Rom Duckworth
Presentation catalog

Operations & Incident Management

5 programs  ·  Full abstracts and learning objectives below

More Than Just Batteries

Universal Steps to Calls Involving Alternative Fuel Vehicles

The vehicle you're working on looks routine… until the cryogenic leak starts pooling where you can't see it … until you realize it isn’t just gasoline on fire, it’s mostly alcohol …until you can’t remember if this is the kind of cylinder you always put water on, or was it never?

More than 33 million vehicles on America's roadways use alternative fuels, and that number is climbing. Compressed natural gas. Hydrogen. High-alcohol blends. Fully electric drivetrains. Each presents hazards that don't announce themselves the way gasoline fires do. The 2024 CNG explosion that injured nine LAFD firefighters, two of them critically, wasn't an equipment failure. It was what happens when invisible risks meet standard tactics.

This session introduces a universal five-step approach: Approach, Identify, Immobilize, Disable, Access. This system works at any motor vehicle incident regardless of what's powering it. You won't leave with a catalog of vehicle-specific tech specs you'll forget by next shift. You'll leave with a systematic method to recognize what's different before it becomes dangerous: odorless gas leaks, clear-burning fires, thermal runaway cycles that restart days after knockdown, and pressure systems that can turn routine cooling tactics into catastrophic failures.

We'll work through real cases that show what changes when you stop assuming fuel type and start applying a repeatable assessment framework. Whether you're first on scene at a collision, running extrication, or managing overhaul after a vehicle fire, this approach helps you identify fuel-specific risks without getting paralyzed by the complexity.

Session details

  • Audience: Firefighters, fire officers, and EMS personnel responding to motor vehicle incidents. No prior alternative fuel vehicle training required.
  • Length: 60 minutes

Learning objectives

  • Apply the five Universal Steps (Approach, Identify, Immobilize, Disable, Access) to systematically assess and manage hazards at motor vehicle incidents involving any fuel type
  • Recognize fuel-specific hazards including odorless gas leaks (CNG, hydrogen), invisible flames (methanol, ethanol blends, hydrogen), cryogenic risks (LNG), and lithium-ion thermal runaway
  • Differentiate high-pressure compressed gas systems from cryogenic storage and identify why standard cooling tactics can cause cylinder rupture on certain AFV types
  • Identify when temperature-activated pressure relief devices (TPRDs) require modified firefighting tactics to prevent catastrophic tank failure
  • Implement scene safety protocols that account for delayed ignition, re-ignition risks, and invisible hazard zones during approach, suppression, extrication, and overhaul operations

Hydrogen Vehicle Emergencies

Different Fuel, Universal Rules

A fuel cell car after a collision. A forklift leaking inside a warehouse. A transit bus burning beside its dispenser. Each involves hydrogen, but each demands a different response. Can your meter detect the leak? Where will a venting tank discharge? What changes when the vehicle incident also involves a fueling facility?

Building on the five Universal Steps (Approach, Identify, Immobilize, Disable, Access), Rom Duckworth examines three situations: no confirmed release, a leak without fire, and fire. Cases connect hydrogen’s distinctive hazards with practical decisions about rescue, ignition control, detection, tank exposure, and withdrawal. Participants will examine detector limitations, nearly invisible flames, high-pressure venting, cryogenic releases, and the additional electrical hazards of fuel cell vehicles. The session also identifies what crews should preplan with fleet operators and hydrogen suppliers before the call.

Session details

  • Audience: Firefighters, fire officers, and EMS personnel. No prior hydrogen training required.
  • Length: 60 minutes
  • Format: Lecture with case-based discussion.

Learning objectives

  • Apply the five Universal Steps to incidents involving hydrogen-powered vehicles.
  • Differentiate response priorities for no confirmed release, an unignited leak, and fire.
  • Explain how sensor type, calibration, and equipment limitations affect hydrogen detection and interpretation.
  • Evaluate tank exposure, vent paths, confinement, and manufacturer guidance when selecting tactics and withdrawal triggers.
  • Identify preincident planning needs for hydrogen vehicles, fueling facilities, and their supply chain.

