International Beach Lifeguard Instructor Manual VERSION 1 | Instructors Manual For new and developing Lifeguard Services 1 Rescue 2 2 Version 1: September 2012 Published: May 2012 Published: May 2012 ISBN: The RNLI is a registered charity in England and Wales (209603) Authors: ISBN: and Scotland (SC037736). Charity number CHY 2678 in the Republic Tom Mecrow (IDRC-B), Dr. Aminur Rahman (IDRC-B), Dr. Fazlur Rahman (IDRC-B), Steve Wills Authors: Authors: of Ireland. (RNLI), Darren Williams Davidson Tom Mecrow (IDRC-B), Dr. Aminur Rahman (IDRC-B), Dr. Fazlur(RNLI), RahmanScott (IDRC-B), Steve Wills(RNLI), Peter Dawes (RNLI), Barry Heathfield IDRC-B: Tom Mecrow, Dr Aminur Rahman, Dr Fazlur Rahman (RNLI), Brett(RNLI), Shepherd (RNLI)(RNLI), Barry Heathfield (RNLI), Darren Williams (RNLI), Scott Davidson Peter Dawes (RNLI), Brett Shepherd (RNLI) RNLI: Steve Wills, Darren Williams, Scott Davidson, The has First Aid sectionmay ofthe this manual has been adapted from the International Drowning This document be reproduced The First Aid section of this manual been adapted from International Drowningwithout the prior consent of the Research Centre Bangladesh (IDRC-B) First Responder manual. ResearchLavis Centre Bangladesh (IDRC-B) First Responder manual. Peter Dawes, Barry Heathfield, Brett Shepherd, Mike IDRC-B or RNLI. © Copyright © Copyright The IDRC-B and RNLI take no responsibility for any outcomes as International Drowning Research Centre Bangladesh (IDRC-B) International Drowning Research Centre Bangladesh (IDRC-B) The First Aid section of this manual has been adapted from Part the of the Centre for Injury Prevention andof Research a result thisBangladesh manual.(CIPRB) International Drowning Research Centre Bangladesh (IDRC-B) PartMohakhali, of the Centre for Injury Prevention and Research Bangladesh (CIPRB) House -B162, Lane 23, New DOHS, Dhaka, 1206, Bangladesh First Responder Manual and part of the RNLI Casualty Care Manual. House -B162,with Lane 23, New DOHS, Mohakhali, Dhaka, Bangladesh Produced generous support from the1206, following This document may be reproduced without the prior consent of the IDRC-B or RNLI. organisations: for any outcomes as a result of this manual. The IDRC-B and RNLI take no responsibility This document may be reproduced without the prior consent of the IDRC-B or RNLI. Made with generous support from following organisations: Thethe IDRC-B and RNLI take no responsibility for any outcomes as a result of this manual. Cox’s Bazar Cox’s Bazar IDRC-BInternational Drowning Research Centre Bangladesh Made with generous support from the following organisations: Lifesaving Lifesaving and Surfing ClubClub and Surfing Part of: Additional photographs kindly donated by: CIPRBCentre for Injury Prevention and Research – Bangladesh House-B162 Additional photographs kindly donated by: Lane 23 Additional photographs kindly donated by: New DOHS Mohakhali Dhaka-1206 Bangladesh Tel: +88 (2) 881 4988 Supported by: Web: ciprb.org Cox’s Bazar Lifesaving 3 and Surfing Club Supported by: RNLIRoyal National Lifeboat Institution West Quay Road Poole Dorset BH15 1HZ England Tel: +44 (0) 1202 663000 Web: rnli.org Email: international@rnli.org.uk For technical questions or further information please contact the RNLI at international@rnli.org.uk. | International Beach Lifeguard Disclaimer The content of this manual is for general guidance only. It represents best practice as at the date of publication and should not be considered as legal advice. Those using this manual should seek professional advice as and when necessary. The RNLI and IDRC-B do not accept responsibility for any errors in this document. Developed by IDRC-B and RNLI LIFEGUARD RescueContents LIFEGUARD LIFEGUARD Introduction 7 1. Lifeguard Knowledge 8 1.1 What is drowning 8 Why do people drown? 9 1.2 What is the role of a lifeguard? 10 What is the duty of a lifeguard? 10 Personal skills of a lifeguard 10 Prevention 11 Community education 11 Teaching people how to swim 12 1.3 Lifeguard uniform and personal equipment 13 1.4 Sun safety 14 1.5 Lifeguard fitness 15 2. Beach Environment 16 2.1 The Beach 16 2.2 Water depth 18 2.3 Wind, waves, rip currents and tides 19 Wind 19 Waves 20 Rip currents 21 What is a rip current? 21 What does a rip current look like? 21 Escaping from a rip current 22 Tides 23 FEGUARD FEGUARD Developed by IDRC-B and RNLI Instructor Manual | 1 Contents 3.Lifeguard Operations24 3.1 Setting up a patrol zone24 Setting up flags24 Red and yellow flags25 Black and white flags25 Red flag26 3.2 When should you patrol?27 3.3 What makes up a patrol? 27 3.4 How to scan the water28 3.5 How to identify a casualty29 Weak swimmer29 Distressed casualty29 Injured casualty30 Unconscious casualty30 3.6 Lifeguard communication31 Whistle31 Hand signals32 4.Rescue33 4.1 Stop, Think, Act, Review33 Stop34 Think34 Act34 Review34 2 | International Beach Lifeguard Developed by IDRC-B and RNLI Contents 4.2 Rescue equipment35 Rescue tube35 Rescue board35 Water container36 Surfboard36 4.3 Conducting a rescue37 Land-based rescue38 Reach rescue38 Throw rescue39 Wade rescue40 Swimming rescue41 Entering the water41 Swimming to a casualty42 Approaching a conscious casualty42 Approaching an unconscious casualty44 Towing a casualty back to shore44 Towing using a floating object45 Towing with no floating object45 Cross-chest tow45 Extended chin tow46 Close chin tow46 Returning a casualty through waves47 Developed by IDRC-B and RNLI Instructor Manual | 3 Contents Swim rescue with floating object – conscious casualty48 Swim rescue with no floating object – conscious casualty49 Swim rescue with floating object – unconscious casualty50 Swim rescue with no floating object – unconscious casualty 51 Board rescue – conscious casualty52 Board rescue – unconscious casualty53 4.4 Removing a casualty from the water55 Moving a walking casualty56 Moving a casualty who is unable to walk57 Single-person carry57 Two-person carry58 Identifying a point of safety58 5.First Aid59 5.1 The principles of first aid59 5.2 Casualty assessment60 Check for Danger60 Check airway, breathing and signs of life (circulation)60 Check Airway60 Check Breathing60 Action for vomiting60 If the casualty is breathing normally61 Recovery position61 4 | International Beach Lifeguard Developed by IDRC-B and RNLI Contents If the casualty is not breathing normally62 Open airway and initial breaths 62 Check for signs of life (Circulation)62 If there are no signs of life63 Chest compressions 63 Summary – casualty assessment64 5.3 Treatment for medical emergencies65 Shock65 Wounds66 Broken bones67 Excessive exposure to sunlight – heat exhaustion and heat stroke68 Loss of fluid68 Burns69 Nosebleed69 Animal bite70 Snake bite70 Dog bite70 Poison71 Electrocution71 6. Record Keeping72 6.1 Why keep records? 72 6.2 What to document73 Developed by IDRC-B and RNLI Instructor Manual | 5 Contents 7. Appendices74 7.1 Lifeguard Service74 What is a lifeguard service?74 Why start a lifeguard service?75 What do you need to get started?75 Who should you work with?76 Local government/beach owner76 Police/law enforcement76 Medical professionals77 Search and rescue coordination78 Media78 User groups78 How could the lifeguard service be funded?79 Voluntary 79 Employed79 Possible sources of funding79 7.2 Report forms80 Lifeguard daily log80 Lifeguard incident report form81 7.3 Lesson plans82 Notes90 6 | International Beach Lifeguard Developed by IDRC-B and RNLI Introduction Introduction Drowning is a major but under-recognised public health problem in the developing world, and a leading cause of death in many countries. New and developing lifesaving organisations can struggle to implement effective coastal drowning prevention strategies due to limited training and resources. Together, the International Drowning Research Centre – Bangladesh (IDRC-B) and the Royal National Lifeboat Institution (RNLI) have developed a beach lifeguard course, specifically designed for use in areas where specialist equipment and facilities are unavailable. This International Beach Lifeguard Instructor Manual is a simple toolkit for lifeguard trainers to refer to, and accompanies a basic International Beach Lifeguard Student Manual and optional teaching aids. Developed by IDRC-B and RNLI Organisations and individuals are free to copy parts of the manual for teaching and learning purposes. We hope that by sharing knowledge and understanding of the beach environment and lifesaving skills we can help save more lives from drowning worldwide. The IDRC-B is a leading research organisation focused on reducing drowning by developing appropriate and fit-for-purpose solutions. The RNLI is a charity that saves lives at sea by operating a lifeboat and lifeguard service around the UK and RoI. It trains more than 1,000 lifeguards each year, who patrol more than 180 beaches. Instructor Manual | 7 LIFEGUARD Lifeguard Knowledge Learning outcomes 1. Understand the drowning process. 2. Understand the role and duty of the lifeguard. 3. Understand the role of the lifeguard uniform. 4. Understand the importance of sun protection. 5. Understand the role of lifeguard fitness. 1. Lifeguard Knowledge 1.1 What is drowning? Drowning occurs when a person is unable to breathe because their head is submerged in water. The brain cannot survive for long without oxygen and, after a short time, a person will become unconscious. If the brain continues to lack oxygen then it will die in just minutes. A lack of oxygen in the lungs may also stop the heart from working. 8 | International Beach Lifeguard Developed by IDRC-B and RNLI Lifeguard Knowledge LIFEGUARD Why do people drown? The conditions that allow a drowning to occur can be summarised by the Drowning Chain. Each link in the chain can result in a drowning incident, or can lead to the next link. ROLE OF THE LIFEGUARD CAUSE Ignorance of the dangers Unrestricted access to hazards Absence of adequate supervision Inability to save yourself, or be rescued Ignorance of the dangers Unrestricted access to hazards Absence of adequate supervision Inability to save yourself, or be rescued Lack of education in water safety or the dangers of the local environment. Allowing access for people to use dangerous areas of water, such as areas with strong currents. Swimming in areas where there is no one to provide rescue. Being unable to swim to safety. To provide beach safety education to beach users. To provide a safe area of water for people to use and advise against swimming in dangerous areas. To provide safety supervision. To provide community swimming programmes. Through education comes recognition and therefore avoidance of danger. To work with local authorities to restrict access to dangerous areas. To provide a rescue service for people who get into difficulty. To prevent a person from drowning, all links in the drowning chain must be considered. It is important to break the chain as soon as possible before a rescue is needed. Developed by IDRC-B and RNLI Instructor Manual | 9 LIFEGUARD Lifeguard Knowledge 1.2 What is the role of a lifeguard? The role of a lifeguard is to maintain the safety of people using the beach and the water. Lifeguards take responsibility for a defined area or activity to ensure that it is safe to use. What is the duty of a lifeguard? It is the duty of the lifeguard to: • prevent incidents from occurring • respond to developing incidents •respond to emergency incidents by providing rescue and emergency care skills. Personal skills of a lifeguard A good lifeguard must be able to interact well with members of the public and other services. To do this a lifeguard must be: •a good communicator – able to communicate well with members of the public and other lifeguards •reliable and trustworthy – regularly attend training and always be on time for lifeguard duty. 10 | International Beach Lifeguard Developed by IDRC-B and RNLI Lifeguard Knowledge LIFEGUARD Prevention Conducting a rescue is dangerous for both the casualty and the lifeguard. The drowning chain (see page 9) highlights the necessary steps required to reduce the chance of a person getting into difficulty in the water. In addition to providing supervision and rescue, a good lifeguard will also be involved in wider drowning prevention programmes. Such programmes may include community education and teaching people to swim. Community education It is important that beach users are aware of: • the dangers on the beach • the role of a lifeguard • where it is safe to swim or surf. Community education begins by targeting those most at risk of drowning. In some areas this might be tourists coming from a different part of the country; in other areas it might be local fishermen. There are many different ways to communicate with beach users: •Talking Why not organise a free beach safety lesson for those most at risk? This could be done in a local school or community centre. •Posters Posters are an easy way to communicate to a large number of people and they do not require many resources. Posters with pictures are also a good way of communicating with people who are unable to read. Why not run a poster competition in your local school? •Signs Signs are an important way of telling people about the dangers on the beach when they arrive. arning signs direct people away from dangerous areas and W information signs tell people about local weather and surf conditions. •The media Getting the local newspaper, radio and television stations to broadcast your beach safety message to the public is a great way to reach a large audience. Developed by IDRC-B and RNLI Instructor Manual | 11 LIFEGUARD Lifeguard Knowledge Teaching people how to swim The ocean can be very powerful, and even very strong swimmers can drown. However, having the ability to swim is a great benefit if a person gets out of their depth or is caught in a current. Lifeguards should be strong swimmers. If possible, they should pass on their swimming skills to others. Teaching swimming can be a fun and enjoyable way of engaging local communities in the work of the lifeguard service, and also provide a skill that could save a life. Teaching swimming should be done in a controlled environment, such as a swimming pool or pond. It is important to tell students how to be safe in the water so that they do not swim into difficulty or become over-confident. 