Lifesaving Proficieny Bulletin 2011 2012

8/4/2019 Lifesaving Proficieny Bulletin 2011 2012

1/4

Overview

TheInternationalLiaisonCommitteeonResuscitation(ILCOR)releaseditslatestresearchonresuscita

tioninOctober2010.

TheAustralianResuscitationCouncil(ARC)hasdiscussedthelatestresearchandreleasednewguide

lineson31stDecember2010.

WhileoverallthechangesrepresentaminoradjustmenttothewayCPRistaughtanddeliveredwithin

Australia,itisbelievedthatthesechangeswillsimplifyeducationofCPR,maintaincommonalitybyall

bodiesteachingCPR,andenhanceoutcomesfromCPR.

The

new

resuscitation

changes

for

Surf

Life

Saving

will

be

introduced

to

all

training

and

assessments

fromJune1st2011.

New Resuscitation Guidelines DRSABCD

Lifesaver Proficiency Bulletin 2011/12

Did you know:In September 2009

SLSA released the 33rd

Edition of the Public

Safety & Aquatic Res-

cue Training Manual.

Manuals can be pur-

chased by going to the

SLSA website.

www.slsa.com.au

SURF LIFE SAVING QUEENSLAND

2011/ 2012

Patrolling Season

FINAL - June 2011

The Lifesaver Proficiency Bulle-

tin has been provided to ensure

our Surf Life Savers are provided

with the most recent information

on Lifesaver Training and Rescue

Techniques for the aquatic envi-

ronment. This bulletin should be

distributed to every member that

conducts a proficiency during

the 2011/12 season.

Whats included in this Bulletin:

New Resuscitation Guidelines

IRBs on Patrol

Defibrillation on a Child

Board Rescue

Beach Signage

Log Book Procedures

Patrol Uniform

Operations Support join Today

SummaryofKeyChangeAreas

IncreasedemphasishasbeenplacedonhighqualityCPR

(compressionsofadequaterateanddepth,allowingcomplete

chestrecoilbetweencompressions,minimisinginterruptions

incompressionsandavoidingexcessiveventilation).

Greaterattentionontheuseofadefibrillatorwithinthere

suscitationprocess

AnS(Sendforhelp)hasbeenaddedtotheacronym

DRSABCD.

Inapatrolsetting,thiswouldincludeaskingother

memberstocontactSurfcom/call000andsend

othermemberstoobtainadditionalequipmenti.e.

Oxyvivasanddefibrillators,etc

Themajorchangeisthatinthevictimwhoisunresponsive

andnotbreathingnormally,CPRcommenceswithchestcom

pressionsratherthanrescuebreaths.

HoweverSurfLifeSavingAustraliaisstillusingthe

protocolofdelivering2breathspriortocommenc

ingCPRfordrowningvictims

ThesignstolookforbeforecommencingCPRhavebeensim

plifiedtoresponsivenessandbreathingi.e.ifnotrespon

siveandnotbreathingnormally,commenceCPR.

ThetermSignsofLifeisnolongerused

Todeterminethecorrecthandplacementforthecompress

inghand,youshouldNOTuseinlinewiththepatientsnip

ples.

REMEMBER THE MORE YOU PRACTICE THESE TECHNIQUES THE MORE REFINED YOUR SKILLS WILL BECOME AND THE BETTERLIFESAVER YOU WILL BE...

DrownedPersonGuidelines:

DcheckforDanger

RCheckforResponse,ifNoresponse,

SSendforHelp

ACheckAirway

BCheckBreathing,ifNOTBreathingde

liver2Breaths

CCommenceCPR,rateof30compressions

to2breaths

Dattachadefibrillatorifavailable

AdultCardiacArrestGuidelines:

(mostcommonformofarrest)

DcheckforDanger

RCheckforResponse,ifNoresponse,

SSendforHelp

ACheckAirway

BCheckBreathing,ifNOTBreathing

CCommenceCPR,rateof30compressions

to2breaths

Dattachadefibrillatorifavailable

SurfLifeSavingQueenslandhas

developedanewResuscitation

Chart(seeabove)ofwhichyou

willbeabletodownloadaFREE

copyfromtheSLSQwebsiteby

thebeginningofAugust2011.


2/4

DefibrillationandChildren(18yrs):

SurfLifeSavingAustraliasLifesavingStanding

Committee(LSC)hasrecentlyreviewedtheuseof

anAutomatedExternalDefibrillator(AED)on

childrenagedbetween1yrand8yrsold.

FollowingnewguidelinesprovidedbytheAustra

lianResuscitationCouncilandadvicebyourNa

tionalMedicalAdviser,theLSChasendorseddefi

brillationonchildrenbetweentheagesof1yrand

8yrs.

Fordefibrillationonchildrenitispreferablethat

theAEDhaspaediatriccapability.IftheAEDdoes

nothavepaediatriccapability,anadultAEDmay

beusedsolongasthedefibrillationpadsarenot

touchingeachother.

