To answer the original question, the figure 8 family of knots are used in rescue work because they are generally easy to tie, stay tied when even when you don't have a load on them, and tend to reduce the tensil strength of your rope the least compared to other types of knots. Remember every knot will reduce the strength of the rope.
To address the question of a backup knot, yes we use a backup on every figure 8 knot, as well as backups on water knots in webbing. Our choice of backup is "half of a double fisherman" knot for the figure 8's and an overhand knot for webbing. I have trained several times with the guys from NYPD ESU and the systems they use, or should I say don't use would frighten you. They don't use all the redundant backups we use. But they work with their systems, equipment, and same crews every day. I've been a member of our counties technical rescue team for many years. While we practice as a team regularly (monthly), we have an actual rescue incident maybe once a year. Even though we check and set all knots prior to use, I feel much better taking the extra few seconds to put the backups inplace.
Some one mentioned the bowline knot above. I agree it is a fantastic knot. We use it all the time on the fire ground. It is an easy knot to tie and un-tie with gloved hands, when hauling equipment to the roof. But the one downfall of this knot is it tends to un-tie itself when there is no load applied to it. However you can back this up to take care of that. Makes a quick rescue loop to haul someone out of a basement real quick.
But generally, we use the bowline for the fire ground and figure 8's for the rescue scene. Above all, know your knots, practice, practice, practice.
Be Safe.
Mike
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