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SIMULATED EMERGENCY RESPONSE TRAINING PROGRAMME PERRY SMITH - Canada

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SIMULATED EMERGENCY RESPONSE TRAINING PROGRAMME <ul><li>SPECIAL THANKS & ACKOWLEDGMENTS </li></ul><ul><li>Simulated Emergency Response Task Force </li></ul><ul><ul><li>JANET CASTRO – United Kingdom </li></ul></ul><ul><ul><li>NORM FARMER - Australia </li></ul></ul>

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SIMULATED EMERGENCY RESPONSE TRAINING PROGRAMME <ul><li>Learning Outcomes: </li></ul><ul><ul><li>Explain the principles of Emergency Response Training </li></ul></ul><ul><ul><li>Explain the relevance of Emergency Response Training for Lifesaving and its application as an event in Lifesaving Sport </li></ul></ul><ul><ul><li>Explain the details of the evaluation of the Emergency Response and the scoring procedures </li></ul></ul>

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SIMULATED EMERGENCY RESPONSE TRAINING PROGRAMME <ul><li>Simulated emergency response scenarios evaluate the knowledge, judgment, skills and fitness in performing rescues. </li></ul><ul><li>The nature of the emergency is unrevealed to the rescuer to assess initiative and judgment during the performance how they apply their skills as they respond to the scenario. </li></ul><ul><li>Design features include; scenario description, location, weather, water, and environmental conditions, aids/equipment, bystanders availability and casualty/subject condition. </li></ul>

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SIMULATED EMERGENCY RESPONSE TRAINING PROGRAMME <ul><li>Scenario Descriptions - Examples </li></ul><ul><ul><li>Rescuer’s arrive at a dock where several sail boats are practicing their skills when the wind blows them over and upturns the sail boats. </li></ul></ul><ul><ul><li>Rescuer’s arrive at pier where they observe several surf boats practicing their turnabouts in the waves when a large wave upturns the boats. </li></ul></ul><ul><ul><li>Rescuer’s are at a lakefront at a family picnic when a motor boat with skiers collide with a canoe. </li></ul></ul>

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SIMULATED EMERGENCY RESPONSE TRAINING PROGRAMME <ul><li>Weather and Water Conditions - Examples </li></ul><ul><ul><li>Sunny, light wind, large swells, cool water 16-20 degrees </li></ul></ul><ul><ul><li>Overcast, no wind, warmer water, wavy, 21-25 degrees </li></ul></ul><ul><ul><li>Rainy, high winds, cold water, flat water, 10-15 degrees </li></ul></ul>

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SIMULATED EMERGENCY RESPONSE TRAINING PROGRAMME <ul><li>Aids/equipment and bystanders – Examples </li></ul><ul><ul><li>PFD, length of rope, pole, trained bystander </li></ul></ul><ul><ul><li>Rescue tube, throw bag, ring buoy, untrained bystanders </li></ul></ul><ul><ul><li>Oar, fishing rod, picnic cooler, no bystander </li></ul></ul>

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SIMULATED EMERGENCY RESPONSE TRAINING PROGRAMME <ul><li>Casualty/subject condition – Examples </li></ul><ul><ul><li>Non-swimmer </li></ul></ul><ul><ul><li>Weak swimmer </li></ul></ul><ul><ul><li>Unconscious, non breathing swimmer </li></ul></ul><ul><ul><li>Injured swimmer (cramps, bleeding, broken bones, etc.) </li></ul></ul><ul><ul><li>Spinal injured swimmer </li></ul></ul>

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SIMULATED EMERGENCY RESPONSE TRAINING PROGRAMME <ul><li>Water Rescue Scenario Cards </li></ul><ul><ul><li>The cards are created to suite the rescuers level of training and abilities. </li></ul></ul><ul><ul><li>Casualties and bystanders need to simulate their role appropriately so the rescuer can respond effectively. </li></ul></ul><ul><ul><li>Rescuers are evaluated based on their training and provided feedback on the appropriate response and performance expectations. </li></ul></ul><ul><ul><li>During competition the scenario must be performed and role played identically for each team to ensure consistency. </li></ul></ul>

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SIMULATED EMERGENCY RESPONSE TRAINING PROGRAMME Casualty/subject condition: Special circumstances: Casualty/subject position: Bystanders available: Water condition: Aids/equipment available: Weather: Rescuer position: Location: Scene description: Instructor Card

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SIMULATED EMERGENCY RESPONSE TRAINING PROGRAMME Special circumstances: Bystanders available: Water conditions: Aids/equipment available: Weather: Rescuer position: Location: Scene description: Rescuer Card

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SIMULATED EMERGENCY RESPONSE TRAINING PROGRAMME Casualty/subject condition: Special circumstances: Casualty/subject position: Water conditions: Weather: Location: Scene description: Casualty Card

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SIMULATED EMERGENCY RESPONSE TRAINING PROGRAMME Special circumstances: Bystanders available: Water conditions: Weather: Location: Scene description: Bystander Card

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SIMULATED EMERGENCY RESPONSE TRAINING PROGRAMME <ul><li>Purpose of training in Simulated Emergency Response </li></ul><ul><ul><li>By creating simulated scenarios to practice and apply their lifesaving knowledge, judgment, skills, and fitness they increase their rescue performance and reaction time which leads to saving more lives during a real emergency situation. </li></ul></ul><ul><ul><li>In competition, the evaluation of performance can be translated into marks and scored so team/competitors can be ranked on their comparative merit order. </li></ul></ul>

