swimmer deployment to survivor recovery. The rescue/MEDEVAC litter should not be used if the survivor is in need of immediate medical treatment due to life-threatening injuries such as no breathing and/or severe bleeding. When the rescue/MEDEVAC litter is selected as the rescue device, the following procedures are to be followed:

Spinal immobilization is essential to ejection egress aircrew. Aircrew who eject from aircraft must be presumed to have spinal injuries. Utilizing the MEDEVAC litter for recovery is highly recommended to help prevent a potentially life-threatening or permanent neurological injury. If the rescue litter is used, total spinal immobilization, including cervical collar and a backboard, should be applied at the earliest convenience. Notes  The rescue (stokes litter) and the SAR MEDEVAC litter are different pieces of equipment. For the purposes of this section, they will be combined into the “Rescue/MEDEVAC litter” and any differences in procedures will be noted using the specific equipment nomenclature.  The RS should deploy with trail line gloves or wet suit gloves with leather or appropriately reinforced palms to save time.  The RS shall give the appropriate hand signal or radio communication (chapter 6) as soon as it is determined that the rescue/MEDEVAC litter is needed. This will allow the hoisting crewman an opportunity to rig the rescue/MEDEVAC litter while the RS finishes with the survivor disentanglement/recovery procedures.

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NTTP 3-50.1 3-59 SEP 2013  The surface RS does not utilize step 2 of these procedures.  Use of patient restraint straps with hook-and-pile tape are no longer authorized. The rescue litter (stokes) is required to have the color-coded buckle type patient restraint straps (P/N: 140). The SAR MEDEVAC litter is required to have a new frame cover that integrates the color-coded buckle type patient restraint straps (P/N: 402-2). 1. The rescue/MEDEVAC litter is deployed IAW paragraph 1.4 (aviation), and 2.8.3.6 (surface). 2. (Aviation RS only): When the rescue/MEDEVAC litte r is in the water, the RS shall disconnect the rescue/MEDEVAC litter from the large rescue hook and place the hoisting sling cables to the outside of the rescue/MEDEVAC litter: (Surface RS only): As the rescue/MEDEVAC litter enters the water the RS will use the trail line to pull the rescue/MEDEVAC litter 20–25 feet from the ship, at the same time the davit crew will provide slack on the in-haul line. Note The rescue/MEDEVAC litter hoisting cables must be kept from interfering with the patient restraint straps, as they could become fouled under the survivor. 3. The RS shall guide the survivor into the r escue/MEDEVAC litter by using the equipment/collar tow.

If the survivor is wearing a buoyant antiexposure suit such as the Imperial dry suit, it will affect the flotation characteristics of the rescue/MEDEVAC litter, and may negate the rescue/MEDEVAC litter’s self-righting feature. 4. Once the survivor is positioned, the RS should straddle the rescue/MEDEVAC litter and use the knees or lower legs to hold the rescue/MEDEVAC litter. This will provide security (positive control), and stability during the evolution. 5. The RS shall take the top rest raint strap (grey in color) from the front of the rescue/MEDEVAC litter and secure it around the survivor’s chest. The strap is pulled loose from the right side, placed under the arms but over the chest, and attached to the fitting on the left (figure 3-34). Notes  All restraint straps shall be on the RS’s right as he faces the open side of the rescue/MEDEVAC litter. Four of the five straps shall be faked. The remaining one has a chest pad attached.  If the survivor is wearing a helmet, the RS will be unable to secure the head restraint of the SAR MEDEVAC litter. If this occurs, the RS shall bypass the head restraint and continue with normal procedures.  The SAR MEDEVAC litter foot restraint straps do not need to be utilized, unless hoisting the SAR MEDEVAC litter vertically (figure 3-35).

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NTTP 3-50.1 SEP 2013 3-60 6. The RS shall take the second (red in color) patient restraint strap, and secure it over the survivor’s arms (over the wrists/forearms). 7. The RS shall secure the rest of the patient restraint straps working down towards the feet. Note When securing the chest pad (figure 3-36), the RS may encounter difficulty if the survivor has inflated flotation. However, the survivor’s flotation is not to be removed or deflated even if the flotation prevents securing the chest pad. Instead, remove the chest pad from the rescue/MEDEVAC litter and continue with rescue. If practical, the RS will return to the SRU with the chest pad. 8. Once all of the patient restraint straps are properl y secured, attach the chest pad over the survivor’s upper arms/chest. 9. (Aviation RS only): Signal the helicopter READY FOR PICK-UP (figure 3-37).

Figure 3-34. The Rescue Swimmer Shall Take the Top Restraint Strap (Grey in Color) from the Front of the Rescue/MEDEVAC Litter and Secure it Around the Survivor’s Chest

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Figure 3-35. MEDEVAC Litter Being Hoisted Vertically

Figure 3-36. Rescue Swimmer Secures Rescue/MEDEVAC Litter Chest Pad

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Figure 3-37. Rescue Swimmer Signals READY FOR PICK-UP 10. (Aviation RS only): The RS shall hook the rescu e/MEDEVAC litter slings (both sides) into the large rescue hook (figure 3-38): a. (Surface RS only): The RS shall reach around the rescue/MEDEVAC litter and disconnect either the right or left sling from the rescue hook leaving the other attached. b. (Surface RS only): The RS will bring both the di sconnected sling and sling attached to the rescue hook to the front of rescue/MEDEVAC litter and reattach the disconnected sling to the rescue hook ensuring there are no twists in either sling. 11. The RS signals RAISE CABLE (chapter 6). 12. Once all the excess hoist cable is reeled in, and the rescue/MEDEVAC litter is completely horizontal, on top of the surface of the water, the RS signals HOLD (chapter 6). 13. The RS performs a final check: a. Ensure all connections to the large rescue hook are correct. b. Ensure both rescue litter sling assemblies are properly secured to the rescue/MEDEVAC litter. The rescue litter sling snap hooks/carabineers shall be locked, and not kinked where they attach to the frame of the rescue/MEDEVAC litter. c. Ensure the patient restraint straps are properly secured, and not entwined with the rescue litter sling assemblies. d. Ensure the chest pad is properly secured (if used). e. Ensure the hoist cable is not wrapped around any part of the rescue/MEDEVAC litter, debris in the water, the survivor, or the RS. 14. The RS shall grasp the trail line assembly with one hand, and give the RAISE CABLE hand signal with the free hand. The RS should flutter-kick away from the SRU while tending the trail line to preclude the rescue/MEDEVAC litter from spinning during recovery and/or hitting the side of the ship during forecastle recovery (figure 3-39). 15. The SRU crew shall begin rescue/MEDEVAC litter r ecovery procedures IAW chapter 1, paragraph 1.4.6 (aviation) and chapter 2, paragraph 2.8.3.6 (surface).

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Figure 3-38. The Rescue Swimmer Shall Hook the Rescue/MEDEVAC Litter Slings (Both Sides) into the Large Rescue Hook

Figure 3-39. The Rescue Swimmer Should Flutter-Kick Away from the Search and Rescue Recovery Unit While Tending the Trail Line to Preclude the Rescue/MEDEVAC Litter from Spinning during Recovery and/or Hitting the Side of the Ship during Forecastle Recovery

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NTTP 3-50.1 SEP 2013 3-64 3.9.4 Rescue Seat (Aviation Only) When the rescue seat is selected as the rescue device, the following procedures apply after the rescue seat is lowered into the water IAW chapter 1, paragraph 1.4:

 Only one survivor at a time, or one survivor accompanied by the RS, shall be hoisted using the rescue seat.  If hoisting an unconscious survivor with the rescue seat, the RS shall be hoisted along with the survivor. 1. After the seat is in the water, the RS shall pull down one fluke and have the survivor sit on it, facing the rescue seat.

In all cases (whether the survivor is determined to be panicked, combative, or cooperative) the RS shall not hoist survivors from an overland or maritime environment without the proper application of the selected rescue device to include safety straps or safety devices outlined in this manual. 2. RS shall pull the adjustable safety strap from the flot ation collar pouch. The strap shall be routed under one arm, around the back, under the other arm, and attached to the V ring. Tighten strap until the survivor is secured against the flotation collar. Note If the survivor is wearing an inflated LPU-type life preserver, the waist lobes may need to be disconnected prior to attaching the adjustable safety strap. 3. Instruct the survivor to wrap his/her arms around th e flotation collar and to not let go until directed to by the CC (figure 3-40). Note If the RS elects to be hoisted with the survivor, the RS shall wear the adjustable safety strap in the same manner as the survivor. 4. The RS shall perform a safety check, and signa l RAISE CABLE IAW paragraphs 3.7.14 and 3.7.15. Note The RS shall ensure the survivor stays securely seated as tension is applied to the hoist cable. 5. The survivor and/or RS shall be hoisted to th e helicopter. Upon reaching the aircraft, the crewman will assist the survivor and/or RS into the aircraft using procedures outlined in paragraph 1.4.5.3.

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Figure 3-40. Instruct the Survivor to Wrap His/Her Arms Around the Flotation Collar and to Not Let Go Until Directed to by the Crew Chief 3.9.5 Rescue Net (Aviation Only) The rescue net is a simple and safe rescue device that can accommodate up to two personnel during hoisting. When the rescue net is employed, the following procedures are to be used after the device is lowered into the water IAW chapter 1, paragraph 1.4. 3.9.5.1 Single Survivor Rescue Using the Rescue Net The RS shall: 1. Place the rescue net opening directly in front of the RS without disconnecting it from the rescue hook. 2. Place the survivor in a collar/equipment tow, and pu ll the survivor into the rescue net backwards. Position the survivor on either side of the rescue net, facing out.

The RS shall instruct the survivor to keep all body parts inside the rescue net at all times, and to not attempt to get out of the rescue net until directed by the CC. 3. The RS shall perform a safety check: a. The RS shall check the rescue hook and rescue net lif ting point for security and ensure the rescue net is hooked into the large rescue hook.

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NTTP 3-50.1 SEP 2013 3-66 b. Ensure that the survivor is completely inside the rescue net with his/her legs inside. c. The RS shall ensure the hoist cable or line is not fouled on the rescue net, debris, the survivor, or the RS. 4. The RS shall swim into the rescue net backward s and position him/herself into the rescue net facing out. The RS places one arm across the net opening, ensuring that the survivor cannot fall out. 5. The RS signals RAISE CABLE (chapter 6). 6. The survivor and/or RS shall be hoisted to th e helicopter. Upon reaching the aircraft, the crewman will assist the survivor and/or RS into the aircraft using procedures outlined in chapter 1, paragraph 1.4.4.3. 3.9.5.2 Multiple Survivor Rescue Using the Rescue Net The RS shall: 1. Place the rescue net opening direct ly in front of the RS without disconnecting it from the large rescue hook. 2. Position the survivors in the rescue net, facing out.

The RS shall instruct the survivors to keep all body parts inside the rescue net at all times, and to not attempt to get out of the rescue net until directed by the hoisting crewman. 3. The RS shall perform a safety check: a. The RS shall check the rescue hook and rescue net lifting points for security. b. Ensure that the survivors are completely inside the rescue net with their legs inside. c. The RS shall ensure hoist cable or line is not foul ed on the rescue net, debris, the survivors, or the RS. 4. The RS signals RAISE CABLE (chapter 6). 5. The survivors shall be hoisted to the helicopter . Upon reaching the aircraft, the crewman will assist the survivors into the aircraft using procedures outlined in chapter 1, paragraph 1.4.4.3. 3.9.6 Rescue Basket When the rescue basket is selected as the method of recovery, the following procedures shall be utilized after the basket is rigged IAW paragraph 1.4.3.1. 3.9.6.1 Survivor(s) Rescue Using the Rescue Basket The RS shall: 1. Signal the helicopter IAW chapter 6, figure 6-1, deploy rescue basket/net. 2. Await delivery of the rescue basket.

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NTTP 3-50.1 3-67 SEP 2013 3. When basket has been placed in th e water, within 5-10 feet of the swimmer and survivor, swim survivor to the basket. 4. Place the survivor in the basket in a sitting position. 5. Ensure arms and legs are completely inside the b asket and instruct survivor to maintain this position. 6. Signal the aircraft ready to be hoisted IAW chapter 6, figure 6-1. 7. The RS should stabilize the basket until the helicopt er is directly overhead by grasping the basket and waiting until it can be vertically raised with minimum lateral movement. 8. Once the rescue basket is clear of the water, the RS shall swim to the aircraft 1 or 2 o’clock position and maintain eye contact with the rescue basket or assist other survivors as required. 9. When all survivors are recovered, the RS sha ll recover utilizing the method of his or her choice. Note Though designed for one survivor, under special circumstances it is the RS’s discretion to determine how many survivors can safely be placed into the basket. Prior to deviating from the above procedures, the aircrew shall consider all pertinent factors, including, but not limited to: survivor size, environmental concerns, imminent dangers, and helicopter hoisting limitations.

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NTTP 3-50.1 SEP 2013 3-68 INTENTIONALLY BLANK

CHAPTER 5 Search and Rescue Equipment

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NTTP 3-50.1 5-1 SEP 2013 CHAPTER 5 Search and Rescue Equipment 5.1 BASIC REQUIREMENTS The nature of the SAR mission requires that naval units having SAR responsibilities be constantly equipped to carry out those responsibilities. This chapter establishes the approved minimum rescue equipment to be maintained by naval units with SAR responsibilities. Although the limiting factor in most situations will be shortage of space available, commands are encouraged to add authorized rescue equipment as necessary to increase mission readiness. Refer to appendix D for procurement information. Note Required forecastle and rescue boat equipment outlined in appendix D shall be stenciled with ship’s hull number. 5.2 RESCUE SWIMMER EQUIPMENT The 90-day inspection of the wet suit and other equipment should coincide with inspection of the RS’s personal- issue life preserver, LPU-28/P or LPU-28/P Type II, and the RS’s harness, or HBU-23/P. Maintenance and inspection of all aviation RS equipment shall be accomplished IAW NAVAIR 13-1-6 (series) manuals. Maintenance and inspection of all surface RS equipment shall be accomplished IAW NAVSEA developed PMS.

Use PPE when handling contaminated wet suits and/or equipment. Wet suits and/or other equipment shall be removed from service if contaminated by any of the following: acetic acid, hydrochloric acid, muriatic acid, nitric acid, nitrobenzene, oxalic acid, phenol, or sulfuric acid. 5.2.1 Minimum Rescue Swimmer Equipment The minimum equipment that the RS shall have (figures 5-1 and 5-2) is as follows: Notes  Required forecastle and rescue boat equipment is outlined in appendix D.  The RS should keep at least one swim fin replacement strap (P/N 6215-02, NIIN 01-227-7507) with his/her personal RS equipment.  The RS shall not deploy into the water without the minimum items marked with an asterisk (*).  Surface Rescue Swimmer’s minimum SAR equipment shall be stenciled with rescue swimmer’s first and last initial, and last four numbers of SSN.

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NTTP 3-50.1 SEP 2013 5-2 *1. Rescue harness. The rescue harness shall be carri ed on all SAR missions and shall have the following attached: *a. Strobe light SDU-39 (with blue detachable lens) *b. One pocket shroud cutter/“J” knife *c. One swimmer’s knife *d. Four chemical lights—two high intensity, and two general purpose

Figure 5-1. Surface Rescue Swimmer Dressed Out

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NTTP 3-50.1 5-3 SEP 2013

Figure 5-2. Aviation Rescue Swimmer Dressed Out *e. Two Mk-124 Mod 0 flares (aviation RSs ONLY) *f. Whistle (surface RSs ONLY)

The RS shall never deploy into the water with the HABD/SEA. Removal of the HABD/SEA holster before water entry is at the RS’s discretion. *g. HABD/SEA holster (aviation RSs ONLY).

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NTTP 3-50.1 SEP 2013 5-4 *2. RS’s flotation device.

The RS shall deploy into the water with a minimum of either a wet suit top, or dry suit assembly, as well as all other items listed marked with an asterisk (*). 3. Wet suit ensemble a. One-piece trouser b. Long-sleeved jacket *c. One-piece shorty wetsuit d. Hood *e. Gloves (preferably with reinforced palms) *f. Booties. 4. Dry suit ensemble. Including appropriate undergarments. *5. Ventilated swim fins. *6. Wraparound swimmer’s mask: a. Chemical light attachment b. Swimmer’s snorkel. 7. UDT shorts (2 pair). *8. AN/PRC-149 with C-12631/PRC-149 swimmers radio control unit (aviation RSs ONLY). *9. Swimmer tending line when deploy ing by J-bar davit (surface RSs ONLY). *10. Petzl “Ecrin Roc” helmet. (Search and Rescue Gram (SARGRAM) 11-02) 5.2.2 SAR Swimmer’s Wet Suit Ensemble Notes  Required maintenance on all RS’s gear shall be performed at organizational level and above.  The RS shall perform a preflight/preuse inspection on all RS equipment prior to each use, and at intervals not to exceed 14 days. The RS shall also perform a post-flight/ postuse inspection after each use. As a minimum requirement, the inspection shall consist of a visual inspection.

