First Aid
What does SAMPLE stand for? When is it used?
What is
Signs and symptoms, allergies, medication, past history, last oral intake, and events prior.
Used in any and every situation
Scenerio:
You're rotating stands (from cross to toilet bowel) when you notice a kid trip on a slab of unaligned concrete. The kid falls onto the ground, how do you proceed?
What is a stubbed toe
Treatment- alert HG if needed in rotation, ask for consent, PPE, stop bleeding with direct pressure using gauze, clean with antibacterial soap/running tap water/clean of foreign matter, triple antibiotic lotion/cream, cover with bandage.
What is the 5 minute rule? Why is it important?
What is standing/changing positions every song change or 5 minutes.
To stay engaged with your water.
What is a single rescuer CPR ratio for adult? What is the ratio for single rescuer child CPR? What is the ratio for single rescuer infant CPR?
What is 30:2
What does 3 points of contact mean?
What does DOTS stand for? When is it used?
What is
Deformities, open injuries, tenderness, and swelling.
Any physical injury to patron.
Scenerio:
You notice a kid playing in the flowers at kiddie, soon after you look back over and see the kid running from the bushes crying, holding her arm that appears to be red. How do you proceed?
What is a bee sting
Treatment-Ask for consent, SAMPLE, determine allergy/if epi pen is available, EMS, notice any other symptoms/signs such as swelling/itching/coughing/wheezing/AMS/blue lips and nail beds, circle swelling, manage with ice and epi pen assistance.
What is the 30 second rule?
As long as you locate and get to the victim within 30 seconds you're good!
If the patron appears to be unresponsive but has a pulse and isn't breathing what is your next step? What is the counting structure?
What is rescue breaths.
40/min for children 1:3s
20/min for adult 1:6s
Why is using a tube important with lifeguarding?
What is providing a protective barrier between patron and LG.
If a person is in distress having the tube between patron and guard allows for a device to keep both parties safe. There's many times when people continue to freak out and pull you down with them, if the tube is there it should allow for enough of a leverage to be able to properly push away from patron.
What does FAST stand for? And when is it used?
What is
Face, Arms, Speech, and Time.
Possible stroke. (Practice performing)
Scenerio:
You see a kid (6 year old) who appears to be stumbling while walking down pathway behind kiddie to leisure pool. The kid is obviously cooled down but still pale and sweaty. The patron also has a white sticker on his arm. The patron has almost a drunk appearance to him, how do you proceed?
What is hypoglycemia (low blood sugar)
Treatment- Ask for consent, SAMPLE, attempt to raise sugar as soon as possible, if patron can swallow then sugary drinks and snacks may work. If person cannot swallow/doesn't get better within 10-15 minutes activate EMS.
If you are unable to see your entire zone how should we resolve the issue?
What is moving.
If moving and roaming (at even stands with chairs) and the problem is not resolved such as new obstacles (too many tubes in lazy), glares, etc alert a head guard. Zone verifications are preformed to ensure each zone can be adequately guarded, without these or lack of rechecking throughout different times of day can show unexpected challenges that will arise at time of opening.
What is height
Never have the patron match your height (no picking them up and thrusting in air), match theirs (kneel).
Who are the current LGI (lifeguard instructors) for MHCC.
Who is
Izzy, JT (Jordan Tinker), Skylar, Jordan Mercer, Joel, Kayla, and Caitlin?
What is the difference between heat stroke/exhaustion? What would be different between their treatments?
Heatstroke- decreased mental status, body temp of 104+, no sweat, pale, seizures, hallucinations. Treatment=aggressively cool, pour water on them, apply ice packs, recover position, DO NOT let them eat or drink.
Heat Exhaustion-weakness, dizzy, thirst, headache, N/V, feels faint. Treatment=move to cooler place, cool, give a cool sports drink too or water, limit physical activity, lay flat, call Ems if not improved within minutes,
Scenerio:
Patron goes down toilet bowl with a big boom heard as he lands in the bowl. Pt comes up confused and stumbles out. Pt is holding his neck and is having trouble seeing straight. How do you proceed?
What is a concussion.
Ask for consent, activate EAP/EMS, attempt to understand their mental status and see how much they can recall, do not let them return to normal activity/something that can further injury.
What should a PROPER uniform consist of?
What is SUN PROTECTION/identification!!!
A LIFEGUARD shirt, shoes, sunscreen, hat, sunglasses, umbrella (if applicable), whistle, tube, water, 2 pairs of gloves, pack.
What are the 5 reasons to stop CPR?
What is
1) AED analyzing rhythm
2) signs of life
3) EMS arrives and takes over
4) too tired
5) scene becomes unsafe
What is the MOST important thing to do with an AED?
Other special considerations are wiping the chest dry if patron is wet. Keeping the AED dry. Following prompts accordingly. Giving patron free wax of shave if they're hairy. Using correct pads (that ARENT expired).
What is a triaging system? When is it used?
What is
Triage/triaging is a systematic approach that separates groups of patrons who are ambulatory, delayed, immediate, and dead. Used in mass causality incidents where there are many injured. Delayed and immediate relies on their status and who can wait a second vs who needs me now. Delayed=bruising/sprains, immediate=bleeding everywhere.
Scenerio:
A patron had gone down blue green too soon and collided with another patron in slide. One patron was fine but the second one had came out with blood coming out of his mouth. You advise the patron to calm down and while he's screaming in your face you notice he is missing a tooth that was there prior. How do you proceed?
What is a missing tooth.
Treatment: activate EAP and clear pool with rapid (bodily fluids!!!), encourage patron out of pool, ask for consent, PPE, have patron gently bite down on gauze to help control the bleeding, encourage leaning forward so blood does not go down throat, ice packs. With the tooth specifically only hold the tooth by the crown (don't touch root!) an put tooth in one of the following liquids: bee propolis, egg whites, coconut water, ricetral, whole milk if none is available have person spit into cup and put in there.
What does STAAR stand for? Why is it important
What is Scan, Target, Assess, Alert, Rescue. Helps determine the difference between kids playing or "fake drowning" and patrons who need help. Assess should be less then 10 seconds.
If a person was choking but suddenly went limp what do I do next?
What is 30 compressions, check the airway, (if object) PPE and pinky sweep, 2 breaths.
Breaths don't go in, retilt reseal, if still nothing redo 30 compressions and repeat process.
What is the target pH of the indoor pool? What is the target temp of indoor pool?
What is 7.4 and 86 degrees F.