Search

(1) Objective: This study aimed to assess the evolution of the quality of ventilations of a group of rescuers after two training sessions by taking into account inspiration times. (2) Materials and Methods: A pilot simulation study was carried out with a sample of 10 lifeguard students. Two training sessions were held three weeks apart, in which CPR skills were trained by means of feedback tools. Participants performed three tests in pairs on a ResusciAnne QCPR® manikin connected to SkillReporter QCPR software, namely one pre-training test and one test after each training session. CPR was performed in pairs for two minutes and began with five rescue breaths. (3) Results: One training session was enough to improve chest compression quality (T0: 48%; IQR 17–77/T1: 83%; IQR 59–88; p = 0.022/T2: 79%; IQR 64–92; p = 0.002). The quality of the ventilations increased progressively in each training session without reaching high-quality results (T0: 0%; IQR 0–0/T2: 15%; IQR 8–27; p = 0.011). (4) Conclusion: A two-session training program focused on inspiratory times achieved significant improvements in the quality of bag-mask ventilations performed by lifeguard students. Training focused on the insufflation time of ventilations and not only on the volume seems to be an important factor in improving the quality of ventilations. [ABSTRACT FROM AUTHOR]

Objective: The aim of this study was to assess lifeguards' knowledge retention of airway management, oxygen administration, and ventilation interventions following certification and employer-provided training. Methods: This cross-sectional study was conducted using an online survey administered between February and May 2024. A total of 1322 responses from Canadian lifeguards certified in airway management and oxygen administration were deemed eligible for analysis. The survey included 15 knowledge assessment questions, with data analyzed based on lifeguard experience and the date of last certification or in-service training. Results: The mean knowledge assessment score was 10.4 ± 2.2 (69.3 ± 14.6%), with the highest scores in the airway management category and the lowest in the oxygen administration category. Lifeguard experience significantly increased knowledge retention, whereas recertification showed no significant impact, and employer-provided training significantly decreased knowledge retention. Conclusions: The findings underscore the importance of lifeguarding experience in knowledge retention among lifeguards. Optional airway management and oxygen administration recertification, coupled with inconsistent in-service training, have created significant gaps in lifeguard education. This study identifies the need for regular, competency-based training delivered by qualified facilitators. Addressing these gaps is crucial for enhancing the effectiveness of lifeguards in emergency response and ensuring high-quality care for drowning victims. [ABSTRACT FROM AUTHOR]

Copyright of Cuadernos del Centro de Estudios de Diseño y Comunicación is the property of Cuadernos del Centro de Estudios de Diseno y Comunicacion and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The present study sought to examine the gaze behaviours exhibited by lifeguards with different levels of experience while performing a task focused on detecting drowning incidents across extended periods. The results indicated a gradual decline in detection performance over time, regardless of the lifeguards' levels of experience. Analysis of the participants' gaze behaviours unveiled that this decline was associated with alterations in both the number and duration of fixations. The results indicated that lifeguards with greater experience maintained higher levels of detection performance and fixation numbers for extended durations, while exhibiting consistent fixation durations throughout the task, in contrast to their less experienced counterparts. These findings offer initial indications that lifeguards with more experience may possess an attentional advantage during tasks requiring sustained vigilance. [ABSTRACT FROM AUTHOR]

This study was designed to identify the relationship between Mindfulness and Emotional Intelligence of lifeguards in the Hashemite Kingdom of Jordan Depending on changes in sex, years of experience and the level of the rescue license. Thus, the researchers used the descriptive approach. The study sample consisted of (312) licensed lifeguards working in the swimming pools with (165) men and) 147 (women, and they were randomly selected. The study tool was a questionnaire that was constructed to suit the nature of the current study. The most prominent results showed that there is a relationship between mindfulness and emotional intelligence of lifeguards. Also, the results showed that there are no statistically significant differences among the averages of the relationship between mindfulness and emotional intelligence of lifeguards, depending on sex, experience and the level of the rescue license. Hence, the researchers recommended directing those responsible for preparing and qualifying lifeguards to the importance of the relationship between mindfulness and emotional intelligence, in order to develop plans for preparing lifeguards to ensure a focus on mind fulness and how to invest it in raising the level of emotional intelligence of lifeguards at all levels. [ABSTRACT FROM AUTHOR]