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NTTP 3-50.1 5-5 SEP 2013  A minimum of either a wet suit top or dry suit shall be worn on all overwater rescues. At the commanding officer’s discretion the driFIRE shirt and UDTs may be substituted.  Wet suit items can remain in service as long as the items continue to pass the required inspections outlined in the NAVAIR 13-1-6. (series) manuals. 1. The SAR swimmer’s wet suit ensemble is an e xposure protective assembly designed for continuous wear. It will protect the RS from exposure to cold water, wind, and spray while performing emergency rescue actions at sea. The SAR swimmer’s wet suit ensemble consists of a one-piece trouser, long-sleeved jacket, one-piece shorty, hood, gloves, booties, mask, snorkel, swim fins, RS’s life preserver, and community- specific (aviation or surface) RS’s harness. 2. Shorty wet suit requirements. (SARGRAM 09-02) a. Black in color b. Material must be 2–3 mm in thickness c. Four-way flex material d. Underarms and shoulders must be seamless. 5.2.3 SAR Swimmer’s Mask Notes  Before water entry, the RS’s mask shall be tied off on either the left or right shoulder strap of the RS’s harness and not passed through the neck hole of the RS’s flotation device. The SAR swimmer’s mask shall not be tied to the RS flotation device.  Maintenance of the SAR swimmer’s mask is limited to inspection, minor repair, and replacement IAW NAVAIR 13-1-6. (series).  The SAR swimmer’s mask shall have the chemical light attaching provision (P/N 168AS201-1547) incorporated prior to being placed in service. The SAR swimmer’s mask (P/N 1681AS200-1, CAGE 30003) is a wraparound mask for maximum field of view, and incorporates impact-resistant tempered glass. A mask strap replacement (P/N5084-02) and strap replacement clips (P/N 5026-07) are available for use with the mask. 5.2.4 SAR Swimmer’s Snorkel Note Maintenance on the SAR swimmer’s snorkel is limited to visual inspection and replacement. The SAR swimmer’s snorkel (P/N 168AS400-2, CAGE 30003, NIIN 01-227-7503) is made of a flexible hose with mouthpiece attached to a solid upper tube. The SAR swimmer’s snorkel is available in standard hose, Type 1, and flexible hose, Type 2. Replacement snorkel mask straps can be ordered under NIIN 01-228-0946. 5.2.5 SAR Swimmer’s Swim Fins The SAR swimmer’s swim fins are solid pliable fins designed for maximum power. They are made in three sizes: small (NIIN 01-227-6017), medium to large (NIIN 01-015-6762), and extra large (NIIN01-220-5816), or extra

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NTTP 3-50.1 SEP 2013 5-6 large SCUBAPRO jet fin (size 13 and up), (NIIN 01-077-5251). The RS should keep at least one replacement strap (P/N 6215-02, NIIN 01-227-7507) with his/her personal RS equipment. 5.2.6 LPU-28/P AND LSC (P/N 482) Life Preserver Assemblies Notes  The Lifesaving Systems Corporation (LSC P/N 482) life preserver is a modified LPU-28/P life preserver. The modification consists of a two-piece hook-and-pile tape retention strap for ease of routing the wire of the swimmer control unit (SCU). Both the LPU-28P and LSC (P/N 482) assemblies are authorized for use by all aviation and surface RSs during SAR operations. They are designed to be compatible with helicopter aircrew helmets. They provide storage and pile tape attachment points for the SDU-39N distress light and AN/PRC-125/149 radios with the SCU installed.  Both the LPU-28/P and LSC (P/N 428) life preserver assemblies (figure 5-3) weigh a maximum of 2.5 pounds (without accessories) and provide a minimum of 30 pounds of buoyancy. Both assemblies consist of a single compartment flotation assembly, a casing assembly, a waist belt, and a carbon dioxide inflation assembly. The LPU-28/P incorporates a diver’s mouthpiece type oral inflation valve, and a pressure relief valve. The LSC P/N 482 has a standard oral inflation tube with a knurled ring locking mechanism, and does not incorporate a pressure relief valve.  The flotation assembly is constructed of heat-sealed polyurethane film. It is contained by the cover assembly and attached to the oral inflation assembly, pressure relief valve, and CO 2 inflator by threaded access fittings and a valve stem, which pass through the cover assembly. The casing assembly has an adjustable waist belt and optional back strap attached. The carbon dioxide inflator consists of a carbon dioxide cartridge (28–31 grams, type II) and an inflation valve (3063). The carbon dioxide inflator is mounted on the valve stem, which passes through the casing assembly and seals to the flotation assembly. A check valve is installed in the valve stem to prevent leakage. The cord connecting the actuating knob and carbon dioxide inflator passes through a channel on the casing assembly to provide an all-directional pull. 5.2.7 Aviation RS’s Harness (HBU-23/P) P/N 205

 The lifting “V” Ring of the RS harness shall always be hooked into the large hook of the DRH, without exception. Under no circumstances is it permissible to use the small hook of the rescue hook to hoist personnel.  The RS harness (see figure 5-4 for aviation RS harness) shall be worn by the RS on all rescues, and has the capability of carrying multiple RS devices. Refer to appendix D for a list of required equipment for the RS harness. The harness is constructed of MIL-W-4088 Type 13 webbing consisting of shoulder straps, risers, back straps, an adjustable chest strap, and a lifting strap. The end of the lifting strap is equipped with a snap-link assembly and a parachute harness triangle link. A pouch on the front of the harness provides a stowage place for the lifting strap and its attached hardware. A webbing pull handle attached to the front of the stowage pouch permits ready access to the lifting strap snap link during rescue operations. Pocket assemblies are located at the junction of each riser and the lifting strap and on the right shoulder strap.

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NTTP 3-50.1 5-7 SEP 2013

Figure 5-3. LPU-28/P and LSC (P/N 482) Life Preserver Assemblies

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NTTP 3-50.1 SEP 2013 5-8

Figure 5-4. Aviation Rescue Swimmer Harness

The right pocket assembly consists of a three-pocket unit, which provides stowage for an MK-124 smoke and illumination flare, hook blade knife, and 4-inch chemical light. A MK-124 flare and 6-inch chemical lights are stowed in a two-pocket unit on the left side. A strobe light is stowed in the single pocket attached to the right shoulder strap. A knife scabbard is attached to the left side of the lifting strap. The black color of the webbing from which the harness is made provides increased ultra-violet resistance. Notes  Maintenance of the RS’s harness shall be limited to inspection, cleaning, and minor repairs of broken stitching.  Inspection of the RS’s harness consists of preflight and special. Inspections performed at the organizational level or above.  Special inspections shall be performed by organizational level or above upon issue, prior to placing the harness in service, and at regular intervals as prescribed by the applicable NAVAIR 13-1-6. (series) manual. The special inspection shall consist of a service life check, visual inspection, and a contamination inspection. 5.2.8 Surface Rescue Swimmer Harness The surface RS harness (figure 5-5) is designed specifically for U.S. Navy surface RSs. The main harness is constructed of Type 13 MIL-SPEC webbing. All harness hardware is made of type-304 stainless steel for strength and high corrosion resistance. All structural stitching is accomplished with number 207 (three-cord) nylon thread. The black webbing provides increased ultraviolet resistance. Attached pockets provide stowage for strobe light and signaling devices. All items (except chemical lights) in surface rescue swimmer (SRS) harness shall be secured with a 30-inch piece of type I or type IA nylon cord with seared ends. Tie an overhand knot at each end and secure item with a bowline knot.

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NTTP 3-50.1 5-9 SEP 2013 5.2.9 SAR Swimmer’s Knife and Sheath, P/N 1681AS500-1 The RS’s knife and sheath (P/N 1681AS500-1, CAGE 30003, NIIN 01-278-3007) is made of a stainless steel blade with a small amount of carbon added to ensure a sharp edge, and a hand grip, which is molded around the shank of the blade. The belt sheath is molded rubber with an attached end to hold the knife in the sheath. The current knife is being replaced through attrition by a new knife (same P/N) with a blunt tip and a notch to cut shroud lines. 5.2.9.1 N-SAR (BTS) SAR Knife The Emerson SAR knife is an authorized replacement for the current diver’s knife with scabbard and hook blade knife. Refer to NAVAIR 13-1-6.5 for installation/inspection requirements. (See figure 5-6.) SRS equipped with the N-SAR Knife. The N-SAR knife shall be carried in the front section of the chemical light pocket. All four (4) chemical lights will be carried in the rear section of the same pocket. 5.2.10 Rescue Swimmer Trunks Rescue swimmer trunks (UDT shorts) are available in seven sizes, 28–40, and are available through normal supply channels. The part number is: 81439-MIL-T-29112. Individual stock numbers (by size) can be found in the NA 00-35QH-2, Item A.174.

Figure 5-5. Surface Rescue Swimmer Harness

Figure 5-6. Emerson N-SAR (BTS) Knife

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NTTP 3-50.1 SEP 2013 5-10 5.2.11 Rescue Swimmer’s Gloves If rescue swimmer gloves are unavailable through the Navy supply system, custom or off-the-shelf gloves may be open purchased utilizing specific requirements. When ordering any custom or off-the-shelf glove, the following criteria must be met. 1. Black in color (some grey is acceptable). 2. Material shall have a 2–3 mm thickness or thicker. 3. Bamboo, Kevlar, or Kevlar-like ma terial reinforced palm and fingers. 4. No visible (when possible) or brightly colored manufacturers logos. 5.2.12 AN/PRC-149 Radio Set and C-12631/PRC-149 Radio Control Unit The AN/PRC-149 radio set is a personal noncombat emergency communication radio and emergency location beacon transmitter. The radio set operates in voice transceiver mode on three manually selectable emergency frequencies. A triple-frequency beacon-operating mode provides transmissions on all three internationally recognized search and rescue frequencies. The C-12631/PRC-149 radio control unit (voice box with cable) connects to the AN/PRC-149 to make it a SAR swimmer’s radio. When attached, the control unit assumes control of the push-to-talk (PTT) and the up and down volume-control functions. Connecting the SAR swimmer’s radio control unit disables the corresponding functions in the AN/PRC-149. The AN/PRC-149 is battery-powered and contains a flexible VHF/UHF antenna, GPS antenna, LED display, On/Off switch, volume-control switch, PTT switch, microphone, speaker, and earphones. The AN/PRC-149 is intended to provide a means of signal and voice communication between a downed aircrew member and the rescue party in the event of an emergency. The C-12631/PRC-149 radio control unit provides a means of signal and voice communications between the SAR swimmer and the SAR aircraft. Maintenance of the AN/PRC-149 and C-12631/PRC-149 radio control unit consists of place-in-service, preflight, postflight, and special inspections. Maintenance shall be performed at the organizational level or above. For all maintenance procedures, refer to NAVAIR 16-30PRC149-1. 5.2.13 Rescue Swimmer Extreme Environmental Gear The following is a list of the latest SAR gear developed to protect RSs from hypo/hyperthermia related injuries. Dry suits will not protect the RS from cold-related injuries if the proper undergarments, head, hand, and foot protection are not utilized. Notes  Perform a place-in-service inspection on all extreme environment gear IAW NAVAIR 13-1-6.7-2, Aircrew Personal Protective Equipment (Clothing) Manual, at initial issue, and when removed from storage.  It is the RS’s responsibility to perform a pre/postflight/use inspection on all extreme environment gear.  Surface RS only: Until NAVSEA planned maintenance system (PMS) guidelines are formally implemented, the storage, handling, folding and packing, leak inspection, visual and periodic inspection guidelines outlined in the user care and maintenance manual provided with the dry suit shall be adhered to. The user care and maintenance manual, along with the repair kit, shall be maintained with the dry suit.

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NTTP 3-50.1 5-11 SEP 2013 5.2.13.1 Dry Suit Assemblies

 When the water temperature is below 60 °F, a dry suit ensemble is required. When water temperatures are 60 °F to 70 °F, a dry suit ensemble is worn at the CO’s discretion. When the water temperature is above 70 °F, a dry suit ensemble is not required.  Refer to figure 5-7 for guidance on protective undergarments required with respect to water temperature.  Use appropriate undergarments (see below) such as wool, or man-made fibers such as Gore-Tex when utilizing dry suits. The use of cotton undergarments (including socks) shall be avoided. Note All dry suit assemblies shall remain in service until it is beyond economical authorized repair. 1. Rescue swimmer’s dry suit. The Mustang Model MS D565 Gore-Tex aviation rescue swimmer’s dry suit is a commercial off-the-shelf (COTS) open-purchase garment used as an outer garment. The MSD 565 comes in four sizes (small, medium, large, and extra-large). The MSD 565 has the following characteristics: a. Lightweight and flexible nylon Gore-Tex laminate b. Latex neck and wrist seal which stretches to fit c. Internal suspenders that adju st to accommodate a range of sizes d. One-size-fits-all factory-installed antiexposure socks e. Exhaust valve to expel trapped air f. Reflective tape from the shoulder to upper-arm g. Protective pads built into the kn ee, chest, and underside of forearm. Note The MSD 565 is currently the only authorized dry suit for purchase, and is currently replacing the MSD 560 by attrition. Procurement of the MSD 565 can be done either through the supply system, or directly from the manufacturer, Mustang Survival Manufacturing, Inc. Mustang Survival USA 3870 Mustang Way Bellingham, WA 98226 Phone (comm.): 360-676-1782 Fax: 360-676-5014 E-Mail: [email protected]

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NTTP 3-50.1 SEP 2013 5-12 Water Temperature Required Minimum Protective Equipment and Undergarments for use with the Dry Suit Assembly (Note 1) 70 to 60°F CWU-44/P undershirt, CWU-43/P drawers or Exotherm I or II fleece jumpsuit 60 to 55°F CWU-44/P undershirt, CWU-43/P drawers, CWU-72/P liner (Note 2) or Exotherm I or II fleece jumpsuit, gloves, and hood 55°F and Below CWU-44/P undershirt (2 layers), CWU-43/P drawers (2 layers), CWU-72/P liner (Note 2) or CWU-44/P undershirt, CWU-43/P drawers, Exotherm III fleece jumpsuit, gloves, hood, and wool socks Note 1:

The minimum protective equipment and undergarments for use with the dry suit may be added to by the RS/command, but never subtracted from. The RS is reminded that too much protective gear may cause a heat-related incident, so care should be taken when adding extra layers, etc. Note 2: For women: The CWU-81/P and CWU-82/P liner (two-piece system) may be substituted for the CWU-72/P liner. Note 3: Components of the Multi-Climate Protection System (MCPS) may be substituted for CWU-43/P, CWU-44/P, CWU-72/P, CWU-81/P, CWU-82/P, and Exotherm liners in accordance with NAVAIR 13-1-6.7-2. Figure 5-7. Required Equipment vs. Water Temperature 5.2.13.2 Dry Suit Donning

 Dry suits provide no inherent buoyancy.  Once donned, the aviation RS shall always “burp” the dry suit. This procedure shall be repeated again just prior to deployment. Failure to “burp” the dry suit prior to deploying by 10/10 or 15/0 will most likely cause the dry suit to tear upon contact/immersion in the water. “Burping” is accomplished by squatting at the knees, fully bent forward at the waist, while holding the neck seal open, driving as much of the air out of the dry suit as possible.

 Dry suits themselves do not provide adequate hypothermia protection. Use of head, hand and foot protection in addition to appropriate insulating liners/undergarments outlined in figure 5-7 shall be worn beneath the dry suit to provide hypothermia protection.

Use extreme care when donning the dry suit. Prior to donning the dry suit, remove items such as rings, watches, etc. A torn dry suit will leak, severely degrading its immersion protection. Avoid putting fingernail pressure on the wrist and neck seals to prevent cutting the seals.

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NTTP 3-50.1 5-13 SEP 2013

New neck and wrist seals may need to be trimmed to allow a proper seal without restricting circulation. Only qualified maintainers following the manufacturer’s maintenance instructions may trim neck and wrist seals. Notes  RSs with prominent wrist tendons on the surface of the skin will form a groove along the wrist when the hand is tensed and may allow water to leak in the seal. If you have prominent wrist tendons, pull the wrist seals up the arm above the tendons to prevent wrist-seal leakage.  The use of paraffin wax or beeswax on the entry zipper teeth will act as both a lubricant and a corrosion preventative. 1. Remove shoes/boots. Don the MSD-560/565 Series cove rall by first inserting feet into antiexposure socks, then pull coverall up past waist. If suspenders are incorporated, don them and adjust to personal comfort. 2. Insert arms into sleeves. Grasp upper part of cove rall (behind head) and pull neck seal over head. Adjust neck seal so it is comfortable and seam tapes are aligned with shoulders. Release thumb loops from hook- and-pile fastener tapes on sleeves. 3. Place right loop over right thumb and extend right arm horizontally to side of body. Grasp entrance opening slide fastener with left hand and close fastener to a point past center of chest. 4. Remove right thumb from loop. Place left thumb in left sleeve loop and extend arm horizontally to side of body. Grasp slide fastener pull-tab in right hand and completely close entrance slide fastener. Ensure pull- tab is firmly seated into seal block and butted against end block. 5. Remove thumb from thumb loop and mate fastener tapes of both loops with fastener tapes on sleeves. 6. Ensure relief portal slide fastener is closed. Ensu re pull-tab is firmly seated into seal block and butted against end block. 7. Manually vent (burp) air fr om the suit by squatting at the knees and bending forward while pulling the neck seal away from the neck. 5.2.13.3 Dry Suit Doffing

 Ensure the entry zipper is completely opened prior to removal of the dry suit. If not entirely opened, damage could result to the entry seal.  Avoid putting fingernail pressure on the wrist and neck seals to prevent cutting the seal.

