Prehospital Emergency Medicine at the Beach: What Is the Effect of Fins and Rescue Tubes in Lifesaving and Cardiopulmonary Resuscitation After Rescue?

Abstract

The use of fins and rescue tube provides a comprehensive benefit in an aquatic emergency. However, FRT did not have any effect on the quality of the postrescue CPR.

Is Low-Frequency Electrical Stimulation a Tool for Recovery after a Water Rescue? A Cross-Over Study with Lifeguards

“…The lifeguards in this study reached a mean lactate level of over 10 mmol•L −1 after 200 m rescue with fins, which is in close agreement with the results of previous studies of water rescues of 150-200 m [4,5]. The results of this study showed a moderate recovery effect on lactate concentration after water rescue for the ES group compared with a PR group.…”

“…Drowning is a global health problem, which in 2017 caused 295,210 drowning deaths [2], a number that would be much higher without lifeguard prevention and rescues. Drowning is triggered, within seconds or minutes [3], so the intensity of lifeguards' water rescues is very high, with lactate production of over 10 millimoles [4,5] and great physiological and muscular fatigue [6]. Considering a lifeguard can have more than one rescue per day [7], the physiological and metabolic disturbances induced by a water rescue can have detrimental effects on the performance of subsequent rescues.…”

Validation of a New Incremental Swim Test as a Tool for Maximum Oxygen Uptake Analysis in Lifeguards

“…Lifeguards also used fins, a recue material recommended for the security of the rescuer and for its utility to reduced the livesaving time (Abraldes, Soares, Barroso, Fernandes, & Vilas-Boas, 2007;Palacios, 2008;Abelairas-Gómez et al, 2017).…”

The effect of chest compression frequency on the quality of resuscitation by lifeguards. A prospective randomized crossover multicenter simulation trial

“…The study was designed as a prospective observational, randomized, crossover simulation study. The study protocol was approved by the institutional review board of the Polish Society of Disaster Medicine (approval No., 19.02.2018.IRB). The survey was conducted among lifeguards working in Warsaw, Wroclaw, and Poznan, Poland.…”

“…often meet optimal criteria for body mass index and mean fat-free mass, therefore it can be expected that resuscitation performed by this professional group should be of a high-quality; however, water rescue actions are exhausting and can impede the quality of resuscitation. The quality of chest compression worsens after a water rescue action by 26-28%, so it has been emphasized that the use of additional equipment (fins and rescue tubes) provides benefit in emergency situations [19]. Some publications suggest that lifesavers clear out blood lactate more efficiently when performing an active recovery protocol [20].…”