Unconscious Procedure

1st Guard recognizes unconscious patient, blows whistle, runs to nearest entrance point to victim and enters water.
1st guard rolls over patient ensuring to cover the mouth and nose during the roll. The guard should be holding the patient in a double-elbow control carry transporting to the focal point.
2nd guard backs up 1st guard immediately by entering water and approaching 1st guard carrying victim.
1st and 2nd guard transport victim together to focal point each supporting one side of the victim's body. Be very careful of submerging airway.
At nearest point of safety, 2nd guard should assess ABC's. See Complications below for obstructions, no breathing, no pulse, and vomiting.
At focal point, 2nd guard jumps out of pool and lines up behind victim.
1st guard supports back of victim's head with one hand and crunches victim into a near-sitting position. Victim's back should be parallel with wall.
2nd guard places victim into chicken wing.  1st guard submerges and pushes directly under the victim';s thighs/butt. 2nd guard pulls victim onto deck.
Victim MUST be placed directly into lateral position.
Victim';s ABCs are reassessed on deck by 2nd guard. 1st guard clears pool, contacts EMS, and brings equipment
1st guard begins treating victim for shock with blankets, oxygen, and oral airway.
2nd guard begins vitals check. 1st guard begins head-to-toe. History should be obtained by family/friends nearby.

 

No Breathing

Upon realizing patient is not breathing, a pocket mask should be immediately placed over the victim's mouth and 2 full, slow breaths be given.
Breaths are to be continued at a rate of 1 every 5 seconds (adult) or 1 every 3 seconds (child/infant) throughout procedure.

No Pulse

Upon Realizing patient has no pulse, rescue breathing is immediately halted and the victim is removed from water into supine as quickly (but safely) as possible.
Victim's pulse can be reassessed on deck to ensure it is definitely absent. If absent, 2nd guard begins immediate CPR.; EMS needs to be called as fast as possible.

Obstructed

After 1st breath doesn't go in, look in the mouth, readjustairway and attempt 2nd breath. If air does not go in a 2nd time, remove the victim as quickly (but safely) as possible.
Following removal, immediately perform a thumb-jaw lift and look in mouth. If nothing seen, attempt to ventilate. If air doesn't go in, readjustairway and give 2nd breath.; If air doesn't go in, perform 15 chest compressions. Continue with Obstructed airway procedure until airway is cleared.

Vomit

In water, victim is immediately rolled 90° away from guard. 2nd guard ensures head doesn't submerge during roll. 2nd guard finger sweeps after victim finishes vomiting.
Victim is rolled back and an immediate breath using a pocket mask is given to ensure airway is clear.  ABCs are then reassessed.  Procedure continues as usual.