Lifeguard training, swimming, CPR and first aid links

These are links, quotations from articles for teachers or students on lifeguard training, swimming, CPR, first aid and risk management. They are primarily for current lifeguard candidates in my classes or graduates who are now lifeguard instructors. At the top of the page are links to free downloads of Red Cross textbooks.

The page is now quite long, so if you are looking for something in particular, I suggest you try using the EDIT-Find on This Page function on your computer to search for a key word like life, safe, swim, AED, CPR, scan, spa or the name of a person.

400 pixel reach assist with yellow tube:

You can download (for free, no secret code required) or print the

The Red Cross Wilderness and Remote First Aid Emergency Reference Guide at: http://www.instructorscorner.org/landing/wrfa_part_ref_guide/

The Red Cross Wilderness and Remote First Aid Pocket Guide at: http://www.instructorscorner.org/landing/wrfa_part_pocket_guide/

American Red Cross Swimming and Water Safety Manual at:

http://www.instructorscorner.org/landing/swim_water_safety/

Red Cross swimming and water safety text cover: Red Cross swimming and water safety text coverdigital water safe manual: photo of a computer screen showing part of a digital text

(This had no index, so I wrote one: Swimming and Water Safety 2009 index).

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lifeguarding 2012 text cover: cover of a lifeguard manual showing line drawings of three lifeguards the 2012 Red Cross lifeguard manual can be downloaded for free at: http://www.instructorscorner.org/media/resources/l/lg_part_manual_landing.html

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cover of a red Cross lifeguard training manual showing a rescue tube floating in a pool

The copyrighted 2016, released 2017 American Red Cross Lifeguarding Manual is available for a free download at:

http://www.instructorscorner.org/files/LG_PM_digital.pdf

To make it easier to find the skills sheets pages write in your Red Cross Lifeguarding Manual

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You can download the 2016 American Red Cross First Aid/CPR/AED participant’s manual to your laptop for free (or make a printed copy) at: http://www.instructorscorner.org/media/resources/eccu/eccu_pdfs_201601/FA_CPR_AED_PM_Low_Res.pdf
first aid text cover Red Cross 2016

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cpr text 2011: cover of a textbook

Download a free copy of the Cardiopulmonary Resuscitation and Automated External Defibrillation for Professional Rescuers and Health Care Providers handbook at http://www.instructorscorner.org/landing/cpraed_handbook/

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Lifeguard Training FAQs has details about the Red Cross prerequisite swim tests, including tips, tricks and advice for passing the swim test requirements for pool lifeguard, waterfront lifeguard and shallow water lifeguard, The page includes answers to these questions:

To become a lifeguard, do I have to have a perfect freestyle?

Do I have to be a fast swimmer? What if I’m out of shape?

Isn’t it difficult to rescue a heavy person who is sinking to the bottom of a pool?

Do lifeguards have to know how to dive?

What are the Red Cross certification written tests like?

History of lifesaving

How to rescue a drowning victim using a reaching assist or a shepherd’s crook for lifeguards or non-lifeguards

How to rescue a submerged victim

How to remove a victim from the pool

The aim of How to tell if the lifeguards are doing their job properly is to provide swimmers, parents, child care providers and other swimming pool patrons with a few guidelines to help them determine if the lifeguards at the pool they go to are doing their jobs properly.

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rescue tube stylize trace contour: rescue tube photoshopped with stylize trace contour

FAQ: One of the pools I swim at allows little kids with swim diapers. Do swim diapers or swim pants prevent fecal matter from entering the water?

According to the the Centers for Disease Control website the answer is “even though they may hold in some feces, they are not leak proof and can still contaminate the pool water.” For more go to

http://www.cdc.gov/healthyswimming/q_and_a.htm

and click on swim diapers and swim pants (and you can also find: E coli; diarrhea and pools; head lice, pinworm and swimming)

click on Aquatics staff you will find 12 steps for prevention of recreational water illnesses

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This next section could be called the Get Ready to be the Head Lifeguard links:

lifeguard training, discussing professionalism is an in-service training project, or perhaps for lifeguard candidates who look at this page to consider on their own.

CPO What a certified pool operator (CPO) knows that lifeguards and swimmers should know.

