1st guard recognizes patron experiencing chest pain and signals other guard(s) on deck appropriately.  NOTE:  Although it is important to obtain quick back-up, we do not want to add to the stress of the patient: only use whistle blast if necessary

1st guard enters water and calmly approaches victim.  1st guard introduces self and gently supports patient in a cradle position and begins transporting to focal point.

2nd guard hits backup button, enters the water and assists 1st guard in transporting patient to focal point.  During this time, 1st guard should be obtaining a history including name, age, medical conditions, history of chest pain, medication, etc.

At the focal point, 2nd guard jumps out of pool and lines up behind patient.  1st guard slightly lifts patient (still in cradle position).  2nd guard puts patient in chicken wing.

Patient is removed to a semi-sitting position away from the edge of the pool.  1st guard takes over supporting patient and continues with history and R&R.

2nd guard clears pool, leaves to obtain medication (if any), call EMS, and bring equipment (if not already done by cashier).  1st guard continues monitoring ABC’s and treats for shock.

MEDICATION
Medication for an angina attack is typically “Nitroglycerine” which comes in pill and spray forms.  Never administer nitro to a patient; we may only assist them in taking their meds. Typical doses are 1 every 3-5 minutes to a maximum of 3 doses. Nitro will relieve the pain of an angina attack; It will NOT help a heart attack. 

In the case that the patient goes unconscious, carefully lie them into a supine position (on back) and begin a full ABC assessment.  If no pulse, begin CPR.  EMS should also be updated, as there has been a change in the LOC.