12 | International Beach Lifeguard Developed by IDRC-B and RNLI Lifeguard Knowledge LIFEGUARD 1.3 Lifeguard uniform and personal equipment A uniform allows a lifeguard to be visible and easily identified by beach users and other lifeguards. It also makes the lifeguard service look professional. The colours red and yellow are internationally accepted lifeguard colours. They are bright and can be seen over long distances. It is recommended that T-shirts are yellow and shorts are red. ‘LIFEGUARD’ should be written on clothing and equipment for people who are unfamiliar with lifeguard colours, and for people who are colour-blind. A good lifeguard uniform will protect the lifeguard from the sun and be comfortable to work in. It must also allow the lifeguard to perform all necessary duties, including water rescue. Having a clean and professional-looking uniform increases the perceived authority of the lifeguard and will make it easier for the lifeguard to interact with beach users and other services. In addition to the lifeguard uniform a lifeguard may need extra items of equipment in order to carry out their duties. Some items may be shared between lifeguards – such as rescue equipment – and other items may be needed for personal use to assist with performing duties or for personal protection. Examples of personal equipment: Whistle A whistle is used to attract the attention of bathers and other lifeguards. There are a number of different types of whistle available. Try to ensure that a whistle used for lifeguard duty works well even when wet. Footwear Lifeguards may need suitable footwear that can protect their feet from dangerous items on the beach, such as glass or sharp shells. Developed by IDRC-B and RNLI Instructor Manual | 13 LIFEGUARD Lifeguard Knowledge 1.4 Sun safety The sun radiates light to the earth and part of that light consists of invisible ultraviolet (UV) rays. When these rays reach the skin, they cause tanning, burning, and other skin damage. Prolonged exposure to the sun can result in the development of skin cancer and eye diseases. Without adequate protection, lifeguards are at risk of exposing themselves to too much sun. Sensitivity to the sun will depend on skin type but lifeguards should be aware of the precautions to reduce the risks: Shade Whenever possible try to seek shade. A large umbrella could be used to provide shade to a lifeguard chair. Sunscreen In some countries sunscreen is available to reduce exposure to UV rays. Cover up When patrolling always wear your lifeguard T-shirt, a hat with a peak and sunglasses with UV protection. Water Drink water often to avoid dehydration. Always look out for other beach users who may be at risk. Give advice on sun safety. 14 | International Beach Lifeguard Developed by IDRC-B and RNLI Lifeguard Knowledge LIFEGUARD 1.5 Lifeguard fitness Maintaining a high level of fitness is essential to providing an effective lifeguard service. Lifeguards must be able to respond quickly to an emergency and be capable of travelling great distances to get further medical assistance. A good lifeguard must be able to: 1. Run – to an incident, and for further assistance. 2. Swim – to a casualty in difficulty in the water. 3. Tread in water – stay stationary with a casualty in the water to give them appropriate medical assistance (such as rescue breaths). 4. Tow – to bring the casualty back to shore. Fitness should be tested on a regular basis and tests should be appropriate to the local environment. When designing a fitness test you should consider: • the maximum distance between low tide and high tide • the distance that a lifeguard would have to run for assistance • the distance required to swim/retrieve the casualty. Developed by IDRC-B and RNLI Instructor Manual | 15 Beach Environment LIFEGUARD Learning outcomes 1. Understand the types of beach. 2. Understand how the beach influences water depth. 3. Understand the effects of wind, waves, rip currents and tides. 2. Beach Environment 2.1 The Beach There are many different types of beach, each with their own unique hazards. Lifeguard services should: • identify all hazards on the beach •understand how they could be dangerous to beach users • develop plans to limit the danger • ensure lifeguards have local knowledge. 16 | International Beach Lifeguard Developed by IDRC-B and RNLI Beach Environment LIFEGUARD Sand Sandy beaches are the least dangerous but quicksand may be found if the sand is very fine. It is easy for beach users to get stuck in quicksand and this can be particularly dangerous during an incoming tide. Rocks Rocks can be dangerous because beach users can easily slip off them, either falling into the water or onto another rock. Rocks also create dangerous entry and exit points to the water, and underwater rocks can be dangerous for swimmers. If the lifeguard service covers a rocky area of coastline it is important to identify the safest area to remove a casualty from the water. Stones The geography of stony beaches can change very quickly because waves can easily move small stones. This can be dangerous for people walking near the waterline, who risk falling in the water if a large wave moves the stones underneath them. Stony beaches often have a steep slope, which can be dangerous for swimmers and paddlers who are unaware of the water depth. Developed by IDRC-B and RNLI Instructor Manual | 17 Beach Environment LIFEGUARD 2.2 Water depth For weak and non-swimmers, a change in water depth is the most dangerous feature of a beach. Waves can cause the slope of a beach to change very quickly. Shallow sloping A shallow sloping beach is best for weak swimmers. Steep sloping A beach with a steep slope can be dangerous for weak and non-swimmers as they can easily slip into the water out of their depth. Holes Wave pressure may also create ‘holes’ in the sand close to shore, which is particularly dangerous for small children playing or bathing in shallow water. A lifeguard should be aware of the changing depth of water on the beach that they are working on. They should try to ensure that areas for swimming do not contain depth changes that could be a danger to weak and non-swimmers. 18 | International Beach Lifeguard Developed by IDRC-B and RNLI Beach Environment LIFEGUARD 2.3 Wind, waves, rip currents and tides Wind The strength and direction of the wind are important considerations when assessing the safety of beach users. Wind strongly influences the size and formation of waves. You can tell the direction of the wind by looking at the direction your flags are blowing. Wind that is blowing from the shore to the sea is known as an offshore wind. Offshore winds are particularly dangerous for people using inflatable equipment – such as rubber tyres – as they can be blown away from the shore easily. Inflatables should not be used during a strong offshore wind. Offshore wind Wind that is blowing from the sea to the shore is known as an onshore wind. Onshore winds break up the surface of the wave and create choppy surf conditions, often creating rip currents. Developed by IDRC-B and RNLI Instructor Manual | 19 Beach Environment LIFEGUARD Waves Waves are formed by the wind. They can cause visible changes to a beach and their force and impact can cause injury to bathers. There are three main types of wave: Spilling Spilling waves occur when the top of the wave tumbles down the front of the wave. They usually form on a shallow sloping beach. Spilling waves are the safest to swim in. Plunging Plunging waves occur when the top of the wave curls forward and collapses with great force. They usually form on a steeply sloping beach. A person can be knocked over or injured by a plunging wave easily. Surging Surging waves never break as they approach the beach. They usually occur in deep water. Surging waves can knock people off their feet and carry them back into deep water. For this reason they can be very dangerous, especially around rocks. 20 | International Beach Lifeguard Developed by IDRC-B and RNLI Beach Environment LIFEGUARD Rip currents What is a rip current? Rip currents can be found on any beach with breaking waves and are the main reason for lifeguard rescues. Some rip currents stay in fixed positions for a long period of time; these are known as fixed rips. Waves break powerfully in some locations and weakly in others. When waves break on a shore the water must return to the sea, and it does this where the waves are weakest and the shore is deepest. Rip currents can also occur without warning due to a change in the beach profile (usually caused by strong waves). These fast-forming rips are known as flash rips and can result in many casualties at the same time. The returning water can create a strong current that may extend for 100 metres past the surf zone, but the strong current is typically less than 10 metres wide. This flow of water is known as a rip current. What does a rip current look like? The water can flow very fast and can be too strong, even for good swimmers to swim against. Drowning occurs when people get pulled out of depth, when they are unable to swim against the current and are unable to keep themselves afloat. This may be due to a combination of exhaustion, panic or a lack of swimming skills or knowledge. Developed by IDRC-B and RNLI Rip currents can be very difficult for a lifeguard to identify. However, there are a number of features that could be used as clues: • a channel of churning, darker, choppy water • an area having a difference in water colour •a line of foam, seaweed or rubbish moving steadily seaward • a break in the incoming wave pattern. Instructor Manual | 21 Beach Environment LIFEGUARD Rip head Incoming waves Incoming waves Æ Swim parallel to shore Direction of current Rip channel Rip channel Beach Escaping from a rip current Rip currents do not pull people under the water; they simply pull people away from the shoreline. People will instinctively try to swim back to the shore when they are caught in a rip current. However, in many cases, swimming against the flow of water is impossible and can very quickly result in exhaustion and drowning. The easiest way to escape a rip current is to stay calm and float or swim parallel to the beach, often into breaking waves that can help with the return to shore. Experienced lifeguards can use the flow of rip currents to reach a casualty quickly, avoiding large breaking waves. Always inform the public about the location of rip currents and adjust your swimming areas to keep swimmers away from rip currents. Sometimes the only sign of a rip current may be the casualty moving out to sea. 22 | International Beach Lifeguard Developed by IDRC-B and RNLI Beach Environment LIFEGUARD Tides Tides are the rise and fall of sea levels mostly due to the effect of the moon. Lifeguards must know the times of high and low tide, and the height of the water. They must also be aware of any unusually high and low tides. As the tides rise and fall, as the water moves, currents may be created around the rocks and structures, such as jetties and piers, and through channels in the sand. Dangerous objects previously visible may also be covered by the water. Many beach users will be unaware of when high and low tide will occur. Rising sea levels can quickly surround a previously safe area of the beach, cutting it off from the land completely or cutting off the safe entry and exit points. High tide – may conceal hidden dangers Low tide Developed by IDRC-B and RNLI Instructor Manual | 23 Lifeguard Operations Learning outcomes 1. Understand how and when to use flags. 