NOT RESCUE READY Photos of lifeguards on duty who were not ready to rescue

Preventative Lifeguarding has notes from various staff manuals, personal experiences and the Red Cross texts. It includes UNSAFE PRACTICES or potential problems TO WATCH FOR, areas where most accidents occur and suggested disciplinary action for minor and major infractions.

Tips for guarding open water swims

tips for guarding kids’ triathlons

First Aid for Public Safety Personnel study guide

Swimming pool rules to choose from

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backboarding mistakes quiz 1 page one

backboarding mistakes quiz 1 page two

backboarding mistakes quiz 1 page three

backboarding mistakes quiz 1 page four

backboarding mistakes quiz page five

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pool chemical signs

canoe over canoe rescue can also be used on a kayak

California Lifeguards and Title 22

pool safety deficiencies

Neighborhood Watch applied to swim centers

First Aid for Public Safety Personnel study guide

rescue board safety tips

beach drag

Basic Water Rescue

Emergency Action Plan for a coach or swim instructor

Emergency Action Plan for a juvenile detention facility pool

deaf lifeguards

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If you lost your Red Cross certification card

wilderness first aid outline

Cultural issues in first aid

Simple secondary survey study sheethas:

Times to suspect a spinal injury: (and use a jaw thrust instead of a head tilt, chin lift).

Reasons why a person might become unconscious or semi-conscious (AEIOU TIPS)

causes of altered mental status, fainting, seizures,

Signs and symptoms of a concussion

care for a stroke

normal respiration, pulse, temperature

and a detailed simple secondary survey (SAMPLE, opqrst)

AED quick facts includes detailed instructions to use an AED (automated external defibrillator)

Do AEDs work?

What the AED says as you use it

CPR manikin use

Common mistakes in Professional Rescuer CPR skills

How to pass a Red Cross written test

Why did they change CPR?

CPR Pro skills review questions

First Aid for Public Safety Personnel study guide

fast, basic neurological exam

includes the basic questions to ask a suspected stroke victim ( Face, Arm, Speech, Time) and more.

Oxygen administration quick facts

Bloodborne Pathogens quick facts

CPR quick facts

injuries quick facts

Anaphylaxis quick facts

advance care directives includes a link to get a free copy of an advance care directive

HIPAA

write in your CPR textbook

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Hands only CPR In a life-threatening emergency, doing something right is better than doing nothing at all. When a rescuer is unable, untrained or unwilling to perform full CPR, continuous Compression Only CPR can be effective in caring for a person with no signs of life.

The Red Cross has produced a video for people who have not been trained in CPR or who are not sure what to do.

Obviously, a professional rescuer would still use their higher level of training.

http://www.youtube.com/watch?v=m71yc5m8V38

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History of swimming section

Fifty ways to praise your swim students

Swimming and Water Safety 2009 index

pool toys for water safety instructors/swim teaching

How to blow giant bubble rings in a swimming pool

How can I tell if I’m a good swimmer?

Why you should wear a lifejacket.

swimming vocabulary

Swim workout vocabulary

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Any instructor should make it a habit to check once in awhile at the Red Cross National website Instructors’ Corner at:
http://www.instructorscorner.org/RedCross/Index.aspx

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If you have heard of a “cough cpr” e-mail that tells people they can save their own lives when they feel a heart attack coming on by coughing hard:

Please go to urbanlegends.about.com If you can get past all the pop-up advertisements, in the upper left hand corner type “cpr” in the search box, then click on cough cpr and read it. It seems that the original author retracted it.

For a second opinion go to americanheart.org and put “cough cpr” in their search box. You’ll get their word to Heart Assn. instructors.

The two are worth comparing.