Lifeguards are the first responders to any type of aquatic incident, including rapid rescue situations such as boating and sporting accidents, animal bites/attacks, and cases involving massive bleeding. In their line of work, rescue boats such as Rescue Water Craft (RWC) are commonly utilized the aim of this study is to evaluate the time and technique of placing a tourniquet on the sled of an RWC navigating at full speed. A randomized crossover study design was used with a sample of 44 lifeguards. The inclusion criteria required that participants be certified lifeguards with experience in RWC operations and possess knowledge of responding to massive bleeding. Two CAT tourniquet placement tests were performed. In the 1) Beach-Tourniquet (B-TQ) test: it was performed on land and in the 2) Rescue Water Craft-tourniquet (RWC-TQ) test, sailing at a cruising speed of 20 knots. The evaluation was recorded in a checklist on the steps and timing of the correct application TQ by direct observation by an expert instructor. The tourniquet placement on RWC was an average of 11 s slower than when placed on the beach (BT-TQ 35.7 ± 8.0 vs. 46.1 ± 10.9 s, p > 0.001). In the percentage analysis of the results on correct execution of the skills, higher values are obtained for the B-TQ test than in RWC-TQ in Distance to the wound (into 5–7 cm), band adjustment, checking the radial pulse and reporting the time of tourniquet placement (p > 0.005). The placement of a tourniquet on a RWC navigating at 20 knots is feasible, relatively quick, and technically well executed. [ABSTRACT FROM AUTHOR]

Coastal environments present dynamic challenges necessitating rapid and efficient responses during aquatic emergencies. Lifeguards, as pivotal links in the intervention chain, rely on various tools, with rescue time being paramount. The choice of fins, specifically long versus short ones, plays a critical role in optimizing lifeguard performance during rescues. This randomized cross-over study explores the impact of flipper size on ocean rescues, employing a sample of 14 lifeguards. Long fins (LFs) and short fins (SFs) were compared in terms of rescue time (RT) and physiological load (PL). Tests included ocean rescues without fins (R), with LF (R-LF), and with SF (R-SF). Variables recorded encompassed swim approach time, tow-in time, overall rescue time, perceived exertion rates (RPEs), and post-rescue lactate concentration. Long fins demonstrated superior performance in swim approach and tow-in times compared to both short fins and no fins (p < 0.001). Overall rescue time favored long fins significantly (p < 0.001), indicating their efficiency in practical ocean rescue scenarios. Physiologically, long fins induced lower perceived exertion in arms (p = 0.033) compared to short fins. Lactate concentrations post-rescue revealed no significant differences (p > 0.05). This study demonstrates that long fins significantly improve lifeguard performance during ocean rescues, reducing rescue times and alleviating arm fatigue. [ABSTRACT FROM AUTHOR]

(1) Objective: The objective was to evaluate the quality of cardiopulmonary resuscitation (CPR, chest compressions and ventilations) when performed by a lone first responder on an infant victim via the over-the-head technique (OTH) with bag-mask ventilation in comparison with the standard lateral technique (LAT) position. (2) Methods: A randomized simulation crossover study in a baby manikin was conducted. A total of 28 first responders performed each of the techniques in two separate CPR tests (15:2 chest compressions:ventilations ratio), each lasting 5 min with a 15 min resting period. Quality CPR parameters were assessed using an app connected to the manikin. Those variables were related to chest compressions (CC: depth, rate, and correct CC point) and ventilation (number of effective ventilations). Additional variables included perceptions of the ease of execution of CPR. (3) Results: The median global CPR quality (integrated CC + V) was 82% with OTH and 79% with LAT (p = 0.94), whilst the CC quality was 88% with OTH and 80% with LAT (p = 0.67), and ventilation quality was 85% with OTH and 85% with LAT (p = 0.98). Correct chest release was significantly better with OTH (OTH: 92% vs. LAT: 62%, p < 0.001). There were no statistically significant differences in the remaining variables. Ease of execution perceptions favored the use of LAT over OTH. (4) Conclusions: Chest compressions and ventilations can be performed with similar quality in an infant manikin by lifeguards both with the standard recommended position (LAT) and the alternative OTH. This option could give some advantages in terms of optimal chest release between compressions. Our results should encourage the assessment of OTH in some selected cases and situations as when a lone rescuer is present and/or there are physical conditions that could impede the lateral rescue position. [ABSTRACT FROM AUTHOR]

