ICAR is divided up into four commissions that make up the components of Alpine Rescue (Air Rescue, Avalanche Rescue, Alpine Medicine and Terrestrial Rescue). Each commission meets separately during the yearly congress to discuses topics that directly relate to their specific commission. These breakout meetings give the various commissions time to report on the yearly incidents in all countries as well as any new fields of interests or special new advancements in their areas. During the annual ICAR congress the commissions also meet together as a group and discuss topics that relate to all fields of Alpine Rescue as well as vote on new members and new business for the year.
The Annual ICAR congress is held each fall in one hosting country that make up the 39 member countries. During this meeting delegates from all the countries have the chance to share ideas and information in the interest of Alpine Rescue and Safety in the mountains sharing knowledge gained form experience worldwide.