Quick Answer
When rescuing a victim with heavy clothing, use a systematic approach to minimize the risk of further injury or drowning. Prioritize removal of the clothing to initiate CPR and maintain body heat. Employ specialized techniques to facilitate quick and safe removal.
Removing Heavy Clothing
When a victim is wearing heavy clothing, such as a bulky coat or wetsuit, it’s essential to remove it to initiate CPR and maintain body temperature. The “Towel Wrap and Roll” technique can be effective: use a towel to wrap around the victim’s torso, then roll the victim onto the towel, allowing the clothing to be removed without exposing the victim to the cold water. This can help prevent further heat loss and allow for quicker CPR initiation.
CPR in Cold Water
CPR in cold water requires special consideration to prevent further complications. The American Heart Association recommends starting CPR with a pulse check to determine the need for rescue breathing. If the victim is found to be pulseless, begin compressions at a rate of 100-120 per minute, with a depth of 2-3 inches. In cold water, it’s essential to focus on compressions over rescue breathing, as the risk of hypothermia is higher.
Specialized Techniques
In situations where the victim is wearing heavy, buoyant clothing, such as a life jacket or wetsuit, specialized techniques may be necessary to facilitate removal. The “Cut and Remove” technique involves carefully cutting the clothing to remove it, taking care not to cut the victim. This should only be done in extreme circumstances, and with proper training and equipment. In most cases, the “Towel Wrap and Roll” technique can be used to safely remove heavy clothing.
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