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NTTP 3-50.1 SEP 2013 5-14 1. Remove all personal rescue equipment. If the outside of the dry suit was exposed to salt spray, dirt, or foreign material during the mission, wash the suit down prior to removing it, paying particular attention to the entry zipper. 2. Release thumb loops on each sleeve from hook-and-pile fasteners. Insert left thumb in left loop and extend left arm horizontally to side. 3. Grasp entrance slide fastener pull-tab in right hand and open slide fastener past center of chest. 4. Remove left thumb from loop. Insert right thumb in right loop and extend right arm horizontally to side. 5. Grasp entrance slide fastener pull-tab in left hand and completely open slide fastener. Remove right thumb from loop. 6. Grasp upper portion of coverall and pull up over head. 7. Remove dry suit from legs and feet. 5.2.13.4 Dry Suit Cleaning

 Ensure that slide fasteners are closed prior to laundering/cleaning. Do not dry-clean dry suit coveralls. Do not use bleaches or similar additives for cleaning. Do not use commercial laundry facilities.  The dry suit needs to be thoroughly cleaned and dried prior to storing. Failure to adequately clean the suit after use may result in failure of the zipper or seals. 1. Pull sleeves inside out while pulling arms from slee ves. Peel coverall down, turning it inside out down below the waist. Remove legs and feet from coverall. Close slide fastener. 2. Hand-launder, or use an automatic washer that has a delicate cycle. Ensure water used is cold. 3. Follow detergent manufacturer’s recommendations for amount of detergent to use. Wash cycle shall not exceed 3 minutes. 4. Rinse garment three times. Use clean, fresh water for each rinse. Each rinse cycle shall be a minimum of 1 minute. 5. Coveralls may be dried using a clothes drye r, using lowest heat setting, for 20 minutes. 6. Recommend garment be placed in a locally fabri cated mesh bag to minimize potential abrasive wear. 7. Hang coverall by shoulders on a wooden or plastic ha nger in a well-ventilated area until dry, or tumble dry with low heat. 8. When outside is dry turn legs and socks inside out to dry.

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NTTP 3-50.1 5-15 SEP 2013 5.2.13.5 Dry Suit Undergarments Notes  Maintenance is limited to a place-in-service special inspection. If any defects are found, return the undergarment to the manufacturer. The user maintains the responsibility for maintenance of the undergarment, which is limited to pre/postflight inspection and cleaning of the garment. Clean the undergarment IAW the manufacturer’s instructions.  The undergarment shall remain in service until it is damaged. There are no authorized repairs to dry suit undergarments.  Refer to figure 5-7 for guidance on protective undergarments required with respect to water temperature. U.S.I.A. military exotherm fleece jumpsuit (SAR swimmers only)—U.S.I.A. military exotherm fleece jumpsuit is a COTS undergarment that can be utilized with the CWU-43/P drawers and the CWU-44/P undershirt, or by itself underneath the SAR swimmer’s dry suit, Mustang Model MSD 560/565 Gore-Tex, coverall. Notes  The Exotherm I and II are the same thickness, and rated at the same temperatures. The Exotherm II includes wind protection.  The Exotherm III is the recommended jumpsuit for activities only purchasing one model of jumpsuit per RS. The Exotherm jumpsuit is available in three (3) models: Exotherm I and II: Air Temp. 90–50 °F/Water Temp. 75–55 °F Exotherm III: Air Temp. 65–35 °F/Water Temp. 55–40 °F CWU-43/P and CWU-44/P cold weather underwear—The draw ers are full length and the ankles are of tight-knit weave to fit securely. They have a boxer-style fly closure and an elastic waistband. The undershirt has full sleeves and the cuffs and neckband are of a tight-knit weave to fit securely. The drawers and undershirt shall be personal- issue items, and each RS shall maintain two of each item. To determine drawer and undershirt sizing and NSN use the guidelines in figure 5-8. The CWU-43/P and CWU-44/P cold-weather underwear (MIL-D-85040) is designed to provide added thermal insulation and is constructed from (aramid) high temperature–resistant material. The cold-weather underwear is designated for use by all aircrew members operating in cold temperatures. The underwear may be used with standard Navy cold-weather equipment. The cold-weather undershirt and drawers are individually fitted to the aircrew member. The proper size cold weather underwear corresponds to the regular underwear size. The CWU-81/P and CWU-82/P liners are intended for women’s use only. The CWU-81/P liner is a shirt, and the CWU-82/P are drawers. The liners shall be worn directly under the MSD560-Series coveralls and over the recommended underclothing. The liners are supplied in nine sizes. Massif Hot Johns thermal undergarments, black in color, is authorized rescue swimmer extreme environmental gear. (SARGRAM 11-01) 5.2.13.6 Rescue Swimmer driFIRE Shirts The desert sand driFIRE silk weight long sleeve shirt is fire resistant and incorporates fast wicking and fast-drying properties designed to keep the user cool and dry. The driFIRE shirts can be utilized by Rescue Swimmers in extreme air and water temperature conditions where the possibility of heat related injuries exist. Use of the driFire

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NTTP 3-50.1 SEP 2013 5-16 garment is at the commanding officer’s discretion. The long sleeve shirts will be worn with the UDT swim shorts and the Rescue Swimmer harness in lieu of the shorty wetsuit. The shirts are open purchased through driFIRE utilizing the size chart below. (See figure 5-9.) 5.2.14 Direct Deployment System (Aviation RS Only)

 The Direct Deployment System (DDS) shall only be used by qualified rescue crewmen.  The DDS consists of two components: a TRI-SAR harness assembly P/N 487 and a quick strop P/N 214. The TRI-SAR harness assembly has two integrating components, a harness, P/N 487H, and a removable flotation vest, P/N 487VB. 5.2.14.1 TRI-SAR Harness Note The TRI-SAR harness (figure 5-10) is designed to replace the aviation rescue swimmer’s harness (HBU-23/P) P/N 205 and is authorized for use by ALL aviation rescue aircrewman, not just RSs qualified in DD procedures. The TRI-SAR harness assembly is designed to combine the security of a full-body harness with the comfort of a seat harness. The harness is black in color and comes in five sizes: small, medium, large, extra-large, and extra- extra large. When being hoisted, the harness provides a slightly reclined seated position, allowing total use of the rescuer’s hands. The integrated flotation vest is black and features a low-profile, easy-to-swim-in design with a minimum buoyancy of 35 pounds. The vest includes three pockets for stowage of survival items. The flotation bladder is encased entirely in a heavyweight, puncture/abrasion-resistant nylon cover. The flotation vest can be removed easily when flotation is not required. Size CWU-43P Waist Measurement CWU-43/P NSN CWU-44/P Chest Measurement CWU-44/P NSN SMALL 26 to 29 00-467-4075 34 to 37 00-485-6547 MEDIUM 30 to 33 00-467-4076 38 to 41 00-485-6548 LARGE 34 to 37 00-467-4078 42 to 45 00-485-6680 X-LARGE 38 to 41 00-467-4100 46 to 49 00-485-6681 Figure 5-8. CWU-43/P and CWU-44/P Sizing Chart Basic Chest Measurement Chart (in inches) Size XXS XS S M L XL XXL XXXL 31 34 37 40 43 46 49 52 Figure 5-9. Basic Chest Measurement

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NTTP 3-50.1 5-17 SEP 2013 5.2.14.2 Quick Strop

 The quick strop (figure 5-11) is authorized for use only in conjunction with the TRI-SAR Harness. It shall not be used with any other RS harness.  The quick strop shall only be used by RSs qualified in DD procedures. The quick strop is used only in conjunction with the TRI-SAR harness assembly and provides for a quick and safe means of hoisting uninjured personnel. It has stainless steel hardware, a slide buckle that slides down the strop to prevent the survivor from slipping out, and an adjustable retainer strap that is stored in a zippered pocket on the rear of the strop. 5.2.14.3 Inspection and Care The DDS shall be inspected and maintained IAW NAVAIR 13-1-6.5. Preflight/Postflight inspections shall be performed by the user. 5.2.15 SAR Swimmer’s Helmet The Petzl Ecrin Roc helmet is required RS equipment for all water deployments. It protects the wearer from rescue devices being lowered to the RS, debris in the water, and from impacts while being hoisted. It may be used with the RS’s mask fitted over the helmet or around the RS head and under the helmet. It is available for open purchase from various vendors. Refer to NAVAIR 13-1-6.5 for installation/inspection requirements. HOOK AND PILE TAPE FOR DISTRESS MARKER LIGHT ORAL INFLATION TUBE HOOK BLADE KNIFE 4" CHEMICAL LIGHT (2 EA) SDU-5E/SDU-39N DISTRESS MARKER LIGHT MK-124 MOD 0 SIGNAL SMOKE AND ILLUMINATION MARINE (2 EA) FLOTATION VEST AN/PRC-149 RADIO WITH SCU 6-IN. CHEMICAL LIGHT (2 EA) LEG STRAP LEG STRAP HOOK AND PILE TAPE FOR SCU DIVER'S KNIFE/ SCABBOARD

Figure 5-10. TRI-SAR Harness with Flota tion Assembly (P/N: 487VB) Installed

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NTTP 3-50.1 SEP 2013 5-18

Figure 5-11. Quick Strop with Safety Strap Unpacked 5.3 RESCUE DEVICES The following rescue devices are common for both aviation and shipboard rescue missions. Selection of the rescue device will generally have been made prior to RS deployment. The assigned rescue crew must be knowledgeable in the application and operation of all rescue devices. NAVAIR 13-1-6. (series) manuals address the application and inspection of these devices. Selection is determined by the physical condition of the survivors, and whether the situation is a single- or multiple-survivor rescue scenario. Chapters 1, 2, and 3 of this manual detail the use of the various devices by the rescue crew.

In situations where two or more survivors are to be lifted simultaneously, the weight- bearing limitations of the hoist system shall be considered, and not exceeded. Note All rescue devices immersed in salt water shall be inspected by proper O-level authority prior to being placed back into service. 5.3.1 Double Rescue Hook

 When hoisting personnel, the large hook of the DRH (see figure 5-12) shall always be used, without exception. Under no circumstances is it permissible to use the small hook of the rescue hook to hoist personnel.  Hoisting personnel by the equipment ring or small hook of the DRH may lead to failure of the ring or hook, and can result in injury or death of hoisted personnel.

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NTTP 3-50.1 5-19 SEP 2013

 All other rescue devices can only be utilized in conjunction with the DRH.  The DRH is the primary rescue device for helicopter and shipboard recovery. The DRH assembly includes a large hook rated at 3,000 pounds, a small hook rated at 1,000 pounds, and an equipment ring rated at 1,500 pounds. The large hook is the only attachment point authorized for hoisting personnel; it can also be used to hoist equipment, and cargo/mail. The small hook can be used for lightweight items only, such as mail. The equipment ring can be used to hoist light equipment and mail only. Both the large and small hooks have a spring-loaded latch to prevent inadvertent release of personnel or equipment. Notes  All DRHs that are permanently attached to the aircraft shall be inspected IAW applicable T/M/S aircraft maintenance requirement cards.  Special inspections on DRHs not permanently attached to aircraft (such as aboard ship, or part of the hoist quick splice plate assembly) shall be performed when placed in service, and at regular intervals as prescribed by the applicable NAVAIR 13-1-6. (series) manual. Special inspections shall consist of a visual inspection and cleaning. Cleaning and visual inspection of the DRH shall be the responsibility of organizational level. Repairs or other actions required shall be performed by intermediate level or above.

Figure 5-12. Double Rescue Hook

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NTTP 3-50.1 SEP 2013 5-20 5.3.2 Rescue Strop

 The rescue strop (figure 5-13) is primarily designed as a rescue device for uninjured personnel. If utilized for an unconscious or physically incapacitated survivor, all procedures outlined in paragraphs 1.4.2, 2.8.3.4, and 3.9.2 shall be strictly adhered to. Failure to properly use the retaining straps on the rescue strop may allow the survivor to slip out and fall.  The rescue strop is an inherently buoyant device made of closed cell foam with an orange external cover. It is designed to accommodate one survivor. A webbing strap running through the cover has a V ring at both ends for attachment to the DRH. Two black retainer straps, one with a gated snap hook and the other with an adjustable curved V ring, are provided with the strap and fastened to the strop with the hardware ends secured with webbing keepers. Pictured “NATO” donning instructions are printed in black on cover. All rescue strops shall be subjected to a special inspection and a proof load test. Special inspections shall be performed at issue at regular intervals as prescribed by the applicable NAVAIR 13-1-6. (series) manual. The proof load test is performed on rescue strops after each use during which the rescue strop was excessively hit hard or possible overstress has occurred. 5.3.3 Rescue Litter (Stokes Litter) and Flotation Assembly The rescue litter (also referred to as the Stokes litter), when fitted with a backboard, is used to immobilize a survivor who has sustained back injuries. The rescue litter is designed to accommodate one survivor, can be used over land or water, and can be hoisted into the helicopter or onboard ship. For use over water, the flotation assembly shall be installed in order to keep the rescue litter upright and stable. This assembly consists of flotation logs, chest pad, restraint straps, retainer straps, and ballast bar. The rescue litter hoisting sling (two piece) is utilized for helicopter/ship-hoisting purposes. The flotation logs support the upper half of the litter, keeping that portion high in the water, while the chest pad keeps the survivor’s face out of the water and the litter from floating face down. The survivor does not require any additional flotation device. Five restraint straps, stowed when not in use by four retainer straps, secure the survivor in the rescue litter. The ballast bar is placed on the foot of the litter and assists in keeping the litter floating at the proper angle. The rescue litter sling is color coded along with the litter and once attached to the litter, can be attached to the DRH for hoisting. The flotation assembly may be removed from the litter and stowed in a separate carrying bag, which comes with the assembly.

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NTTP 3-50.1 5-21 SEP 2013

Figure 5-13. Modified Rescue Strop

If the survivor is wearing a buoyant antiexposure suit such as the Imperial dry suit, it will affect the flotation characteristics of the litter, and may negate the self-righting feature. More information on antiexposure suits can be found in chapter 8.

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NTTP 3-50.1 SEP 2013 5-22 Notes  The flotation kit shall be installed on the rescue litter (figure 5-14) for all overwater missions.  Use of patient restraint straps with hook-and-pile tape are no longer authorized. The rescue litter (stokes) is required to have the color-coded buckle-type patient restraint straps (P/N: 140).  For helicopter trail-line procedures refer to chapter 1. For shipboard trail-line procedures, refer to chapter 2.  For helicopter rescue litter deployment/recovery procedures, refer to chapter 1. For shipboard rescue litter deployment/recovery procedures, refer to chapter 2.  For RS rescue litter procedures, refer to chapter 3.  The rescue litter flotation kit shall be added to the basic rescue stokes litter when used in SAR missions. To save space and for better stowage of the litter, the flotation logs and sling attached with the kit may be removed and stowed in a separate carrying case, which comes with the kit. The case containing the flotation logs and slings shall be readily available and attached when necessary. 5.3.3.1 Build-up/Flotation Kit Assembly Procedures 1. Patient restraint straps. Notes  Use of patient restraint straps with hook-and-pile tape are no longer authorized. The rescue litter (stokes) is required to have the color-coded buckle-type patient restraint straps (P/N: 140).  Place each end of the restraint straps in the positions illustrated in (figure 5-15). The long strap is provided for the chest pad; the shorter straps are positioned across the lower legs. The straps are attached to 3/8-inch tubing by passing the loop end around the outside and under the tubing, passing between the tubing and wire. The wire will be cut from the tube. Open the loop and push the other end through. Pull the webbing to form a tight loop on the tube. 2. Retainer straps (figure 5-16). Position each strap on the 3/4-inch tubing above the long end of the patient restraint straps, except for the chest pad strap. Attach it to the 3/4-inch tube with plastic tie straps. Secure the accordion-folded patient restraint straps until used by RA. 3. Flotation logs (figure 5-17). Position the logs as shown. Pass the male end of the plastic buckle over the 3/4-inch tube and between the 3/8-inch tube and wire. The wire will have to be cut from the tube. Snap the buckle together and adjust the strap by pulling on the free end. As the strap is tightened, rotate the log to keep the buckle close to the 3/8-inch tube; this position provides protection for the buckle. 4. Chest pad cover (figure 5-18). Pass the free end of th e long patient restraint strap through the loops on the chest pad.

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NTTP 3-50.1 5-23 SEP 2013

Figure 5-14. Patient Secured to Rescue Litter with Flotation Installed

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NTTP 3-50.1 SEP 2013 5-24

Figure 5-15. Rescue Litter Flotation Kit Patient Restraint Straps

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NTTP 3-50.1 5-25 SEP 2013

Figure 5-16. Rescue Litter Retainer Straps

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NTTP 3-50.1 SEP 2013 5-26

Figure 5-17. Rescue Litter Flotation Logs

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NTTP 3-50.1 5-27 SEP 2013

Figure 5-18. Rescue Litter Chest Pad Covers

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NTTP 3-50.1 SEP 2013 5-28 5. Lift insert (figure 5-19). When used, position the insert as illustrated in figure 5-19 and snap the handles as shown. 6. Ballast bar (figure 5-20). Position the lead ballast ba r at the foot of the litter as illustrated in figure 5-20 and securely attach the bar to the frame with the four heavy plastic tie straps provided. Carefully cut the excess length from the tie straps flush with the head of the tie after tightening. 7. Reflective Tape. Apply the reflective tape to the litte r frame (3/4-inch tube) at the hoisting sling attachment points, as illustrated in figure 5-21. Ensure that the red tape is positioned at the head attachment points and the white tape is positioned at the foot attachment points. To achieve proper functioning of this equipment all items must be installed at the positions illustrated in figure 5-21. 8. Hoisting Sling. Attach the snap hooks to the 3/4-inch tube at the positions illustrated in figure 5-22. Ensure that the short cable end (color-coded with a red locking carabiner) is affixed to the head attachment point of the litter. The long cable end (color-coded with a white locking carabiner) is affixed to the foot attachment point of the litter.

