Initial Assessment
What is a Primary Assessment?
Assessment of any life-threatening injuries or illnesses and alert others if you need help.
You approach a guest who is experiencing these symptoms:
- Chest pain
- Shortness of breath
- Heavy sweating
- Fear of impending doom
How do you proceed?
- Activate EMS immediately
- Retrieve AED & Oxygen
- Allow the guest to find a comfortable position and loosen tight clothing
- Comfort and reassure the person
How do you control bleeding?
- Glove up
- Place an absorbent pad on the wound
- Apply pressure until the bleeding stops
- Wrap wound with co band/roller gauze
(Bonus points: if blood soaks through gauze, do not remove it, apply more gauze)
What are butterfly bandages used for?
Butterfly bandages are used to temporarily close lacerations
How do you log in to Jolt?
Using the last 4 digits of your phone number
What should you do when you approach a guest who appears to be unrespensive?
Check scene for safety
Tap and shout "are you okay?"
Look for signs of life (breathing/pulse)
Activate EMS
What is hypoglycemia? How do you treat it?
Hypoglycemia occurs when blood sugar becomes very low.
- Give guest glucose tablets
- If symptoms do not improve within 10-15 minutes, call EMS
How do you treat a musculoskeletal injury?
- Keep the limb in the position it was found
- Manually stabilize limb by placing hands above and below the injury site
What are glucose tablets used for?
To raise blood sugar for people experiencing hypoglycemia
In what folder can our incident report be found?
Surf Ops
What is a Secondary Assesment?
Assessment of non-life-threatening injuries and/or illnesses
What does the acronym FAST stand for? How do we use it to look for signs of a stroke?
Face - Observe facial droop
Arms - Ask the guest to hold both of their arms in front of them. Observe strength of both arms
Speech/smile - Observe slurred speech or ask the guest to smile
Time - Time is of the essence, call 911!
You are a shore guard who sees a guest exit the lagoon with a laceration below their eye. What steps should you take to handle this situation?
1. Ask for consent to treat
2. Find zone coverage
3. Glove up!
4. Apply gauze
5. Use a butterfly bandage, band aid, or gauze to seal/cover the wound (at your discretion)
6. Ensure that an Incident Report is completed
When would you call a Code 2 over the radio?
For a guest minor injury
True or false?
Every incident report should have an incident description
True! We need to know what happened!
What does SAMPLE stand for?
Why do we use it?
Signs & Symptoms
Allergies
Medications
Past medical history
Last oral intake
Events leading up to the scene
SAMPLE is used to extract information that will help you treat a guest. This information may also be relayed to EMS if they are called to the scene.
What are the differences between heat exhaustion and heat stroke?
- Heat exhaustion is the precursor to heat stroke
- Heat stroke includes many or all heat exhaustion symptoms ALONG with altered mental status and possible hot & dry skin
- EMS must be activated in cases of heat stroke
How do you treat a nose bleed?
- Place gauze under nostrils
- Ask guest to pinch the bridge of their nose and tilt their head forward
- Have guest remain in this position for about 10 minutes or until the bleeding stops
What does an emergency blanket do and what is it used for?
It insulates body heat
Used for hypothermia and shock
When will the "Medical History" section be MOST applicable?
In cases of sudden illnesses
What does DOTS stand for?
Why do we use it?
(worth 2x points)
Deformities
Open Wounds
Tenderness
Swelling
DOTS is used to assess any life threatening or non-life-threatening injuries. Life threatening injuries should always be attended to first.
What is shock? How do you treat it?
(worth 2x points)
Shock develops when poor blood flow creates a shortage of oxygen to body tissue.
- Lay the person flat on the ground
- Elevate legs if guest is uninjured
- Use emergency blanket to insulate on top and underneath to prevent heat loss
- Reassure the guest
How do you handle an open chest wound injury?
- Call EMS
- Remove any clothing to expose the injury site
- Leave wound exposed. DO NOT apply dressing.
- Keep guest in comfortable position
- Treat for shock
What is hemostatic dressing?
What is it used for?
(worth 2x points)
Hemostatic dressing is a type of gauze that contains hemostatic agents that support blood clotting
It is used to pack a wound for a severe injury that cannot be controlled with a tourniquet or standard gauze & pressure alone.
What does the Refusal of Care statement say?
(worth up to 3x points)
- I have been advised by Atlantic Park Surf staff that medical care was recommended based on my condition
- I understand that the staff are not medical doctors and cannot diagnose or provide advanced treatment.
- I have been informed that Emergency Medical Services (EMS) evaluation is always an option.
- I have been informed that refusing care may result in my condition worsening.
- I have been informed that I am responsible for seeking further medical care if needed.
- I release Atlantic Park Surf and its staff from liability related to my decision to decline the recommended care