Aquatic Seizure Management

1st Guard recognizes seizure, blows whistle, runs to nearest entrance point to victim and enters water.

1st guard carefully approaches seizing victim and rolls victim on back with outstretched arms. BE VERY CAREFUL TO AVOID GETTING HIT BY SEIZING VICTIM

2nd guard backs up 1st guard immediately by entering water and approaching 1st guard carrying victim. 
2nd guard supports under victim’s arm on opposite side of 1st guard. 

Guards begin transporting victim. Transporting depends on if in deep or shallow water.

TRANSPORT
Guards transport victim to nearest edge to support victim (focal point if possible).  At wall, both guards hold seizing victim with outstretched arms under armpits (one arm on edge, one arm on victim).  Once seizure stops, assess ABC’s.

Note: If the patient can safely be removed while seizing we should do this in order to get the victim out of the water and begin treating for shock.  This becomes a judgment call with the lifeguards attending the incident.
Remove victim as normal unconscious procedure.
Have extra towels nearby to protect head from hitting deck in case the victim starts seizing again.