(1) Objective: The objective was to evaluate the quality of cardiopulmonary resuscitation (CPR, chest compressions and ventilations) when performed by a lone first responder on an infant victim via the over-the-head technique (OTH) with bag-mask ventilation in comparison with the standard lateral technique (LAT) position. (2) Methods: A randomized simulation crossover study in a baby manikin was conducted. A total of 28 first responders performed each of the techniques in two separate CPR tests (15:2 chest compressions:ventilations ratio), each lasting 5 min with a 15 min resting period. Quality CPR parameters were assessed using an app connected to the manikin. Those variables were related to chest compressions (CC: depth, rate, and correct CC point) and ventilation (number of effective ventilations). Additional variables included perceptions of the ease of execution of CPR. (3) Results: The median global CPR quality (integrated CC + V) was 82% with OTH and 79% with LAT (p = 0.94), whilst the CC quality was 88% with OTH and 80% with LAT (p = 0.67), and ventilation quality was 85% with OTH and 85% with LAT (p = 0.98). Correct chest release was significantly better with OTH (OTH: 92% vs. LAT: 62%, p < 0.001). There were no statistically significant differences in the remaining variables. Ease of execution perceptions favored the use of LAT over OTH. (4) Conclusions: Chest compressions and ventilations can be performed with similar quality in an infant manikin by lifeguards both with the standard recommended position (LAT) and the alternative OTH. This option could give some advantages in terms of optimal chest release between compressions. Our results should encourage the assessment of OTH in some selected cases and situations as when a lone rescuer is present and/or there are physical conditions that could impede the lateral rescue position.

The purpose of this scientific review was to address the question of what evidencebased visual surveillance/scanning skills exist in the peer-reviewed scholarly literature. It is well known that lifeguards spend a majority of their on-duty time surveying bathers and swimmers in the water. Lifeguards need to quickly distinguish among swimmers in distress and drowning persons from other bathers in order to rapidly come to their aid to prevent drowning. To be able to accomplish this task, Signal Detection Theory reveals that lifeguards need specific and extensive training in identifying the behavioral patterns associated with drowning persons and swimmers in distress. A typical drowning is not what has been popularized in the press and movies that shows a person calling for help and waving his or her arms about. Instead, drowning victims usually demonstrate the instinctive drowning response in which they are in a vertical position in the water, unable to call out because the mouth is underwater and arm and leg movements are ineffective in keeping them near the water’s surface. The literature revealed that expert lifeguard observation, scanning, and surveillance skills need to be acquired through planned systematic practice to identify the presence of the instinctive drowning response among bathers. [ABSTRACT FROM AUTHOR]

To prevent drownings in public swimming pools (PSP), French legislation requires constant surveillance by state-certified lifeguards. While previous research showed that surveillance was not always effective, this article focuses on efficiency of surveillance when it is effective. We evaluated the ability of 4 volunteer professional lifeguards to detect a submerged manikin under controlled conditions. One hundred and eight (108) tests were carried out in 2 PSP. Four variables were controlled (i.e., distance, depth, surveillance station, attendance). Our results showed that rapid drowning detection was not exclusively linked to the individual detection capabilities of a lifeguard, but rather it emerged from a tight coupling between the lifeguard’s perception and his/her working environment. The tests performed in this study are useful to prevent drownings and therefore should be reproduced in other public swimming pools (i) to identify problematic situations and (ii) to train lifeguards’ surveillance capabilities. [ABSTRACT FROM AUTHOR]

Drowning is one of the leading causes of death worldwide and lifeguards’ action can be regarded as a significant contribution to change that reality. In this regard, the purpose of this systematic review was to identify factors associated with lifeguards’ performance. After extensive research on PsycArticles, PsicBooks, PsycInfo, SportDiscus, Web of Science, PubMed, Scopus and SportDiscus databases, containing the keywords “lifeguard” AND “performance”, “lifeguard” AND “skills” and “lifeguard” AND “drowning”, we obtained 429 research articles. After eliminating duplicates, excluding those that had no relevance to the study, and screening against set criteria, a total of five articles were fully reviewed. Four quantitative studies and one qualitative study were included in the present review. An analysis of the data was carried out and the findings indicated that there are determining factors for the successful performance of the lifeguard’s activity. Results indicate that factors related to the physical, technical, and psychological components are essential for an improved lifeguard’s performance. The analysis of the data also highlights the lack of studies related to behavioural competencies. [ABSTRACT FROM AUTHOR]

