Roberto Barcala-Furelos1, David Szpilman2, Jose Palacios-Aguilar3, Javier Costas-Veiga4, Cristian Abelairas-Gomez5, Antonio Bores-Cerezal6, Sergio López-García7, Antonio Rodríguez-Nuñez8. 1. Faculty of Education and Sport Sciences, University of Vigo, Pontevedra, Spain; CLINURSID Research Group, Departamento de Enfermería, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; IDRA, International Drowning Research Alliance, Rio de Janeiro, Brazil. 2. IDRA, International Drowning Research Alliance, Rio de Janeiro, Brazil; Brazilian Lifesaving Society (SOBRASA), Rio de Janeiro, Brazil; Hospital Municipal Miguel Couto, Rio de Janeiro, Brazil. Electronic address: david@szpilman.com. 3. Faculty of Sport Sciences and Physical Activity, University of La Coruña, Spain. 4. Faculty of Education and Sport Sciences, University of Vigo, Pontevedra, Spain; Faculty of Health Sciences, European Atlantic University, Santander, Spain. 5. CLINURSID Research Group, Departamento de Enfermería, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; Faculty of Health Sciences, European Atlantic University, Santander, Spain. 6. Faculty of Health Sciences, European Atlantic University, Santander, Spain. 7. Faculty of Education, Pontifical University of Salamanca, Spain. 8. CLINURSID Research Group, Departamento de Enfermería, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; Pediatric Area, Pediatric Emergency and Critical Care Division, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, Spain.
Abstract
PURPOSE: The whole drowning process usually occurs within seconds to a few minutes. An early rescue may stop and/or prevent most medical complications. Fins, rescue tube, and rescue board (RB) are the equipment most frequently used by lifeguards. Our objective was to compare, in a water rescue quasiexperimental trial, these different pieces of rescue equipment to define the safest and with the lower rescue time as well as to assess their effects on the lifeguards' physiological state and cardiopulmonary resuscitation (CPR) performance. METHOD: A controlled trial was conducted to study the time effect of 4 different rescue techniques and assess CPR quality, along with the physiological effects of each rescue technique (blood lactate and subjective Borg's scale effort perception) on 35 lifeguards. RESULTS: Among the final sample subjects (n = 23), a total of 92 rescues were completed. Total water rescue time was longer without equipment (NE). The total rescue time was significantly lower using RB (P < .001). Similar good quality of CPR before and after water rescue was observed in all trials (P > .05), although correct ventilations represented less than 50% of total in all trials. Blood lactate increased after all rescues. The subjective effort Borg's scale showed significantly less effort using RB vs without equipment, fins, and fins and rescue tube. CONCLUSION: The use of propelling and/or floating equipment saves precious time with repercussions in the reduction of drowning mortality and morbidity. The RB offers a significant advantage. Lifeguards need more CPR training, especially considering the importance of efficient ventilations for drowning victims.
PURPOSE: The whole drowning process usually occurs within seconds to a few minutes. An early rescue may stop and/or prevent most medical complications. Fins, rescue tube, and rescue board (RB) are the equipment most frequently used by lifeguards. Our objective was to compare, in a water rescue quasiexperimental trial, these different pieces of rescue equipment to define the safest and with the lower rescue time as well as to assess their effects on the lifeguards' physiological state and cardiopulmonary resuscitation (CPR) performance. METHOD: A controlled trial was conducted to study the time effect of 4 different rescue techniques and assess CPR quality, along with the physiological effects of each rescue technique (blood lactate and subjective Borg's scale effort perception) on 35 lifeguards. RESULTS: Among the final sample subjects (n = 23), a total of 92 rescues were completed. Total water rescue time was longer without equipment (NE). The total rescue time was significantly lower using RB (P < .001). Similar good quality of CPR before and after water rescue was observed in all trials (P > .05), although correct ventilations represented less than 50% of total in all trials. Blood lactate increased after all rescues. The subjective effort Borg's scale showed significantly less effort using RB vs without equipment, fins, and fins and rescue tube. CONCLUSION: The use of propelling and/or floating equipment saves precious time with repercussions in the reduction of drowning mortality and morbidity. The RB offers a significant advantage. Lifeguards need more CPR training, especially considering the importance of efficient ventilations for drowning victims.
Authors: Robert W Brander; Nicola Warton; Richard C Franklin; Wendy S Shaw; Eveline J T Rijksen; Shane Daw Journal: PLoS One Date: 2019-02-14 Impact factor: 3.240
Authors: María Fernández-Méndez; Martín Otero-Agra; Felipe Fernández-Méndez; Santiago Martínez-Isasi; Myriam Santos-Folgar; Roberto Barcala-Furelos; Antonio Rodríguez-Núñez Journal: Int J Environ Res Public Health Date: 2021-07-02 Impact factor: 3.390
Authors: Roberto Barcala-Furelos; Alicia González-Represas; Ezequiel Rey; Alicia Martínez-Rodríguez; Anton Kalén; Olga Marques; Luís Rama Journal: Int J Environ Res Public Health Date: 2020-08-12 Impact factor: 3.390
Authors: Sergio López-García; Brais Ruibal-Lista; José Palacios-Aguilar; Miguel Santiago-Alonso; José Antonio Prieto Journal: Int J Environ Res Public Health Date: 2021-03-25 Impact factor: 3.390