Figure 5-19. Rescue Litter Lift Insert and Patient Records Pocket Location

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NTTP 3-50.1 5-29 SEP 2013

Figure 5-20. Rescue Litter Ballast Bar Location

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NTTP 3-50.1 SEP 2013 5-30

Figure 5-21. Rescue Litter Reflective Tape Locations

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NTTP 3-50.1 5-31 SEP 2013

Figure 5-22. Rescue Litter Hoisting Sling Attachment Points

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NTTP 3-50.1 SEP 2013 5-32 5.3.3.2 Inspection and Care Maintenance operations shall be performed by organizational level or above. Maintenance of the rescue litter assembly is limited to inspection and minor repair or replacement prior to placing in service. The rescue litter assembly shall be inspected after saltwater immersion, as well as prior to placing in service and at regular intervals as prescribed by the applicable NAVAIR 13-1-6. (series) manual. 5.3.4 SAR MEDEVAC Litter Notes  The flotation kit shall be installed on the SAR MEDEVAC litter (figure 5-23) for all overwater missions (figure 5-24).  Use of patient restraint straps with hook-and-pile tape are no longer authorized. The SAR MEDEVAC litter is required to have a new frame cover that integrates the color- coded buckle type patient restraint straps (P/N: 402-2).  Two universally sized carrying harnesses are supplied for situations where the transporting personnel require free use of their hands (figure 5-23).  For helicopter trail-line procedures refer to chapter 1. For shipboard trail-line procedures, refer to chapter 2.  For helicopter MEDEVAC litter deployment/recovery procedures, refer to chapter 1. For shipboard MEDEVAC litter deployment/recovery procedures, refer to chapter 2.  For RS MEDEVAC litter procedures, refer to chapter 3.  For vertical hoisting, attach the hoisting sling as illustrated in the MEDEVAC litter operation guide (figure 5-25). The SAR MEDEVAC litter is designed for water, shipboard, mountain, and other restricted area rescues. This litter replaces the Neil-Robertson litter on all submarines and is an alternative to the standard stokes litter. It has a low and narrow profile, floats with the patient’s head slightly reclined from the vertical, and is able to be hoisted vertically with its own sling, or horizontally using the standard rescue litter sling and trail line assembly. The litter folds in half for shipboard movements, rappelling, backpacking, or stowage. Hands-free transporting is permitted with the two carrying harnesses supplied. The litter is constructed of stainless steel, the case and bed of nylon ballistic cloth, the restraint straps (Velcro) use polyester hook tape with a nylon loop tape, and the zippers are heavy duty and noncorrosive. Fully rigged, it weighs approximately 40 pounds and measures 80 inches long and 16 1/2 inches wide. 5.3.4.1 Build-up Procedures Note The SAR MEDEVAC litter must be lifted off case before unfolding, in order to prevent litter from catching in the case.

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NTTP 3-50.1 5-33 SEP 2013

Figure 5-23. Search and Rescue Medical Evacuation Litter

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NTTP 3-50.1 SEP 2013 5-34

Figure 5-24. Search and Rescue Medical Ev acuation Litter Flotation System and Chest Pad

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NTTP 3-50.1 5-35 SEP 2013

Figure 5-25. Search and Rescue Medical Evacuation Litter Vertical Hoisting 1. Lay litter in case horizontally with instruction pockets up. Unzip case and lift folded litter off case and place on a flat surface. 2. Raise foot section approximately 90 degrees and lin e up plastic guide pin of center couplers (figure 5-26). Lower foot section in place. 3. Depress pins and slide couplers fo rward into the locked position (figure 5-27). 4. Ensure that the locking pins have fully engaged the coupler (figure 5-28). Notes  Carefully stow the patient restraint straps after each use. The upper two straps must be folded shorter than the lower straps. The end tab on the straps should extend slightly from the fold, but ensure that the main folds do not extend beyond the edge of the litter frame or you will have difficulty closing the case.  For stowage, position the chest pad lengthwise on the upper section and push it up against the head restraint device.

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NTTP 3-50.1 SEP 2013 5-36 5.3.4.2 Inspection and Care Maintenance operations shall be performed by organizational level, or above. Maintenance of the SAR MEDEVAC litter is limited to minor repairs or replacement of parts. Inspections shall be performed prior to placing the MEDEVAC litter in service, and at regular intervals as prescribed by the applicable NAVAIR 13-1-6. (series) manual. Notes  Ensure both litter-mounted hoist cables are inspected during the special inspection.  For Kings Point Inc.—manufactured litter cables: Inspect the swagging sleeves for three crimps, identified by compressions on sleeves. Inspect the swagging sleeves for corrosion on sides and in ends. Inspect the cables for worn or broken wires at sleeves and along cable.

Figure 5-26. Alignment of SAR MEDEVAC Litter Locking Couplers

Figure 5-27. Secure SAR MEDEVAC Litter Locking Couplers into Locked Position

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NTTP 3-50.1 5-37 SEP 2013

Figure 5-28. Ensure That the Locking Pins Have Fully Engaged the Coupler Notes  For Lifesaving Systems Co.—manufactured litter cables: Inspect the litter attachment end swagging sleeves for three crimps, identified by compressions on sleeves or a single 1/2 inch crimp. Inspect the swagging sleeves for corrosion on sides and in ends.  For MEDEVAC litters manufactured after 1988: The swagging sleeves may have a single 1/2-inch-wide crimp, which is unique to the manufacturer. Inspect sling attachment end swagging sleeves for one crimp, identified by a 1/2-inch-wide compression. Inspect the swagging sleeves for corrosion on sides and in ends. Inspect the cables for worn or broken wires at sleeve and along cable. A proof load test on the MEDEVAC litter, litter-mounted hoist cables, and vertical sling shall be performed by organizational activities during the conditional inspections. (See applicable NA level 13-1-6. (series) manual.) Note The vertical sling and litter with matched serial numbers shall be proof load–tested together. The MEDEVAC litter’s vertical sling is always carried in a pouch sewn to the backside of the MEDEVAC litter. This vertical sling is not to be confused with the hoisting sling assembly.

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NTTP 3-50.1 SEP 2013 5-38 5.3.5 Rescue Net (Aviation Only)

Improper rescue net build-up could result in the collapsing of the rescue net, which may result in the survivor(s) drowning. Note Rescue net build-up (figure 5-29), deployment/recovery procedures can be found in chapter 1. The rescue net is a collapsible, buoyant device designed to accommodate one or two survivors. A lifting ring for hoisting is located at the top or upper portion of the net, along with locking support rods. These rods incorporate sliding sleeves to prevent the net from collapsing while occupied. At the front of the net are two additional support rods that can be disconnected from the top section when stored. The net weighs between 30 and 40 pounds and is international orange for high visibility. Cleaning of the rescue net shall be the responsibility of organizational level. Repairs or other actions required shall be performed by intermediate level, or above. All rescue nets shall be subjected to a special inspection. The special inspection shall consist of a visual inspection. Special inspection shall be performed upon issue, and at regular intervals as prescribed by the applicable NAVAIR 13-1-6. (series) manual. 5.3.6 Rescue Seat (Aviation Only) Note Rescue seat deployment/recovery procedures can be found in chapter 1. The rescue seat (figure 5-30) is used to assist rescue personnel for both land and sea operations. The rescue seat is designed to accommodate one or two personnel. The rescue seat will replace the forest penetrator through attrition. The rescue seat weighs approximately 18 pounds. There are two folding seats incorporated in the device. When the seats are folded, the device dimensions measure 31 1/2 inches in height by 9 inches in width and 6 1/2 inches in depth. When both seats are extended, the device dimensions are 31 1/2 inches in height by 27 1/2 inches in width by 6 1/2 inches in depth. The rescue seat is equipped with two adjustable safety straps that incorporate a snap hook, friction adjuster, and V ring to secure personnel to the seat. A bright orange flotation collar may also be incorporated, complete with pictorial instructions for the survivor to use.

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NTTP 3-50.1 5-39 SEP 2013

Figure 5-29. Rescue Net Built Up

Figure 5-30. Rescue Seat

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NTTP 3-50.1 SEP 2013 5-40 Special inspections shall be performed at time of place in service, and at regular intervals as prescribed by the applicable NAVAIR 13-1-6. (series) manual. A special inspection shall also be performed after an excessively hard hit, or possible overstress occurrence. All special inspections shall consist of a visual, markings, and special load (conditional inspection only) and tension (push/pull) inspection of the rescue seat. The visual, load and tension (push/pull) tests and cleaning shall be the responsibility of the organizational level maintenance. All other inspection or maintenance actions required shall be performed by intermediate level, or above. 5.3.7 Hoisting Vest—Aviation Only/Donning Notes  Hoisting vest deployment/recovery procedures can be found in chapter 1.  The hoisting vest (figure 5-31) is not a device to be used for water rescues; it can be used for overland rescue and shipboard transfer of personnel, provided flotation devices are employed.  The hoisting vest is constructed of lightweight nylon mesh material and is designed to accommodate one person. To ease donning and size adjustment of the vest, two rings are provided for each of four snap hooks. Two adjustable chest straps shall be attached to the lifting V ring for hoisting. Because the vest takes up little room and is easily donned, it is an excellent device for ship-to-helicopter or helicopter-to-ship transfer of uninjured or ambulatory personnel. 1. Step through leg openings and draw the vest up. 2. Place arms through openings (coat fashion), and pull the vest over the shoulders with the opening to the front. 3. Connect the snap hooks to the rings. 4. Attach the back-support straps with the snap hooks to the lifting V ring. 5. Connect the lifting V ring to the DRH. Notes  The trail-line procedures may be used to increase the safety of the transfer.  The RS shall be lowered to the ship if the deck crew is not familiar with these procedures.  The hoisting vest shall be inspected prior to placing in service and at regular intervals as prescribed by the applicable NAVAIR 13-1-6. (series) manual. 5.4 SUPPLEMENTAL HELICOPTER RESCUE EQUIPMENT The helicopter rescue crew uses this equipment in conjunction with the rescue devices (paragraph 5.3) during rescue operations. Note All supplemental helicopter rescue equipment immersed in salt water shall be inspected by proper O-level authority prior to being placed back into service.

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NTTP 3-50.1 5-41 SEP 2013

Figure 5-31. Hoisting Vest 5.4.1 Helicopter Rescue Equipment Bag/H-60 Rescue Equipment Bag, Small The helicopter rescue equipment bag P/N1682AS100-1 (NIIN 01-243-4523) and P/N 261 (figure 5-32) are both made of heavy-gauge nylon with urethane coating on the backside and have labeled pockets with hook-and-pile tape resealable flaps. P/N 1682AS100-1 measures 28 × 44 inches with twelve pockets and P/N 261 measures 17 × 44 inches with ten pockets. The bag should be mounted near to the hoisting station for ease of access to equipment, and be secured from support rails, tie-down rings, etc. within the helicopter. Notes  Maintenance operations shall be performed by organizational level, or above. Maintenance on the helicopter rescue equipment bag is limited to inspection, minor repair, or replacement.  The helicopter rescue equipment bag shall be inspected prior to placing in service, and at regular intervals as prescribed by the applicable NAVAIR 13-1-6. (series) manual.  Inspect all required equipment located in the helicopter rescue equipment bag IAW the applicable NAVAIR 13-1-6. (series) manuals.  NAVAIR considers the Aldis lamp ancillary aircraft equipment. As such, it is no longer considered supplemental helicopter rescue equipment. 5.4.1.1 Hoisting Gloves The hoisting gloves (MIL-G-2366) are made of heavy-duty leather, and are worn by the rescue hoist operators. Hoisting gloves are used during hoist operations to protect the operator’s hands from burns, chafing, or cuts caused while guiding the cable during hoist operations. Hoisting gloves are part of the helicopter rescue equipment bag (BGU-8/N and P/N 261).

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NTTP 3-50.1 SEP 2013 5-42

Figure 5-32. Helicopter Rescue Equipment Ba g and H-60 Rescue Equipment Bag, Small

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NTTP 3-50.1 5-43 SEP 2013 5.4.1.2 Crewman’s Safety Belt

 The crewman’s safety belt (MS16070-2, MS16070-3, and MS16070-21) must be worn snugly to prevent inadvertent release of latch mechanism.  Being hooked into more than one safety device (gunner’s belt, crew seat restraint belt, large rescue hook) at one time may be hazardous to personnel should the helicopter encounter an emergency and have to ditch. When transitioning from a crewman’s safety belt to a helicopter seat or rescue hoist DRH, immediately release the crewman’s safety belt after attached to helicopter via another means (i.e., seatbelt, rescue hoist, etc.).  Crewmen shall ensure that the amount of slack in the crewman’s safety belt is short enough to preclude ejection from the cabin area in the event of an aircraft ditch.  Attaching crewman safety belts to tie-down rings is not authorized in certain aircraft. Refer to applicable T/M/S NATOPS manual for guidelines when determining where to attach the crewman safety belt. Notes  The crewman’s safety belt MS16070-21 will replace the MS16070-2 and MS16070-3 by attrition P/N MS16070-21, includes webbing retarding springs, and uses snap hook P/N MS70120. This snap hook is not compatible with the H-3 crew station 346.  Inspect belt for thickness of material on webbing ends. Belts shall have four layers of material to deter webbing end from pulling through waist adjustment adapters. Belts having less than four layers, thickness shall be modified to provide additional thickness. Crewmember’s aircraft safety belts, which cannot be adjusted outward sufficiently to encompass the aircrew member when wearing body armor or other bulky items, may be lengthened. All modifications to the crewmember’s aircraft safety belt must be performed IAW the NAVAIR 13-1-6.5 manual.  Commands will need to ensure additional belts (beyond three) are available if mission and crew requirements dictate. When in use, the crewman’s safety belt allows free and safe movement within a limited area inside the aircraft. The crewman safety belt, sometimes called a gunner’s belt, is used as a restraint and safety device. The procedures for wearing of the crewman safety belt are as follows: 1. Take the belt portion and put it around the chest under the armpits and secure, adjusting to chest size. 2. Attach the strap portion to the approved aircraft tie-d own in the deck or to a seat belt and adjust the length of the strap to remain within the aircraft when extended. Constructed of nylon webbing, the belt is provided with pull-tabs and adapters for size adjustment and has a latch-link assembly for easy donning. Meshed to the back of the belt is a length-adjustable heavy nylon strap with a snap hook for attachment to a tie-down fitting. Additionally, the crewman’s safety belt can be used with the cable grip (see paragraphs 1.8.2 and 5.4.1.3) to secure a hoisting cable in the event of a jammed or failed rescue hoist.

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NTTP 3-50.1 SEP 2013 5-44 5.4.1.3 Cable Grip

After an actual load is supported by the cable grip, the CC shall ensure its turn-in, and proper paperwork initiated for special inspection. Note Cable grip procedures can be found in chapter 1. The cable grip (figure 5-33) consists of two jaws, which open and close onto the cable, and a shackle, which enables the cable grip to be attached to the air crewman’s safety belt to take the weight of the hoist load off the hoist brake assembly during a hoist failure. The cable grip is capable of supporting 1,000 pounds. 5.4.1.4 Chemical Lights Notes  The shelf life of the chemical light (figure 5-34) is 4 years when left in an undamaged foil wrapper.  Do not remove foil from chemical light unless intending to use it. Once the foil is broken, the chemical light’s shelf life is greatly decreased.

Figure 5-33. Cable Grip

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NTTP 3-50.1 5-45 SEP 2013

Figure 5-34. Chemical Light The chemical light is a foil-wrapped plastic wand, which emits a chemically activated light useful during nighttime rescue operations. The chemical light consists of a plastic tube that encases two chemicals, one of which is in a thin glass vial. When the plastic tube is flexed and shaken, the vial breaks, the two chemicals mix, and light is emitted. Six-hour general-purpose chemical lights are available in 4-inch (NIIN 00-106-7478) and 12-hour 6-inch (NIIN 01-074-4229) sizes; these emit a green light. A 30-minute high-intensity yellow (NIIN 01-074-4230) is also available. Each light is foil wrapped to protect it from humidity and to increase its shelf life. 5.4.1.5 Chemical Light Strap The chemical light strap (figure 5-35) is a lightweight nylon strap device used to attach chemical lights to most rescue devices or hooks. The chemical light strap device consists of three snap-hooks connected by a single length of 1-inch nylon webbing strap. 5.4.1.6 Hoisting Sling Assembly The hoisting sling assembly (figure 5-36) is designed for quick attachment to/detachment from the rescue or SAR MEDEVAC litter assemblies. The hoisting sling assembly is a two-part (one sling for each side of the rescue/MEDEVAC litter) system, used in conjunction with the trail line assembly (figure 5-37) for transport from the ground, ship, or water to the SRU. The hoisting sling assembly is constructed of two sets of stainless steel 5/32-inch cables. Each cable set contains two lengths of cable (33 inches and 41 inches), which are attached to one another by a 1 1/2-inch × 5/16-inch stainless steel lift ring. Each cable set has a pair of thimbles, two swagging sleeves, and two color-coded locking carabiners. The 33-inch cable is attached to the head of the litter by the red color-coded carabiner, and the 41-inch cable is attached to the foot of the litter by the white color-coded carabiner. Note Hoisting sling assembly is coded as a consumable; however, replacement of the white or red reflective tape is authorized. 5.4.1.7 Trail Line Assembly Notes  Helicopter trail-line procedures can be found in chapter 1; shipboard trail-line procedures can be found in chapter 2.  The trail line assembly is used to control and guide rescue equipment to the desired location during helicopter and shipboard hoisting operations.  The trail line assembly P/N 220, NIIN 01-312-4854) consists of a pack (P/N 1554AS301-1, NIIN 01-226-5135) containing 120 feet of 3/8-inch polyethylene or polypropylene rope, a weak link (approximately 450 pounds breaking strength), one 5-pound shot bag, a V-strap for rescue/MEDEVAC litter hoisting, and trail-line gloves. All hardware is made of stainless steel and bronze for corrosion resistance.  Replace trail line weak-link assembly as necessary.

