This might be a really good topic for an ESTA Proactive outreach campaign. IDK how it would be organized, But I think it would be worth reaching out some of the National Fire department Organizations to highlight the importance of being aware of this situation. IDK if I've ever heard of a facility receiving a visit from the FD for a training exercise. I do know that as a former first responder, with a specialty in High Angle Evac, just knowing the challenges you are likely to face is a huge step. Lowering someone who's in a harness as opposed to lowering someone who needs to be back-boarded and in a stokes are two very different animals. My .02