Drownings in Lifeguarded Pools
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Drownings in Lifeguarded Pools

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Drownings in Lifeguarded Pools




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Presentation on theme: "Drownings in Lifeguarded Pools"— Presentation transcript:

Slide1

Drownings in Lifeguarded Pools

Why submerged victims go unnoticed

Slide2

Fatalities in swimming pools with lifeguards USA, 2000-2008

A case was defined as a death in a swimming pool with at least one lifeguard on duty.Media accounts, using Lexis-Nexis and ProQuest databases, were searched, analyzed, and data further investigated to ensure that non-fatal drowning incidents and drownings in bodies of water other than pools (i.e. natural occurring bodies of water) were excluded from the results.

Because not all drownings are reported by the media, results represent an underestimate of the true number of fatalities in pools with lifeguards on duty.

For example, in Washington state,

514 of 983 (52%) drownings were reported in newspapers between 1993 and 1998. Reporting was more likely when victims were less than 20 years old. In North Carolina, 42 of 58 drownings (72%) involving individuals less than 19 years old were reported in 1988-1989.

Pelletier, A., Gilchrist, J. (2011)

Slide3

Fatalities in swimming pools with lifeguards USA, 2000-2008

Based on available reports, from 2000

2008, there were 140 drowning

deaths in pools with lifeguards on

duty.

States with the most fatalities were PA (14); CA, MD, OH (9); MI, NY (8); FL, TX (7)

Sites of fatal incidents included municipal pools (38%), community organizations (15%), and schools (14%).Fatal drowning victims were initially identified in the pool twice as often by non-lifeguards (e.g. other swimmers or bystanders) as by lifeguards.The median swimmer to lifeguard ratio was 13:1.Among children less than 15 years old, it is estimated that for every death there are four additional drowning incidents; two that are treated and released from emergency departments and two more that require hospitalization.

Pelletier, A., Gilchrist, J. (2011)

Slide4

Pelletier, A., Gilchrist, J. (2011)

Slide5

International Journal of Aquatic Research and Education

How Lifeguards Overlook Victims: Vision and Signal Detection3

There are at least two subject areas where research can improve lifeguarding effectiveness.

The first area is to continue the application of physics and visual physiology to the field of lifeguarding by investigating such issues as the

height of the lifeguard’s chair, the use of polarized lenses, the required visual acuity of a lifeguard, and the impact of zone size on lifeguard effectiveness.Hunsucker, J., Davison, S. (2008)

Slide6

Patrons, especially children, find life-like tools disturbing.

Typically manikins and/or silhouettes are used as testing and training devices.

Slide7

Scientific testing equipment

Silhouettes are 2D. Accurate testing requires 3D objects with contrast.Because patrons find manikins disturbing, even when notified that these are testing devices, patrons change their swimming activities, invalidating testing.Since refraction causes submerged bodies to break apart, lifeguards are taught to look for blotches at the bottom of the pool while scanning. Testing devices do not need to be life-like in shape but do need to be life-like in size.

The smallest person likely to drown in a public pool is a toddler.

As children drown, when they stop struggling, they’ve been known to tuck into the fetal position, decreasing their size at the bottom of a pool.

Slide8

Patrons disregard these devices and continue to play and swim as though nothing unusual is on the pool bottom.

Targets were constructed to anthropometrically represent a toddler in the fetal position (length, width, and height) without looking like a submerged child.

Slide9

Child at play and patron standing

on ANGELS™ devices on pool bottom.

AREA NOTIFICATION GEAR FOR

EFFECTIVE LIFEGUARD SURVEILLANCE™

Slide10

ANGELS

devices are placed in a grid on the bottom of the swimming pool. Visibility testing is performed to determine what a lifeguard is able to see based on chair height and position relative to glare from natural and artificial lighting.

Lifeguards are asked

to count the number of

ANGELS devices during various levels and types of swimming pool activity.

Slide11

Images on the following screens were captured during testing performed at an outdoor municipal swimming pool. Cameras were positioned at heights equivalent to a lifeguard seated on a 3 foot, 6 foot, and 8 foot high chair. Focal length was set to represent 20/20 vision and the camera shutters were released simultaneously.