Extensive research has focused on human resource management (HRM) and recruitment and selection practices across different settings. However, there is a gap in the scholarly literature in ARC settings, including lifeguards. Additionally, the aquatics industry is experiencing unprecedented levels of lifeguard turnover within aquatic facilities. The recruitment and selection process can impact employee turnover. Therefore, an important first step to address lifeguard turnover is to better understand the current recruitment and selection practices of lifeguards. This study focuses on the recruitment and selection practices of ARC management to better understand the recruitment and selection of lifeguards. The analysis is based on 16 semi-structured interviews with ARC managers involved in lifeguard recruitment and selection. Participants included center managers, assistant center managers, and operations managers/coordinators. A deductive analysis was able to effectively explain the current recruitment and selection practices for recruiting lifeguards in Victorian ARCs. [ABSTRACT FROM AUTHOR]

We consider a generalization of an extremal problem known as the lifeguard problem. In particular, we give a geometric characterization of the optimal path and an algorithm for computing the minimal rescue time. [ABSTRACT FROM AUTHOR]

Introduction: Control of massive hemorrhage (MH) is a life-saving intervention. The use of tourniquets has been studied in prehospital and battlefield settings but not in aquatic environments. Objective: The aim of this research is to assess the control of MH in an aquatic environment by analyzing the usability of two tourniquet models with different adjustment mechanisms: windlass rod versus ratchet. Methodology: A pilot simulation study was conducted using a randomized crossover design to assess the control of MH resulting from an upper extremity arterial perforation in an aquatic setting. A sample of 24 trained lifeguards performed two randomized tests: one using a windlass-based Combat Application Tourniquet 7 Gen (T-CAT) and the other using a ratchet-based OMNA Marine Tourniquet (T-OMNA) specifically designed for aquatic use on a training arm for hemorrhage control. The tests were conducted after swimming an approximate distance of 100 meters and the tourniquets were applied while in the water. The following parameters were recorded: time of rescue (rescue phases and tourniquet application), perceived fatigue, and technical actions related to tourniquet skills. Results: With the T-OMNA, 46% of the lifeguards successfully stopped the MH compared to 21% with the T-CAT (P =.015). The approach swim time was 135 seconds with the T-OMNA and 131 seconds with the T-CAT (P =.42). The total time (swim time plus tourniquet placement) was 174 seconds with the T-OMNA and 177 seconds with the T-CAT (P =.55). The adjustment time (from securing the Velcro to completing the manipulation of the windlass or ratchet) for the T-OMNA was faster than with the T-CAT (six seconds versus 19 seconds; P <.001; effect size [ES] = 0.83). The perceived fatigue was high, with a score of seven out of ten in both tests (P =.46). Conclusions: Lifeguards in this study demonstrated the ability to use both tourniquets during aquatic rescues under conditions of fatigue. The tourniquet with the ratcheting-fixation system controlled hemorrhage in less time than the windlass rod-based tourniquet, although achieving complete bleeding control had a low success rate. [ABSTRACT FROM AUTHOR]

Two experiments aimed to determine whether working memory capacity (WMC) and high‐order executive functions predict drown detection performance and maintenance under heightened task demands. Experiment 1 (n = 111) found a positive correlation between enhanced performance scores and higher WMC, while executive function showed no comparable association. Experiment 2 (n = 28) individuals with elevated WMC demonstrated an ability to detect a greater number of drowning events over an extended period overall, relative to their lower scoring counterparts. However, this heightened capacity did not necessarily prevent the presence of vigilance decrement, but enabled lifeguards to perform more effectively under conditions of increased bather numbers. Our findings highlight that lifeguards have a measurable underlying process that may systematically discriminate lifeguards of varying degrees of experience and detection performance. This offers a new avenue for future lifeguarding research. [ABSTRACT FROM AUTHOR]

• Rapid declines in lifeguard specific drowning detection performance occur as time progresses, irrespective of lifeguarding experience. • Bather number and drowning duration has a substantial influence on drowning detection performance. • Experienced lifeguards consistently detect a greater number of drowning events, compared to novice lifeguards and naïve individuals. Introduction : Lifeguards must maintain alertness and monitor an aquatic space across extended periods. However, lifeguard research has yet to investigate a lifeguard's ability to maintain performance over time and whether this is influenced by years of certified experience or the detection difficulty of a drowning incident. The aim of this study was to examine whether lifeguard experience, drowning duration, bather number, and time on task influences drowning detection performance. Method: A total of 30 participants took part in nine 60-minute lifeguard specific tasks that included 11 drowning events occurring at five-minute intervals. Each task had manipulated conditions that acted as the independent variables, including bather number and drowning duration. Results: The experienced group detected a greater number of drowning events per task, compared to novice and naïve groups. Findings further highlighted that time, bather number, and drowning duration has a substantial influence on lifeguard specific drowning detection performance. Practical Applications: It is hoped that the outcome of the study will have applied application in highlighting the critical need for lifeguard organizations to be aware of a lifeguard's capacity to sustain attention, and for researchers to explore methods for minimizing any decrement in vigilance performance. [ABSTRACT FROM AUTHOR]

