The Dive Locker episode eight Rescue Training for Dive Professionals: Realistic Pool Scenarios
Welcome to The Dive Locker podcast, the podcast for dive professionals where we bring you the latest and diving industry resources that make you excellent at teaching techniques, risk management, and dive business.
I’m your host Tec Clark and thank you for being here today, everyone. How do we as dive professionals ensure that if something goes wrong in a pool session that there is an efficient and effective rescue leading to a more favorable outcome for the injured diver? Well, the answer is conducting rescue training for dive professionals and putting on realistic pool scenarios. As part of that training, I’m going to share with you strategies and outcomes from my epic in-service training this past weekend.
But first special thanks to our episode sponsor, the DEMA Show. DEMA Show 2019 taking place this November 13th through 16th in Orlando, Florida is where the diving community comes together. It connects you to an extended group of people to help accomplish your professional and personal goals. Whether at the show, during exhibitor events, or during downtime at the host hotel DEMA Show helps you develop business and professional relationships in a face to face setting, unlike any other. Learn more and register at demashow.com. Okay, so let’s dive in Pro’s. Here we go.
Rescue Training for Dive Professionals
All right. The majority of confined water training is in pools, right? Municipalities, city and County pools, private. These can be community pools, country club, golf club, yacht club pools. There’s YMCAs, YWCA’s, Jewish community centers, hotels, apartments, condos, colleges and universities, and even more and more popular are pools in dive centers. So when we’re teaching scuba confined water training in pools is huge. But what happens when we have an incident at these pools? You see some of these pools have lifeguards, some have no lifeguards. And then you’ve got places that have health departments. State, County health departments that require EAPs, (emergency action plans) to be either in place or on display. Some of these things include whether you know what to do with a weather emergencies, where is emergency communications, where is the emergency equipment, et cetera. So each pool is different, each confined water arena is different.
And the amount of support that is at each of these facilities is different as well. Now for those of you who have been through a real diving accident, you know that it is way more dramatic than any of the training you have ever gone through and that is where there is a disconnect. You see, getting certified as a rescue diver is a great thing, but there needs to be more training when you’re working as a dive professional. I’ve touched on this in episode two where I discuss the importance of in-service training. If you haven’t heard that, listen to it. It’s kind of the full picture of in-service training. But what I want to talk about today is more specific to how we do in service training at one of the areas that we are in the most and that is a pool. And with that I am absolutely buzzed from the training that we did this past weekend in my dive program.
It was a combined guard and dive program, staff, in-service training, and now what makes it so good are the scenarios that we cook up. Now why? Why is that such the big deal? Well, first one of the outcomes is that we want everyone to feel and see how they respond to adrenaline. Now one of the ways to invoke this is to make the scenarios as realistic as possible. Now, why is this important? Because most of you know this. When adrenaline surges, lots of things take place physiologically in the body. So we get either a hyper focus, we get a fight or flight stimulus, we go blank and kind of “bonk” as we call it, or shake or get a high respiration and heart rate. You get loud, you, there’s so many things that can happen and you know what? People aren’t used to it.
So when it happens to them in the middle of when they’ve got to react professionally and properly, all of a sudden it’s one of the most unsettling things one can feel. So we want them to feel that and to get that in a fake scenario, not for the first time in real life. That’s what we’re talking about here. So one of the ways to invoke this is to make scenarios as realistic as possible. Okay. So we set the stage, we brief the groups together, the dive professionals, which are our instructors and our divemasters, along with all of the lifeguard staff that’s regular lifeguards and head lifeguards. And we get them all together and give them the big briefing of the big picture scenario. This is an unresponsive diver at depth during a scuba class.
Now with our scuba classes, lifeguards are on duty at all times. So if there were to be an emergency, we would all engage together as a team to conduct the emergency action plans. Now picture this setup, team one has two groups, group A and group B. They take turns being rescuers and victims and bystanders and students. The rescuers are instructors and divemasters and guards. In this particular case with the amount of people that we have, and in our scenarios, what makes it easiest as possible, and it’s close to how we do our, our classes as possible is the rescuers are gonna be one instructor, one divemaster, and three guards. The three guards are how we do normal rotations at the pool. So there’s two guards on the stands at all times monitoring the pool, and that would be swimmers as well as the dive classes going on.
And then the third guard is on break and so they are in the guard room now the positions of the other group, group B is going to be a victim. Students in the scuba class and bystanders and these bystanders could be swimmers, they could be sunbathers, whatever that is. And so what we have is this whole dynamic of what it really looks like on the pool deck during a scuba class. You with me so far? So here’s the secret sauce. Rescuers go into their positions, then you meet with the students and bystanders, you give them scenarios to play out during the overall exercise. So here’s what we do for the scuba students. They had the following acts to play during the rescue as the instructor or divemaster would bring them up the student up during the rescue scenario, right? Another person and either the instructor dive master handling the unresponsive diver, bringing them to the surface.