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NTTP 3-50.1 SEP 2013 5-46

Figure 5-35. Chemical Light Strap

Figure 5-36. Hoisting Sling Assembly for Both the Rescue Litter and SAR MEDEVAC Litter

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NTTP 3-50.1 5-47 SEP 2013

Figure 5-37. Trail Line Assembly 5.4.1.8 Hoist Quick Splice Plate Note Hoist quick splice plate (figure 5-38) procedures can be found in chapter 1. The hoist quick splice plate is constructed of 1/4-inch aluminum, is 6 5/8 inches in length, and 3 inches in width. The corners are rounded and holes are grooved in places where the hoist cable rests. A 1/32-inch-thick stainless steel clip is attached to the plate with two 5/32-inch steel rivets. A DRH is attached to the plate with thimbles, swagging sleeve, and a length of hoist cable. The distance between DRH and hoist quick splice plate is 6 inches (+/- 1 inch). The hoist quick splice plate is intended for use when the hoist cable has been intentionally cut. The bitter end of the severed cable is threaded through five numbered holes and secured with a stainless steel clip. Once the hoist quick splice plate is attached to the cable, the DRH is used to complete the rescue. The cable splice (P/N AMTC-R2008-O) is available as an approved alternate to the hoist quick splice plate assembly. Note Cable splice procedures (figure 5-39) can be found in chapter 1.

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NTTP 3-50.1 SEP 2013 5-48

Figure 5-38. Hoist Quick Splice Plate

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NTTP 3-50.1 5-49 SEP 2013

Figure 5-39. Cable Splice (P/N AMTC-R2008-O)

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NTTP 3-50.1 SEP 2013 5-50 5.4.1.9 Pneumatic Rescue Hand Tool The pneumatic rescue hand tool (figure 5-40) provides the crewman with a readily available cable cutter. The chamber of the handle holds a 3,000 psi nitrogen gas cylinder, which, when triggered, forces a piston against the cutting edge of the tool. The hand tool can also be used by the RS as a riser and shroud cutter, and has a jaw that can be used for prying open or breaking canopies. The case is made of nylon webbing, 12 1/2 inches long and 5 3/4 inches wide at the top, tapering to 3 1/4 inches wide at the bottom. A 46-inch lanyard and baby swivel hook, attached to the upper grommet, are designed for attachment to the pneumatic rescue hand tool. Two front pockets secure two additional nitrogen gas cartridges for easy accessibility.

Figure 5-40. Pneumatic Rescue Hand Tool and Manual Rescue Hand Tool/Search and Rescue Cable Cutter

The pneumatic rescue hand tool is pressurized to 3,000 pounds and may be hazardous if cover removal is attempted before venting. Note N2 cartridges may not be available through supply systems. N2 cartridges are available from the manufacturer (CAGE 97619).

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NTTP 3-50.1 5-51 SEP 2013 5.4.1.9.1 Pneumatic Rescue Hand Tool Preflight Ensure that the cylinder has not been expended and no residual pressure remains in the hand tool by squeezing the trigger and at the same time depressing the vent button under the spring-loaded cover.

Unscrewing the knurled cap at the base of the handle of a pressurized hand tool may result in injury to personnel. 1. Unscrew the knurled cap at the base of the handle and check cylinder for puncture. 2. Insert a new gas cylinder if needed. The end of the cylinder having the larger flat surface should be visible. 3. Insert the safety clip in the groove located between the knurled cap and movable button. 4. Replace and tighten cap until snug against the end of the cylinder. 5. A gap of 0.001 to 0.047 of an inch may exist between the end of the handle and the face of the cap. 5.4.1.9.2 Pneumatic Rescue Hand Tool Operation The CC can use the hand tool to cut the hoist cable should it become necessary. The RS can use the hand tool to cut risers, shroud lines, etc. To use this device, the following procedures apply: 1. Remove the safety clip attach ed to the bottom of the hand tool. 2. Hit the cap button sharply with the palm of the hand. This will puncture the gas cylinder and release the gas into the handle. 3. Slide the cable, shrouds, or risers, etc., into the slot containing the cutting edge and pull the trigger. 4. After using the hand tool, de pressurize the cylinder and reload. 5.4.1.10 Manual Rescue Hand Tool/SAR Cable Cutter The SAR cable cutter (figure 5-40) is designed to cut 5/32-diameter cable. The SAR cable cutter is to be used as either a replacement to or a backup of the pneumatic hand tool in cutting cable for SAR operations. Note When the pneumatic rescue hand tool fails a functional check, it shall be replaced with the SAR cable cutter. 5.4.1.11 Wool Blanket Wool blankets are part of the helicopter rescue equipment bag (BGU-8/N), carried on SAR-capable rotary-wing aircraft for treatment of hypothermia.

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NTTP 3-50.1 SEP 2013 5-52 5.4.1.12 Cranial Assembly The cranial assembly (figure 5-41) is a cloth helmet with chinstrap designed to incorporate protective devices; rigid plastic with cushion liners snap on for head protection, sound suppressors for hearing protection, and goggles for eye protection shall be included. Notes  Passenger cranial assemblies shall be taped IAW NAVAIR 13-1-6.7-3.  Proper care and use of the cloth helmet assemblies is essential to ensure optimum performance during emergencies and routine operations.

Figure 5-41. Cranial Assembly

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NTTP 3-50.1 5-53 SEP 2013 5.4.2 Life Preservers Notes  A preflight inspection shall be performed on all personal life preservers prior to each flight by the aircrew member to whom the life preserver is assigned.  A preflight inspection shall be performed on life preservers installed in aircraft prior to each flight by assigned aircrew members.  Special inspections shall be performed by O-Level (aviator’s equipment branch) on all aircraft-installed life preservers at regular intervals as prescribed by the applicable NAVAIR 13-1-6. (series) manual.  The calendar/phase inspection shall be performed on all life preservers prior to placing in service. The inspection cycle thereafter shall be as follows: personal- issue life preservers shall be inspected at regular intervals as prescribed by the applicable NAVAIR 13-1-6. (series) manual. Aircraft-installed life preserver inspection shall coincide with the inspection cycle of the aircraft in which installed. See applicable PMS publications for specific intervals. In no case shall the interval exceed 231 days. Unless op erational requirements demand otherwise, the life preserver calendar/phase inspection shall be performed by the intermediate level of maintenance, or above.  The functional test shall be performed prior to placing in service, every fourth inspection cycle thereafter, and whenever an inflation assembly is replaced. The leakage test shall be performed during every inspection cycle. 5.4.2.1 LPP-1/1A Life Preserver The LPP-1/1A life preserver (figure 5-42) is a single-compartment, yoke-type flotation assembly that weighs approximately 3 pounds and provides a minimum buoyancy of 29 pounds when inflated. Prior to inflation, the preserver is contained in a pouch strapped around the survivor’s waist by an adjustable webbed nylon belt. When removed from the storage pouch, the deflated preserver is placed over the survivor’s head and inflated through either an oral inflation tube or a carbon dioxide cylinder/inflation valve. The CO 2 inflation valve assembly is triggered by a lanyard and toggle at the base of the preserver; the oral inflation tube is located in the upper portion of the preserver, easily accessible to the survivor. Also attached to the preserver are several survival items, including a survival location light with attachment near the right shoulder, a whistle below the oral inflation tube, a sea dye marker inside the pouch, and a lifeline and toggle contained in the belt assembly. When not in use the LPP-1/1A is stored in a storage container with instructions printed on it. See figure 5-43 for donning procedures.

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NTTP 3-50.1 SEP 2013 5-54

Figure 5-42. LPP-1/1A Life Preserver

Figure 5-43. LPP-1/1A Life Preserver Donning Procedures

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NTTP 3-50.1 5-55 SEP 2013 5.4.2.2 LPU-32/P Life Preserver Assembly

 The LPU-32/P life preserver is not suitable for, and shall not be used by, small children in naval aircraft.  The LPU-32/P life preserver assembly is authorized for use by passengers and troops in helicopter or transport type aircraft for sea-survival situations. It is designed such that one size fits all.  The LPU-32/P life preserver assembly consists of a life preserver yoke assembly in addition to three survival items: a sea-dye marker, a whistle, and a chemical light, each of which must be ordered separately to make up the complete system. The LPU-32/P life preserver assembly weighs approximately 4 pounds and provides a minimum of 40 pounds of buoyancy. It consists of flotation assembly, two inflators, and a casing cover assembly, which includes the belt assembly and the survival items pouch.  The dual-cell, yoke-type flotation assembly is constructed of a heat-sealed polyurethane-coated nylon cloth. A fire-retardant, aramid cloth (MIL-C- 83429, Type II, Sage Green # 1590) casing protects the bladder. It is equipped with an oral inflation tube, a check valve, and a manifold stem assembly. The waist belt assembly consists of an adjustable belt made of nylon webbing, a nylon slide (looploc), a triglide, and side release. Notes  As LPU-32/P life preservers (figure 5-44) become available, they shall replace the LPP-1/1A by attrition. See figure 5-45 for donning procedures.  The NAVAIR 13-1-6.1-2 authorizes a 12-inch locally manufactured extension belt for the LPU-32/P Waist Belt for use with winter garments, battle dressed troops, or larger passengers. 5.4.2.3 LPU-31/P Life Preserver Assembly Notes  The LPU-31/P life preserver assembly (figure 5-46) is authorized for use by helicopter combatant aircrew using the T-65 body armor.  The LPU-31/P life preserver assembly weighs approximately 4 pounds and provides a minimum of 29 pounds of buoyancy. The LPU-31/P life preserver is composed of the LPP-1/1A life preserver and a protective bladder cover.  The flotation assembly of the LPU-31/P is constructed of polychloroprene-coated nylon cloth. It is equipped with an oral inflation valve, a valve stem, and an inspection record patch. The belt consists of a 53-inch piece of webbing, an adjustable buckle and clasp, a toggle assembly, and a toggle assembly pocket. The belt adjusts from a waist size of 30 to 52 inches and attaches the flotation assembly to the wearer by means of the belt loop on the flotation assembly. The toggle assembly consists of a wooden toggle and line, and is used to secure survivors together while they are in the water. When not in use, the toggle line is wrapped around the wooden toggle and stowed in a pocket located on the belt. See figure 5-47 for donning procedures.

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NTTP 3-50.1 SEP 2013 5-56

Figure 5-44. LPU-32/P Life Preserver Assembly

Figure 5-45. LPU-32/P Life Preserver Assembly Donning Procedures

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NTTP 3-50.1 5-57 SEP 2013

Figure 5-46. LPU-31/P Life Preserver Assembly

Figure 5-47. LPU-31/P Life Preserver Assembly Donning Procedures

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NTTP 3-50.1 SEP 2013 5-58 5.4.3 Regular Standard, Right-angle, 2-Cell Flashlight Notes  For NVG compatibility, the flashlight may be used with a blue indicator light filter (NIIN 01-369-1658).  Maintenance of the regular standard, right-angle, 2-cell flashlight is limited to inspection. The regular standard, right-angle, 2-cell flashlight is a battery-operated flashlight that emits white, red, and diffused light and is intended for general use. The regular standard, right-angle, 2-cell flashlight consists of a filter cap; lens; reflector; lamp holder; belt clip; battery case; switch; rear-spring contact; battery retainer (end cap); spare lamp holder with lamp; lens storage area in end cap, which contains diffused (1), blackout (1), and red filters (3); and a suspension ring located on the bottom of the end cap. The flashlight is powered by two commercial, size D, dry-cell batteries. The regular standard, right-angle, 2-cell flashlight is intended for general use. The flashlight is operated by a push slide-type switch, mounted on the side of the flashlight case. The switch provides a locked OFF, FLASHING, and positive ON position and can be operated with one hand. The filters can be changed (depending on the application) by means of unscrewing the filter cap, installing the filter in front of the lens, then screwing the filter cap back onto the front of the flashlight. If the lamp requires changing, a spare is located in a holder located in the battery retainer. 5.4.4 Tubular Nylon Webbing Flat Rope The webbing (figure 5-48) as ordered is 150 feet long and must be cut to the desired length. The webbing is used as a self-equalizing four-point anchor to which a separate rappel line can be attached. Description and uses of the self-equalizing four-point anchor are covered in chapter 4 (Inland SAR Procedures).

Failure to comply with limited service requirements could be hazardous to personnel. The tubular nylon strap shall be removed from service and discarded under the following conditions: 24 months have elapsed from the date placed in service or if contaminated by any of the following: acetic acid, hydrochloric acid, muriatic acid, nitric acid, nitrobenzene, oxalic acid, phenol, or sulfuric acid. Notes  Maintenance operations shall be performed by organizational level or above.  Maintenance of the nylon strap is limited to visual inspection, replacement, and cleaning. Excessively dirty nylon strap may be laundered in cool water using a mild detergent (MIL-D-16791), and hung to air dry.  Nylon straps shall be inspected prior to being placed in service and at least every 90 days thereafter.

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NTTP 3-50.1 5-59 SEP 2013 5.4.5 Entrenching Tool Notes  Maintenance is limited to inspection.  The telescoping shovel shall be inspected upon initial issue, and at least every 180 days thereafter, or at intervals to coincide with the inspection schedule of the survival kit or assembly in which the shovel is stored.

Figure 5-48. Tubular Nylon Webbing The entrenching tool (shovel) is used to dig at crash sites, put out fires, or make survival shelters. The telescoping shovel blade and shaft are constructed from aluminum alloy. The shaft of the shovel telescopes from 14 inches to 22 inches using two shaft pieces. The hollow shaft allows for a lighter tool. The shovel also has a D-shaped durable plastic handle. The blade is 10 inches wide × 11 inches long. 5.5 RAPPELLING EQUIPMENT Notes  Maintenance operations of all rappelling equipment shall be performed by organizational level, or above.  Maintenance of rappelling equipment is limited to visual inspection, cleaning, and replacement.  Special inspections shall be performed on all rappelling equipment at time of place in service, and at regular intervals as prescribed by the applicable NAVAIR 13-1-6.5 manual. The rappelling equipment is used to descend from the aircraft to the ground. This equipment has advantages over the hoist because of an increase in speed, reliability, accuracy, safety, and simplicity, as descent is entirely controlled by the rappeller. Descents may be made into difficult-to-reach areas from heights exceeding hoist cable lengths. 5.5.1 L-4-250/L-4-150 Sky Genie Descent Systems Two Sky Genie descent systems (figure 5-49) are used in rappelling. The L-4-250 system has a 250-foot-long rope, while the L-4-150 rope is 150 feet long. Each system includes the rope, a control unit used to control the rate of descent, two locking carabiners, and a storage bag.

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NTTP 3-50.1 SEP 2013 5-60 5.5.2 Rappelling Rope There are two rappelling ropes (figure 5-49) with separate container bags. The two ropes (150-foot and 250-foot) have swaged loops, natural elasticity, and natural lubricant. Each rappelling rope has its own serial number and a record is maintained of date placed in service and number of rappels performed.

Failure to comply with the below safety criteria could be hazardous to personnel. Rappelling ropes shall be removed from service and discarded under the following conditions (Reference NAVAIR 13-1-6.5 manual): 1. After 200 rappels, or 24 mont hs from date placed in service 2. If used to arrest a free fall of 2 feet or more 3. If rope has been used two times for rapi d descent at speeds in excess of 15 feet per second 4. If contaminated by any of the following: acetic acid, hydrochloric acid, muriatic acid, nitric acid, nitrobenzene, oxalic acid, phenol, or sulfuric acid. Note Excessively dirty rope may be laundered in cool water using a mild detergent (MIL-D-16791), and hung to air dry.

