Quick Answer
When assessing victims post-rescue, look for signs of respiratory distress, cardiac arrest, and hypothermia, including shallow breathing, blue skin discoloration, and confusion. Check for vital signs, including pulse, breathing rate, and body temperature. Monitor for any changes or deterioration in condition.
Initial Assessment
Immediately assess the victim’s airway, breathing, and circulation (ABCs) during the rescue. Check if the victim is conscious or unresponsive, and if they are breathing or showing signs of respiratory distress. If the victim is unresponsive, start CPR with 30 chest compressions followed by two breaths. Continue CPR until the victim shows signs of regaining consciousness, such as coughing, opening their eyes, or responding to verbal commands.
Hypothermia Assessment
For victims rescued from cold water, assess for hypothermia, which can occur in as little as 10-15 minutes in water temperatures below 15°C (59°F). Check for signs of hypothermia, including pale or blue skin, shallow breathing, and confusion. Monitor the victim’s body temperature, aiming to rewarm them at a rate of 0.5-1°C per 10-15 minutes. Use dry clothing, blankets, and warm water to rewarm the victim, but avoid direct contact with their skin.
Advanced Life Support
Once the victim is stabilized, continue to monitor their vital signs and provide advanced life support as needed. Administer oxygen if available, and use a defibrillator if the victim’s heart is not beating. For victims who have been submerged for an extended period, consider administering epinephrine and vasopressin to help counteract the effects of cold water immersion. Continuously reassess the victim’s condition and adjust treatment accordingly.
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