Best Practices for Rescuers in Fast-Moving Water?

Water Approach and Victim Contact

When approaching a victim in fast-moving water, rescuers should wade in with the current, not against it. This reduces the risk of being swept away and allows for a more controlled rescue. The rescuer should maintain three points of contact with the riverbed or shore: two feet and one hand, or two hands and one foot. This balance point enables the rescuer to maintain stability in the water. It’s essential to keep the victim’s head above water, if possible, and secure their upper body using a flotation device or rescue tube.

CPR in Cold Water

Rescuers must be prepared to administer CPR in cold water, as the risk of cardiac arrest increases significantly in water temperatures below 15°C (59°F). When performing CPR in cold water, rescuers should use a rate of 30:2, with 30 chest compressions followed by two breaths. They should also be prepared to use a defibrillator if available. Rescuers should be mindful that cold water can cause cardiac arrest due to the increased heart rate, so they should prioritize CPR over rewarming the victim.

Post-Rescue Care

After rescuing the victim, it’s essential to provide immediate post-rescue care. This includes assessing the victim’s airway, breathing, and circulation (ABCs), and providing CPR if necessary. Rescuers should also be prepared to provide warmth, as hypothermia is a significant risk in cold water. This can be achieved by using a rescue blanket or a warm towel to cover the victim. The rescuer should also monitor the victim’s vital signs and be prepared to transport them to a medical facility if necessary.