2. Understand when a patrol should be conducted. 3. Understand what makes up a patrol. 4. Understand how to scan the water. 5. Understand how to identify a casualty. 6. Understand how lifeguards communicate using whistles and signals. 3. Lifeguard Operations 3.1 Setting up a patrol zone A patrol zone is the area of the beach where the lifeguard is an important person for keeping beach users safe. The lifeguard should make the patrol zone visible so that beach users know the safest place to swim. However, lifeguards must also talk to beach users and give advice on why the area has been selected. Setting up flags A patrol zone should be set up using flags to mark the safest place to swim or surf. An international flag system has been developed that is used around the world. 24 | International Beach Lifeguard Developed by IDRC-B and RNLI Lifeguard Operations LIFEGUARD Red and yellow flags Black and white flags An area between two red and yellow flags indicates the safest place on the beach for people to swim, bodyboard or use inflatable objects such as rubber tyres. Black and white flags can be used to create a: A lifeguard should ensure that the red and yellow flagged swimming area: •‘does not contain any strong rip currents or hidden holes •does not contain any dangerous objects, such as large underwater rocks or sewage pipes •is not positioned close to a boat launching area, for example, speedboat or jetski launch. When the red and yellow flags are up, the lifeguard must be confident that they can conduct a rescue successfully in the patrol zone. •buffer zone to protect swimmers from colliding with hard craft such as surfboards or boats •designated (selected) area for surfboards and other craft. Buffer zone A black and white flag should be placed either side of the red and yellow flagged area a safe distance apart. The area between the red and yellow and black and white flag should be kept clear. Designated area A pair of black and white flags can also be used on their own to designate an area for surfboards and other craft. Weather and wave conditions may influence the ability of a lifeguard to conduct a rescue. If the lifeguard is not confident that they can conduct a rescue then a red flag should be used (see page 26). Developed by IDRC-B and RNLI Instructor Manual | 25 Lifeguard Operations Red flag A red flag indicates danger. A lifeguard should put up a red flag on the beach if they feel the condition of the water is too dangerous for people to swim, or if the lifeguard does not feel confident they can perform an effective rescue. A red flag may be used: • during periods of stormy weather • when persistent strong currents occur • when there are large waves • due to pollution • if a dangerous animal has been seen in the water. By putting the appropriate flags in place, the lifeguard service takes responsibility for beach users in the patrol areas. The flags should only be used if a lifeguard is on duty. 26 | International Beach Lifeguard Developed by IDRC-B and RNLI Lifeguard Operations LIFEGUARD 3.2 When should you patrol? When considering patrol times the lifeguard service should identify the busy times of day and consider the dangers on the beach. In some countries, the busiest time of day is during the middle of the day when the water is likely to be warmest. In many hot countries, people use the beach early in the morning and late in the evening when the warmth of the sun is at its weakest. A lifeguard service should decide the best time to lifeguard in their area, ensuring that the maximum number of beach users is under lifeguard supervision. Lifeguard patrols should be at regular times so that beach users know when a lifeguard is on duty and it is safe to use the water. Lifeguards should rotate on a regular basis to stay alert. 3.3 What makes up a patrol? The structure of the patrol will depend on the: • number of lifeguards available • skill and experience of the lifeguards • equipment that is available • dangers • size and type of beach. There should always be at least one lifeguard observing each flagged area, and another lifeguard to provide assistance in the event of an emergency. Developed by IDRC-B and RNLI Instructor Manual | 27 Lifeguard Operations 3.4 How to scan the water Being a lifeguard is a job that requires great concentration, often supervising hundreds or thousands of people on the beach or in the water. It is not possible to watch everyone at the same time. Instead, lifeguards must scan the water and beach regularly to look for incidents occurring or incidents that are developing with people more at risk. Scanning an area should be done quickly and regularly so that an incident is not missed. All areas of the patrol zone should be visible to the lifeguard. If an area cannot be seen then it should not be in the patrol zone. Binoculars can also be used to assist with observing people far from the shore or a long way down the beach. Perhaps one of the most important aspects of scanning a beach is to observe changing weather and sea conditions, which often indicate that new dangers may form on the beach, such as rip currents. It is important that lifeguards are able to supervise the beach without suffering from tiredness or lack of concentration. Regular rotation of lifeguards into different positions on the beach will help to reduce the feeling of tiredness. To ensure that all beach users have been observed during a scan, a common method of lifeguard scanning is to repeatedly count the number of people in the water, observing each person as they are counted. Waves often hide swimmers and surfers from view. Extra visibility may be gained by viewing the water from an elevated position. This could be from a high chair or lifeguard tower. 28 | International Beach Lifeguard Developed by IDRC-B and RNLI Lifeguard Operations LIFEGUARD 3.5 How to identify a casualty It is important that a lifeguard can recognise a person who needs assistance in the water. Although people react differently when they are in distress, there are a number of signs that a lifeguard should watch out for: Weak swimmer The weak swimmer is a person who struggles to keep their head above the water using only basic swimming strokes. This may be because they: • have limited swimming skills • are tired • have a minor injury. Signs of a weak swimmer include: • shouting for help • weak swimming stroke • look of panic. Distressed casualty A distressed casualty is a person who is unable to use basic swimming strokes to keep their head above the water. This may be because they are: • physically exhausted • panicked • a non-swimmer and have stepped out of their depth. Signs of a distressed casualty include: • unable to call for help • being vertical in the water • no effective leg kick • vigorous arm movements. A weak swimmer or distressed casualty may submerge in the water very quickly and silently. A lifeguard may have less than 20 seconds to assist. Weak swimmers may listen to commands from lifeguards and reach for nearby rescue equipment. Distressed casualties, although conscious, will probably not respond to commands or reach for nearby rescue equipment. Developed by IDRC-B and RNLI Instructor Manual | 29 Lifeguard Operations Injured casualty Many different injuries can occur in the sea, including muscle cramps, bruises and broken bones. Signs of an injured casualty include: • shouting for help • staying still in the water • holding the injured part of the body • look of pain. Rescue techniques should be adapted to reduce the risk of making the injury worse during the rescue, and to ensure the comfort of the casualty. A lifeguard may need additional help from other lifeguards to assist the casualty from the water. Unconscious casualty There are many reasons a person may become unconscious: •bang to the head, perhaps from a surfboard, boat or submerged object •medical emergency, such as a heart attack, stroke or drunkenness •unaided, a distressed casualty will soon lose consciousness and become unconscious. An unconscious person may float face down at the surface or sink underwater. If an unconscious person is face down in the water, breathing will stop and must be started again as soon as possible if the casualty is to survive. 30 | International Beach Lifeguard Developed by IDRC-B and RNLI Lifeguard Operations LIFEGUARD The following whistle blasts should be used: 3.6 Lifeguard communication To be effective, lifeguards on patrol must be able to communicate with other lifeguards and beach users, often over long distances. Whistle blasts and hand signals are used to attract the attention of other lifeguards and beach users and pass on important information. 1 whistle blast = attract the attention of beach users. Whistle Whistles should be carried with a lifeguard when on patrol. They can be heard over relatively long distances but if a whistle is used too often then its significance will decrease and people will take no notice when it is used! 2 whistle blasts = attract the attention of another lifeguard 3 whistle blasts = lifeguard taking emergency action Developed by IDRC-B and RNLI Instructor Manual | 31 Lifeguard Operations Hand signals Hand signals can be used to pass on information to beach users and other lifeguards. It is important that lifeguards understand the hand signals to avoid confusion during an emergency. The following hand signals should be used by a lifeguard on the shore to communicate with another lifeguard in the water: Return to shore. Proceed further out to sea. Stay stationary. Message not understood. Move that direction. Move that direction. Investigate an object in the water. Pick up swimmers (spin upper arm and point in direction of swimmers). The following signals should be used from a lifeguard in the water to a lifeguard on the shore: Assistance required. 32 Danger. | International Beach Lifeguard All clear. Developed by IDRC-B and RNLI LIFEGUARD Rescue Learning outcomes 1. Understand the principles of Stop, Think, Act, Review. 2. Understand the types of rescue equipment and their uses. 3. Understand the different types of rescue and when they should be used. 4. Understand how to remove a casualty from the water. 4. Rescue 4.1 Stop, Think, Act, Review Unfortunately, preventative actions will not stop all incidents from occurring. A lifeguard must be prepared to take emergency action to provide assistance to beach users in the water and on the shore. Incidents usually occur in busy environments and a lifeguard may have to make a quick – and possible lifesaving – decision under great stress. It is important that a lifeguard takes time to make a good assessment of what is happening and consider all possible options before providing assistance. Reviewing the rescue can provide important lesson learning. This can be done in a four-stage process: Stop, Think, Act, Review. Developed by IDRC-B and RNLI Instructor Manual | 33 Rescue Stop • Assess the location of the casualty. • Assess the condition of the casualty. • Call for the help of another lifeguard or member of the public. • Look for suitable rescue aids. Think • How will you get to the casualty; what equipment will you need? • What are the dangers to yourself and the casualty? • How will you rescue the casualty and where will you bring them to? • How will you treat the casualty? • Will you need further assistance? Act • Carry out the rescue. • Provide appropriate medical treatment. • Go for further assistance if necessary. Review • Record the incident. • How could you prevent the incident from happening again? • Could anything have been done differently? - Was the rescue equipment used appropriately? - Was the correct medical treatment given? 