Rapid Assessment
Identifying safety hazards, number of injured or ill people, what caused the emergency, additional resources that are needed, and if the environment is safe.
What is sizing up the scene?
In a single-rescuer scenario, this is the compression to ventilation ratio for an adult, child, or infant.
30-2
When one-rescuer is providing CPR and an additional rescuer arrives on scene, this is the additional rescuers best next action.
What is confirming EMS has been called?
The AED analyzes around this length of time.
What is about 2 minutes?
A child is submerged in deep water. The child’s parent or guardian is not present.
Reference Rescue Scenario Flow Sheet
The rapid assessment up to the two initial ventilations should take this long.
What is 1 1/2-2 minutes?
This is the compression rate for any type of victim.
What is 100 to 120 compressions for minute?
During a resuscitation effort rescuers should switch roles in this amount of time to minimize rescuer fatigue.
What is 2 minutes or about every 5 CPR cycles?
The two rescuers roles that make the smoothest transition when the AED is analyzing.
What is the compressor and the ventilator?
An infant has just been rescued from the water. Two rescuers are on the scene. The EAP has been activated and EMS has been called. Additional rescuers are on the way with an AED and BVM. The infant appears unresponsive. The infant’s parent or guardian is not present.
See Flow Sheet.
After opening the airway using the Head-Tilt/Chin-Lift Technique, do this.
What is checking for pulse/breathing for no more than 10 seconds?
This is what you do if a victim begins vomiting while CPR is in progress, and what you do after the victim stops vomiting.
What is the rolling them onto their side, sweeping the mouth, and immediately beginning compressions.
This is the difference between the CPR cycle for an adult versus a child or infant.
What is 30:2 in comparison to 15:2?
The transition between roles should take about this amount of time to avoid delaying care.
What is no more than 10 seconds?
A patron has run into the pool office to request help. An adult has collapsed in the locker room. A lifeguard supervisor activates the EAP and tells a lifeguard in the office to call 911. The lifeguard supervisor is the first to arrive on the scene.
See Flow Sheet.
Forming an initial impression of the victim can include checking for these three things.
What is "Is this person moving or motionless?", "Is there life-threatening bleeding?", "Does the person seem alert or responsive?", "Is the person's skill a normal color?"?
For an adult, child, and infant these are the compression depths.
What is at least two inches, about two inches, and no more than 1 and 1/2 inches?
These are the four main roles that will be utilized during a multi-rescuer scenario by lifeguards.
What is the compressor, the airway manager, the ventilator, and the AED operator?
Pediatric AED pads and Pediatric Setting should be used under these conditions.
What is a person younger than 8 years or under 55 pounds, or if the pads are touching when placed on the chest?
A child is submerged in deep water. Four rescuers are on the scene with an AED and BVM. The EAP has been activated and EMS has been called. The child’s parent or guardian is not present.
Reference Flow Sheet
For a child who was pulled from the water as a result of drowning, the detailed steps for the rapid assessment are as follows.
Consider that during these steps you determine that the child is unresponsive and not breathing but has a pulse.
What is putting on PPE, obtaining consent from a parent or guardian, check for responsiveness using the Shout-Tap-Shout sequence, since unresponsive open airway and check for breathing and pulse for less than 10 seconds. When found that the child is not breathing as a result of drowning, provide two initial ventilations and begin care by giving 1 breath every 2-3 seconds for 2 minutes?
The first three actions in the Adult Cardiac Chain of Survival that lifeguards play the biggest role in completing.
What is Recognition of the Cardiac Emergency and Activation of the Emergency Response System, Early High-Quality CPR, and Early Defibrillation?
This the most prioritized piece of rescue equipment that is brought to the scene and where they are located in our park.
What is an AED, security gate, sand dollar photo cabana, Seaventure orientation, Building 84 Lockers, Building 10 Reception, and First Aid?
The two heart rhythms that in many cases can be corrected by an electrical shock delivered by an AED.
What is ventricular fibrillation (V-fib) and ventricular tachycardia (V-tach)?
An adult is submerged in deep water. Two rescuers are on the scene. The EAP has been activated and EMS has been called. Additional rescuers are on the way with an AED and BVM.
Reference Scenario Flow Sheet