ST2'1

1
BSAC Sports Diver Training

• Diver Rescue
• Rich Foster OWI 2506

2
MAJOR CHANGES

• Cardiac arrest is diagnosed if a casualty is
  unresponsive and not breathing normally.
• Rescuers should place their hands in the centre
  of the chest, rather than spend more time
  positioning their hands using other methods.
• Each rescue breath is given over 1 sec rather
  than 2 secs
• Use a ratio of compressions to Rescue Breaths of
  302 for all casualties.
• Once the casualty is on land, on diagnosing
  cardiac arrest,
• summon help, leaving the casualty if necessary
• give 30 compressions immediately
• follow this by 2 rescue breaths (Unless there are
  OBVIOUS signs of circulation)
• give 30 compressions followed by 2 rescue breaths
  
• continue compressions and ventilation at 302
  ratio.

3
Basic Life Support

• NAME CHANGES
• Resuscitation is now called BASIC LIFE SUPPORT
• AV (Artificial Ventilation) is now called RESCUE
  BREATHING
• Apologies if you hear me using the Old words!

4
IN WATER LIFE SUPPORT

• The rescuers should be aware of their personal
  safety and minimise danger to themselves and the
  casualty at all times.
• The casualty must be removed from the water by
  the fastest and safest means possible.
• The rescuer must make a firm hold on the casualty
  and maintain this throughout the rescue.
• The rescuer should make the casualty and
  themselves buoyant at the surface.
• Open the casualty's airway by applying gentle
  neck extension
• If there is no spontaneous breathing on opening
  the airway in this way give rescue breaths for
  approximately 1 minute (10 Rescue Breaths)
• If no spontaneous breathing returns, tow casualty
  while giving rescue breathing at 2 breaths/ 15
  seconds

5
IN WATER LIFE SUPPORT

• When in standing depth, or at boat prior to
  landing, continue rescue breathing for 1 further
  minute (10 Rescue Breaths),
• then dekit and land as quickly as possible
  WITHOUT further rescue breathing (See 1 Minute
  Rescue Breath Sequence Note below)
• Begin basic life support
• i.e. 30 cardiac compressions initially, then two
  rescue breaths
• 1 Minute Rescue Breath Sequence
• This is used to initially get Oxygen into the
  body as soon as possible.

6
IN WATER LIFE SUPPORT
7
BASIC LIFE SUPPORT

• Recovery Positions
• HOW
• STABLE
• Action For Vomit

8
BASIC LIFE SUPPORT 1
1 Is it safe?
9
BASIC LIFE SUPPORT
4 - NORMAL BREATHING
RATE IS 302
10
5b - CHEST COMPRESSIONS

• Kneel By Side Of Casualty
• Place Hand On Centre Of Chest
• CARE!!!! Watch for Sternum and Abdomen
• Link Fingers and Vertical Position
• Straight arms 4 to 5 cm compression
• Release pressure do not remove hands
• 100 compressions / minute 2 per Second
• Compression and Release should take the same
  time.

11
6 RB CC TWO PEOPLE

• As solo BUT
• One Rescuer CC One RB
• Swap every 1-2 Minutes to prevent fatigue

12
6 RB CC SOLO

• After 30 compressions Extend The Airway.
• Seal Nose and make a good seal on the mouth
• Blow a normal breath into casualty (about 1 sec)
• Move Head and watch for Chest Fall
• CHECK THE BREATH IS EFFECTIVE
• Give another RB
• Return to CC without delay
• RATE IS 30 CC to 2 RB
• ONLY RECHECK THE CASUALTY IF NORMAL BREATHING
  RETURNS
• DO NOT INTERRUPT RESUSCITATION

13
Casualty Care

• Tender loving care (TLC)
• Reassure at all times
• Protect from elements
• Casualty records
• Friends or family contact
• Post incident support considerations
• Support required
• BS-AC Incident Report
• Successful rescues

• Feedback important
• Part of maintaining safety record of our sport