34 | International Beach Lifeguard Developed by IDRC-B and RNLI LIFEGUARD Rescue 4.2 Rescue equipment In high-resource countries, lifeguard equipment has been specifically produced to help provide safer rescues. However, for many lifeguard services – particularly those in low-resource countries – access to this equipment may be expensive or impossible. Rescue tube Description Positives Negatives A buoyant and flexible object made of foam. A long strap is attached at one end. • Lightweight and easy to carry. •Can support an unconscious casualty. •Can support multiple casualties. •Metal clip may cause injury if thrown. Description Positives Negatives A long stable surfboard with multiple handles for a casualty and rescuer to hold on to. • Extremely buoyant. •Quick to reach a casualty and return to shore. • Effective in surf. • Can support multiple casualties. •Can be difficult to manoeuvre in large surf. •Needs significant skill and practice. •Easily damaged and difficult to transport. Rescue board Developed by IDRC-B and RNLI Instructor Manual | 35 Rescue Similar equipment can be produced locally using low-cost materials. Examples include: Water container (or similar item that floats) Description Positives Negatives Standard liquid container, ideally 5-litre capacity or above. • Widely available. • Durable. •Can attach a rope to the handle to give the lifeguard distance from the casualty. •Can be difficult to hold when wet. • Possibility of leakage. Description Positives Negatives Often found at tourist beaches around the world. •Quick to reach casualty and return to shore. • Effective in surf. • Can support multiple casualties. •Can be difficult to manoeuvre in large surf. •Needs significant skill and practice. •Easily damaged and difficult to transport. • Relatively expensive. • Unavailable in many countries. Surfboard 36 | International Beach Lifeguard Developed by IDRC-B and RNLI LIFEGUARD Rescue 4.3 Conducting a rescue It is important to let another member of the lifeguard team know that you are conducting a rescue. They can then provide appropriate assistance with the rescue or go for further help if necessary. To signal that you are taking emergency action, shout for help and blow your whistle 3 times. Developed by IDRC-B and RNLI Rescuing a drowning casualty is dangerous and many people drown each year while trying to help someone else in the water. A number of different rescue options may be available to a lifeguard and it is important that a lifeguard is competent in all of them. Conducting a rescue from land is the safest type of rescue for a lifeguard as it does not require entry into dangerous water or direct contact with a drowning casualty. Instructor Manual | 37 Rescue Land-based rescue Reach rescue When? When the casualty is close to shore. Why? It is the safest type of rescue. How? Follow steps 1, 2 and 3 below. Step 1 Step 3 Reach the casualty using a long rigid object, such as a stick or pole. Pull the casualty into the side. Step 2 Stay low on the ground so that the casualty cannot pull you into the water. 38 | International Beach Lifeguard Developed by IDRC-B and RNLI LIFEGUARD Rescue Throw rescue When? If the casualty is close to shore but too far to conduct a reach rescue. Why? Reduces the risk to the rescuer – no need to swim. How? Follow steps 1, 2, 3 and 4 below. Step 1 Step 2 Attract the attention of the casualty. Throw a floating object to the casualty such as a rope, water container or rescue tube. Step 3 Step 4 Tell the casualty to kick their legs and swim in to the side. Help the casualty out of the water. Developed by IDRC-B and RNLI Instructor Manual | 39 Rescue Wade rescue 40 When? If the casualty is close to shore and in shallow water. The casualty may have stepped into a ‘hole’. Why? Reduces risk to rescuer – no need to swim. Does not require a floating object. How? Follow steps 1, 2, 3 and 4 below. Step 1 Step 3 Attract the attention of the casualty. Pass one end of a stick/pole to the casualty. Step 2 Step 4 Enter the water carefully, taking a stick/pole with you if possible to test the water depth and for the casualty to hold onto. Help the casualty out of the water. | International Beach Lifeguard Developed by IDRC-B and RNLI LIFEGUARD Rescue Swimming rescue Entering the water Rescues that require the lifeguard to swim are more dangerous than rescues from the land because: Determine the location of the casualty before entering the water. • of the dangers of the water • those being rescued may panic and grab the rescuer. A swimming rescue should only be attempted if there is no option of a land-based rescue. Where possible, buoyant rescue equipment should be used to assist with the rescue of a conscious casualty. However, if rescue equipment is not available – or the casualty is unconscious – then a lifeguard must be able to do a contact tow to bring the casualty back to shore. Choose the shortest and safest route to the casualty. This may involve moving along the beach before entering the water to take into account local currents. If the depth of water is unknown – or there may be submerged objects – then run or wade up to chest depth before starting to swim. If the depth is known then a shallow dive can be used. Large waves •Dive through the base of the wave with hands in front to protect your head. •Dig your fingers in the sand. •Pull yourself forward to surface the other side of the wave. Developed by IDRC-B and RNLI Instructor Manual | 41 Rescue Swimming to a casualty When swimming to a casualty, the lifeguard should swim on their front, regularly bringing their head out of the water to observe the position of the casualty. The lifeguard should communicate with the casualty so that they know help is coming. Saving energy Although a lifeguard should attempt to get to a casualty as quickly as possible, it is important that they conserve enough energy for the return journey. Lifeguards should practise their swimming technique to ensure maximum efficiency in the water. Approaching a conscious casualty A distressed casualty may try to grasp the lifeguard if they get too close. When arriving at the scene the lifeguard should keep a safe distance away from the casualty (preferably at least 3 metres) while they assess the situation. If the lifeguard has a buoyant rescue aid then this should be thrown to the casualty while maintaining a safe distance. 42 | International Beach Lifeguard Developed by IDRC-B and RNLI LIFEGUARD Rescue Defending yourself A distressed casualty may try to grasp the lifeguard if they get too close. To guard against this the lifeguard should raise their leg towards the casualty and if necessary kick them away, or submerge themselves to escape. If the lifeguard has no rescue aid then they must get into a position where they can avoid the grasp of the casualty, pull them into a horizontal position and prepare for the tow back to shore. This is best achieved by the lifeguard swimming behind the casualty and providing words of reassurance to calm them down, and instructions on what actions they should take to help the lifeguard tow them to shore. Developed by IDRC-B and RNLI Communicating with a casualty: ‘I’m a lifeguard, I’m going to help you.’ ‘You are going to be OK.’ ‘Kick your legs.’ Instructor Manual | 43 Rescue Approaching an unconscious casualty If the casualty is unconscious they need to be rolled quickly onto their back to keep their face and mouth out of the water and maintain breathing. This is done by simply pushing down on one shoulder and up on another. Towing a casualty back to shore When towing a casualty back to shore, the lifeguard will only have one arm close to the surface. Normal swimming techniques will not work so the lifeguard must learn a swimming stroke that allows them to swim effectively while towing a casualty. The most effective way is for the lifeguard to swim using a sidestroke – on their side with their hip facing the sky. The legs are kept slightly bent and kicked in a scissor action. The lower hand reaches out in front of the lifeguard and is used to pull water down to the hips. Alternatively, if the lifeguard is towing a casualty using a floating object with a strap over their shoulder and across their chest, then both hands will be free and the lifeguard can use a front crawl stroke. 44 | International Beach Lifeguard Developed by IDRC-B and RNLI LIFEGUARD Rescue Towing using a floating object Towing with no floating object When a floating object is used for the rescue, the lifeguard can hold the object rather than the casualty directly. The lifeguard can hold the object with one hand and tow the casualty on their side using a sidestroke. Where no floating object is used for the rescue then a lifeguard must have direct contact with the casualty to tow them back. To maintain the safety of the lifeguard, a long strap is often attached to the rescue equipment. This gives the lifeguard greater distance from the casualty when towing. If a strap is available then the lifeguard can hold the strap and tow the casualty on their side using a sidestroke. The lifeguard can also put the strap over their shoulder and across their chest and, with both hands free, the lifeguard can use a front crawl stroke to tow the casualty back to shore. There are a number of different ways to secure a casualty when towing: Cross-chest tow The cross-chest tow allows the lifeguard to have good control over the casualty and is best suited for towing a panicking casualty. This tow gives the casualty a feeling of security as their head is out of the water and they stay in close physical contact with the lifeguard. •Lifeguard reaches over the shoulder and across the chest, and grasps the casualty just below the armpit. •Lifeguard tucks the casualty’s shoulder securely into their own armpit. •Lifeguard turns onto their side so that their hip is directly beneath the lower section of the casualty’s back. Developed by IDRC-B and RNLI Instructor Manual | 45 Rescue Extended chin tow The extended chin tow is usually used for an unconscious or cooperative casualty. It is suitable for towing over long distances and is the most efficient tow. •Leaning backwards, the lifeguard reaches over the shoulder of the casualty and cups the casualty’s chin in the palm of their hand. •Lifeguard swims with their free arm and legs, moving the casualty into a horizontal position. • Lifeguard can tow the casualty to shore. Close chin tow The close chin tow is used to give extra support to the casualty. It allows the lifeguard to talk to and monitor the casualty while bringing them to shore. This gives a greater sense of security to the casualty, and greater control to the lifeguard. •Leaning backwards, the lifeguard should reach over the shoulder of the casualty and cup the casualty’s chin in the palm of their hand. •Lifeguard places the other hand under the casualty’s armpit. •Lifeguard swims with their free arm and legs, moving the casualty into a horizontal position. •Lifeguard moves the head of the casualty onto their shoulder (the same side as the hand used to hold the chin with). • Lifeguard can tow the casualty to shore. 46 | International Beach Lifeguard Developed by IDRC-B and RNLI LIFEGUARD Rescue Returning a casualty through waves When returning to shore with a casualty the lifeguard must ensure that the casualty’s airway remains clear and is not submerged under water. If a large wave is spotted then the lifeguard should move behind the casualty and protect them from the force of the wave. A broken wave may submerge the casualty underwater. While towing back to shore the lifeguard should look out for approaching waves. The lifeguard will need to protect themselves from being injured by the casualty’s head. Lifeguards should always remember that if the lifeguard becomes injured during a rescue, both the lifeguard and casualty become at risk. Developed by IDRC-B and RNLI Instructor Manual | 47 Rescue Swim rescue with floating object – conscious casualty When? If the casualty is conscious and too far away from shore to throw a floating object or wade. Why? Does not put lifeguard in direct contact with casualty. Suitable floating objects are commonly available. How? Follow steps 1, 2, 3, 4 and 5 below. Step 1 Step 2 Communicate with the casualty to tell them you are coming. Enter the water with a floating object. Step 3 Swim to the casualty with the floating object. 