The other one is bringing the student up. Well, that student has a bunch of things that can go wrong first, could have a reverse block and they wind up stalling on their assent. Then once they’re up on the surface, they’re dizzy and nauseous the whole time complaining about their ear. Then we had an individual that had a back injury or you know, a sore back or whatnot and they needed help with their gear off in the water before they could get out on the ladder. Then we had someone that did a leg cramp on the ladder exit. Then we had emotional scenarios. One of the students was the boyfriend or girlfriend of the injured diver and they were just inconsolable and dramatic. Then in a couple of the cases, the inconsolable student would hyperventilate or pass out due to the trauma witnessed. Thus becoming a second injured diver.
Now, whether the injured diver or they weren’t an injured diver, they added to this dynamic that all of the rescuers had to take into account. So it didn’t matter. Just being emotional and hysterical is something that the rescue team has to handle and take into account. Next, there are the bystanders. So these are the swimmers, sunbathers, coaches, parents, and we set them up too. So we have swimmers who don’t understand English and they stall getting out of the pool. We have swimmers who play that they’re deaf and they can’t hear the guards’ whistle to get them out of the pool. Now let me explain here, just so you know, under American Red Cross and Ellis and other organizations that do lifeguard training, if there is an emergency in the pool, the rest of the pool must be cleared so that the guards can all work as a team to work on that in an injury or emergency and help that that injury.
So because of that, part of the emergency action plan is getting everyone out of the pool. So the longer someone stalls getting out of the pool, then that guard is there kind of hung up to make sure that the pool is clear before they can start to help out with the rescue. We have players act as if they’re coaches who get irate that they have to stop and get out of the water. We have sunbathers who are fraternity and sorority brothers or sisters and they’re emotional. We have sunbathers who are a boyfriend or girlfriend. We have parents of the injured diver who are sitting in the stands. We also have swimmers who get a leg cramp getting out of the pool. We have sunbathers who got stung by a bee on the pool deck. We have swimmers or sunbathers who run up to rescuers and say they are medical students, EMT’s, nurses, et cetera, just to see how the team responds.
Now in some cases, if the team says, “yes, we can use your help”, well you can have that person do a good job and be helpful. Or you can have that person do things wrong and actually wind up being a problem and see if the staff dismisses them and says, “no thanks, we got it.” So you can see how all of this adds tremendous dynamics of multitasking and emotion. That my friends creates adrenaline dumps and you can see the breathing rates and the shaking hands of the rescuers as they do CPR, setting up oxygen and AED. I mean it’s to the point where they don’t remember doing or even saying certain things because of the adrenaline and the multitasking that’s overwhelming them. Now this all comes out in the all valuable and important debriefing for every group. Now this may sound like torture, but it’s not.
Why? Because we go through the groups two times each. All right, now let me explain. We have a very large dive program, so we have a team one, an A B group. Then we have a team to A group and B group. Then we have on the other side of the pool, a team three A group and B group and a team four A group and B group. That’s a lot of people. Okay, but when we do this, we’ve got the groups that go through. After the A group goes, then the B group goes. Then team two comes up, the A group goes, then the B group goes, but then we go back to team one group A so that they can go through a second time as rescuers. Now here’s where the magic happens. What flustered them the first time does not fluster them again.
The mistakes they made the first time, they don’t make. Again, the role with the trivial distractions and hard to focus tasks are different now. They are totally focused on the tasks needed to help the injured persons. We also track all of the times now. These times are time up, how long it took to get the victim from the bottom of the pool to the surface, how long it takes the injured diver to get out of the water, when the emergency equipment arrives, when CPR is started, when 911 call was placed, when O2 was administered, when the first AED shock occurred, et cetera. In their second scenario as rescuers their times all greatly improve because they are not shocked or distracted or caught off guard. So for instance, when you have a guard that’s a new guard and has now they’re going to the AED, we put the dummy AED in the actual AED kit so that when they pull it out, the alarm screams that the AED has been pulled.
Well that causes an adrenaline spike right there. But here’s the deal. The second time they go in there, they know the thing is gonna scream and they are ready for it and the adrenaline doesn’t surge as much because they’re prepared and not caught off guard. That’s what’s awesome about this. Now let me share this from this past weekend, we hired a bunch of new guards for the beginning of the semester and although we have really good hiring standards, guards have never done anything like this before. And so the first scenario was really rough for many of them, not because they’re not good guards, like I told you, we have good hiring protocol, but it’s because they’ve never been tested to this level. And the stress imposed like this has never been in any of their previous training. So the comments at the end were absolutely remarkable because what they did was they learned about them selves.