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reading on preventing swimmer’s ear:

http://www.cdc.gov/healthywater/swimming/rwi/illnesses/swimmers-ear-prevention-guidelines.html

http://www.mayoclinic.com/health/swimmers-ear/DS00473/DSECTION=prevention

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USA Swimming has a video on prevention of shoulder injuries in aquatics sports, with exercises you can try. Please do carefully follow the instructions and try the easier ones first.

http://www.usaswimming.org/DesktopDefault.aspx?TabId=1551&Alias=Rainbow&Lang=en

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The American Cancer Society has skin cancer prevention info at:

http://www.cancer.org/acs/groups/cid/documents/webcontent/003184-pdf.pdf

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Nutrition info from a reliable source:

http://www.berkleywellness.com/healthy-eating/food/lists/14-keys-to-a-healthy-diet/slideid_190

http://www.berkleywellness.com/healthy-eating/supermarket-buying-guide

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Two articles at the New England Journal of Medicine website:

http://content.nejm.org/cgi/content/abstract/342/21/1546

is the New England Journal of Medicine article on which is best: cpr alone or cpr with mouth to mouth

http://content.nejm.org/cgi/content/abstract/343/17/1206?maxtoshow=&HITS=10&hits=
10&RESULTFORMAT=&fulltext=cpr&searchid=1032535765242_11943
&stored_search=&FIRSTINDEX=0&sortspec=
PUBDATE_SORTDATE+desc+Score+desc&journalcode=nejm

is the results of casino AED use

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Body piercings and lifeguards:
http://www.aquaticsintl.com/2002/july_aug/0207_rm.html

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The Seattle Red Cross website quoted from the following article on women’s heart attack symptoms. Go to:

http://www.heart-help.net/women.html

and scroll down to heart attack women’s symptoms

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From THE PHYSICIAN AND SPORTSMEDICINE:

AED Trips a Canine Alarm

Last fall, the automated external defibrillator (AED) used by the Atlanta Braves created quite a stir when the team traveled to play the New York Mets.
John D. Cantwell, MD, an Atlanta cardiologist and a team physician for the Braves, recounts how the team and all its equipment had to pass a security clearance because of controversy surrounding Braves pitcher John Rocker. (Rocker’s inflammatory comments had been widely quoted.) “Everything cleared, then our equipment started beeping, and the bomb-sniffing dogs went ballistic,” Cantwell says. “It was the AED signaling that its battery was low.”
The moral: When traveling, make sure AEDs are fully powered, especially around bomb-sniffing dogs

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USA Swimming has a detailed nutrition articles at:

http://www.usaswimming.org/USASWeb/DesktopDefault.aspx?TabId=433&Alias=Rainbow&Lang=en

Feed Their Brains!
A simple guide to teaching nutrition to swimmers.

1. Fueling Your Stroke – The Concept of Buying and Burning Gas

2. Eating Colorful Foods

3. How Much is Enough?

4. Timing is Everything!

5. Choosing the Best Cereals

6. What IS a Serving?

7. FLUIDS – Water vs Sports Drink

8. Analyzing Your Diet

diagonalrescuetube radial blur:

If you go to the NOLO Press website

http://www.nolo.com/

and go to – Legal Research Center
State Laws

and search under California for the word lifeguard it gives you two pages:

the CALIFORNIA HEALTH AND SAFETY CODE SECTION 116025-116068

and the CALIFORNIA HEALTH AND SAFETY CODE SECTION 1797.160-1797.197 which includes AED info.

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Spinal Cord Injury Information

http://www.sci-info-pages.com

Is a free resource for those with a spinal cord injury, or other disabling injury or disease of the spine. It provides health information and resources related to spinal cord injuries and has related links with site descriptions.

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An Example Template for a
Sports Medicine Emergency Plan
from the NCAA is at:

http://www.ncaa.org/

click on site index and Emergency plan (medical)

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American Canoe Assn has guidelines for events, which could help you formulate an emergency action plan, at:
http://www.acanet.org/pdf/safetyguideline.pdf

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The daily UV index map of the United States is at:
http://www.epa.gov/sunwise/uvindexcontour.html

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rescue tube stylize red with aqua: rescue tube photoshopped with stylize red with aqua

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When you call 911 from a land line telephone, such as in your house, you get dispatch for the city the phone (your house) is located in. When you call 911 from a cell phone you get the Highway Patrol at a central location. Sometimes, especially if you are not calling about something on the freeway/highway, it would be faster to get dispatch for the specific city the problem is happening in. This requires knowing the direct dial seven digit phone number for each dispatch.