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SIMULATED EMERGENCY RESPONSE TRAINING PROGRAMME <ul><li>Principles of Rescue </li></ul><ul><ul><li>A group of Lifesavers coordinate a rescue response to an unexpected emergency based on humanitarian goals to reduce drowning and water related injuries. </li></ul></ul><ul><ul><ul><li>RECOGNIZE of a problem </li></ul></ul></ul><ul><ul><ul><li>ASSESSMENT of the situation </li></ul></ul></ul><ul><ul><ul><li>PLAN a course of action </li></ul></ul></ul><ul><ul><ul><li>ACTION to effect the rescue </li></ul></ul></ul><ul><ul><ul><li>CARE of the casualty </li></ul></ul></ul>

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SIMULATED EMERGENCY RESPONSE TRAINING PROGRAMME <ul><li>When assessing the situation competitors should consider the following factors; </li></ul><ul><ul><li>CAPABILITY of the rescuers </li></ul></ul><ul><ul><li>NUMBER of casualties/subjects </li></ul></ul><ul><ul><li>CONDITION of the casualties/subjects </li></ul></ul><ul><ul><li>RESCUE AIDS/EQUIPMENT available </li></ul></ul><ul><ul><li>CONDITIONS of weather, water and environmental factors </li></ul></ul>

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SIMULATED EMERGENCY RESPONSE TRAINING PROGRAMME <ul><li>Based on the scenario, the lifesavers under the direction of a leaders, formulates a plan; </li></ul><ul><ul><li>SEEKING assistance </li></ul></ul><ul><ul><li>ORGANIZING assistance </li></ul></ul><ul><ul><li>INFORMING an available bystander or helper </li></ul></ul><ul><ul><li>GATHERING any appropriate aids and equipment </li></ul></ul><ul><ul><li>PERFORMING the rescue as necessary </li></ul></ul>

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SIMULATED EMERGENCY RESPONSE TRAINING PROGRAMME <ul><li>The plan establishes control over the situations and takes into account priority rescues. </li></ul><ul><li>While it is clear that the medical priority will always be unconscious and not breathing casualties, the management of multiple casualties in the water, the rescue priority must be to preserve as many lives as possible. </li></ul><ul><li>If entering the water is inevitable the lifesaver must select those techniques for the situation without endangering their own life in any way. </li></ul>

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SIMULATED EMERGENCY RESPONSE TRAINING PROGRAMME <ul><ul><li>In brief, rescuers should mange the situation as follows; </li></ul></ul><ul><ul><li>Mobilize the mobile </li></ul></ul><ul><ul><li>Secure the safety of those in imminent danger </li></ul></ul><ul><ul><li>Recover and resuscitate those in need of continuous care </li></ul></ul>

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SIMULATED EMERGENCY RESPONSE TRAINING PROGRAMME <ul><li>Take action by executing a plan which may need to be adapted and adjusted as the scenario unfolds and develops. </li></ul><ul><ul><li>Rescue from a position offering greatest safety to oneself. </li></ul></ul><ul><ul><li>The management of rescue principles. </li></ul></ul><ul><ul><li>Approach casualties with extreme caution. </li></ul></ul><ul><ul><li>Avoid direct personal contact with the conscious casualties where possible. </li></ul></ul>

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SIMULATED EMERGENCY RESPONSE TRAINING PROGRAMME <ul><li>The casualty must be treated and handled with care. </li></ul><ul><ul><li>Rescuers must not handle the casualties roughly especially during removals. </li></ul></ul><ul><ul><li>Rescuers should not be verbally abusive to casualties/subjects as they may be directed not to respond or take direction. </li></ul></ul><ul><ul><li>Aftercare and treatment should be performed. </li></ul></ul>

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SIMULATED EMERGENCY RESPONSE TRAINING PROGRAMME <ul><li>Judging and Marking </li></ul><ul><ul><li>For teaching and evaluating lifesaving, candidates performance is assess as pass or fail however during competition the competitors are judged using a range of marks so to differentiate the scores in comparative merit order. </li></ul></ul><ul><ul><li>The marking system and score sheets allows judges to use their skill in assigning marks, and provides for a competitor offering an appropriate but unanticipated rescue response. </li></ul></ul>

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SIMULATED EMERGENCY RESPONSE TRAINING PROGRAMME <ul><li>In allocating marks, judges consider the following; </li></ul><ul><ul><li>Victim type </li></ul></ul><ul><ul><li>Victim’s distance from safety </li></ul></ul><ul><ul><li>Equipment available and used </li></ul></ul><ul><ul><li>Speed of assessment </li></ul></ul><ul><ul><li>Priority given </li></ul></ul><ul><ul><li>Quality of action/task </li></ul></ul><ul><ul><li>Victim care </li></ul></ul>

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SIMULATED EMERGENCY RESPONSE TRAINING PROGRAMME <ul><li>Judges mark the individual casualties/subjects and an Overall Judge marks the leaders response, teamwork, and scene management. </li></ul><ul><ul><li>Each marking area uses a scale from 0-10. </li></ul></ul><ul><ul><li>An undisclosed weighting factor or “degree of difficulty” allow a competitor to score more highly for the performance of a rescue which requires a greater degree of skill and judgment. </li></ul></ul>

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SIMULATED EMERGENCY RESPONSE TRAINING PROGRAMME <ul><li>Conclusion </li></ul><ul><ul><li>Simulated Emergency Response Scenarios can enhance the training and practice of lifesavers by reinforcing the recognition and judgment components of water rescue response. </li></ul></ul><ul><ul><li>Using an undisclosed scenario the lifesavers use a coordinated response and prioritize the casualties/subjects and utilize aids/equipment and bystanders more effectively. </li></ul></ul><ul><ul><li>Rescuers will save more lives during real emergencies with the aim to preserve as many lives as possible. </li></ul></ul>