Figure 5-49. L-4-150/L-4-250 Descent System and Rappel Harness

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NTTP 3-50.1 5-61 SEP 2013 5.5.3 Rappel Harness The basic rappel harness (figure 5-49) is a replacement for the Sky Genie harness. The harness consists of an adjustable padded waist strap, attached by 1 3/4-inch webbing straps to two adjustable padded leg loops. The front lifting D ring is proof loaded to 5,000 lbf with average ultimate tensile strength of 16,000 lbf each and incorporated for attaching the descent/belay/ascent devices. All 1 3/4-inch webbing has 7,000 lbf minimum breaking strength, and 3-inch webbing has 9,000 lbf minimum breaking strength. Each rappel harness shall be serialized. It is available in five sizes. 5.5.4 Carabiner

 If any defects are noted, replace prior to placing in service.  Ensure that all carabiners are free of oil, fuel, and grease prior to use. Never lubricate the gate, gate-locking sleeve (locking type only), or gate pin. Carabiners are oblong metal rings of various types normally used for rappelling and tree extraction, as discussed in chapter 4. Carabiners have different weight limitations depending on the type of metal and construction used. There are two basic types of carabiners in use: the standard nonlocking carabiner (NIIN01-322-7433), and standard locking carabiner (STUBAI SG #85) (NIIN 01-322-7432), which are available through the supply system. 5.5.4.1 The Standard Nonlocking Carabiner

 The standard nonlocking carabiner (NIIN01-322-7433) (figure 5-50) should be used in tandem with the gates on opposite sides.  All nonlocking carabiners shall be color-coded red to identify them as being non-locking.  The standard nonlocking carabiner shall never be used as an attachment to hoist personnel. Nonlocking carabiners are used on equipment only. 5.5.4.2 Standard Locking Carabiner The standard locking carabiner (figure 5-51) has the safety feature of a lockdown thumbscrew. The thumbscrew rotates around the gated portion of the carabiner and keeps the gate from accidentally opening. These carabiners are made of steel or aluminum and provide the maximum safety. 5.5.5 Portable Oxygen System The 106 cubic-inch portable oxygen system consists of a compressed gaseous oxygen twin bottle, AIROX VII regulator, and modified MBU17V2/P mask. The system will provide continuous oxygen flow for periods of up to

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NTTP 3-50.1 SEP 2013 5-62 45 minutes, dependent upon conditions. The system is compact (22.5 inches long × 13 inches wide × 6.5 inches high) and weighs 8 1/2 pounds. It is compatible with the standard helicopter helmet. 5.5.6 Waist Belt A waist belt may be manufactured locally by using any suitable material to attach the bag on the waist. The waist belt is then attached to the rappel bag utilizing the straps on the back of the bag. The rappeller places this around the waist with the rope bag worn on the lower back. 5.5.7 Spring-Loaded Belay Plate Note If belay plate is contaminated with any foreign substance, clean with isopropyl alcohol and wipe dry with clean lint free cloth.

Figure 5-50. Standard Nonlocking Carabiner

Figure 5-51. Standard Locking Carabiner

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NTTP 3-50.1 5-63 SEP 2013 The spring-loaded belay plate (figure 5-52) is attached to a stationary object, and is used as a braking device for lowering the survivor. The spring-loaded belay plate is an aluminum disk with two center slots, that accommodate both 9-mm and 11-mm ropes. 5.6 TREE EXTRICATION EQUIPMENT This equipment is used in rescue operations involving the removal of a survivor from a tree. The equipment consists of climber’s spikes, rappel rope, belay line, Rescue “8”, spring-loaded belay plate, tree- or pole-climber’s belt, and a belt or strap. The use of this gear is discussed in chapter 4. 5.6.1 Climber’s Spikes Note For cleaning, use a water-dampened cloth. Wipe area clean, and air dry. To sharpen and/or remove burrs from spike points, use a medium file. These very sharp, extra-long climber’s spikes (figure 5-53) are the devices used in actual climbs for tree extrication (pole spikes are too short). Climber’s spikes are very dangerous if not used properly. A great deal of training and experience is necessary to ensure skillful use.

Figure 5-52. Spring-Loaded Belay Plate

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Figure 5-53. Climber’s Spike 5.6.2 Belay Line The belay line (figure 5-54) is used to lower the survivor from the tree. The use of the rope is discussed in chapter 4. The belay system was developed as a backup system for overland rescue hoists, and cliff rescues. The Kernmantle line is an 11-mm rope of sufficient length for any hoisting evolution.

Failure to comply with the below safety criteria could be hazardous to personnel. Rappelling ropes shall be removed from service and discarded under the following conditions: 1. After an actual arrestment 2. After 18 months from place in service date 3. If contaminated by any of the following: acetic acid, hydrochloric acid, muriatic acid, nitric acid, nitrobenzene, oxalic acid, phenol, or sulfuric acid. Note The container bag may be repaired. Dirty ropes and container bags may be laundered in cool water with a mild detergent (MIL-D-16791), and hung to air dry.

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NTTP 3-50.1 5-65 SEP 2013 5.6.3 Rescue Eight The Rescue “8” (figure 5-55) is attached to a stationary object and is used as a braking device for lowering the survivor. 5.6.4 RA/SMC Rescue Pulleys, P/Ns 315000 and 315500 The RA/SMC rescue pulleys (P/Ns 315000 and 315500) (figure 5-56) are used in conjunction with rappel/belay rigging equipment for overland rescue operations. They have stainless steel side plates that rotate, allowing the pulley to be attached to the rope at any point. The axle nuts are double locked to a steel axle and marked with a blue witness line to indicate any loosening. The heavy-duty, heat-treated aluminum alloy wheels make them lightweight and durable. The single pulley system, P/N 315000, is 2 inches in size and weighs 8.6 ounce. It has a tread diameter of 1 1/2 inches, a 1/2-inch rope capacity and a maximum load-bearing capacity of 6,000 pounds. The double pulley system, P/N 315500, is 2 inches in size and weighs 1 pound, 7.7 ounces. It has a tread diameter of 1 1/2 inches, a 1/2-inch rope capacity and maximum load-bearing capacity of 9,000 pounds. Note The pulley’s bushings and ball bearings are permanently lubricated. No lubrication is required. No disassembly of pulleys is authorized. 5.6.5 Climber’s Belt and Strap The climber’s belt with strap is (figure 5-57) the device the RA uses to secure him/herself to the tree for the climb during operations involving the removal of a survivor from a tree. The RA wears the belt around his waist, and the strap is wrapped around the tree and attached to both sides of his belt.

Figure 5-54. Belay Line

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Figure 5-55. Rescue “8” P/N SM155000 P/N SM150000

Figure 5-56. Rescue Aircrewman/Search and Rescue Mission Coordinator Rescue Pulleys

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Figure 5-57. Climber’s Belt with Strap 5.7 SURVIVOR POSITION-MARKING DEVICES Pyrotechnic devices should not be used in areas where flammable fluids or other combustible materials may be ignited. These marking devices are used for marking positions or determining wind direction. Pyrotechnics should be stored in a dry, well-ventilated magazine out of the direct rays of the sun and protected against excessive or variable temperatures.

 Smoke markers are very dangerous and shall be used IAW NAVAIR 11-15-7.  Damaged markers shall not be used. Segregate damaged markers for appropriate disposition IAW NAVAIR 11-15-7.  If at any time the aircraft has an emergency, and the marker is armed, either: Immediately resafe the marker (if possible), or discard immediately.  Do not stow armed markers in the helicopter, armed markers that cannot be resafed shall be disposed of IAW local instructions.

A flashing marker light may cause vertigo, especially at night.

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NTTP 3-50.1 SEP 2013 5-68 Notes  Shipboard personnel should not utilize chemical lights in attempting to mark survivor’s position. Multiple chemical lights in the water are distracting to the rescue crews, and may hamper the search efforts by presenting numerous false targets to helicopter crews and/or shipboard search teams.  Marker deployment procedures can be found in chapter 1. 5.7.1 MK 25 Smoke, Marine Marker This device (figure 5-58) is designed to be launched or thrown from aircraft or surface vessels to provide either day or night reference points to the position of survivors. This device has a 10- to 20-minute burning time. For freshwater use, refer to NAVAIR 11-15-7.

The MK 25 shall not be launched while in hover because of valve plug possibly striking aircraft or personnel. Note Both the protective cap and arming cap should be kept until marker is deployed. If marker is not deployed, resafe the marker. 5.7.2 MK 58 Smoke, Marine Marker This device (figure 5-59) is designed for day or night use in any condition calling for a long-burning (at least 45 minutes) smoke reference point on the ocean surface. This flare can be launched by hand (refer to NAVAIR 11-15-7 for more information). 5.7.3 MK 18 Smoke, Land Marker This device (figure 5-60) is the only pyrotechnic designed for use over land. It may be used in many applications for signaling on the ground or from an aircraft as a marking device or for wind determination. This device has a burn time of 50 to 90 seconds.

Figure 5-58. MK 25 Smoke, Marine Marker

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NTTP 3-50.1 5-69 SEP 2013

Figure 5-59. MK 58 Smoke, Marine Marker

Figure 5-60. MK 18 Smoke, Land Marker 5.7.4 Datum Marker Buoy These buoys (figure 5-61) are specially designed, droppable, floating beacons, which transmit on radio frequencies. Once the buoy is dropped, it will become a drifting datum point and navigational aid for search aircraft. The datum marker buoy (DMB) provides an excellent means of measuring total water current. The total water current is the sum of the wind, sea, and other currents. The actual total water current is an essential item of information in search planning. 5.7.5 SDU-36/N Electric Marine Marker Light The electric marine marker light (figure 5-62) is a droppable light, which provides a visual reference to a survivor’s position in the water. The light can be used in fuel spills where th ere is a possibility of fuel being on the surface. The electric marine marker light is a battery-powered (6-volt battery, P/N BA803/U), 14-inch-long

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NTTP 3-50.1 SEP 2013 5-70 device with an outer case, overhead omni-directional lens , and mounting bracket. The light switch operates by an automatic gravity switch so that when upright (lens po inting up) the light is ON, and when inverted, the light is OFF. 5.7.6 MK-79 MOD 0 and MK-79 MOD 2 Personnel Distress Signal Kit

 Dented or damaged flares shall not be used. Dents or other imperfections might result in violent action of the flare when fired and should be discarded in proper manner.  Flares should not be threaded into launcher under any circumstance, unless being fired. This includes during inspection.

Figure 5-61. Datum Marker Buoy

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Figure 5-62. SDU-36/N Electric Marine Marker Light Note Flare-lots, which have been reclassified by a Notice of Ammunition Reclassification, will only be removed and replaced when directed by an aircrew system bulletin (ACB). If a bandolier is not used, protective plastic caps shall be installed on flares or flares shall be removed from service and stored. The MK-79 MOD 0 and MK-79 MOD 2 personnel distress signal kits (figure 5-63) consist of a pencil-type launcher and cartridge flare used to attract attention of rescue parties or aircraft by launching cartridge flares into the air. Each cartridge flare has a burn-duration of 4 1/2 seconds minimum, and is propelled upward to a height of 250–650 feet. Notes  The MK-79 MOD 2 (NIIN 01-230-3974) is an alternate to the MK-79 MOD 0 (NIIN00-866-9788) personnel distress signal kit.  The MK-79 MOD 0 (NIIN 00-866-9788) and MK-79 MOD 2 (NIIN 01-230-3974) personnel distress signal kits consist of one signal projector MK-31 MOD 0 (NIIN 01-123-4745) and a plastic bandolier holding seven screw-in signal cartridges MK-80 MOD 0 (NIIN 00-930-7746) or MK-80 MOD 2 (NIIN01-216-3243). The plastic bandolier, which stores the signals until use, has plastic tabs over the signal end to protect the signal percussion primers from being struck accidentally. If the plastic bandolier is not used to store the signals, protective caps (MS90376-8Y) shall be used to protect the signal percussion primers. 5.7.7 MK-124 MOD 0 Marine Smoke and Illumination Signal The MK-124 MOD 0 Marine Smoke and Illumination Signal (figure 5-64) is intended for either day or night signaling by aircraft personnel downed at sea or land. The signal is a one-hand-operable device, intended for rescue use. Its small size and weight permits it to be carried in life vest or flight suit pockets and on life rafts. The signal is listed under DL 3139734, Specification WS 13697, NIIN 01-030-8330, and DOD Code No. L283 The

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NTTP 3-50.1 SEP 2013 5-72 MK-124 MOD 0 signal is intended to attract the attention of SAR aircraft and to give wind drift direction. The ignited MK-124 MOD 0 signal must be held at arm’s length at a 45 degree angle from the horizontal position. If the signal is being used at sea, hold it over the side of the life raft to prevent damage to the life raft from hot residue. The MK-124 MOD 0 signal consists of an aluminum case slightly over 5 inches long and 1 1/2 inches in diameter. Each end of the signal is provided with a protective cap. The case has two raised bead circles around its circumference on the flare (night) end to facilitate identification in darkness. On the outside of the MK-124 MOD 0 are operating instructions and further identification of smoke (day) and flare (night) ends. The case contains four subassemblies: smoke candle, smoke igniter, flare candle, and flare igniter. The igniter is one-hand- operable. It consists of an arming lever that must be extended to the armed position and then depressed to cock and release the firing pin. The signal emits an orange smoke or red flare for approximately 20 seconds. 5.7.8 AN/SSQ-57B SAR Buoy The AN/SSQ-83 SAR buoy has been replaced with channel 15 of the AN/SSQ-57B sonobuoy in P-3 aircraft. See NAVAIR 28-SSQ-500-1 for guidance. 5.8 AIRCRAFT CREW REQUIREMENTS Crew requirements for search and rescue missions shall be IAW appropriate aircraft T/M/S NATOPS Manual.

Figure 5-63. MK-79 MOD 0 and MK-79 MOD 2 Personnel Distress Signal Kits

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Figure 5-64. MK 124 MOD 0 Marine Smoke and Illumination Signal 5.9 MINIMUM HELICOPTER SAR EQUIPMENT The following is the minimum required SAR equipment to be maintained in the aircraft when conducting any SAR mission (unless otherwise noted): Notes  A DRH and rescue strop should be carried in all aircraft with rescue hoist installed.  Level “B” medical kits and SAR medical oxygen system are to be maintained by commands utilizing SAR corpsmen (NEC 8401) only.  Minimum requirements may be added to, but never subtracted from, at the commanding officer’s discretion. 1. DRH 2. Rescue strop 3. One (1) hoist quick splice plate 4. One (1) cable grip with its own crewman’s safety belt 5. One (1) rescue hand tool (pneum atic or manual webbing/cable cutter) 6. Crewman’s safety belts: Minimum of three (3) 7. Six (6) general-purpose, and six (6) high-intensity chemical lights 8. Three (3) chemical light straps 9. One pair of heavy-duty hoisting gloves 10. Three (3) additional cranial assemblies

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NTTP 3-50.1 SEP 2013 5-74 11. Two (2) wool blankets 12. One (1) helicopter rescue equipment bag 13. One (1) trail line assembly 14. One (1) rescue litter sling assembly (2 pieces) 15. One (1) Level “A” medical kit 16. One (1) rescue litter or SAR MEDEVAC litter assembly 17. One (1) Level “B” medical kit (SAR corpsmen use only) 18. One (1) SAR medical oxygen system (SAR corpsmen use only). 5.9.1 Additional Required SAR Equipment for Over Water The following is the minimum required SAR equipment to be maintained in the aircraft when conducting any overwater SAR mission, including plane guard (unless noted otherwise). Notes  A total of six (6) MK-58 flares may be substituted for items 1 and 2.  Refer to chapters 1 and 3 for overwater SAR procedures.  Minimum requirements may be added to, but never subtracted from, at the commanding officer’s discretion. 1. Two (2) MK-58 smoke flares 2. Four (4) MK-25 smoke flares 3. Three (3) electrical marine marker lights 4. One (1) electronic datum-marking device (when available) 5. Three (3) LPP-1/1A, or three (3) LPU-32/P, preservers 6. One (1) MPLR weak link per MPLR carried. 5.9.2 Additional Required SAR Equipment for Over Land (for Commands with Helicopter Inland Rescue Aircrewman-Qualified Rescue Aircrewmen Only) The following is the minimum required SAR equipment to be maintained in the aircraft with helicopter inland rescue aircrewman helicopter inland rescue aircrewman-qualified rescue aircrewmen aboard, when conducting any overland SAR mission. Notes  Refer to chapters 1 and 4 for overland SAR procedures.  Minimum requirements may be added to, but never subtracted from, at the commanding officer’s discretion.