Direct dial emergency phone numbers for most cities in Santa Clara County, California, can be found at the Santa Clara County ARES/RACES (Amateur Radio Emergency Services/Radio Amateur Civil Emergency Services) website.

http://www.scc-ares-races.org/dd-emer-nos.html

When you are planning a camping trip, try to get the direct dial number for the park/Sheriff or agency in charge before you go.

Ahwahnee lane line:

It wasn’t just an urban rumor. An article from the Consumer Product Safety Commission: hair entanglement, entrapment and disembowelment associated with spas:

http://www.cpsc.gov/LIBRARY/FOIA/FOIA97/OS/BP9713.PDF

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In the waterfront lifeguard class we talk about gloving up to clean up the sand at a beach each morning. We talk about the occasional need to look for used needles when you rake the sand. Yet another hazard is from the National Park Service Morning report of Monday, December 29, 2003:

Dry Tortugas National Park (FL)

Employee Injury from Bang Stick Discharge

While on patrol along the beach at Garden Key on the afternoon of December 18th, ranger Tim Morrison discovered a stainless steel object approximately four inches long lying in the sand. Initial examination indicated that the object was possibly the nozzle to an air compressor hose. Morrison placed the object in his pants pocket and continued working the rest of his shift. Later that evening, he removed the object from his pocket to re-examine it. After looking it over, he set it down on a table, at which point it detonated. The discharge of what was later determined to be a .357 caliber round severely injured his right index finger and caused powder burns to his face. The Coast Guard was notified and airlifted Morrison to Key West Hospital at about 3:30 a.m. After several hours of surgery, doctors where able to clean and close the wound. A day later, Morrison was released by the hospital. Investigation revealed that the object was the end of a device used by scuba divers called a “bang stick.” In this case, it was made of stainless steel. The bang stick broke down into two parts by unscrewing it. Inside one part was a firing pin and spring; inside the other was the an empty casing to a .357 magnum round. The bullet embedded in the ceiling of Morrison’s quarters at Fort Jefferson. It only takes approximately two pounds of pressure to set one off and is usually used in conjunction with a long rod or stick. The device, when not attached to a stick, looks very benign. Morrison hopes this information prevents such an unfortunate incident from happening to anyone else.
[Submitted by Willie Lopez, Site Supervisor]

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A good brief lesson on

How to survive the cold in water

http://www.hypothermia.org/inwater.htm

and on land

http://www.hypothermia.org/onland.htm

with links to STATE OF ALASKA COLD INJURIES AND COLD WATER
NEAR DROWNING GUIDELINES and JAMA material

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rescue tube stylize trace contour: rescue tube photoshopped with stylize trace contour

Take the Water Safety test at:

http://www.galvestonbeachpatrol.com/

click on the left of the page on for teachers, then on lesson plans, then on water safety test

Yes, the answers are at the end, but you will learn more from doing the test first. I missed one question that I should not have.

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A study quoted in the January 2004 New England Journal of Medicine found that a hormone called vasopressin works much better than epinephrine for victims of asystole when given after attempts at defibrillation. Using vasopressin instead improved the chances of reaching a hospital alive by 40%, and it has less risks. An Associated Press article said that of the more than 60,000 people who die of cardiac arrest in North America and Europe each year, 70% will have ventricular fibrillation and about 30% will have asystole.

Read more at:

http://content.nejm.org/cgi/content/abstract/350/2/105

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The latest on bloodborne pathogens is at:
http://www.osha.gov/SLTC/bloodbornepathogens/index.html

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“Researchers at the University of Iowa and University of Michigan recently analyzed the value of installing defibrillators in various public locations. They determined that an AED is a good investment if its location was expected to be the site of at least one cardiac arrest every 7 years… Purchasing AEDs for sports-related sites–sports venues, golf courses, and health clubs–appears to be a good investment, the study found. Sites such as hotels, large retail stores, and primary care centers were found to have lower risks.”

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Natural Resources Defense Council

Water Quality at U.S. Beaches
How to find out whether state and local authorities test for beach pollution, and what they do if they find it.

http://www.nrdc.org/water/oceans/gttw.asp

The U. S. Environmental Protection Agency has a beachgoer’s guide at:

http://www.epa.gov/waterscience/beaches/goer2.html

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A summer of 2003 study of drowning in France found, (of 781 rescues followed by hospitalization or fatality),

44% in the ocean (56% of victims older than 45 years of age)

25% in swimming pools (61% in private pools)

15% in lakes (25% between the ages of 25 and 44)

12% in rivers (28% between the age of 25 and 44).

