Lifeguard Orientation/In Service Training Exercise First Aid/CPR Scenario Answer Sheet

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1 First Aid/CPR Scenario Answer Sheet Name: Date: Scenario: INSTRUCTIONS: Read the scenario description assigned to you. Once you understand the situation, think about how you would approach, assess, and care for the victim. Then, fill out this sheet. Scene Size Up Is the scene safe? Safe Not safe, but the victim can be rescued as follows: Not safe, but the scene can be made safe by Not safe, and the scene cannot be made safe What happened? Classification: Injury Illness Medical condition Incident/disturbance Number of victims? Which victim is first priority? Resources needed? AED Backboard First aid kit O2 tank Blanket Water Sugar Other: Initial Assessment General impression: Chief complaint? Mechanism of injury/ Nature of illness/condition: LOC: Alert Verbal Painful Unconscious Gender: Male Female ABCs: Airway blocked Not breathing No pulse/signs of life Severe bleeding Other: Unknown; cannot approach victim No life threatening conditions exist EMS System Activation (Can Occur at Any Time) You make the call yourself during (circle) scene size up, initial assessment, or secondary assessment You provide 2 minutes of care and then call You send someone to call Calling is not required Secondary Assessment Yes No History: S: A: M: P: L: E: Physical exam: Head: Shoulders/Back: Chest: R Arm: L Arm: Abdomen/Pelvis: R Leg: L Leg: Vital signs: Breathing: Pulse: Skin: Cap. Refill: Care (Check ALL that Apply) Life threatening care: Airway mgmt Rescue breathing CPR AED O2 Recovery position/monitor ABCs Direct pressure/pressure bandage Injury: Clean wound/bandage Bandage around object Apply occlusive bandage Cool/cover Flush with water Perform RICE Splint (anatomic, rigid, soft, sling/binder, other) Illness/medical condition: Assist with medication Give sugar Protect victim from injury Perform FAST Remove poison/stinger Position victim/monitor ABCs Other: Shock: Care for shock (circle: position victim/abcs, raise legs, maintain temp, comfort/reassure) Additional care:

2 Height and Weight Averages for Children and Teens 1 Male Female Age Height (in./cm) Weight (lbs/kg) Height (in./cm) Weight (lbs/kg) Newborn 19.7/50 7.9/ / / months 22.75/ / / / months 25.2/ /7 24.6/ / months 27.4/ / / / months 29/ / / /9 1 1 ½ years 31/ / / / ½ 2 years 33.3/ / / / years 34.25/87 28/ / /12 3 years 37.4/95 32/ / /14 4 years 40.2/ / / /16 5 years 43/ / / /18 6 years 45.3/ / /115 44/20 7 years 47.8/ / / /23 8 years 50.4/ / / / years 53/ / /133 64/29 10 years 54.5/ / / /33 11 years 56.5/ / / /37 12 years 58.7/ / / / years 61.4/ / / /46 14 years 64.6/ / / / years 66.9/ / / /52 16 years 68.7/ /61 64/ /54 17 years 68.9/ / / /55 18 years 69.3/ / / /56 19 years 69.5/ / / / years 69.7/ / / / Based on Centers for Disease Control Growth Charts. For more information, go to

3 First Aid/CPR Scenario Sample #001 Description of Emergency: A teen ager (approximately 5 5 and 120 lbs) has been wounded with a knife and is lying on the floor of the men s locker room. The victim is face up and motionless on the floor, the knife protruding from his shoulder. Eight bystanders (3 adults, 1 teen ager, and 4 children) crowd around the scene. Two adults are holding the teen ager and claim that he is the one who stabbed the victim. The other bystanders arrived after victim was wounded. The accused teen ager (approximately 5 7 and 135 lbs) is extremely upset; he is denying any involvement and demanding to be allowed to leave. Resources: No one else on your lifeguard team has responded to this emergency. There are 5 other lifeguards, 1 head lifeguard, and 1 cashier on duty today. It is approximately 3:30 p.m. on a Monday. A recreational swim session is in progress; over 100 individuals are using the pool. Four lifeguards are stationed for surveillance. You have a fanny pack with dressings, bandages, vinyl gloves, and a pocket mask. The facility has a complete first aid kit and any other rescue and first aid equipment typically found where you work.

4 First Aid/CPR Scenario Sample #002 Description of Emergency: It is the end of the day. After you check the locker rooms and lock all perimeter doors, you walk by the deep end of the pool where you see a small girl (about 4 tall and 55 lbs) motionless at the bottom. She is fully dressed, and you are sure she was not in the water when the pool was cleared about 15 minutes earlier. Resources: You call out for assistance and two lifeguards who were just leaving the facility respond. They are both in street clothes. No one else is in the facility. You are still in uniform and have a fanny pack with dressings, bandages, vinyl gloves, and a pocket mask. The facility has a complete first aid kit and any other rescue and first aid equipment typically found where you work.

5 First Aid/CPR Scenario Sample #003 Description of Emergency: You are on duty in deep tower, supervising the diving area. You observe a young girl (approximately 4 4 and 64 lbs) slip on a rung of the 3 meter diving board and fall to the ground, striking the diving board ladder on the way down. As she nears the ground, she falls on a little boy (approximately 4 2 and 46 lbs) waiting in line to use the diving board. After the accident, the girl is sitting up and leaning against the diving board ladder. She is pale, her jaw is bleeding, and she is holding her right arm against her chest. The boy is lying on his back. His shoulder is bruised, and it looks like he struck the deck with the back of his head. He is conscious but not moving. Resources: You activate the emergency action plan and respond to this emergency. There are 5 other lifeguards, 1 head lifeguard, and 1 cashier on duty. It is approximately 2:45 p.m. on a Wednesday. A recreational swim session is in progress; over 150 individuals are using the pool. Three other lifeguards are stationed for surveillance. A break lifeguard has arrived at your station to provide back up coverage. The other break lifeguard and the head lifeguard are approaching the scene. You have a fanny pack with dressings, bandages, vinyl gloves, and a pocket mask. The facility has a complete first aid kit and any other rescue and first aid equipment typically found where you work.

6 First Aid/CPR Scenario Form Scenario No.: Description of Emergency: Resources:

7 Leader Instructions: First Aid/CPR Scenarios This page contains instructions for conducting first aid/cpr scenarios as part of a lifeguarding course or a staff orientation/in service training session. The unique format of this scenario packet (i.e., scenario answer sheet, etc.) enables you to introduce scenarios to an entire class or safety team. To use this packet: 1. Select one of the Scenario Samples, or create your own scenario using the Scenario Form on the previous page. If you create your own scenario, use the Sample Scenarios as a guide so you include enough information to identify the victim s condition. 2. Make copies of the selected scenario, the scenario answer sheet, and height and weight chart, and distribute them to each participant. If this is the first time the participants are using this packet, take a few moments to review each handout. 3. Read the scenario out loud, and then give the participants about 5 7 minutes to complete the Scene Size Up, Initial Assessment, and EMS Activation sections. 4. If the scenario involves initial and secondary assessments, have a participant or leader conduct assessment of ABCs and secondary assessment as appropriate while the other participants complete the ABCs and Secondary Assessment portions of the scenario answer sheet. Be sure to prep the victim with an appropriate history, set of vital signs and other conditions, and/or injured body parts so participants can take notes. 5. Once all assessment information has been collected, give participants another 5 minutes to complete the Care section. 6. Hold a brief discussion of how each participant filled out this answer sheet for this scenario. Do not focus on right and wrong; instead, discuss the decision making process used by the participants as well as their application of sound principles of first aid care. 7. Collect the scenario answer sheets so you can review their answers further.

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