48 Step 4 Step 5 Keep a safe distance from the casualty. Reassure the casualty and pass them the floating object. Encourage the casualty to swim to the shore, or tow the casualty to shore and give appropriate aftercare. | International Beach Lifeguard Developed by IDRC-B and RNLI LIFEGUARD Rescue Swim rescue with no floating object – conscious casualty When? If the casualty is conscious and no floating objects are available. Why? Allows the lifeguard to conduct a rescue with no floating object. How? Follow steps 1, 2, 3 and 4 below. Step 1 Step 2 Enter the water. Swim to the casualty, and keep checking the position of the casualty. On approaching the casualty, keep a safe distance. Reassure the casualty. Step 3 Step 4 Ask the casualty to turn around, or swim behind the casualty. Tow the casualty to shore and provide appropriate aftercare. Developed by IDRC-B and RNLI Instructor Manual | 49 Rescue Swim rescue with floating object – unconscious casualty 50 When? If the casualty is unconscious and too far away from shore to throw a floating object or wade. Why? Does not put lifeguard in direct contact with casualty. Suitable floating objects are commonly available. How? Follow steps 1, 2, 3 and 4 below. Step 1 Step 2 Enter the water with a floating object, swim to the casualty and keep checking their position. Use the floating object to support the casualty. Step 3 Step 4 Turn the casualty onto their back and if possible secure the floating object or hold in a position that supports the casualty. Ensure that their face is out of the water and check for breathing. If they are not breathing, and depending on ability, equipment and environment, give 5 rescue breaths. Tow the casualty to shore making as much use of the flotation as possible and provide appropriate aftercare. | International Beach Lifeguard Developed by IDRC-B and RNLI LIFEGUARD Rescue Swim rescue with no floating object – unconscious casualty When? If the casualty is unconscious. Why? Allows the lifeguard to rescue a casualty who is unconscious in the water. How? Follow steps 1, 2, 3 and 4 below. Step 1 Step 2 Enter the water, swim to the casualty, and keep checking the position of the casualty. Turn the casualty onto their back. Step 3 Step 4 Keep their face out of the water. Tow the casualty to shore and provide appropriate aftercare. Developed by IDRC-B and RNLI Instructor Manual | 51 Rescue Board rescue – conscious casualty 52 When? If a board is available. Why? Fast response to reach the casualty and rapid return to shore. Effective in surf and can support multiple casualties. How? Follow steps 1, 2, 3 and 4 below. Step 1 Step 2 Enter the water with board. Paddle to the casualty and approach on the shoreside of the casualty. Keep checking their position. Lifeguard moves to the back of the board and assists casualty onto the middle of the board. Step 3 Step 4 Paddle the casualty to shore and assist off the board. Provide appropriate aftercare. | International Beach Lifeguard Developed by IDRC-B and RNLI LIFEGUARD Rescue Board rescue – unconscious casualty When? If a surfboard or rescue board is available. Why? Fast response to reach casualty and rapid return to shore. Allows for rescue breathing in the water. How? Follow steps 1 to 7 below. Step 1 Step 2 Enter the water and approach the casualty. Support the casualty. Check breathing for 10 seconds. If not breathing, cover the mouth and give 5 rescue breaths through the nose. When at the casualty, turn the board upside down and lean over the board. Keep the board facing into the wind/waves. Step 4 Step 3 Turn the casualty onto the board. Move the casualty fully onto the board and paddle the casualty to the beach. Step 5 Assist off the board and provide aftercare. Developed by IDRC-B and RNLI Instructor Manual | 53 Rescue Tips: •Regular practice is needed to master board skills. •Placing the casualty in a balanced position is essential to maintain stability and control. •A conscious casualty may be able to assist in paddling back to shore. Large waves •Roll the board upside down. • Hold down the front of the board while the waves pass over you. 54 | International Beach Lifeguard Developed by IDRC-B and RNLI LIFEGUARD Rescue 4.4 Removing a casualty from the water A casualty should be removed from the water as quickly as possible so that necessary CPR (cardiopulmonary resuscitation) or first aid can be given. The removal of a casualty from the water may be affected by the: •size of the casualty and the number of lifeguards available • composition and gradient of the beach • type and location of any injury to the casualty • tide, currents and waves. Lifeguards should work as a team to identify a safe point of exit for the rescuer and casualty. This can be communicated using hand signals and whistle blasts. Developed by IDRC-B and RNLI Conducting a rescue can be physically exhausting for the rescuer and casualty. When a lifeguard nears the shore, other lifeguards should come to their assistance as soon as it is safe to do so. The rescuer should raise a hand in the air when they are able to stand. If the lifeguard has to wait for assistance then they should secure the casualty by putting their arms under the casualty’s shoulders and holding their wrists. The casualty should be lifted so their head is out of the water and clear of any waves. If the casualty is unconscious the rescuer should tilt the casualty’s chin backwards to keep the airway open. Instructor Manual | 55 Rescue Moving a walking casualty It is always preferable for the casualty to walk out of the water. If a casualty is able to walk then the rescuer may support them while they wade out of the water and up the beach. •To secure the casualty, the rescuer should place the arm of the casualty over their shoulder and hold the casualty’s hand. •To support the casualty, the rescuer should place their shoulder under their armpit of the casualty and hold their waist. 56 | International Beach Lifeguard Developed by IDRC-B and RNLI LIFEGUARD Rescue Moving a casualty who is unable to walk A casualty who is unconscious, injured or exhausted may be unable to exit the water without assistance. Removing a person from the water is easier if more people are able to assist. A rescuer may have to ask for help from members of the public if there are no lifeguards immediately available. A number of simple techniques have been developed to carry a person from the water: Single-person carry When? If a casualty is unconscious, injured or exhausted. If no other assistance is available/if the rescuer is alone. Why? Removal of casualty from the water for treatment. How? Follow steps 1, 2, 3 and 4 below. Step 1 Step 2 Rescuer secures the casualty by putting their arms under the casualty’s shoulders and holding their wrists. Rescuer lifts the casualty up and out of the water. Step 3 Step 4 Rescuer walks backwards up the beach and out of the water. Rescuer brings the casualty up the beach to a point of safety and lowers the casualty to the ground carefully, minimising movement of the head. Developed by IDRC-B and RNLI Instructor Manual | 57 Rescue Two-person carry When? If a casualty is unconscious, injured or exhausted. If another lifeguard or member of the public is available to assist. Why? Fast removal of the casualty from the water for treatment. How? Follow steps 1, 2, 3 and 4 below. Step 1 Step 2 Call for assistance. Rescuer secures the casualty by putting their arms under the casualty’s shoulders and holding their wrists. Second person lifts casualty’s feet off the ground. Step 3 Step 4 Rescuer lifts the casualty up and out of the water. Rescuer walks backwards up the beach and out of the water. Rescuer brings the casualty up the beach to a point of safety and lowers the casualty to the ground carefully, minimising movement of the head. Identifying a point of safety Beware of a rising tide If the casualty is unconscious and requires CPR then the casualty may have to stay in the same position for 30 minutes. Ensure the casualty is moved far enough up the beach so that the tide will not impact your working area. Keep members of the public away from the casualty and lifeguard. 58 | International Beach Lifeguard Developed by IDRC-B and RNLI LIFEGUARD First Aid Learning outcomes 1. Understand the principles of first aid. 2. Understand casualty assessment. 3. Understand how to provide immediate treatment for a variety of medical emergencies. 5. First Aid 5.1 The principles of first aid First aid is the temporary immediate care given to an injured or sick person before professional treatment is started. The main principles of first aid are to: • preserve life CPR stands for cardiopulmonary resuscitation and is a technique to keep oxygenated blood flowing around the body by doing chest compressions and giving rescue breaths. In a small number of cases this may restart the heart, keeping brain activity normal. • protect the casualty from further harm • prevent the injury or illness from getting worse • provide reassurance. Developed by IDRC-B and RNLI Instructor Manual | 59 First Aid 5.2 Casualty assessment Check for Danger The lifeguard must first check for potential dangers that may be present before approaching and assessing a casualty. Check airway, breathing and signs of life (circulation) In order for the body to function it needs oxygen. Air contains oxygen. When air is breathed into the body the oxygen enters the bloodstream through the lungs. Oxygen is then circulated around the body by blood pumped by the heart. If a person is not breathing normally then their heart might also stop working. It is very important to keep the airway clear, to ensure breathing is present, and to check for signs of life (making sure the heart is still circulating blood). In first aid these priorities are called the ABC: Airway, Breathing, Circulation. Check Airway Tight clothing surrounding the airway should be loosened or removed. If the casualty is unconscious: •open the mouth of the casualty and clear out any debris (including vomit) by rolling the casualty onto their side •tilt the head backwards by placing one hand on the forehead and two fingers on the chin. Check Breathing If the casualty is unconscious it is necessary to check to see if they are breathing normally: •bring your cheek close to the mouth of the casualty; listen and feel for regular breathing for 10 seconds • watch the chest for movement. Important: Gasping or irregular short and shallow breathing is not normal. Action for vomiting If the casualty starts vomiting, roll them onto their side immediately to reduce the chance of them choking. If possible, use your hand to support their head and use your fingers to remove any objects left in the mouth. 60 | International Beach Lifeguard Developed by IDRC-B and RNLI First Aid LIFEGUARD If the casualty is breathing normally If the casualty is breathing normally then they need to be kept in a comfortable position that keeps their airway open. Recovery position Place the casualty in the recovery position. This: • allows fluids to be drained from the mouth • keeps the casualty in a stable position while help can be found. If they are kept in the same position for more than 20 minutes then they should be turned to the opposite side. Step 1 Step 2 Kneel beside the casualty and make sure that both legs are straight. Place the arm nearest to you out at right angles to the body, elbow bent with the palm of the hand facing upwards. Bring the far arm across the chest, and hold the back of the hand against the casualty’s cheek nearest to you. Step 3 Step 4 With your other hand, grasp the far leg just above the knee and pull it up, keeping the foot on the ground. Keeping the hand pressed against the cheek, pull on the far leg to roll the casualty towards you onto their side. Adjust the upper leg so that both the hip and knee are bent at right angles. Tilt the head back to make sure that the airway remains open. Check breathing regularly. Developed by IDRC-B and RNLI Instructor Manual | 61 First Aid If the casualty is not breathing normally If there are no signs of regular breathing it is necessary for the lifeguard to breathe for the casualty: Open airway and initial breaths Step 1 Step 2 Tilt the head back and lift the chin using two fingers. Using one hand, pinch the nose to stop air escaping. Open the lips of the casualty and seal your lips around their mouth, blow steadily until the chest rises. Give another breath when the chest falls. Repeat until you have given 5 breaths. Continue to look for signs of life. Check for signs of life (Circulation) After giving 5 initial breaths it is important to find out if the heart is still working and blood is circulating around the body: Spend 10 seconds looking for any signs of life: • See if the casualty responds to speech. •Check for movement of the body, particularly the eyes and fingers. •See if the casualty responds to pain by pinching the shoulder. If there are signs of life put the casualty in the recovery position. 