It is a warm summer day; outdoor activities for the citizens of your fire district are in full swing. You’re just finishing someapparatus电台打开时清洁……。引擎1，Medic 1回应报告drowningMain St. Main St. 123。您熟悉这个公寓大楼, as you have been there many times. As you make the block, you see people jumping and waving. You park the rig; as you approach the scene, you see no lifeguard on duty, and a body facedown in the pool.
In communities all across America, the上方方案plays out quite often. While not commonly thought of as a major problem, drowning accounts for approximately 4,000 infant and pediatric deaths annually, leaving an estimated 12,000 with varying degrees of brain受伤。1When adults are included in these statistics, the numbers increase to 7,000 drowning deaths each year.2尽管有这些数字，但超过一半的父母和监护人认为溺水并不是对孩子的威胁。1
A quick ride around your response district will show the huge potential for drowning and pool- 相关伤害，更不用说其他静态和动态水河流，湖泊和池塘等来源。在响应水紧急情况时，您会像在任何紧急情况下一样开始过程：执行规模，确定所需的资源，并从收集的信息中制定行动计划。
Active patients are conscious, but may be injured or disoriented.3主动的患者清除可能是复杂的或简单的，具体取决于受伤的性质或遇到的情况。如果患者仅受伤并且无法从池中脱离池，则常规的患者驱动程序和稳定措施通常就足够了。但是，如果患者积极溺水，救援将变得越来越困难。“触及，投掷，行，走”的过程已经存在了数十年，并且仍然适用于积极的救援情况。3Using this technique, you try to reach a patient with an object (i.e., pole, rope, or boat) before you make an aggressive entry into the water. If you have to make entry into the water, you must remain aware that the victim will be very excited and could unintentionally injure rescuers. Wear a personal flotation device (PFD);
如果您有第二个，请带上它作为受害者的“救援管”。3保持眼神交流并一直与受害者交谈。到达受害者后，立即前往较浅的水。切勿尝试使用靴子的水上营救，或者如果您不确定游泳能力。
Unlike an active victim rescue, rescue of the passive victim takes multiple rescuers and will more than likely present difficultly inremoving the victim from the water. At this point, we are at the “Go” option of our rescue procedure, and an in-water rescue is the only available option. One of the biggest mistakes rescuers make is diving in the pool and grabbing the victim. Whenever you see a passive (unconscious) victim, act as you do in normal patient-care situations and assume that C-spine is compromised, taking appropriate precautions.3除了维持C脊柱固定外，目标还包括使受害者的鼻子在水上并评估呼吸。3如果受害者呼吸，请花点时间并小心地移除患者。但是，如果气道或呼吸受到损害，则在采取适当的C型预防措施时迅速移除受害者。这包括在进入水中（不潜水或跳入）时使用缓慢，温和的运动，以免移动水或受害者。
Location of the victim on arrival will impact steps for C-Spine immobilization. If the victim is on the surface, approach from the feet and grasp the patient at the elbows;将受害者的手臂轻轻向上移动到头部，用手臂作为临时头块，以固定C脊柱。3Next, rotate the patient so the nose and mouth are out of the water. If they are already face up, rotation is unnecessary. If the patient is subsurface (underwater), the approach to achieve the greatest success is a feet-first subsurface dive using the same C-spine stabilization technique previously mentioned.3Again, if you are not sure of your swimming ability, do not attempt a dive.
一旦受害者面对下一个考虑是将受害者从水中移走。将篮板放在病人下面，让其在他下面漂浮在位置；由于水的浮力和篮板，这将需要几个救援人员才能完成。3一旦在篮板上，可以开始复苏措施，尽管在池的侧面启动它们可能会更容易。从池中删除受害者后，请遵循标准评估和复苏程序。如果您打算连接自动化的外部除颤器或手动除颤器，请记住要干燥受害者。
建议你use a pool to practice these procedures so that you will feel comfortable using them in an emergency situation. Also, conduct preincident planning at all of your aquatic facilities to understand the potential they have for an incident and their characteristics and resources should an incident occur. Like anything else in the fire service and life, preparation is the key to success. Are you prepared?