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NTTP 3-50.1 5-75 SEP 2013 1. Four (4) MK-18 smoke flares 2. Three (3) crewman’s safety belts 3. One (1) shovel (entrenching tool) 4. Four (4) nylon straps or flat rope (cut to desired length) 5. Two (2) flashlights (survival vest flashlights can be counted) 6. One (1) V-bladed rescue knife 7. One (1) 270-foot belay line 8. One (1) 150-foot rappel rope 9. One (1) 250-foot rappel rope 10. Three (3) Sky Genie descent control devices 11. Fourteen (14) standard locking carabiners 12. One (1) spring-loaded belay plate 13. Three (3) rappel harnesses 14. One (1) hoisting vest 15. One (1) 2-way radio compatible with rescue helicopter 16. One (1) pair of full-fingered, re inforced-palm, rappel gloves per person. 5.9.2.1 Additional Equipment for Overland That Is Optional, But Recommended 1. One (1) set of climber’s spikes 2. One (1) Rescue “8” 3. One (1) rescue seat 4. One (1) folding survival saw or aircrewmember’s survival tool kit 5. One (1) 50-foot roll of tubular nylon webbing 6. A portable, or permanently installed loudspeaker 7. Mountain boots for each rescue aircrewman 8. High-visibility flight suits for each rescue aircrewman 9. Signaling sleeves for each rescue aircrewman. 10. Crampons 11. Ice ax 12. Leg gators 13. Wind drift indicator (streamer style that is biodegradable)

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NTTP 3-50.1 SEP 2013 5-76 5.9.2.2 Additional Equipment for Mountainous Terrain That Is Optional, But Recommended The NAVAIR 13-1-6.5 has a variety of different survival kits and equipment. Inland SAR commands should tailor additional equipment to the type of environment they operate in with regard to temperature and altitude, keeping in mind the basic needs of an individual stranded in said environment: shelter, water, and food. Some suggestions are: 1. Cold-weather apparel 2. Lightweight extreme cold weather shelter/tents 3. Ultima Thule sleeping bags 4. Ten snow flukes 5. Candles 6. MREs and/or cold-weather rations 7. Portable oxygen system 8. Extra emergency water/water storage bags 9. Snow shoes 10. Climbing gear. 5.10 FIXED-WING SEARCH AND RESCUE EQUIPMENT Fixed-wing aircraft with a search mission should carry a droppable search and rescue kit (NAVAIR 13-1-6.5). 5.11 AIRCRAFT MEDICAL EQUIPMENT KITS Notes  Changes to the contents of the Level “A” or Level “B” SAR medical kits by local commands are not authorized.  All units with a SAR mission requirement shall acquire and maintain the appropriate kit or kits for emergency use per the authorized medical allowance list for that command. Two levels of SAR medical kits (figure 5-65) have been developed for use by helicopter commands with SAR capability; the Level “A” SAR medical kit is designed for all units that maintain SAR capable helicopters. The Level “B” medical kit is used in conjunction with the Level “A” medical kit for all units that maintain SAR- capable helicopters that may utilize SAR hospital corpsmen (NEC 8401). Chapter 7 contains information on medical procedures. Appendix D contains the list, with stock numbers, of the medical equipment for each kit. Notes  Maintenance operations shall be performed by organizational level, or above.  Maintenance of the SAR Level A/B SAR medical kit is limited to minor repair, replacement of the container bag, and/or the inspection and replacement of medical items.

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NTTP 3-50.1 5-77 SEP 2013  Inspection and replacement of medical items in the Level “A” SAR medical kit shall be the responsibility of organizational level maintenance, or above.  Inspection and replacement of medical items in the Level “B” SAR medical kit shall be the responsibility of SAR corpsman, or qualified medical department personnel. Inspection and repair of the Level “B” container bag is the responsibility of organizational level maintenance, or above.  Special inspections shall be performed on the Level A/B SAR medical kit at place-in- service, and at regular intervals as prescribed by the applicable NAVAIR 13-1-6. (series) manual. 5.12 MEDICAL OXYGEN SYSTEM Note Medical oxygen is not for use as supplemental flight oxygen for the aircrew. The approved oxygen system contains a regulator, volume ventilator, adult cuffed mask, and adult/child airways contained in a rigid case. The system is designed for use with the M-22 (Jumbo) “D” aluminum oxygen cylinder or the standard “D” steel oxygen cylinder. The system is for use by SAR hospital corpsmen (NEC 8401), and qualified medical department personnel only. Ordering information is contained in appendix D.

Figure 5-65. Level “A”/“B” Medical Kits and Medical Oxygen System

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NTTP 3-50.1 SEP 2013 5-78 5.13 SURFACE VESSEL SAR EQUIPMENT This equipment is required for a shipboard deck recovery. Refer to appendix D for quantities of each item, and procurement and stock number information. Additional items are used for the rescue boat. Note Refer to chapter 2 for amplifying information on shipboard rescue equipment, and procedures. 5.13.1 J-Bar Davits Refer to chapter 2 for J-bar davit outfitting and procedures. 5.13.2 Heaving Line Heaving lines (figure 5-66) are made of a floatable, soft, vinyl latex ball attached to a 3/8-inch floating poly line. They are 100 feet long and have an international orange vinyl latex ball attached to the heaving line. Note One chemical light shall be attached to the end of the ball ring during all night operations. 5.13.3 Rescue Swimmer Tending Line The RS tending line is a 3/4-inch circumference, 800-pound test propylene line with a stainless steel 2-3/8 inch snap hook on one end. The line is reeled on a compact spool. 5.13.4 V-Bladed Rescue Knife The V-Bladed rescue knife (figure 5-67) is a 10-inch-long × 5-inch-wide device, which consists of a dzus fastener remover on one end, a cutting area that can cut any clot h material up to 1/4-inch th ickness, and a handle grip that fits either hand comfortably. Note There shall be a minimum of one V-bladed rescue knife on the forecastle and one V-bladed rescue knife on the rescue boat. 5.13.5 Wool Blanket Two wool blankets approximately 6 × 8 feet are used for treatment of hypothermia. 5.13.6 Grapnel Hook A grapnel hook (figure 5-68) is a multiprong steel hook that is used for recovering aircraft parts. It weighs 4 pounds, and is attached to 100 feet of 1-1/2-inch circumference nylon line via a 1/4-inch chain. Note There shall be a minimum of two grapnel hooks on the forecastle, and two grapnel hooks on the rescue boat.

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Figure 5-66. Heaving Line with Chemical Light Attached

Figure 5-67. V-Bladed Rescue Knife

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Figure 5-68. Grapnel Hook 5.13.7 Safety Harness with Dynabrake Shock Absorber The safety harness (figure 5-69) is constructed of several straps that crisscross the shoulders, waist, and hips. There is a D ring located in the center of the back that protrudes through the buttonhole in the rear of the lifejacket. One end of the dynabrake shock absorber (a length of rope that lengthens when shock pressure on the rope increases) attaches to the D ring on the back, and the other end is secured to the ship. The individual handling the J-bar davit uses this harness for safety purposes. 5.13.8 Level “A” SAR Medical Kit This medical kit (figure 5-65) is to be available on all surface vessels and rescue boats. The Level “A” SAR medical kit is designed for all units that maintain SAR capability. Chapter 7 contains information on medical procedures. Appendix D contains the list, with stock numbers of the medical equipment for the kit. Notes  Changes to the contents of the Level “A” medical kit by local commands (including the ship’s IDC) are not authorized.  There shall be a minimum of one Level “A” medical kit on the forecastle, and one Level “A” medical kit on the rescue boat. 5.13.9 Twenty- and Twenty-Four-Inch Life Ring Both the 20- and 24-inch life rings (figure 5-70) are constructed of an inherently buoyant material that is formed into a doughnut shape. Line is added on the perimeter of the life rings to give survivors additional handholds. For

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NTTP 3-50.1 5-81 SEP 2013 high-visibility day usage, the rings are painted orange. The life ring shall be stenciled IAW NSTM 077, and a minimum 50 feet of 3/8-inch circumference propylene line shall be attached to the life rings so that they may be retrieved. Notes  For low-visibility and night usage, chemical lights are attached to the life rings.  One 20-inch life ring (with line) is required on a RHIB boat.  One 24-inch life ring (with line) is required on the forecastle, and aboard a motor whaleboat when used as a rescue boat. 5.13.10 Megaphone Megaphones, commonly known as bullhorns, are hand-held loudspeakers with an internal 6-volt battery, and should be loud enough to broadcast over shipboard noise to a distance of at least 200 yards. 5.13.11 M-14 Rifle, and Bandoleer of Ammunition, 30 Rounds These items should be used by the ship’s gunner’s mate on the forecastle for shark watch. 5.14 ADDITIONAL RESCUE BOAT EQUIPMENT 5.14.1 Pistol and Ammunition These items shall be held by the boat officer or qualified crewmember at the discretion of the ship’s commanding officer.

Figure 5-69. Safety Harness

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Figure 5-70. Twenty- and Twenty-Four-Inch Life Rings 5.14.2 Boat Hook The boat hook (figure 5-71) is a 6-foot wooden staff, with a brass hook and prod at one end, used to fend off or hold on. When used for SAR its purpose is to snag and retrieve the survivor’s parachute. 5.14.3 Radio Set A portable UHF radio is needed that enables the rescue boat to monitor UHF frequencies (chapter 6) normally associated with emergency and SAR operations. 5.14.4 Semaphore Flags Used only if a signalman is required in the rescue boat. Semaphore is a system of signaling by a person. A special flag is held in each hand and various positions of the arms indicate specific letters, numbers, or statements. 5.14.5 Flashlights Two flashlights powered by two dry-cell batteries, contained in a plastic case. 5.14.6 Shipboard Battle Lantern The general shipboard portable battle lantern is an acceptable battery-operated rescue boat search lantern. The lantern’s power source is two 6-volt dry-cell batteries connected in parallel that are contained in a watertight plastic case. A rigid carrying handle is secured to the top of the case. The lantern is activated by a toggle switch. When the batteries are fresh, the lantern can be used continuously for approximately 8 hours.

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Figure 5-71. Boat Hook 5.14.7 Hand-Held Signal Light Only required if a signalman is required in the rescue boat. The multipurpose signaling light is designed to operate from a 9-volt dry-cell battery or from ship’s power. Ordi narily, it is used in small boats for signaling or illumination. For signaling, the lamp may be held in the hand and operated with the trigger in the pistol grip handle. It may be mounted and operated by remote control. It has an effective signaling range of 4,000 yards and is designed to send up to twelve words per minute. 5.14.8 MK-79 Pencil Flare Pyrotechnic devices should not be used in areas where flammable fluids or other combustible material may be ignited. These marking devices are used for marking positions or determining wind direction. Pyrotechnics should be stored in a dry, well-ventilated magazine out of the direct rays of the sun and protected against excessive or variable temperatures. 5.14.9 Night Vision Goggles NVGs (AN/PU-7A, or equivalent) should be available to lookouts and boat crews. Note Utilization of high-power floodlights or any other light source will impair use of NVGs and/or render them useless. If NVGs are to be used, all extraneous sources of light shall be extinguished.

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CHAPTER 6 Search and Rescue Communications Procedures

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NTTP 3-50.1 6-1 SEP 2013 CHAPTER 6 Search and Rescue Communications Procedures 6.1 IMPORTANCE OF COMMUNICATIONS The importance of communications throughout a SAR mission cannot be overemphasized. From the transmission of a distress message to notification of the search unit and from coordination of the search to intercommunication within the individual rescue unit, communication is the thread that weaves the separate parts into an effective and workable system. Distress Call. The unit receiving a distress call should follow these basic guidelines: 1. Get all information possible from the distressed part y including type, size, and color of craft; nature of emergency; number of persons involved; location; local weather; and sea state (if applicable). 2. Don’t switch frequencies. Use othe r radios if available to alert SAR units and coordinate search. Continue to talk to party until rescue is accomplished. 6.2 CONTROL COMMUNICATIONS It is essential that the guidelines established in International Aeronautical and Maritime Search and Rescue Manual (IMSAR) used by Navy units prosecuting a SAR case. The communications responsibilities of the SMC and OSC shall be in accordance with IMSAR manual. 6.2.1 Search Unit Reports Ten to twenty minutes prior to arrival at the search area, the SRU reports to the OSC. The report includes call sign, estimated time of arrival (ETA) on scene, on-scene communications capability, planned search speed, and on-scene endurance. Upon arrival at the designated search area, a report of the current weather at the scene is relayed to the OSC. When an aircraft SRU reports to the OSC, the OSC accepts responsibility for flight-following service. It is essential, therefore, that each aircraft SRU makes “OPS normal” reports to the OSC at regular intervals. Normally, multiengine aircraft will make reports every 30 minutes and single-engine aircraft and helicopters every 15 minutes. Upon completion of the assigned search period the SRU reports the results of the search to the OSC. 6.2.2 Situation Reports Situation reports (SITREPs) are to be transmitted by the OSC to the SMC upon arrival at the search area, when change occurs, or every 4 hours. The SITREP is to include: 1. SITREP number (numbered numerically by OSC) 2. Date/time group of SITREP 3. Search unit’s on-station arrival time, with estimated off-station time 4. On-scene weather, wind, and sea conditions

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NTTP 3-50.1 SEP 2013 6-2 5. Pertinent new developments 6. Major modifications to search plan 7. Requests for additional assistance 8. Summary of search areas with probability of detection 9. Recommendations. 6.3 SEARCH AND RESCUE FREQUENCIES The following frequencies are the internationally recognized SAR frequencies. 6.3.1 Distress Frequencies 1. 500 kHz—International CW /MCW distress and calling 2. 2182 kHz—International voice distress, safety and calling 3. 8364 kHz—International CW/MCW lif eboat, life raft, and survival craft 4. 40.5 MHz—U.S. Army frequency modulation (FM) distress 5. 121.5 MHz—International voice aeronau tical and shipboard emergency (VHF) 6. 156.8 MHz—International FM voice distress, emergency (VHF) 7. 243.0 MHz—Joint/combined mili tary voice aeronautical emergency and international survival craft (UHF) 8. 406.0 MHz—International voice aeronau tical and shipboard emergency (UHF). 6.3.2 Commonly Used On-Scene SAR Frequencies 1. 2670 kHz—Coast Guard HF working frequency 2. 3024.4 kHz—Internati onal voice SAR on scene (3023) 3. 5680 kHz—International voice SAR on scene 4. 123.1 MHz—National aeronautical SAR scene of acti on. International SAR scene of action in U.S. and Canadian International Civil Aviation Organization (ICAO) regions of responsibility in Atlantic and Pacific 5. 138.78 MHz—U.S. military voice SAR on scene and direction finder (DF) 6. 155.16 MHz—FM frequency used by some states and local agencies for coordinating SAR operations 7. 157.1 MHz—Coast Guard VHF-FM working frequency (CH 22A) 8. 282.8 MHz—Joint/combined on scene and DF (UHF) 9. 243.0 MHz—Motor whaleboat/r escue helicopter communications 10. 381.8 MHz—Coast Guard Command net (working frequency between Unite d States Coast Guard aircraft, cutters, etc.). Shipboard preparations for SAR operations are in the SAR checklist in appendix B.

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NTTP 3-50.1 6-3 SEP 2013 6.3.3 Coast Guard Datum Marker Buoys The Coast Guard routinely deploys DMBs at search datum to assist with sea current/drift calculations. The DMB emits an audio signal for an extended period on the following frequencies: 240.6, 242.65, 248.0, and 275.1 MHz. 6.4 SAR BREVITY CODES SAR brevity codes are commonly used in military searches and should be known by Navy units participating in a SAR mission. The brevity codes are listed in ACP 165, NWP 55-2-2, and NWP 3-22.5-SAR-TAC. 6.5 SURFACE VESSEL SAR COMMUNICATION PROCEDURES During SAR operations involving ships/boats and helicopters, communications between all units involved in the SAR operations shall be established for on-scene coordination. Small boats involved in SAR operations shall be equipped with either a UHF or VHF radio. Ships and/or small boats shall monitor the UHF frequencies normally associated with emergency rescue and SAR operations: 243.0 MHz and 282.8 MHz and VHF channel 16. 6.6 AVIATION SAR COMMUNICATION PROCEDURES During rescue operations it is essential that standardized communication procedures be utilized. The voice, hand, and signal communication procedures contained herein are minimum procedures and will be adequate in most situations. Additional procedures should be established as required to meet local requirements. It is essential during the rescue phase of operations that the RA continuously update the crew on the progress of the rescue. This is especially important at night or in low-visibility situations when pilots are on instrument, rather than visual reference, or where pilots may not be able to see a survivor’s location from the landing or hovering site. 6.6.1 Rescue Swimmer Radio (AN/PRC-149 Radio Set and C-12631/PRC-149 Radio Control Unit) The AN/PRC-149 is part of the aviation RS minimum equipment required for deployment, and is a back-up means of communication to rescue hand signals. Additional information on the operating limitations and inspection cycle can be found in the NAVAIR 16-30PRC149-1 technical manual. Note Immediately after signaling I AM ALL RIGHT, the aviation RS should perform a radio check and establish radio communications with the SRU. 6.6.2 Rescue Hand Signals Note Either hand may be used to perform all rescue hand signals that are communicated with one hand. The primary means of communication between the RS and the rescue platform in a maritime environment are the standard hand signals contained in this chapter. In an inland SAR situation, a hand-held radio is essential whenever crewmembers are out of visual range of the aircraft. Hand signals are to be used whenever radio communications are not possible. For overwater situations, prudent use of the AN/PRC-149 RS radio is mandatory when rescue hand signals are not sufficient to convey a situation. The hand signals illustrated in figure 6-1 are the standard signals for use by rescue personnel or survivors where appropriate. All SAR crewmembers shall be familiar with the meaning of all rescue hand signals.