62 | International Beach Lifeguard Developed by IDRC-B and RNLI First Aid LIFEGUARD If there are no signs of life If there are no signs of life then the blood needs to be pumped around the body by the rescuer: Chest compressions Step 1 Step 2 Put the heal of the palm of your hand on the centre of the casualty’s chest, between the nipples. On adults, place your second hand on top of the first and link your fingers. Keeping your arms straight, and using the weight of your body, compress the chest approximately 5–6cm in chest depth. Repeat this 30 times doing roughly 2 compressions per second. Step 3 After 30 compressions give 2 breaths. Then give another 30 compressions. Continue this cycle until the casualty regains signs of life, or go for help after 30 minutes. Developed by IDRC-B and RNLI Compressions on children In children (aged approximately 1–8 years) use only a single hand to compress the chest to approximately one third of the chest depth. Instructor Manual | 63 First Aid Summary – casualty assessment Check for Danger Unresponsive? Shout for help Breathing Open Airway and check Breathing Recovery position No breathing 5 breaths Check for signs of life (Circulation) 30 chest compressions Repeat for 30 minutes before stopping 2 breaths If there is no immediate help available, someone should go and get help at an appropriate time. 64 | International Beach Lifeguard Developed by IDRC-B and RNLI First Aid LIFEGUARD 5.3 Treatment for medical emergencies Shock Shock occurs when there is a lack of oxygen to vital organs of the body. There are many reasons why someone might go into shock: • excessive loss of blood •loss of fluid, perhaps due to diarrhoea, vomiting or severe burn The cause of the shock should be treated as described in the following sections of this manual. If the person is unconscious or becomes unconscious, then breathing is the top priority and should be treated as described on page 62. If the person is conscious and the cause of the shock has been treated then: • electrocution • lay the casualty down • snake or insect bite • raise the feet • excessive exposure to sunlight. • keep the casualty warm If a person is in shock they may show the following signs or symptoms: • reassure the casualty • go for further help. • over breathing (hyperventilation) • cold, clammy skin • feeling continuously thirsty • unconscious • nausea. Developed by IDRC-B and RNLI Instructor Manual | 65 First Aid Wounds Open wounds can be caused by many different things including sharp rocks and surfboards. A wound may result in heavy bleeding, which can result in shock (see page 65) or infection. Once a clear airway and regular breathing have been established it is necessary to stem any major bleeding and treat the wound appropriately. Remember: Reduce contact with blood by using plastic bags, plastic wrap or gloves if available. If bleeding is heavy it is necessary to stem the bleeding immediately: •Using a piece of cloth, apply direct pressure on the wound. On small cuts keep the pad on the wound for 10 minutes before checking to see if bleeding has finished. The casualty may apply pressure to reduce the opportunity for cross-infection. •If blood soaks through the first layer of cloth then apply another layer on top. • If possible, raise the limb to reduce blood flow. • Ensure the casualty is relaxed and comfortable. • Obtain further help from a health professional. •The casualty may go into shock. Once the wound/ bleeding has been treated, then follow the treatment for shock referred to on page 65. Something in the wound? If the wound contains a foreign object (for example a shard of broken glass or a stick), do not remove the object. Apply indirect pressure and pad around the wound. Seek further help from a health professional. 66 | International Beach Lifeguard Developed by IDRC-B and RNLI LIFEGUARD First Aid Broken bones Broken bones occur from impacts, such as a collision with a surfboard, or from a crush. Broken bones need to be examined and treated in a hospital to ensure complete recovery. There are two main types of break: Open – where the bone breaks the skin and is visible. • Treat the bleeding as described on page 66. • Try to keep the injured limb as still as possible. • Take the casualty to hospital for treatment. Closed – where the bone does not break the surface of the skin. • Do not try to straighten the limb. • Put the limb in a comfortable position. • Take the casualty to hospital. If the casualty has a broken leg it may be necessary to splint the leg to keep it still while being transported to hospital. Splinting the limb will stop it from moving and causing further pain. Wood and rope can make an effective splint to keep the limb in place (see above) but other materials can also be used. Use rope to attach a straight stick to the leg. Where possible, use two sticks to keep the leg straight. If a suitable material for creating a splint cannot be found then the other leg can also be used to help keep the injured leg straight. Developed by IDRC-B and RNLI Instructor Manual | 67 First Aid Excessive exposure to sunlight – heat exhaustion and heat stroke A casualty suffering heat exhaustion will be sweating, thirsty, feeling weak and possibly have a headache, nausea and cramps. The casualty should remain inactive and be told to rest in a cool area and to remove any excess or tight clothing. They should also be encouraged to drink water as this will rehydrate them. The casualty should be laid down with their legs raised. They can be assisted to cool down by using soaked towels on their torso, forehead and back of their neck. The casualty should improve within 30 minutes but should see a health professional if at all unsure. Heat stroke can be fatal so it must be treated seriously and treated rapidly. Heat stroke is where the body temperature is up to around 40°C and this can cause unconsciousness, with hot but dry skin, confusion and possibly fitting. If they are unconscious but breathing, ensure that their airway is maintained and place them in the recovery position. Rapidly cool the casualty by any means possible. This might include pouring water over them or by covering them in soaked towels. A casualty with heat stoke must be taken to hospital or to see a health professional as soon as possible. 68 | International Beach Lifeguard Loss of fluid People lose body fluids every day. Most of this is water that we lose through everyday activities in our sweat, urine, and stool. The water also contains small amounts of salts that are vital for our body to function properly. If a person is sweating heavily, vomiting or suffering from diarrhoea then they may lose too much fluid. This may cause their body to suffer from dehydration. The most likely cause of dehydration on the beach is sweating due to over-exposure to the sun or too much exercise. Signs and symptoms for dehydration include: • increased thirst • dry mouth • weakness • dizziness • confusion • fainting • inability to sweat. A person suffering from dehydration should sip on clean water, containing oral rehydration salts if they are available. If they are hot then they should be moved to a cool place to relax and cool down. If the person has been vomiting for more than a day, or has had diarrhoea for more than 2 days, or does not recover from their symptoms after sipping water then they should be taken to see a health professional for further treatment. Developed by IDRC-B and RNLI LIFEGUARD First Aid Burns Burns may be caused by camp fires or hot parts of a boat engine. It is important that the wound is treated quickly. • Remove any rings or wrist watches. • Do not remove any clothing that is stuck to the skin. •Submerge the wound under flowing water for at least 10 minutes. • Do not burst any blisters. • Do not apply any creams. If the burn is severe then take the casualty to hospital to get further treatment. If clothes are on fire then lie the casualty on the ground and roll them to extinguish the flames. Nosebleed Sit the casualty down and lean them forward to ensure that blood does not block the throat. Keep the head above the heart. •Place cold, wet material on the nose to reduce the flow of blood. • Pinch the nostrils. •Check to see if bleeding has finished after 10 minutes and reapply pressure. •If bleeding has not stopped after 30 minutes take the casualty to hospital. Developed by IDRC-B and RNLI Instructor Manual | 69 First Aid Animal bite Dog bite A wound may have been caused by an animal bite, for example a snake or dog. Dog bites can cause heavy bleeding or infection. Rabies is a common concern in many countries and it is important that lifeguards do not put themselves in danger of infection. Bites by poisonous animals, or animals infected by diseases, can cause a casualty to stop breathing or cause heavy bleeding. Before treating an animal bite, ensure the animal is unable to cause further harm to the casualty or lifeguard. The lifeguard should avoid coming into contact with poisonous venom or saliva by using a protective barrier (such as a plastic bag or banana leaf). Snake bite If you suspect that the casualty has been bitten by a snake, it is important to slow the circulation of venom around the body. Limit the movement of the casualty. •Make sure the animal is no longer a danger. •Remove any rings or constricting items because the affected area may swell. •Wash the wound well with clean water for 15 minutes. Use running water if possible. If running water is not available then regularly change the water used to clean the wound. Do not touch the wound. •Apply a dry wound dressing. •If the wound is bleeding heavily then give treatment as described on page 66. • Lie the casualty down and give reassurance. •Remove any rings or constricting items because the area affected may swell. • Transport the casualty to hospital. • Do not attempt to suck out poison or cut the wound to drain blood. If the casualty shows signs of infection then take them to hospital. Signs and symptoms of infection may include: • pain around the wound • redness and tenderness • swelling If the snake is still alive, do not attempt to kill it as it may still be dangerous. • pus or discharge. If the snake has already been killed, it should be taken to the hospital with the casualty in case it can be identified. However, do not handle the snake with bare hands as even a severed head can bite! 70 | International Beach Lifeguard Developed by IDRC-B and RNLI First Aid LIFEGUARD Poison Electrocution Poisoning may be accidental or deliberate. Poisons may enter the body in a number of ways: Electrocution occurs when a person comes into contact with an electric current. Before giving first aid to a person who has been electrocuted it is important that the source of electricity is isolated. Depending on the situation, this may simply mean turning off the electricity at a plug point or moving the source of electricity away using a non-conducting material. • digested (eating) • inhaled • injected • absorbed through the skin. The lifeguard’s first priority is to assess the situation to ensure they are safe. Always use a non-conducting object such as a dry wooden stick or plastic pole to move away electric objects. Never stand in water if you suspect that it may be in contact with a source of electricity. Electrocution can result in severe burns and unconsciousness. If a person is unconscious you should try to maintain breathing. Follow the steps on page 62. Signs and symptoms of poisoning include: • unconsciousness If a person is suffering from a burn, cool water should be poured onto the wound. For further information see treatment as laid out in the burns section on page 69. • nausea • vomiting • burning pain in the mouth or throat • headache • blurred vision • seizures • abnormal skin colour. If you suspect someone has been poisoned, identify the poison and seek help from a doctor immediately or transfer to hospital. If you are unable to get to a hospital: •keep the person still and try to get them to drink lots of clean water •do not induce vomiting. Developed by IDRC-B and RNLI Instructor Manual | 71 Record Keeping Learning outcomes 1. Understand why things need to be recorded. 2. Understand what needs to be documented. 6. Record keeping 6.1 Why keep records? Recording incidents and beach activity is important to measure and record success and improvement of the lifeguard service. Recording success can also be used for publicity purposes and to highlight the work of the lifeguard service to other beach users. Records of incidents can highlight particular dangers at the beach, such as a dangerous pier or rock. They can also be used to highlight when most incidents occur. If the lifeguard service has no documented records then it may be difficult to get support from other organisations. The more the lifeguard service can record and document, the more information they will have to improve their service and highlight their success. Information on the use of the beach should be collected regularly throughout the day, and detailed accounts of any incidents should also be recorded. 