Of the 781 drownings, 41% were fatal.

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California State Parks has Lifeguard/Ranger oral interview tips at their website

http://www.parks.ca.gov/default.asp?page_id=21271

including these sample interview questions:

Sample Questions for ‘Getting to Know the Candidate’

    Tell us about yourself and why you want this job.

    What are you doing in your current position?

    Tell us why you are qualified for this position?

    What are your career goals?

    How have you prepared yourself for this position?

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According to EMS Magazine in 2004, AEDs aren’t just for adults. Over 300 children die yearly from preventable sudden cardiac arrest while playing sports.

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The claims game

“When managing your claims paperwork, the 80/20 rule applies: 80 percent of all the incident data you gather will never be used; only 20 percent of the incidents that occur will turn into claims. The trouble is no one knows which 20 percent will be needed, so you must investigate and retain data on all incidents.”

http://www.recmanagement.com/features.php?fid=200410FE04

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rescue tube neon glow: rescue tube photoshopped with neon glow

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Access Cardiosystems, Inc. issued a Worldwide Recall of its AEDs in November 2004 due to the “ON/OFF” button and the shock delivery circuit failing to function as well as the AED possibly turning on suddenly.

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Automatic External Defibrillators [AEDS]: Their Deployment & Use Within the Lifeguard, Aquatics Safety & Recreation Sector [Mar 26 2005]–

Gerald Dworkin says, in part:

“Although the performance of CPR on a cardiac arrest patient prolongs the time that defibrillation can be effective, CPR should not be considered as a “life saving” procedure, but rather as a “life sustaining” procedure in that it typically will not restore a heartbeat to a cardiac arrest victim.”

“The average response time from dispatch to scene arrival across the U.S. is approximately 10 minutes. Once the EMS personnel arrive on the scene, it may even take several additional minutes before they are able to make contact with the patient.

Roger White, a Mayo Clinic researcher and medical director for the early defibrillation program in Rochester, Minnesota measured to the second how much time passes between a 9-1-1 call and the instant a shock is delivered to a cardiac arrest patient. His data showed that victims shocked within six minutes almost always lived, while those shocked after six minutes almost always die.

Currently 95 percent of sudden cardiac arrest victims die before reaching the hospital due to the length of time it takes for emergency personnel to arrive on the scene. Dr. Joseph Ornato of Virginia Commonwealth University in Richmond states, “the bottom line is we believe defibrillators in public facilities will double survival, if there are trained teams to use them.” “

read it all at:
http://www.bigmedicine.ca/gdworkin.htm

Lifeguard training graduate and locally employed EMT Eric Marxmiller replied to the article:

“It fails to point out the % of people who where
asystole and are un-shockable which would probably be
around the upper 80% to 90% of the patients treated by
this ems.

It also points out that 95% of sudden cardiac arrest
pt die before reaching the hospital DUE TO arrival
time of ems, that is wrong! People die regardless of
how much or little time ems takes to arrive. They do
not report how many died in the field, in transport,
or at the hospital. There is manipulation of data
here. What we can say without all the data is that
AEDS do “HELP” and can sometimes “prolong life” but
not necessarily “quality” of life.”

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http://www.sptimes.com/2002/08/27/TampaBay/Eckerd_College_settle.shtml

“Eckerd College settles suit in drowning at school pool
The suit alleged a careless lifeguard missed the drowning boy. Insurance will cover the $1.55-million payment.”

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During the lifeguard management section of our class we discuss ways to remodel a facility to make it more user friendly for people with disabilities. Lots of resources are at:

http://www.usdoj.gov/crt/ada/adahom1.htm

rescue tube stylize emboss color saturation: rescue tube photoshopped with stylize emboss color saturation

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http://www.ada.gov/lawenfcomm.htm has what percentage of speech reading (reading lips) by deaf people is understood (about one third of spoken words are understood) and practical suggestions for effective communication

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