Several water safety organizations have attempted to improve reporting regarding lifeguard actions in order to better understand the characteristics of successful, nonfatal rescues. In 2003, a collective effort initiated the Lifeguard Rescue Reporting System, an online survey distributed to lifeguards and facility managers across the United States and Canada to better understand rescue actions performed in pools/spas, water parks, and open water areas. After seven years of data collection, the online survey accumulated data reflecting 1,676 rescue actions, collecting information including location, victim characteristics and outcome, rescuer characteristics and strategies, and other general circumstances. Descriptive results indicated that at least half of victims were 14 years old or younger across all settings. Depths of 0.9-1.5m (3-5 ft) represented the range at which incidents most frequently occurred in pools and spas and waterparks, whereas the depth of incidents was generally deeper in natural and open waterways. During rescue incidents, water safety personnel generally identified victims either visually (83-92% of the time) and/or audibly (18-29%), although victim "profiling" was also employed 10-14% of the time to identify at-risk swimmers. Notably, across all three water setting types, no medical aid was required in most cases (60-72%), suggesting the efficacy and essentiality of lifeguards as aquatic first responders. Accordingly, as water-based recreation maintains its popularity, systematically collecting and analyzing data specific to everyday, rescue actions are critical to improving lifeguard education and strategic, data-based operating procedures. [ABSTRACT FROM AUTHOR]

Abstract Background Surf lifesavers and lifeguards have provided essential education, preventative, and rescue services to the Australian community for over 110 years. In this first responder role, surf lifesavers and lifeguards are inadvertently exposed to high risk and trauma related experiences, which may negatively impact mental well-being. To date however, there has been limited research into the mental health of surf lifesavers and lifeguards, and no studies at all on the mental health of adolescent surf lifesavers. The preliminary study aimed to measure the exposure of potentially traumatic events (PTEs), post-traumatic stress symptoms (PTSS), self-efficacy, social support, and attitudes towards mental health problems in Surf Life Saving (SLS) members. Methods An anonymous, online survey was developed (adolescent and adult versions) and created to measure the domain of mental health in surf lifesavers and lifeguards. Pearson’s correlations investigated relationships between PTEs, PTSS, self-efficacy, social support, attitudes towards mental health problems, age, years as a SLS member, and years patrolling. Spearman’s Rank was used for violations of normality. Results A total of 57 surf lifesavers/lifeguards aged 13–59 years were included in the final analysis. There was a significant positive relationship between exposure to direct trauma and PTSS, which in turn, were associated with greater negative attitudes towards mental health problems towards the mental health of others, and lower levels of self-efficacy. Male and female adults with PTSS reported lower social support, whereas for adolescent males, a positive relationship between direct trauma and PTSS was observed. Conclusion This research is the first to explore the mental health of Australian surf lifesavers and lifeguards. The results highlight the potential risks to mental health and well-being associated with this first responder role. More research to protect the vulnerability of this population is warranted.

Coastal environments present dynamic challenges necessitating rapid and efficient responses during aquatic emergencies. Lifeguards, as pivotal links in the intervention chain, rely on various tools, with rescue time being paramount. The choice of fins, specifically long versus short ones, plays a critical role in optimizing lifeguard performance during rescues. This randomized cross-over study explores the impact of flipper size on ocean rescues, employing a sample of 14 lifeguards. Long fins (LFs) and short fins (SFs) were compared in terms of rescue time (RT) and physiological load (PL). Tests included ocean rescues without fins (R), with LF (R-LF), and with SF (R-SF). Variables recorded encompassed swim approach time, tow-in time, overall rescue time, perceived exertion rates (RPEs), and post-rescue lactate concentration. Long fins demonstrated superior performance in swim approach and tow-in times compared to both short fins and no fins (p < 0.001). Overall rescue time favored long fins significantly (p < 0.001), indicating their efficiency in practical ocean rescue scenarios. Physiologically, long fins induced lower perceived exertion in arms (p = 0.033) compared to short fins. Lactate concentrations post-rescue revealed no significant differences (p > 0.05). This study demonstrates that long fins significantly improve lifeguard performance during ocean rescues, reducing rescue times and alleviating arm fatigue.

