Scan for bleeding drill incorporates a primary and secondary rescuer (photo credit: Pete DeQuincy, city of American Canyon)
In February 2013, I briefly touched on one primary assessment drill in my “Back to Basics” article. This article breaks primary assessment into 5 drills utilizing a single rescuer.
Primary assessment can lead to caring for and monitoring an unconscious victim, dealing with severe bleeding, providing rescue breathing, or preforming CPR. Your primary assessment should include:
Sound easy? It’s not! Primary assessment with a progression to the appropriate patient care should be done in under a minute. Additionally, most training on primary assessment is done in a quiet, non-disruptive environment, where several steps are skimmed over verbally rather than physically training on them.
Speed and proficiency are mandatory for an effective primary assessment. Train with these drills to get your lifeguard team ready for the challenges that await them.
The personal safety of the rescuer is paramount and a scene size-up with gloving up is the prequel to every primary assessment.
GLOVING UP DURING SCENE SIZE-UP DRILL: Have your lifeguard team line up with gloves in hand. OBJECTIVE: Each lifeguard must have their gloves on by the time it takes to verbalize all the components of a scene size-up. A scene size-up should be a scan that includes:
Depending on your agency and local protocols and your level of training, scene size-up could also include:
This is all completed before entering the scene and making contact with patient while simultaneously pulling gloves from a fanny pack and getting them on. TIMING GOAL: 10-12 seconds to complete the objective with a trainer reciting the components.
Here is a video link of the drill: http://www.youtube.com/watch?v=6b-vleXEH40&list=PLmuuhapccrBdx_...
Once proficient in the drill, move to these variations:
Body rolling the victim should be done quickly and safely. Primary and secondary rescuers should work in unison.
BODY ROLL DRILL: Group your lifeguards in teams of three: one primary rescuer, one secondary rescuer, and one victim. Victim is on their side with the rescuer(s) 5-10 feet away. OBJECTIVE: Primary rescuer must check responsiveness of victim, state, “No response,” body roll the victim to a supine position. Care should be taken on head, neck and back while rolling the victim. A secondary rescuer arrives. The primary rescuer tells the secondary rescuer “to activate EMS.” TIMING GOAL: 5-7 seconds to complete the objective.
Here is a video link of the drill: http://www.youtube.com/watch?v=Zzv29hAgfUE&list=PLmuuhapccrBdx_...
Once proficient, move to the variations:
AIRWAY MANEUVER PROGRESSION DRILL: (Note: This drill was mentioned in Aquatics International, Nov/Dec 2013, and is an integral part of primary assessment. Several variations have been modified to include quickly checking for breathing and a pulse for no more than 10 seconds.) Pair up your lifeguards: one rescuer, one victim. Victim is in the supine position on the ground with the rescuer 5-10 feet away. OBJECTIVE: Rescuer moves to the lateral side of the victim and opens the airway with head-tilt/ chin-lift technique. The rescuer is in position to look, listen, and feel for breathing. TIMING GOAL: 5 seconds to complete the objective.
Here is the video link: http://www.youtube.com/watch?v=uyU1QyNNF00&list=PLmuuhapccrBdx_...
Once proficient, move to these variations:
With a non-spinal victim, open the airway in the cephalic position, then slide one hand down to do the pulse check during the "look, listen, and feel" phase.
SCAN FOR BLEEDING (SC4B) DRILL: Lifeguards are paired: one rescuer, one victim. Victim is on the ground in the supine position, with the rescuer checks for breathing and a pulse. Rescuer states, “Scanning for severe bleeding,” and awaits trainer’s cue for what type of care to provide. OBJECTIVE: Rescuer needs to provide the appropriate care as dictated from the trainer’s cue within the timeframe allowed. TIMING GOAL: Vary depending on the medical condition of the victim.
Trainer states that the victim has:
Once proficient, add an additional rescuer and modify care that supports two rescuers.
Once your lifeguard team has become proficient in all the drills listed above, link them together with the PRIMARY ASSESSMENT COMBINATION DRILL: This drill combines the drills with an end goal of doing a sequence that connects all 4 drills into one fluid drill. Start by combining only two drills then incorporate additional drills once your lifeguard team shows proficiency. OBJECTIVE: Rescuer(s) complete the combined drills within the timing goals. To achieve success, it is very likely that several in-service trainings will need to be dedicated to this topic. TIMING GOAL: The Timing Goal from each drill and variation should be added together which will vary depending on the drill combination (45-90 seconds).
Remember practice builds skill proficiency, and skill proficiency builds personal empowerment, which elevates the rescuer to an aquatic professional. Train often, and with a passion.