DefibrillationandChildren

Page 2LifesaverProficiencyBulletin2011/12

Defibrillation

EarlydefibrillationisanimportantlinkintheChainofSurvivalandisacomponentofthebasiclife

supportprocessDRSABCD. Defibrillationinvolvesdeliveringanelectricshocktoreverttheheartto

itsnormalrhythm. DefibrillationoftheheartbyfirstaidpersonnelhasbecomepossiblewithAutomaticExternalDefibrillators(AEDs)

DefibrillationSafety

Safetyconsiderationsinclude,butnotlimitedto:

OperatorshouldbetrainedintheuseoftheAED.

Thepatientmustbeunresponsiveandnotbreathingnormally

Removeanymetallicjewelleryneartheelectrode

sites.

Donotplaceelectrodesovermedicationpatches.

Avoidelectrodecontactwithanymetalsurface.

Operators&bystandersmusthavenocontactwith

thepatientduringdefibrillation.

DonotoperateAEDinanexplosiveenvironment

(e.g.wheregases&fumesmightbepresent)orina

wetenvironment(e.g.rain)wipedownthechest

beforepositioningelectrodes.

Moveapatientlyinginwatertoadryarea.

NEWIfthepatienthasanimplantedpacemaker,

makesurethepadsareleast8cmawayfromit.

Useonlyequipmentthatiscompatiblewiththe

unit.

Donotoperateincloseproximitytomobilephones,

radiosetc.

Donotoperatetheunitinanunstableenviron

ment.

Oxygenshouldbeturnedoffduringdefibrillation.

DEFIBRILLATIONSHOULDPREFERABLY BEUNDERTAKENBYAMEMBERHOLDSTHESLSAAWARD. WHEREAMEMBERWITH

THEQUALIFICATIONISUNAVAILBLE,ALIFESAVERWITHAPPROPRAITEDEFIBRILLATIONTRAININGCANACCESSANDOPERATE

ADEFIBUNITi.e.proficientBronzeMedallionholder

Accessories:

Itemsthatshould

bekeptwiththe

unitinclude:

Resusmasks

Gloves

Razors

Shears

Gauzewipes

Sparebattery

Spaceblanket

Pen&paper

Chamoisor

towel

PaediatriccapableAEDs

AnAEDwithpaediatriccapabilitymeansthatthe

deviceiscapableofdoseattenuation(i.e.ca

pableofdeliveringreducedjoules).Configuration

ofanAEDforchildrenvariesbetweenAEDsand

maybetheinclusionofseparatepaediatricpads,

apaediatriccartridgeorachild.

Age DefibrillationusinganAED

8yrs

(Adults)

Yes,withthestandardadult

pads

PositioningofElectrodePadsonaChild

Correctpositioningoftheelectrodepadsises

sentialforsuccessfuldefibrillationtotakeplace.

Thepositionisusuallyindicatedontheelec

trodepadsorthepackagingtheycomein.

Itisnowacceptablefordefibrillationpads,tobe

usedonachild,tobeplacedinthesameposition

asforanadult. Youshouldalwaysplacethepads

inthepositionasshownonthediagramonthe

pads.

NOTE:Whenusingadultpadsonachild,you

shouldensurethepadsdonottoucheachother

onthechildschest. Thismayrequireonepadto

beplacedontheupperback,belowtheleft

scapula,andtheotheronthefront,totheleftof

thesternum(asshownindiagramabove).

Thepromptsgiven

byanAEDwill

vary,depending

onthemakeand

model,itis

importantto

familiarize

yourselfwiththe

units

you

have

at

yourclub.

ChildFRONT ChildBACK

Picture: Alternative position of electrode padson a small child ensuring pads do not touch.


3/4

BeachReportBoard

Thesingleframedbeachre

portistobepositionedinthe

centreofthepatrolarea.This

signisusedinconjunction

withtheconditionflagsand

hazardsignstoprovidethe

generalpublicinformationon

thedaysconditions.

Theboardshouldbeupdated

hourlyorwhenconditions

change.

SurfCraftFlagNEW

Thenewblackandwhite

quarteredSurfCraftflagwillbe

replacingthesolidblueSurf

Craftflag.

Theblackandwhitequartered

flagmeansthisisanareafor

craftusersandforswimmers

ownsafetyswimmersshould

notswiminthisarea.

BeachSignageNewandExisting

YellowCautionFlag

Theinterchangeablehazard

signsareusedinconjunction

withtheredswimmingprohib

itedflagandtheyellowcaution

flag.Thesesignsindicatetothe

publicthereasonthebeachis

closedorwhytheyellowcau

tionflagisflying.

Ifayellowcautionflagisflying

ahazardsignmustalsobeusedinconjunctionwiththeflag.

Page 3BoardRescue

Therescueboardprovidesafastandreliablemeansofreaching

patientsandifrequiredcansupportanumberofpatientsinthe

water.