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Figure 6-1. Rescue Hand Signals (Sheet 1 of 12)

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Figure 6-1. Rescue Hand Signals (Sheet 2 of 12)

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Figure 6-1. Rescue Hand Signals (Sheet 3 of 12)

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Figure 6-1. Rescue Hand Signals (Sheet 4 of 12)

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Figure 6-1. Rescue Hand Signals (Sheet 5 of 12)

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Figure 6-1. Rescue Hand Signals (Sheet 6 of 12)

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Figure 6-1. Rescue Hand Signals (Sheet 7 of 12)

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Figure 6-1. Rescue Hand Signals (Sheet 8 of 12)

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Figure 6-1. Rescue Hand Signals (Sheet 9 of 12)

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Figure 6-1. Rescue Hand Si gnals (Sheet 10 of 12)

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Figure 6-1. Rescue Hand Si gnals (Sheet 11 of 12)

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Figure 6-1. Rescue Hand Si gnals (Sheet 12 of 12)

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CHAPTER 7 Medical Procedures

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NTTP 3-50.1 7-1 SEP 2013 CHAPTER 7 Medical Procedures 7.1 BASIC REQUIREMENTS Search and rescue and emergency medical care often are closely associated. In a maritime SAR scenario, emergency medical care begins in the rescue vehicle. In an overland SAR scenario, emergency medical care may begin on scene prior to survivor recovery or in the helicopter, depending on the situation. CC and RS personnel shall maintain qualifications and training in basic first-aid, cardiopulmonary resuscitation (CPR) and Level “A” medical kits per OPNAVINST 3130.6 (series). The following medical responsibilities apply to CCs and RSs during a SAR mission: 1. En route to the survivor assess the MOI. This ta kes into account how the survivor was injured. MOI includes the strength, direction, and nature of the forces that caused the injury. You should also have an “index of suspicion,” which is the anticipation that certain types of accidents will produce specific types of injuries. With this thought process, the SRU crew can determine what equipment will be needed to affect the rescue and have it rigged and staged prior to arriving on scene. Note At the earliest opportunity, the SRU shall communicate the survivor’s medical condition to the OSC/SMC and request instructions on where to transport the survivors for advanced medical care. 2. Administer immediate first aid to survivors to the extent that the survivor can be recovered into the SRU and transported to advanced medical care. 3. Prevent further injuries to surv ivors during the rescue and transport to a medical facility. The presence of a hospital corpsman as part of the SAR crew does not alter the requirement for other crewmembers to have a basic knowledge of emergency medical procedures. The CC and aviation/surface RS shall have a working knowledge of all equipment in the Level “A” medical kit. 7.1.1 Blood-borne Pathogen and Body Substance Isolation Precautions Organisms called pathogens cause diseases. Blood-borne pathogens are transmitted to rescue personnel via direct unprotected contact with infected blood or bodily fluids of a victim. It is impossible to visually identify a victim who is infected with these pathogens. For this reason, all bodily fluids from a survivor should be considered infected. Body substance isolation (BSI) precautions shall be accomplished prior to primary survey or administering medical treatment to a survivor. BSI can be accomplished in varying degrees, dependant on the situation. The following are minimum BSI requirements for rescue personnel: Note Rescue aircrewman, rescue swimmers, and hospital corpsman meet the criteria established by Navy Occupational Safety and Health and BUMED for professional rescuers and should receive the Hepatitis “B” vaccine for protection from the Hepatitis “B” virus.

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NTTP 3-50.1 SEP 2013 7-2 1. Donning the disposable latex gloves provided in the Level A/B/C SAR medical kit prior to performing a primary survey or medical treatment to the survivor. 2. Depending on the victims’ injuries and the level of medical care provided, donning all the contents of the biohazard kit provided in the Level A/B/C SAR medical kit may be required. 3. Upon completion of the SAR/MEDEVAC mission, rescue personnel should complete the following: a. Remove any personal contaminated clothing, pl ace in a plastic bag separate from other laundry, and decontaminate by washing in detergent and warm water as soon as possible. b. Shower with warm water and antibacterial soap. c. Decontaminate aircraft cabins, rescue boats, ship decks, and equipment by washing with fresh water and detergent. d. Examination by medical department personnel. 7.1.2 Hazardous Materials/Composite Fiber Exposure Many modern aircraft are composed of composite materials and contain petroleum and chemical products that may be harmful to rescuers if they are inhaled, ingested, or come into contact with exposed skin. The following guidelines should be followed when operating at or around an aircraft mishap site:

Inhalation of composite material fibers resulting from aircraft fires or damaged aircraft materials may be harmful to rescue personnel. If smoke is present, rescue personnel shall be deployed upwind and will approach the aircraft in a manner as to avoid any smoke or hazardous composite airborne fibers. Personnel assigned responsibilities at aircraft mishap sites over land or over water are strongly recommended to don PPE prior to entering mishap scene. Recommended PPE includes coveralls, steel-toed boots, goggles or safety glasses, full-face respirator with HEPA/organic vapor cartridges, and heavy-duty gloves. Personnel that utilize respirators shall be trained and qualified in accordance with OPNAV 5100.23 (series). 1. Helicopters should maintain a sufficient distance from the mishap scene to preclude the spread of airborne composite fibers from rotor downwash. Deploy personnel upwind of the mishap site. 2. Personnel should don ad ditional PPE as available and approach the scene from upwind, thereby limiting exposure to airborne fibers. Note During a SAR mission, rescue personnel should only enter an aircraft mishap site to provide medical attention and recovery of any survivors. Once all survivors or mishap personnel are recovered, the mishap scene should not be disturbed any further, or evidence collected, unless directed by a mishap investigator or unit safety officer.

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NTTP 3-50.1 7-3 SEP 2013 3. Provide medical attention to surv ivors, recover into the rescue vehicle, and transport to advanced medical facilities as soon as possible. 4. Egress of rescue personnel a nd victim(s) from scene should be accomplished as soon as safely possible to preclude prolonged exposure to any airborne composite fibers. 7.1.3 SAR Medical Technicians (HM NEC 8401) SAR medical technicians are assigned to duty involving flying as a crew member billets by BUPERS and shall maintain all NATOPS, SAR, and medical training and qualifications outlined in OPNAVINST 3710.7 (series), OPNAVINST 3130.6 (series), and BUMEDINST 1510.17 (series). Hospital corpsmen in training (NEC 8201) for SAR medical technician shall not be assigned SAR duty until fully qualified per above instructions. 7.2 SAR CREW MEDICAL PROCEDURES Early assessment and preparation for providing medical treatment and transportation of survivors should begin as soon as possible after notification of a SAR/MEDEVAC mission. The following guidelines should be considered during the initial stages of a SAR/MEDEVAC mission: 7.2.1 Maritime Missions 1. If the number of survivors may exceed helicopter or rescue boat capacity, additional SRUs should be directed to the scene to assist. In multiple-survivor rescue missions, the SRU should consider adding additional rescue personnel, rescue equipment, blankets, and medical kits. 2. During multiple-survivor scenarios, immediate transportation of severely injured survivor(s) may necessitate leaving the rescue swimmer in the water with remaining survivors. If medical facility is out of visual range of the rescue scene, the following guidelines should be considered prior to leaving a rescue swimmer on scene: a. Additional SRUs are en route or on scene to provide recovery of RS and remaining survivors. b. Operable life rafts are on scene to sustain RS a nd survivors until return of SRU. RS and/or survivors have operable radio communication. SRU has deployed smoke flares to mark datum, or RS/survivors have signaling devices. c. Environmental conditions (weather, sea state) permit reacquiring RS and survivors visually. d. Depending on SRU transit time, water and air temper ature, the possibility of RS and remaining survivor hypothermia should be considered. 7.2.2 Overland Missions 1. If available, a SAR medical technician should be the first rescue crewman deployed from the helicopter to recover survivors. Depending on the situation and number of survivors, additional rescue personnel should be deployed to assist in the recovery effort. 2. If the number of survivors may exceed helicopter cap acity, additional SRUs should be directed to the scene to assist. In multiple-survivor rescue missions, the SRU should consider adding additional rescue personnel, rescue equipment, blankets, and medical kits.

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NTTP 3-50.1 SEP 2013 7-4 3. Helicopter power limitations, multiple-survivor scenario s, or need for immediate transportation of severely injured survivor(s) may necessitate leaving rescue personnel and survivors on scene. The following guidelines should be considered prior to leaving personnel on scene: a. Additional SRUs are en route or on scene to provide recovery of rescue personnel and remaining survivors. b. Rescue personnel have operable ra dio communication and signaling devices. c. Environmental conditions permit reacqui ring rescue personnel and survivors visually. d. Rescue personnel and survivors ha ve clothing, provisions, and protection from the elements to safely remain on scene until recovery can be completed. 7.2.3 Search and Rescue Crew Medical Training The minimum medical procedures and equipment qualifications and proficiency training for helicopter crew chiefs, aviation rescue swimmers, surface rescue swimmers, and search and rescue medical technicians (SMTs) are outlined in the OPNAVINST 3130.6 (series). Additionally, SMTs will have medical protocols, procedures, and a continuing medical education program supervised by the locally designated medical director. 7.3 MEDICAL DIRECTION Each SRU shall have a physician assigned in writing (flight surgeon/medical officer, for surface ships a senior medical officer or independent duty corpsman) as a medical director accountable for the activities of SRU personnel within the system. The medical director delegates medical practice to nonphysician providers (such as RS/SMT’s) and must be involved in all aspects of the patient care system. The medical director assumes the ultimate responsibility for medical direction, or oversight of the patient-care aspect of the SRU. The medical director also oversees training, develops protocols/standing orders (a list of steps for assessment and intervention to be performed in different situations), and is a critical part of the quality improvement process. A first responder or emergency medical technician Level B operates as a designated agent of the physician. In essence, as a RS or SMT, authority to give medication or provide emergency care is actually an extension of the medical director’s license to practice medicine. Note Automated external defibrillator is not authorized for use in naval aircraft. 7.3.1 General Medical Procedures Medical treatment of the survivor will normally take place in the SRU during transport to a medical facility. During an in-water scenario, the RS may need to provide rescue breathing prior to survivor recovery. During an overland scenario, rescue crewman may need to stabilize the survivor prior to recovery. While each rescue incident will differ in the treatment necessary, there are certain basic emergency care procedures (figure 7-1) that are applicable in every case. They are as follows: Note When two or more rescue crewmen are providing medical treatment to a survivor, one of the rescue crewmen must assume a supervisory role and direct the efforts of the others. In any rescue scenario where a SMT (helicopter) or independent duty corpsman (rescue boat or ship) is part of the rescue crew, he/she shall supervise the medical treatment of the survivor(s) during recovery and transport to an advanced medical facility. In the absence of medical department personnel, the senior enlisted rescue crewman (helicopter or rescue boat) shall determine who will provide medical supervision of the treatment of the survivor(s).

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NTTP 3-50.1 7-5 SEP 2013

Figure 7-1. Rescue Swimmer Decision Plate

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NTTP 3-50.1 SEP 2013 7-6 1. Airway—Ensure an airway is maintained. Open airway using head tilt-chin lift (for suspected cervical/spinal injuries, use jaw thrust maneuver). Remove any foreign material from the mouth. 2. Breathing—Ensure the survivor is breathing: a. If the survivor is speaking, breathing is present. b. Visually check the survivor’s mouth and/or nose. c. Feel for breath using the side of the rescuer’s face or bare hand. d. If in the water, place the RS’s mask under th e survivor’s mouth/nose, and check for fogging. Notes  In a water-rescue scenario: If the survivor is not breathing, the RS shall give two rescue breaths to the survivor, safely complete all applicable disentanglement/recovery procedures, and signal the SRU for immediate recovery of the survivor. After the completion of applicable disentanglement/recovery procedures, the RS shall continue rescue breathing for the survivor until recovery by the SRU. Continue with step 3 (circulation) once in the SRU.  Overland rescue scenario: Give two breaths, and check circulation. 3. Circulation—Check for pulse every 5 to 10 seconds. If victim is breathing, pulse is present. If pulse is absent, initiate CPR. 4. Bleeding—Check for and treat severe bleeding. 5. Fractures—Check for and treat any actual or suspected fractures. 6. Burns—Check for and treat all burns. 7. Shock—Treat for shock, as it is always pr esent, to some degree, in any rescue situation.

The rescue/MEDEVAC litter should not be used in a maritime rescue scenario if the survivor has immediate life-threatening injuries, i.e., no breathing, severe bleeding. A survivor with immediate life-threatening injuries shall be recovered to the SRU via the fastest means possible. Note Personnel who are unconscious, who have fallen three times the survivor’s height, or who have been ejected from an aircraft must be presumed to have spinal injuries. Utilization of the rescue/MEDEVAC litter for recovery in either an overwater or overland rescue scenario is highly recommended, if at all reasonable, to help prevent a potentially life-threatening or permanent neurological injury. In conjunction with use of the litter, total spinal immobilization, including cervical collar, should be applied at the earliest opportunity.

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NTTP 3-50.1 7-7 SEP 2013 8. The survivor should be immobilized in an appropr iate cervical collar and rescue/MEDEVAC litter prior to transport. This will help prevent further damage to a cervical/spinal injury. 7.3.2 Diving-related Injuries Survivors who have been breathing compressed gases (i.e., scuba, heeds) should be observed during transport to a medical facility for signs of decompression sickness or embolus. When possible, these survivors should be kept lying flat and changes in aircraft altitude should be kept to a minimum. Transport altitude for the aircraft should be kept as low as safety allows. 7.3.3 Environmental Injuries Environmental injuries are caused when the survivor is exposed to environments that are hot and/or humid, cold, or submersion in water. Factors effecting environmental injuries are outside air temperature, wind chill, water temperature, rain, snow, and humidity. Onset and severity of environmental injuries to survivors will largely depend on weather conditions, clothing, and exposure time. 7.3.3.1 Hypothermia Nearly all victims recovered from the aquatic environment will suffer some degree of hypothermia. The goal in this case is to preserve the victim’s temperature, prevent after drop of body core temperature, and have access to the victim so that lifesaving measures can be performed during the transport phase of the rescue. 1. Hydrostatic squeeze—As it applies to hypothe rmia, hydrostatic squeeze is the constriction of the respiratory system. The severe cold disables the body’s ability to take in oxygen. The added stress to the body of being hoisted by the rescue strop allows gravity to take what blood has been pooled in the chest and head and disperse it into the extremities. This can/will send the survivor into respiratory and/or cardiac arrest. 2. After drop—Cold blood from the extremities (arm s and legs) gets suddenly reintroduced to the body’s core, and drops the body’s core temperature below the level needed to sustain life. 3. The procedures for recovery and transpor t of a hypothermic survivor are as follows: a. Recovery phase—The survivor should be rec overed using a rescue/MEDEVAC litter. Use of the DD “double lift” is also acceptable. It is important to keep the hypothermic survivor quiet and immobilized due to the fragile state of their cardiac and respiratory systems. Hoisting from the water in a horizontal position reduces the aggravation of shock caused when the effect of water pressure is removed (hydrostatic squeeze). Note The RS will have to make the decision on when not to use the rescue/MEDEVAC litter based on the environment, and the survivor’s injuries (no ABCs, severe bleeding). b. Transport phase—The survivor shall be transported in a horizontal/face-up position on a rescue/MEDEVAC litter. When possible, wet clothing shall be removed. The victim shall be wrapped in a standard wool blanket, and then a reflective casualty blanket (figure 7-1). These materials are required equipment on all SAR-capable aircraft.

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NTTP 3-50.1 SEP 2013 7-8 7.3.3.2 Heat Emergencies 1. Heat exhaustion—Survivors with moist, pale, and normal-to-dry skin may have heat exhaustion. Prolonged exposure to excessive heat can create an emergency in which the survivor has moist, pale skin that may feel normal or cool to the touch. As sweating continues, salts are lost, bringing on painful muscle cramps (sometimes called heat cramps). Healthy individuals who have been exposed to excessive heat while working or exercising may experience a form of shock brought about by fluid and salt loss. This condition is sometimes known as heat exhaustion. a. Symptoms: (1) Skin is moist, pale, and normal to cool in temperature. (2) Muscle cramps (usually in the legs and abdomen). (3) Weakness or exhaustion. Sometimes dizziness or periods of faintness are present. (4) Rapid, shallow breathing. (5) Weak pulse. (6) Heavy perspiration. (7) Loss of consciousness possible. b. Treatment—Correct, expedient treatment is essentia l to the survival of a person experiencing heat exhaustion. Immediate cooling of the survivor is needed. As with all heat-related injuries, removal from the heat source is the first step: (1) Move the survi vor into the shade. (2) Loosen or remove the survivor’s clothes, a nd fan the survivor without chilling them. Do not allow the survivor to get cold; watch for shivering. (3) Put the survivor in the supine positio n, legs elevated no more than 12 inches. (4) If the survivor is conscious and not nauseated, administer small sips of water, or ice chips if available. If patient is unconscious or vomiting, transport the patient on their left side. (5) Treat muscle cramps by administering wet towels to affected areas. 2. Heat stroke—When a person’s temperature-regulati ng mechanisms fail and the body cannot rid itself of excessive heat, the individual will present with hot, dry, or possibly moist skin. Hot skin (whether dry or moist) represents a true emergency. It is a condition that is sometimes known as heat stroke. The problem is compounded when, in response to loss of fluid and salt, the survivor stops sweating, which prevents heat loss through evaporation. More cases of survivors with hot, dry skin are reported on hot, humid days. However, many cases occur from exposure to dry heat. a. Symptoms: (1) Skin is hot to the touch, and either dry or moist. (2) Rapid, shallow breathing. (3) Full and rapid pulse. (4) Generalized weakness.

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NTTP 3-50.1 7-9 SEP 2013 (5) Little or no perspiration. (6) Loss of consciousness, or altered mental status. (7) Dilated pupils. b. Treatment—Correct, expedient treatment is essentia l to the survival of a person experiencing heat stroke. Immediate cooling of the survivor is needed. As with all heat-related injuries, removal from the heat source is the first step: (1) Move the survi vor into the shade. (2) Remove the survivor’s clothing, Apply cool p acks to the neck, groin, and armpits. Keep the skin wet by applying water by sponge or wet towels. Fan aggressively. (3) Put the survivor in the supine positio n, legs elevated no more than 12 inches. (4) Transport immediately.

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