Minutes count in a medical emergency, and Dr. John Hick had only a few to secure his harness and lower himself into an abandoned grain elevator in Minneapolis, where a young woman had fallen 30 feet.
As a member of Minnesota Task Force 1 — the state's emergency rescue team — Hick, an ER doctor, worked quickly alongside a Minneapolis firefighter to stabilize Emily Roland, who was trapped in the crumbling elevator this month.
After sneaking into the structure, Roland had fallen from a ladder. The mishap was reported shortly before 10 p.m., leaving Hick working at the bottom of a pitch-dark cauldron.
The rescue crew managed to lift Roland to safety, but she later went into cardiac arrest and died from her multiple injuries.
"It's just sad that in the end, bad trauma is all about time," Hick said. "And we just didn't have enough time."
The clock is just one of many obstacles faced by members of the elite force trained to perform "technical rescues." The term refers to lifesaving efforts that use skills and tools beyond the scope of normal firefighting and medical emergency situations. Conditions are difficult and often treacherous.
"Building collapses. Trench rescues. Confined space rescues. Grain elevator rescues. It's pretty much only limited by your imagination," said Ulie Seal, coordinator for Minnesota Task Force 1 and Bloomington's fire chief. "People have a pretty unique way of getting themselves into problems that you wouldn't think were normal."
Summer is especially busy for the team, made up of firefighters, police officers and medical professionals. Hick, the task force's deputy medical director, is one of a handful of local emergency room doctors involved.