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Primary responsibility of a lifeguard
Conduct surveillance
Professional appearance of a lifeguard
Wear uniform properly, hip pack and rescue tube on, maintain neat and clean appearance
What to do when thunder is heard
Clear all patrons from the water
Successful scanning technique
Move head and eyes, look directly at each patron
Scan frequency
Every 30 seconds
Purpose of station response time testing
Ensure lifeguards can rescue a passive submerged victim and begin ventilations within 1.5 to 2 minutes
Preventative lifeguarding example
Ask a patron to stop hyperventilating and explain why it’s dangerous
Purpose of swim tests
Test group members’ swimming abilities
Emergency Action Plan (EAP)
Written guide for emergency response
Reason to activate the EAP
Alert other lifeguards and safety team of emergency
EMS role of non-lifeguard safety team
May summon EMS during emergency
Step 1 in a water emergency
Activate the EAP
Step 2 in a water emergency
Perform a rapid assessment
Drowning victim not breathing
Give 2 ventilations before beginning care
Disposal of blood-soaked gloves
Red biohazard bag
Purpose of rapid assessment
Identify life-threatening conditions immediately
Time to check pulse and breathing
No more than 10 seconds
Where to check infant pulse
Brachial artery (inside upper arm)
Adult resuscitation mask use
Seal mask, open airway, blow into one-way valve
Child resuscitation mask use
Seal mask, open to slightly past-neutral position, blow into valve
Effective BVM use
Requires 2 rescuers
Confirm effective BVM ventilation
Observe chest clearly rising
Oxygen pressure gauge use
Shows pressure in the cylinder
When to replace oxygen cylinder
When pressure is below 200 psi
Flow meter purpose
Set LPM for emergency oxygen
How to verify oxygen is flowing
Listen for hissing sound
Oxygen concentration through resuscitation mask without oxygen
16%
Pulse oximeter placement
On the person’s finger
Normal oxygen reading
95–100%
Choking care for responsive infant
5 back blows and 5 chest thrusts; hold infant face-down on thigh
Cardiac arrest definition
Heart stops beating (no pulse, no breathing)
Lifeguard’s role in cardiac chain of survival
Early AED defibrillation
Compression depth for infant
About 1.5 inches
Child ventilations
Seal mask, open airway to slightly past-neutral position
Two-rescuer CPR cycle (adult/adolescent)
30 compressions to 2 ventilations
CPR role change signal
Say “Switch” instead of “1”
Effect of using pediatric AED pads on adult
Shock may be insufficient
AED pad placement for adult
Upper right and lower left (like a seatbelt)
Hypoglycemia treatment (awake person)
Give sugar (15g kids, 20g adults)
Concussion care
Call 911 and stop activity immediately
Spinal injury in water, not breathing
Remove immediately using rapid extrication, begin CPR
In-line stabilization use
Minimize head/neck movement during rescue