72 | International Beach Lifeguard Developed by IDRC-B and RNLI Record Keeping LIFEGUARD 6.2 What to document The environment Incidents • Tidal conditions. • Weather conditions. •Contact details of lifeguard(s) and person(s) involved in the incident. Beach activities • Date and time of the incident. • Number of lifeguards working on the beach. • Age and sex of casualty/casualties. • Number of people on the beach. • Treatment given. •Any unusual activity or event taking place (such as a festival). •Outcome – did they go home, go to hospital or die? • How the incident occurred • Number of people in the water swimming/ – what happened? surfing between the flags. • Type of injury. Documentation should be made at regular intervals during the day so that a record is kept of activities throughout the whole day. Standardised forms should be used and training should be given to all lifeguard members on how to complete them. Documentation should be checked by lifeguards at the end of each day and stored in a safe place. Examples of recordkeeping documentation can be found in the Appendices. It is important to maintain the privacy of casualty records and not release the names of casualties to the media. Developed by IDRC-B and RNLI Instructor Manual | 73 Appendices 7.1 Lifeguard service 7. Appendices 7.1 Lifeguard service What is a lifeguard service? A lifeguard service is an organisation responsible for maintaining the safety of water users and acts as a focal point for information and emergency assistance on the beach. The primary role of a lifeguard service is to prevent beach users from getting into difficulty on the beach or in the water. The easiest way to do this is to provide beach users with the safety knowledge they need before they enter the water. 74 | International Beach Lifeguard However, a lifeguard service also needs to have the capability to rescue those who get into difficulty. To do this, lifeguard services must be capable of educating members of their community, and provide appropriate training for those working as lifeguards. Developed by IDRC-B and RNLI LIFEGUARD Appendices Why start a lifeguard service? What do you need to get started? Lifeguard services are usually started by communities who recognise that the water where they bathe, work or play could be dangerous to the people using it. This realisation often comes following a number of fatal drownings but it may also be because an area is well known to contain dangerous features and has the potential to cause injury. Setting up a lifeguard service can be a daunting task but it requires few resources. The biggest requirement is to have an area of water that is safe to train in, and have potential lifeguards with a good knowledge of the local beach environment. In addition, lifeguard services have the potential to bring people together around a common issue that has an impact on all members of a community. Lifeguard training and public education can be a fun and motivational way for adults and children to learn how to be safe in and around water. The introduction of a lifeguard service could also contribute significantly to a local economy. Tourists may be attracted to safer beaches. If funds are available lifeguards may also be employed by the lifeguard service. Developed by IDRC-B and RNLI Controlled environments such as swimming pools and ponds are good to use to practise techniques before using them in the ocean. A teaching area will also be required to teach the theory aspects of lifeguarding and first aid. The teaching area should ideally be covered, comfortable and secure. Most rescue equipment can be made locally using inexpensive resources available from most markets (see Section 4.2 Rescue equipment on page 35). The biggest expense for any new lifeguard service will be to produce recognisable lifeguard uniforms (see Section 1.3 Lifeguard uniform and personal equipment on page 13). Instructor Manual | 75 Appendices Who should you work with? Police/law enforcement An effective lifeguard service is able to interact with all relevant organisations to ensure that: Police and other law enforcement agencies may be able to assist with the management of beach users. Their skills can be particularly useful if people become aggressive or in helping to control crowds during an emergency. Furthermore, the police often collect drowning statistics that might help to lobby government and other organisations for support. •beach users are educated about how to be safe in the water •rescues can be conducted as safely and quickly as possible •casualties needing further assistance can be given appropriate help. Local government/beach owner As the police usually have a regular presence at a populated beach, providing them with water rescue and first aid training may be of additional benefit to provide immediate support to the lifeguard service. If the lifeguard service will be operating on a public beach then it is important that support is gained from appropriate local government officials. When interacting with government officials it is important to emphasise the benefits a lifeguard service could bring to the local community. Busy tourist beaches may have a government-supported beach management committee who will need to be contacted prior to starting beach activities. 76 | International Beach Lifeguard Developed by IDRC-B and RNLI LIFEGUARD Appendices Medical professionals A well-trained lifeguard service should be able to provide emergency first aid to an injured casualty. In some cases, casualties may need further attention from medical professionals, such as a doctor or nurse. It is important that the lifeguard service has a knowledge of the medical services available and how to contact them in an emergency. It is also useful that the medical services understand the capabilities of the lifeguard service. Medical services may include: • registered doctor • local clinic • government hospital • private hospital. In some countries an ambulance service may be able to take an injured casualty to hospital. However, in most countries such services are slow, expensive or unavailable. Even if a casualty can find appropriate transportation, many hospitals in low-resource settings are unable to provide adequate emergency treatment. Given these resource limitations many lifeguard services will inevitably have to face emergency situations without appropriate medical support. Developed by IDRC-B and RNLI Instructor Manual | 77 Appendices Search and rescue coordination Search and rescue organisations in all countries will identify who the authority is that is responsible for coordinating large-scale rescue operations. Media The media can help to promote the work of the lifeguard service, and also provide safety education to the public. Reports on successful rescues will help boost the image of the lifeguard service in the community and also help with maintaining funding and support. User groups Getting the support of other beach users can be a difficult task, particularly when new rules are introduced for them to follow. Prior to the introduction of new rules it is important to convince current beach users of the benefits the lifeguard service will bring. 78 | International Beach Lifeguard Developed by IDRC-B and RNLI Appendices LIFEGUARD How could the lifeguard service be funded? Lifeguard services can be run through volunteer organisations, statutory bodies or through contracting agencies. They may run alongside each other, providing complementary services during busy periods. Voluntary Voluntary unpaid services are run by members of an organisation who offer their skills and knowledge for free. They may be run at weekends or during the holidays when service members are not undertaking paid employment, or by people already undertaking paid work on the beach. It is important to remember that even unpaid services may need a small start-up fund to purchase rescue equipment and uniform. Employed Paid services are run by lifeguards who are employed to work as part of a full-time or part-time job. Possible sources of funding •local government •private companies looking for advertising revenue •private companies looking to invest in projects to maintain their social corporate responsibility •companies with an interest in maintaining the safety and security of beach users (for example, hotel owners) • local and international NGOs •providing first aid and/or rescue training for other organisations. Important: The development of a lifeguard service takes time and must be done in consultation with other services and beach users. Rushing this process will result in an ineffective and uncoordinated lifeguard service. Developed by IDRC-B and RNLI Instructor Manual | 79 Appendices 7.2 Report forms Lifeguard daily log Date: Time on duty: Time off duty: Name of beach: High tide: Low tide: Names of lifeguards working: Weather Morning checks Number of people in the water: Empty Few people Moderate Busy Wave height:..................................... Weather Midday checks Number of people in the water: Empty Few people Moderate Busy Wave height:..................................... Weather Afternoon checks Number of people in the water: Empty Few people Moderate Busy Comments:......................................................................................................................... Wave height:..................................... ......................................................................................................................................................................................................................... ......................................................................................................................................................................................................................... Incident tally/count: First aid: Prevention: LIFEGUARD Rescue: LIFEGUARD 80 | International Beach Lifeguard Developed by IDRC-B and RNLI Appendices LIFEGUARD Lifeguard incident report form Date:............................................................................................... Time of incident start:................... Time finish:.................... Location of incident:................................................................................................................................................................................. Type of incident:........................................................................................................................................................................................ Homicide: Suicide: Accident: Number of casualties:.............................................................. Details of casualties Casualty name:................................................................................................... Casualty sex: Male Casualty age: 0–4 5–14 15–18 19–24 25–39 Female: 40+ Contact details: ......................................................................................................................................................................................... Injury/treatment/outcome: ................................................................................................................................................................. ......................................................................................................................................................................................................................... Casualty name:................................................................................................... Casualty sex: Male Casualty age: 0–4 25–39 5–14 15–18 19–24 Female: 40+ Contact details: ......................................................................................................................................................................................... Injury/treatment/outcome: ................................................................................................................................................................. ......................................................................................................................................................................................................................... Incident description Weather: Wave height:............................................. Visibility:..................................................... Activity:........................................................................................................................ Water depth: ............................................ Suspected drugs: Yes No Suspected alcohol: Yes No What happened?........................................................................................................................................................................................ .......................................................................................................................................................................................................................... .......................................................................................................................................................................................................................... What caused the incident? .................................................................................................................................................................. ......................................................................................................................................................................................................................... Name of person reporting the incident:.................................................................................... Date: .......................................... Developed by IDRC-B and RNLI Instructor Manual | 81 82 1.5 Understand the role of lifeguard fitness. 1.2 Understand the role and duty of the lifeguard. | International Beach Lifeguard Understand the importance of sun protection. Understand the role of lifeguard fitness. 1.5 Understand the role of the lifeguard uniform and personal equipment. 1.3 1.4 Understand the role and duty of the lifeguard. 1.2 •Discuss ways to keep fit. •Explain the importance of staying fit. •Discuss the need for a lifeguard to be fit in the context of the local environment. •Explain and demonstrate ways to reduce exposure to the sun and reduce the risk of dehydration. •Explain the dangers of the sun on the body. •Discuss different types of personal equipment and how they assist the lifeguard in their role. •Ask students why it is important to wear lifeguard uniform. Highlight the importance of functionality and visibility. •For each prevention activity get students to identify the target audience. •Explain the importance of prevention and different types of prevention strategies, including community education and teaching children how to swim. •Explain the role and duty of the lifeguard. •Ask the students what they can do as lifeguards and individuals to stop the chain from being broken. 10–15 minutes and throughout the course 15 minutes 5–10 minutes 20 minutes and throughout the course 10–15 minutes • Explain the process of drowning. Understand the drowning process. 1.1 •Explain the importance of each link of the chain and the role the lifeguard can take so that the chain is not broken. Approximate timings Teaching strategies LIFEGUARD Key points 1.3 Understand the role of the lifeguard uniform and personal equipment. 1.4 Understand the importance of sun protection. 1.1 Understand the drowning process. Learning outcomes: Lesson Plan 1: Lifeguard Knowledge Appendices 7.3 Lesson plans Developed by IDRC-B and RNLI Developed by IDRC-B and RNLI Understand how the beach influences water depth. Understand the effects of wind, waves, rip currents and tides. 2.2 2.3 •Ask students to identify dangers on the nearest beach that might be covered by water during a high tide. •Briefly explain how tides are formed. Explain the dangers of high and low tides. •Explain how to escape from a rip current by swimming parallel to the shore and out of the current. •Explain how to identify a rip current. Ask students to point to a rip current on the nearest beach. •Explain that water from incoming waves can cause rip currents. Explain how rip currents are formed and the dangers associated with them. •Explain that wind causes waves, and explain the different wave types and their dangers. Ask students to point to different types of wave at the nearest beach. •Discuss the dangers of wind, particularly highlighting the danger of offshore winds with light equipment such as inflatable objects. •Explain what is meant by offshore and onshore winds. •Explain what holes are and their associated dangers. •Explain why changing water depth can be dangerous. •Discuss the dangers in the context of the local beach environment. 30 minutes 15 minutes 30–40 minutes •Discuss the different types of beach in the local area. Understand the different types of beach. 2.1 •Explain the dangers of each beach type. Approximate timings Teaching strategies LIFEGUARD Key points 2.3. Understand the effects of wind, waves, rip currents and tides. 2.2 Understand how the beach influences water depth. 2.1 Understand the different types of beach. Learning outcomes: Lesson Plan 2: Beach Environment LIFEGUARD Appendices Instructor Manual | 83 84 | International Beach Lifeguard Understand what makes up a patrol. Understand when a patrol should be conducted. 3.2 3.3 Understand how and when to use flags. 3.1 Key points •Ask students to identify the resources available to their lifeguard service, including the number of lifeguards and the equipment available. •Explain what influences the structure of the patrol. target audience. •Ask the students to identify busy times of day on their beach and the activities that are undertaken throughout the day. For each prevention activity get students to identify the •Explain that when planning a lifeguard patrol it is important to know when people are swimming and the activities they are undertaking. •Discuss why the students put the flags where they did. 10 minutes 10–15 minutes 20 minutes •Show the students the different types of flag and explain their use. • Ask the students to set up a patrol zone on the beach using the flags. Approximate timings 3.5 Understand how to identify a casualty. LIFEGUARD 3.6 Understand how lifeguards communicate using whistles and signals. Teaching strategies 3.1 Understand how and when to use flags. 3.2 Understand when a patrol should be conducted. 3.3 Understand what makes up a patrol. 3.4 Understand how to scan the water. Learning outcomes: Lesson Plan 3: Lifeguard Patrol LIFEGUARD Appendices Developed by IDRC-B and RNLI Understand how to scan the water. Understand how to identify a casualty. Understand how lifeguards communicate using whistles and signals. 3.4 3.5 3.6 Key points Developed by IDRC-B and RNLI •Test the ability of the students to remember the meaning of each signal. •Explain and demonstrate the different lifeguard hand signals. •Explain when a whistle would be used and what the different combinations of whistle blasts mean. •Demonstrate the different types of casualty in the water. Get students to identify which type of casualty is being demonstrated. •Explain different types of casualty and how to identify them in the water. •Test the ability of the students to remember the meaning of each signal. •Explain and demonstrate the different lifeguard hand signals. •Explain when a whistle would be used and what the different combinations of whistle blasts mean. •Understand how lifeguards communicate using whistles and signals. •Demonstrate the different types of casualty in the water. Get students to identify which type of casualty is being demonstrated. •Explain different types of casualty and how to identify them in the water. •Understand how to identify a casualty. •Explain the importance of regular breaks and rotation of duties to reduce tiredness. 25 minutes Multiple sessions, 1 per day 30–40 minutes 20 minutes •Explain what scanning is, why lifeguards should scan, and suggest scanning methods. •Discuss ways to increase visibility, such as using a high chair or binoculars if available. Approximate timings Teaching strategies LIFEGUARD Appendices Instructor Manual | 85 86 | International Beach Lifeguard 40 minutes (or split into shorter sessions) Multiple 2–3-hour sessions •Discuss types of floating object in the local area and whether they would be suitable to use to rescue a person. •Explain the benefits of conducting a land-based rescue compared with conducting a more dangerous swimming rescue. Understand the types of rescue equipment and their use. Understand the different types of rescue and when they should be used. 4.2 4.3 •Demonstrate how sidestroke can be used to tow objects. Students can practise towing using objects such as water containers. •Explain and demonstrate sidestroke. Students should then practise sidestroke. •Explain when you would use a swimming rescue. Discuss the dangers of conducting a swimming rescue. •Demonstrate each type of land-based rescue in water. Students should then practise each rescue. •Discuss when each type of rescue would be used and the equipment needed. •Explain the different types of land-based rescue. •Discuss the positives and negatives of each item. 20 minutes •Explain the principles of Stop, Think, Act, Review and discuss how they could relate to a rescue. Understand the principles of Stop, Think, Act, Review. 4.1 Approximate timings Teaching strategies 4.4 Understand how to remove a casualty from the water. 4.2 Understand the types of rescue equipment and their use. Key points 4.3 Understand the different types of rescue, and when they should be used. LIFEGUARD 4.1 Understand the principles of Stop, Think, Act, Review. Learning outcomes: Lesson Plan 4: Rescue Appendices Developed by IDRC-B and RNLI (continued) Understand how to remove a casualty from the water. 4.3 4.4 Key points Developed by IDRC-B and RNLI •Explain the importance of identifying a safe point of exit. •Explain and demonstrate how to remove a person from the water. •Practise rescues in a controlled environment before progressing to the real-life environment. •Explain different types of water-based rescues. Discuss the positives and negatives of each and the rescue equipment necessary (if any). •Explain and demonstrate different types of tow. Students can pair up and practise. Teaching strategies Multiple 1-hour sessions Approximate timings LIFEGUARD Appendices Instructor Manual | 87 88 | International Beach Lifeguard Understand the principles of first aid. Understand how to maintain breathing and circulation. Understand how to provide immediate treatment for a variety of medical emergencies. 5.1 5.2 5.3 Key points - nosebleed - animal bite - poison - electrocution. - wounds - broken bones - excessive exposure to sunlight – heat exhaustion and heat stroke - loss of fluid - burns - shock •Explain and demonstrate how to provide treatment for the following medical conditions: •Explain and demonstrate treatment for vomiting. •Explain how to do CPR if someone is not breathing. A demonstration should be done on an object that resembles a human chest (this could be achieved by creating a model out of sand, or an empty plastic water container). •Explain and demonstrate how to put someone in the recovery position if they are unconscious and breathing. Students should then practise on each other. •Demonstrate how to check for dangers, response, airway and breathing. Students should then practise on each other. •Explain the importance of maintaining breathing and circulation. Two–three 1-hour sessions Two–four 1-hour sessions 15–20 minutes • Explain the principles of first aid. • Explain the meaning of CPR. Approximate timings Teaching strategies 5.3 Understand how to provide immediate treatment for a variety of medical emergencies. 5.2 Understand how to maintain breathing and circulation. 5.1 Understand the principles of first aid. LIFEGUARD Learning outcomes: Lesson Plan 5: First Aid Appendices Developed by IDRC-B and RNLI Developed by IDRC-B and RNLI Understand why things need to be recorded. Understand what needs to be documented. 6.1 6.2 Key points •Explain who the lifeguard should report information to. •Explain what data should be collected and why. •Get students to discuss what should be collected, and why it is important to know. •Give examples of when accurate record keeping has led to positive outcomes. 20 minutes 20 minutes •Explain why it is important to ensure accurate record keeping. •Highlight the benefits of accurate record keeping for the lifeguard service. Approximate timings Teaching strategies 6.2 Understand what needs to be documented. 6.1 Understand why things need to be recorded. LIFEGUARD Learning outcomes: Lesson Plan 6: Record Keeping LIFEGUARD Appendices Instructor Manual | 89 Rescue Appendices Notes 90 | International Beach Lifeguard Developed by IDRC-B and RNLI LIFEGUARD Appendices Notes Developed by IDRC-B and RNLI Instructor Manual | 91 Rescue Appendices Notes 92 | International Beach Lifeguard Developed by IDRC-B and RNLI Developed by IDRC-B and RNLI Instructor Manual | 93 94 | International Beach Lifeguard For new and developing Lifeguard Services