Slide12

View from a 3 ft. high lifeguard chair

View from an 8 ft. high lifeguard chair

View from a 6 ft. high lifeguard chair

Slide13

Slide14

In testing scenarios where 25 ANGELS™ devices were positioned in the lifeguard’s assigned zone of coverage, lifeguards identified 19 to 21 ANGELS.

In testing scenarios where 33 ANGELS devices were positioned in the lifeguard’s assigned zone of coverage, lifeguards identified 21 to 27 ANGELS.Testing demonstrated that these lifeguards were not properly positioned to identify a submerged victim throughout their entire assigned zone.Prior to the testing, neither the lifeguards nor pool management were aware of the lifeguards’ limitations.

Following testing, lifeguards were repositioned to ensure that they could identify a drowning victim anywhere in their zone.

Slide15

If lifeguards are supposed to evaluate arm and leg movements to determine if a patron is in distress, the lifeguard must be positioned high enough for those movements to be observed.

Slide16

Slide17

ANSI/NSPI-1 2003, the American National Standard for Public Swimming Pools states:

 18.4 Lifeguard station. When lifeguards are required, chairs and stations shall be positioned to allow guards to meet the 10/20 rule.   The 10/20 rule is defined: A pool or aquatic facility shall be provided with a qualified lifeguard or a number of lifeguards trained and stationed in a manner that will permit them to identify an incident or trauma within ten (10) seconds of its initiation. Upon identification of the incident or trauma, the guard shall be able to respond to and initiate indicated protocol appropriate to the circumstance within twenty (20) additional seconds.

Slide18

According to Ellis & Associates:Recognition, reaction, and management of a guest in distress within the first 30 seconds has proven to effectively save lives and has resulted in more successful outcomes. By using the 10/20 protection standard rule, facilities can better determine the appropriate position for lifeguard stations and the size of each zone of protection.

(Ellis & Associates 2001, 8)

Slide19

According to the American Red Cross:Lifeguards should be able to recognize and respond to a drowning victim within

30 seconds. (American Red Cross 2017, 59)Effective Surveillance—Zones of Surveillance Responsibility New lecture points to reinforce recognition and response benchmarks:Lifeguards should be able to recognize and reach a victim in their zone within 30 seconds. (American Red Cross—Lifeguarding Instructor/Instructor Trainer Update)

Slide20

Lifeguards are often blamed when a drowning victim is not recognized in a timely manner, but management is responsible for the training, staffing, and positioning of lifeguards.

In their Lifeguard Management manual, the American Red Cross states: Area of Responsibility The facility manager and lifeguard supervisor establish each lifeguard’s area of responsibility for patron surveillance. (American Red Cross 2007, 26)

Slide21

Lifeguard Stations A lifeguard must be in a position to recognize and respond to an emergency at all times.

 Lifeguard stands should be located where lifeguards can observe patrons easily and react quickly to any situation in their area of responsibility. Lifeguards cannot save what they cannot see; knowing what your lifeguards can and cannot see is extremely important.You need to establish a system of coverage that places the lifeguards where they can provide the best possible safety for the patrons. (American Red Cross 2007, 24)

Slide22

Both lifeguards were attentive and constantly scanning.

The caretaker was attentive and engaged with the two children that she brought to the pool, but lost track of one child while briefly focused on the other child.

Slide23

To ensure that lifeguards are positioned to identify patrons in distress in any part of the pool, proper scientific testing must be conducted.

Assuming that lifeguards can see a submerged patron in any area of the pool under all conditions sets lifeguards up to fail.

Results of testing

should be documented, analyzed, and shared with stakeholders

.

Slide24

Testing should be completed regularly throughout the season, under different loading and lighting conditions.

Studies have shown that the most effective way to search an area is by following a grid pattern. Testing should reinforce this scanning technique.

Slide25

Drowning

in Lifeguarded Poolsis Preventable

© 2017 Aqua Conscience