Australian Lifeguard magazine - Surf Life Saving Australia

More documents

Recommendations

Info

new CPR guidelinescome into affectThe International Liaison Committee on Resuscitation(ILCOR) released its latest research on resuscitation inOctober 2010. The Australian Resuscitation Committee(ARC) has discussed the latest research and releasednew guidelines on 31st December 2010. SLSA hassummarised the new guidelines below.Main change affecting lifeguards in aquaticenvironments:The difference between the protocol for the drowned personand the sudden adult cardiac arrest is that for the drownedvictim we (still) deliver 2 breaths before starting the CPR cycle(30:2) whereas in the sudden cardiac arrest we immediatelycommence with the CPR cycle, that is, the 30 compressionsbefore the 2 breaths.Summary of key change areas• Increased emphasis has been placed on high quality CPR(compressions of adequate rate and depth, allowing completechest recoil between compressions, minimising interruptionsin compressions and avoiding excessive ventilation).• Greater attention on the use of a defibrillator within theresuscitation process• An ‘S’ (Send for help) has been added to the acronymDRSABCD. Note that in the past training has stated that youshould send for help after ‘R’ – checking for response, (if therewas no response) but this was not highlighted in the acronym.There is therefore no change to the process other than tohighlight the point.• The major change is that in the victim who is unresponsiveand not breathing normally, CPR commences with chestcompressions rather than rescue breaths.• There is no change to the guideline for the drowned person,that is,D – Check for DangerR – Check for Response, if NO Response,S – Send for HelpA – Check AirwayB – Check Breathing, if Not Breathing, deliver 2 BreathsC – Commence CPR, rate of 30 compressions to 2 breaths,D – Apply Defibrillator• The signs to look for before commencing CPR have beensimplified to ‘responsiveness’ and ‘breathing’ i.e. if notresponsive and not breathing, commence CPR.• The term ‘Signs of Life’ is no longer used• Note that there will be minor word changes to support theabove emphasis.• However, there has been a slight change in the protocol for thesudden, adult cardiac arrest (the most common form of arrest)D – Check for DangerR – Check for Response, if NO Response,S – Send for HelpA – Check AirwayB – Check Breathing, if Not Breathing,C – Commence CPR, rate of 30 compressions to 2 breaths,d – Apply Defibrillator• The difference between the protocol for the drowned personand the sudden adult cardiac arrest is that for the drownedvictim we still deliver 2 breaths before starting the CPR cycle(30:2) whereas in the sudden cardiac arrest we immediatelycommence with the CPR cycle, that is, the 30 compressionsbefore the 2 breaths.When is Compression ONLY CPR useful?Compression-only CPR relies on the fact that in sudden, adultcardiac arrest the lungs and blood contain oxygen at themoment the heart stops. For the first few minutes afterwards,the primary need of the victim is for artificial circulation of theblood to commence. This is provided by chest compressions.It is believed that better results will be obtained if thereare no pauses for rescue breaths. After approximately 5minutes, however, ventilation is required to restore oxygento the body. While a number of International teaching bodieshave advocated ‘CAB’ (Compressions, Airway, Breathing) toemphasise Compressions first and the fact that CompressionOnly CPR is better than nothing, now, the ARC, and SurfLife Saving, will retain the 30:2 ratio for ease of teaching. Inrecognising that any attempt at resuscitation is better thanno attempt at all, if a person is unwilling or unable to performrescue breathing, then Compression Only CPR is better thanno CPR at all.Clarification to the use of Defibrillation andChildrenDefibrillation on children between the ages of 1 and 8 has beenendorsed by both the ARC and Surf Life Saving.Transition to the new protocolsSurf Life Saving will transition to the new guidelines by 1 June2011. This will require the updating of some resources (thismay be either by an insert or printing of new material). Duringthis period instructors, trainers, and assessors will continuewith their current teaching unless otherwise advised. Theremay be some cases where some people are taught under theold guidelines and some under the new guidelines. Surf LifeSaving believes that while the guidelines continue to improvethe process of teaching CPR there is no risk to a person eitherreceiving or delivering CPR.Further information can be obtained by contactingSurf Life Saving28 · Lifeguard · Issue 5 Summer 2011
ip currents –on beach educationthe focus for summerFollowing a review of last season’s Rip Currentcampaign SURF LIFE SAVING has worked alongsidelifesaving and lifeguard services and surf safetyeducators to further develop rip current education usingthe most up-to-date evidence based research.This summer the focus has shifted from mass media to onbeacheducation, getting face-to-face with the public using thelatest educational tools. Here’s a snapshot of what it’s all about.Where it fits into the Rip Current interventionstrategies1. on beach education, 2. targeted advertising, 3. onlinemarketing and education, 4. community education expansion,5. ongoing research.On Beach EducationTeaching people how to spot rip currents is considered difficultusing advertising campaigns that use traditional media channels.With identification of rip currents recognised as one of the majortools for helping reduce rip current related drownings, a series ofeducational resources such as flip charts, educator’s notes, andinstructors guides have been developed to assist surf lifesaversand lifeguards engage the public at the beach. These resourceswill teach the public how to spot rip currents, how they work,and their options if they get caught in one. Most importantly,they reinforce the primary surf safety message which is toalways swim between the red and yellow flags. Surf Life Savingproduced a set of resources for distribution to identified blackspot drowning locations around Australia. Other services areable to access the resources via the BeachSafe website wherethey can be downloaded and printed off to use on the beach.Revised rip current diagram & messagingA new diagram was developed to better convey the rip currentsafety messages to the public with assistance of NOAA.You can survive a rip current by knowing your options• Avoid rip currents by always swimming between the redand yellow flags• For assistance, stay calm, float, and raise an arm to attractattention• To escape a rip, swim parallel to the beach• Always conserve your energy, waves can assist you backto the beach2011* drowning deaths – stats updateDrowning deaths by monthMONTH COASTALDROWNINGJuly 4August 0September 2October 3November 5December 6January^ 5GRAND TOTAL 25Drowning deaths by stateSTATE COASTALDROWNINGNSW 9QLD 6VIC 4WA 4TAS 2NT 0SA 0GRAND TOTAL 25* Period 01/07/10 – 24/01/11. Does not include incidences which arecurrently classified as ‘undetermined’. Source: SLSA Coastal Deaths andDrowning Database^ Coastal Drowning Death – fatality arising from impairment of respiratoryfunction and as a result of immersion in liquid where the place of drowningincludes beaches, harbour/bay/inlet and ocean up to 5nM offshore.2nd International Rip Current SymposiumHosted by Surf Life Saving AustraliaSydney, Australia30 Oct – 1 Nov 2012Lifeguard · Issue 5 Summer 2011 · 29
Page 1: lifeguardnetwork.com.auISSUE 5summe
Page 4 and 5: editorialWe made it! - the 2 nd lif
Page 11: escueLifeguards are involved in a d
Page 14: 01020403Archie Kalepa (L) with the
Page 17 and 18: last from the pastAre your incident
Page 20 and 21: Do you want to obtain and develop t
Page 22 and 23: FEATUREvictoria: a beachsafe trip u
Page 24 and 25: the old salty dogSalty a great dog
Page 26 and 27: g-land on my 6’6Photos supplied b
Page 30 and 31: timely trial tosave beachgoersIn We
Page 32 and 33: fromlifeguardingto paramedicsPhoto:
Page 34: science of the surfthe king of tide

Australian Lifeguard magazine - Surf Life Saving Australia

Create successful ePaper yourself

Delete template?

Save as template?