write these notes in your lifeguarding textWrite these notes in your text (or where appropriate, print them, cut them out and glue them in).
on page 15 at the spas section:
Sit on the bench, do not submerge.
Hair may become entangled in the drain.
on page 15:
If your pool allows underwater swimming,
be prepared for a swimmer to black out after they stand up
after an extended underwater swim
on page 31, in the left hand column, at the second bullet point, after the words "include the bottom of the pool in the scan":
Investigate anything on the bottom. What seems to be a towel or just a smudge could be a person.
on page 34:
You might want the guard going on break to walk through and check the the locker room after they rotate out.
on page 61:
Do not attempt the entry pictured at Fig 5-8, A&B at De Anza, the lifeguard stands are too far from the edge of the pool.
on page 86:
Hepatitis B virus can live on a surface,
exposed to air and dried, for two weeks
on page 90/ 91:
Kevlar gloves are puncture resistant.
Nitrile gloves are resistant to most modern chemicals.
If you use latex, touch victims as little as possible
until you know if they are allergic to latex.
on page 90:
Recommended adult vaccinations: Tetanus,
MMR (measles, mumps, rubella) Varicella, Hepatitis B,
sometimes Influenza, Pneumoccal, Hepatitis A and Meningoccal.
on page 94:
Never pour undiluted bleach straight
from the bottle onto spills of blood, urine, sputum or vomit. Dangerous levels of toxic nitrous oxide gases could result.
on page 95, right hand column, at step 2:
If you must have a member of the public call 911
and they need to leave the scene to do so, tell
them to come back and tell you what 911 said.
on page 95, in the left hand column, at step 4 where it says Perform a secondary assessment, write:
→ page 142
on page 108:
Atmospheric air = 21% oxygen, recsue breathing = 16% oxygen, BVM = 21% oxygen.
on page 112, at step 5 where is says, "If the victim becomes unconscious" add this step:
carefully help the victim to the floor. Then check for an object in the mouth. If the object is visible, remove it with a finger. Whether or not an object is removed, begin using a modified CPR technique for an unconscious choking victim, page 114.
page 122:
Secure the tank. If upright, secured to gurney,
if on side, in fold of towel so it can't roll.
in table 8-1 on page 127:
30 compressions should take about 18 seconds.
on page 134:
Real AED pads are much stickier than training pads, be sure to not get your gloves stuck on the pads.
at page 142 where it says "After completing the initial assessment," write:
→ page 95
at the bottom of page 142:
Onset Provokes Quality Radiates Severity Time
on page 143: Medications include prescriptions, over-the-counter and herbal.
on page 150: a cut will likely need stitches if the edges of skin do not fall together, it is over 1/2 inch long or on the face
on page 154:
For sunburn, don't use "caine" products,
they provide only temporary relief and some people are allergic.
If you got a used book or older printing, on page 154, right hand column, in the electrical burns section, change the third bullet to say: cool the burn (now it says do not cool the burn). Cross out the sentence that reads (Because...little).
on page 158 at frostbite:
If away from help,
don't rewarm frostbitten toes and risk freezing them again as you hike to safety. Get to safety first, then rewarm.
on page 164 above fig 10-7
If the victim's arms are far out to the side, gently move the arm closest to you down next to their side before you put your forearms in place.
on page 164, at step 4, after the words: Continue to support the victim's head and neck.
Grip the victim with your forearms, not with your hands
on page 166 after step 1:
If the board is in the wrong place, lower it and move it rather than trying to slide the victim around.
on page 166 at the bottom of the orange box:
The model shown is a CJ Spineboard (Coy Jones).
on page 168 at step 1:
Check that victim's long hair
is out of the way.
on page 178 at the first picture:
Get consent to give care and explain what you are doing to the victim as you go along.
__________________________________________
Did the first item above about spa safety sound like an urban rumor?
Unfortunately it's not.
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
Newer spas now must have two drains so there is less chance of the full suction causing someone to get stuck, but there are still older models out there.
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