Bus Collision Response

The 3 Things You Need to Know

Every day in your community, vehicles travel the road carrying large numbers of potential victims; some children, some elderly, some with special medical issues, and all your responsibility. In 2022, about 52,000 police-reported crashes involving school, transit, intercity, and other buses injured some 19,000 people and killed 224, according to FMCSA. This program will help make you ready when it happens in your area. Presenting lessons learned from around the world along with personal experience managing school bus and inter-city tour bus incidents Rom Duckworth lays out the 3 key steps to managing major (and minor) motor coach collisions in your response area.

Session details

  • Audience: Fire and EMS responders and officers
  • Length: 60 minutes

Learning objectives

  • Address inter-agency issues before attempting to manage motor coach collisions.
  • Perform the initial actions critical to the success of first arriving units and the incident as a whole.
  • Apply core principles of MCI management through a variety of triage and MCI management systems.
  • Maintain the functions of Incident Command and MCI management in the face of chaos and freelancing.
  • Utilize different methods of applying core principles of MCI management to different sizes and structures of EMS and fire service organizations.

On-the-Job Situational Awareness

How to Work While Things Are Trying to Kill You

The scene looked routine. Until it wasn't. Most line-of-duty injuries and operational failures don't come from a lack of skill, they come from a failure to recognize what's changing around us. We miss the structural cue that precedes collapse. We don't notice the behavioral shift before a patient becomes violent. We commit to an action without accounting for what just shifted on the fireground or in traffic. Poor situational awareness doesn't just threaten safety; it degrades decision-making, slows operations, and compounds risk for everyone on scene.

This session won't tell you to "stay alert." It will give you a working framework (six steps of situational awareness and action) that you can apply in real time when distraction, task saturation, and urgency are all working against you. We'll use real-life case studies and in-class exercises to show how experienced responders lose the picture, how crew resource management either supports or undermines awareness, and what actually changes performance under operational pressure.

You'll leave with practical strategies to recognize developing threats, prevent unsafe actions before they happen, and operate more effectively when everything around you is dynamic and dangerous. This isn't theory. It's the difference between seeing it coming and being surprised by what kills you.

Session details

  • Audience: Firefighters, EMS providers, and officers at all certification and experience levels. Applicable across fire, EMS, and rescue operations.
  • Length: 60 minutes

Learning objectives

  • Apply the six-step situational awareness and action framework to recognize, assess, and respond to dynamic operational hazards in real time
  • Identify environmental, cognitive, and task-related factors that degrade situational awareness during high-stress or high-distraction emergency operations
  • Utilize crew resource management principles to enhance shared situational awareness and prevent individual or team-level decision-making failures
  • Recognize common situational awareness failure patterns (fixation, complacency, assumption-based decisions) and employ corrective strategies to maintain operational effectiveness and safety

Mass Casualty Incidents

Lessons Learned from Storms, School Buses & September 11th

Choices made in the first few moments set the path for any major incident. Because any emergency responder might find themselves first on the scene of a mass casualty, all responders must be ready to stay mission-focused from initial chaos through the evolving complexity of the incident. Rom Duckworth presents current research and best practices in mass casualty management along with lessons learned from his own responses to large-scale incidents, including Hurricane Andrew and 9/11. Attendees will learn to manage patients, problems, and partners in a dynamic program covering core concepts in triage, treatment, transportation, and more, with a focus on preparing every responder with practical skills to have ready when their time comes.

Session details

  • Audience: All emergency responders
  • Length: 60 minutes

Learning objectives

  • Illustrate the core principles of MCI management and how they can be applied through a variety of triage and MCI management systems.
  • Maintain mission focus from arrival through progressions of major and complex incidents involving multiple patients.
  • Initiate core concepts in command, control, and communication at any level of involvement of a major incident.
  • Describe the fundamentals of the triage, treatment, and transportation roles of EMS and what best practices maintain forward movement of patients.
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Sixty programs across nine domains, clinical through leadership.

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Independent services. The education, speaking, writing, and consulting described on this site are Rommie L. Duckworth’s own professional work, provided personally or through the New England Center for Rescue & Emergency Medicine, LLC. They are separate and distinct from his municipal position and from his work for any other employer, company, association, board, or publisher. They are not offered by, for, or on behalf of the Town of Ridgefield, Connecticut, the Ridgefield Fire Department, or any other organization named here. No NECREM work is done on Town time or with Town equipment, vehicles, or staff. Titles, affiliations, and photos in uniform describe professional background only, and views expressed are his own. Naming an organization does not indicate its endorsement, sponsorship, or affiliation.