Lives and critical infrastructure are more vulnerable to floods today than they have ever been. Flooding events are becoming more common in our communities. The “300-year flood” has been happening every 2–5 years, with smaller floods occurring multiple times per year. Rescue teams are increasingly challenged by the dynamic environments and unique threats encountered when our streets and towns turn into raging rivers and lakes. Specific training and planning are keys to a successful operation! In this non-traditional class, rescue professionals will gain new insight into the types of urban flood rescues they are now routinely called to perform. Attendees can expect to walk away with a comprehensive understanding of urban water hydrology, hazards, scene size-up, the rescue sequence, patient contact and assessment, patient transportation, vehicles in water, specialized resources, and nighttime operations.