They didn’t learn about techniques, they knew techniques, but what they didn’t get was how they would react to all of this stimuli under this type of pressure they learned about themselves. And folks, there is only one way that that is going to happen. It’s either going to happen for real or in realistic scenarios. I choose realistic scenarios. We do not want our professionals bonking during the real thing, ever. So put on realistic rescue scenarios for you and your staff. If you’re an independent, that’s okay too. Look, all of you need to work with the management of the pools that you do confined water training in all pools. Do these combined rescue scenarios. Pool staff and scuba staff will learn so much from this. The EAPS will actually be lived out. You will find things to improve not only on the EAP but maybe placement, maybe egress, maybe call for help.
All these different things start to expose themselves and you get better EAPs because you’ve done this as close to the real thing as possible. And yes, we even engage our public safety department in on this and so when we do that, we’re going to be pushing the blue light phones or picking up the emergency phones so our staff sees what that’s like and what that response is like with them. Now we don’t take it through to the 911 side. We actually kind of stop there and we have somebody standing with a 911 script so that they can take one of the rescuers and do a true 911 script, keeping them for those couple minutes that it takes to actually communicate with 911. This is all so, so important and folks, hopefully if ever an incident happens during a confined water session, there will be no surprises and it will be handled professionally, efficiently and effectively because you chose to do rescue training for dive professionals. That includes very, very realistic scenarios.
Shark People and Sustainability
Okay. I want to give a shout out here to my good friends, Catherine Castle Garcia and Alex Brylske. Catherine Castle Garcia wrote an editorial in the latest edition of Dive Training Magazine, the September/October, 2019 edition that is, and it’s called Making a Comeback and it is centered around sharks and shark diving specifically. And so what she has talked about here is that there are shark people to it. She is one of them. This weekend I met a couple that is getting into the professional side of diving and the wife is in veterinary medicine and she loves sharks so much that her exploration and time underwater has kind of guided her interested to sharks so much that she wants to be a pro. They want to both go pro and they want to make a business out of dive training and education and travel. And so at the heart of this is this wildlife, this, this creature that is kind of central to what really, really gives passion.
And so as Catherine points out, there are people like the one I’m talking about this weekend that are just absolutely shark people. Now when you talk about shark diving, that comes with sometimes some controversy. Should you do it? Can you do it? What are the laws around it? International waters versus U.S. waters on and on and on, right? But here’s the deal is that we have great interest in sharks and if we can look at strategic ways to dive with sharks free dive with sharks, learn more about sharks, then that becomes an ecotourism in and of itself, which means that there is sustainability in a healthy way to engage with encounters with sharks rather than an economic way of slaughtering sharks that has been rampant worldwide. And so in this issue of Dive Training Magazine, Dr. Alex Brylske has an article called Shark Diving as a Conservation Strategy: How Shark Tourism is Protecting Global Shark Populations.
Now this is an amazing article. We’re talking 80 dive operations in 30 different countries are devoted exclusively to shark encounters and more than 200 offer some form of shark or Manta Ray experience in addition to their regular itinerary. So this is a big thing and I think that we really need to look at this in a long term sustainability fashion and Alex Brylske has done that in this article. Now also know that you can learn more about this at the DEMA Show because Dr. Brylske is putting on three different seminars at DEMA and there’s one in particular called “greening your business, creating a more sustainable and profitable business.” This one is going to be great and also the one that I really, really love, I’ve learned about myself is “eco pro training for dive professionals”. This is where he is talking about that we’ve got degrading coral reef ecosystems, we’ve got evolving consumer trends and all of these things are just increasing awareness of sustainability in our oceans and you guys, us dive pro’s are the ambassadors of the ocean environment to showcase it and to show people what’s out there. These presentations are top notch. So first read the article in the September/October edition of Dive Training article from Dr. Brylske and also for those of you attending DEMA go see these presentations. I just want to give a shout out because I think that that is really awesome, so thank you, Catherine, thank you, Alex, and we look forward to hearing more from you about that.
Thanks for Listening
That’s it for today. Thanks again to the DEMA Show for being our sponsor of this episode, and thank you so much for listening. Remember to subscribe to this podcast on iTunes, Google Play, or Stitcher. That way you’ll be notified of new episodes as soon as they go live and please leave a rating. Items talked about in this episode can be found on the show notes page at scubaguru.com and there you can also click the microphone and leave us a comment. Thanks again. We’ll see you in the next episode. Safe diving and take good care my friends.
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