The objective of the study was to compare the performance of Portuguese lifeguards in two trials of simulated rescue at the beach within a regular continuous workday. Additionally, the study aimed to analyse the influence of experience and initial course syllabus on the rescue performance. A total of 86 Portuguese lifeguards (LG) participated in this study, 69 males and 17 females. The two simulated drowning occurrences were planned to occur at 50 meters from the coastline between 9.00h am and 18.00h pm. The weather conditions, the characteristics of the beach, wave amplitude were also controlled. The results were analysed through descriptive and comparative tests and pairwise comparisons. The rescue was performed in less than 6 minutes by 91.9% of the subjects, 5.8% between and 6-10 min and only 2.3% exceeded 10 minutes. No significant differences (p>0.05) were found on the total rescue time between trials and the number of ventilations. The number of training sessions at the beach during the lifesaving course was negatively correlated with a faster rescue trial (r= -0.218; p=0.004). The majority of the Portuguese LG in this study demonstrated the readiness required to conduct a full rescue in less than 6 minutes. [ABSTRACT FROM AUTHOR]

The aim of this study was to derive an equation that validly and reliably estimates the VO2 reached in the IPTL, a maximum stress test for lifeguards. From the results obtained in the first part of the research, a multiple linear regression model was identified. A "stepwise" procedure was established as a variable selection method, where the VO2IPTL was selected as the dependent variable and the maximum time reached in the IPTL (s), the percentage of muscle mass (%) and weight of the participant (kg), as independent variables. This procedure generated a regression model where a high correlation was observed between the 3 independent variables and the dependent variable (R2 = 0.84; p <.01). From this model, an equation could be generated that allows estimating the VO2max reached in the IPTL. The analysis of the results suggested that the IPTL was a valid and reliable test to estimate VO2 simply which would allow, in the long term, analysis of changes in lifeguards physical conditioning. [ABSTRACT FROM AUTHOR]

Ocean lifeguards are constantly engaged in beach risk analysis, required to efficiently evaluate a variety of environmental and other factors quickly in order to triage and prioritize who needs help. Teaching these skills is a challenge for introductory training programs. We sought to improve new lifeguards' understanding of the interaction of various risk components in the beach environment and aid decision-making related to when a lifeguard should intervene in a situation. We developed a two-part cognitive aid for introductory ocean lifeguard education depicting individual and interacting elements of a beach goer's risk of drowning or injury and the process by which that risk increases with associated lifeguard interventions on a continuum from low risk and no distress to drowning. This new cognitive aid represented an advancement in the presentation of complex material in introductory training programs for those involved in aquatic rescue. [ABSTRACT FROM AUTHOR]

To address Washington State's high pediatric fatal drowning rates in Asian children, especially Vietnamese, we conducted and evaluated a community water safety campaign for Vietnamese American families. Working with community groups, parks departments and public health, we disseminated three messages (learn to swim, swim with a lifeguard, and wear a life jacket) in Vietnamese media and at events, increased access to free/low cost swim lessons and availability of lifeguarded settings and life jackets in the community. Parents completed 168 pre-and 230 post-intervention self-administered, bilingual surveys. Significantly more post-intervention compared to pre-intervention respondents had heard water safety advice in the previous year, (OR 8.75 (5.07, 15.09)) and had used lifeguarded sites at lakes and rivers (OR 2.3 (1.04,5.08)). The campaign also increased community assets: availability of low-cost family swim lessons, free lessons at beaches, low cost life jacket sales, life jacket loan kiosks in multiple languages, and more Asian, including Vietnamese, lifeguards. [ABSTRACT FROM AUTHOR]

The aim of this study was to compare the quality of standard infant CPR with CPR in motion (i.e., walking and running) via performing maneuvers and evacuating the infant from a beach. Thirteen trained lifeguards participated in a randomized crossover study. Each rescuer individually performed three tests of 2 min each. Five rescue breaths and cycles of 30 chest compressions followed by two breaths were performed. Mouth-to-mouth-and-nose ventilation was carried out, and chest compressions were performed using the two-fingers technique. The manikin was carried on the rescuer's forearm with the head in the distal position. The analysis variables included compression, ventilation, and CPR quality variables, as well as physiological and effort parameters. Significantly lower compression quality values were obtained in running CPR versus standard CPR (53% ± 14% versus 63% ± 15%; p = 0.045). No significant differences were observed in ventilation or CPR quality. In conclusion, lifeguards in good physical condition can perform simulated infant CPR of a similar quality to that of CPR carried out on a victim who is lying down in a fixed position. [ABSTRACT FROM AUTHOR]