Toprotectthepatient,keepthepatientontheseawardsideof

theboardwheninthesurfzone.Thiswillensureyoucankeep

aneyeonanyincomingwavethatmayaffectyourrescue.

Ifyoudolosecontroloftheboard,ensureyoumaintaincontrol

ofthepatientastheyarethefirstpriorityaheadofequipment.

BoardRescueReturningtoShore

Whenreturningtoshorethroughthesurfzonemovethepa

tientandyourselftothebackoftheboard.Itisimportantto

minimizethepossibilityofnosedivingasthereisahighriskof

losingthepatientifthishappens.

Thesafesttimetoreturntoshoreistowaituntilthereisalullin

the

wave

pattern

and

then

paddle

into

the

surf

zone.

AllLifesaversare

recommendedtowear

gloveswhentreatinga

patient.

Thisincludes:

Resuscitation

Firstaidcase

Marinestingers

Generaltreatment

Beforerequesting

Ambulanceensureyou

knowthefollowing

informationaboutthe

patient:

Levelof

consciousness

Breathing/Breathing

Difficulty

Gender

Age

Detailsofinjury

Howtheinjury

happened

MedicalHistory/

Medication

Treatment

Administered

Locationofpatient

REMEMBERTHEPATIENTISYOURPRIORITY.

ALWAYSENSURETHATYOUHAVECONTROLOFTHEPATIENT

DIDYOUKNOW:

Patrollogbooksarelegal

documentsandcanbe

usedinacourtofLaw.The

PatrolCaptainis

responsibletoensurethat

allentriesfromtheir

patrolsarecompleted

accuratelyandthecorrect

patrolmembersnames

andhoursareentered.


4/4

SurfRescueCertificateholders

whileonpatrol,aretowearthe

redandyellowcap

Awardmembersonly,arenot

permittedtoweararedand

yellowcap.Theyarehowever

allowedtoweararedpeakcap

orwidebrimmedhat.Their

relevantawardshallbeidentifiedontheirpatrolshirtorhat.

Formoreinformationregarding

patroluniforms,refertosec

tion9PatrolUniformsinthe

2011/12PatrolOperations

Manual

Theoriginsoftheiconicred

andyellowcoloursarethe

subjectofongoinghistorical

researchanddebate.Thered

andyellowcapensuresthe

lifesaversareeasilyidentifiable

tothepublic,therebyprovid

ingbeachgoerswiththesame

securitytheyhavewhenthey

seetheflagsflying.

Asasurflifesaveryoumust

workcloselywithotherlifesav

ersandthepublic.Aprofes

sionalappearancewillinform

thepublicthatyoucarrythe

prideofourorganisationinthe

wayyouperformalllifesaving

activities.

\

Whileonpatrolallsurflifesaversmustwearthecorrectlife

savinguniform.Allproficient

BronzeMedallionholdersand

The Patrol Uniform

IRBs on Patrol and IRB Awareness for all Bronze Holders

AnInflatableRescueBoat(IRB)isanes

sentialitemsforLifesavers.TheIRBisa

versatilepieceofrescueequipmentthat

performsthousandsofrescueseachyear.

ManyoftheBronzeMedallionmembers

areaskedtoassistwiththemanualhan

dlingandsetup/packdownoftheIRBs

whenonpatrol. Itisimportantthatthese

membersknowhowtooperatesafely

aroundIRBequipmentwhenaskedto

helpbytheIRBDriver.

AftertheconductofaNationalIRBre

view,SLSAnowasksthatcurrentandnew

BronzeMedallionholdershaveanaware

nessofIRBoperationstobeabletoassist

asrequired. Thereforethe2011/2012

BronzeMedallionproficiencywillinclude

anIRBAwarenesscomponenttoupskill

members

in

this

particular

area.

TheIRBAwarenesswillcover4main

areas:

1. LiftingandTransportingIRB

equipment

2. Assistingwithlaunchingand

beachinganIRB

3. Liftingandcarryingapatientfrom

theIRB

4. CarewhenintheIRBarea

IRBEquipment

AnoperationalIRBmusthavethefollowing

items:

1xKnifestainlesssteelwithbluntend,

containedinasheath

1xTowropesecuredtocraft

2xIRBpaddles

1xRescuetube securedtocraft

1Xpealesswhistle

1x25HPoutboardmotor

1XSLSA approvedradio

IRBsonPatrolWhatsideofthepatrol

flags?

Whenonpatrol,IRBsshouldbeplacedatthe

watersedgeonthesamesideasthesweepdi

rection.

DependingonthetypeofIRB,someIRBscan

remainonanIRBtrailertoassistwithlaunchingtheIRB.

WhocanoperateanIRB?

OnlyaproficientandfinancialIRBdriverand

proficientandfinancialIRBcrewpersoncanop

erateanIRB.

LiftingandIRB

WhenliftinganoperationalIRBaminimumof4

peoplemustusethecorrectliftingpositiontolift

theIRB.

Documents

Lifesaving Proficieny Bulletin 2011 2012