ePenyelamat June, 2018 PERSATUAN PENYELAMAT KELEMASAN MALAYSIA (THE LIFE SAVING SOCIETY MALAYSIA) 139A-1, Jalan Kelang Lama, 58000, Kuala Lumpur, Malaysia Tel.: 03-79801549 Fax: 03-79816084 E-mail: [email protected]PATRON: YANG AMAT MULIA RAJA ZARITH SOFIAH BINTI ALMARHUM SULTAN IDRIS SHAH D.K., S.P.M.J., S.P.C.M. HONORARY LIFE PRESIDENT: DATO' TEOH TEIK LEE D.S.P.N., D.J.N., A.M.N. EXECUTIVE COMMITTEE 2016 – 2018 PRESIDENT LIM CHIEN CH’ENG DEPUTY PRESIDENT GEH THUAN TEK HONORARY SECRETARYTAN TAN WEI HAN HON. ASSIST SECRETARY . LEONG SIEW FOONG HONORARY TREASURER ONG JIN LEONG COMMITTEE MEMBERS LIM CHEE GAY ABDULLAH MAT SAID YB. DATO' DR.THIAN BOON CHUNG SAZALI BIN RAMLI MOHD BUKHARI IBRAHIM TENG SIEW LIAN EDITORIAL BOARD EDITOR : TENG SIEW LIAN ADVISER : LIM CHIEN CH’ENG Dear Members, I am delighted to contribute to the inaugural copy of ePenyelamat of Life Saving Society Malaysia. The hard- copied version of the Penyelamat had been produced for many years and lately, the executive committee of our Society felt that we should keep up with the times by issuing our newsletter in electronic form. In this way, our Society hopes to keep in close touch with members and vice versa in a timely manner. Our Society was formed in 1964 and is therefore 54 years old this year. Since its inception, our Society has trained over 50,000 lifesavers and lifeguards in Malaysia besides actively promoting lifesaving and water awareness among the public. Members of our Society can proudly note that LSSM has been a champion in urging the Government of Malaysia to consider the need for a coordinated action against the high rate of drowning in Malaysia. Come end-July and beginning of August this year, our Society will co-host a workshop for “Drowning Prevention in Asia Pacific” with the Water Activity Safety Council and the Royal Life Saving Society Commonwealth at the NIOSH Center at Bangi, Selangor. On this occasion, our members will be able to highlight the need to educate and teach young Malaysians to swim and to save lives, and the need for the government to encourage activities of such nature as well as to build proper infrastructure required to promote lifesaving. At this event, members will also be able to share the experiences of life saving activities with other participants from the ASEAN, the Commonwealth and the government agencies. I look forward to our members’ active participation at this event. I congratulate the executive members for this inaugural copy of ePenyelamat and I look forward to the next copy soon. Thank you. By: Mr. Lim Chien Ch’eng Quemcunque Miserum Videris Hominem Scias (Whomsoever you see in distress, recognise in him a fellow man.)
9
Embed
ePenyelamat - lifesavingmalaysia.org.mylifesavingmalaysia.org.my/ePenyelamat/ePenyelamat_6Jun18.pdf · KELEMASAN MALAYSIA (THE LIFE SAVING SOCIETY MALAYSIA) 139A-1, Jalan Kelang Lama,
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Source: World Health Organisation (2014). Global report on drowning –
Preventing a leading killer. Spain.
TEN ACTIONS TO PREVENT
DROWNING
Source: World Health Organisation (2014). Global report on drowning –
Preventing a leading killer. Spain.
Uitemate (Japanese Water Survival Technique )
- By Prof Hidetoshi Saiko
Lie spread eagle
Hands below the surface.
If plastic bottle available,
clutch them over the
chest.
Breathe in deep and
fill the lungs with air.
Pulling the chin up
makes breathings
easier.
Keep shoes on. Light shoes can
substitute for life preserver.
There has been considerable confusion among trainers and trainees of CPR. Toencourage more people to attempt CPR in emergency situations, the AmericanHeart Association, in 2010, changed the guidelines for cardiopulmonaryresuscitation (CPR). They included a compression-only (C) protocol for laypersonor people untrained in CPR or those who were reluctant to perform EAR. This wasupdated in 2015 and further recommendations will be made whenever newresearch evidence is published. There are also guidelines by various bodies likeILCOR, European Resuscitation Council (they recommend 5 rescue breaths), etc.
THE DROWNING VICTIM and CPR
– C, CAB or ABC?By: Dr. Zaid Chelvaraj Abdullah
One instance when the ABC protocol is used is in victims of drowning when the
heart stops because of suffocation. Healthcare providers (including lifeguards)
performing CPR for drowning victims should use the traditional ABC approach in
view of the hypoxic nature of the arrest. Victims with only respiratory arrest usually
respond after a few artificial breaths are given.
CPR (EAR) should begin, if possible, while the victim is still in the water. As soon
as the unresponsive victim is removed from the water, the rescuer should open the
airway (A), check for breathing (B), and if there is no breathing, give 2 rescue
breaths that make the chest rise (if this was not done previously in the water).
After delivery of 2 effective breaths, the lifeguard should begin chest compressions
(C) and provide cycles of compressions and ventilations (30:2) according to the
BLS guidelines. Continue CPR until an AED is available and attempt defibrillation if
a shockable rhythm is identified. It is only necessary to dry the chest area before
applying the defibrillation pads and using the AED.
So, the sequence for drowning is still DRABC. And this is what should be taught to
lifesavers and lifeguards.
At one time, there was essentially, one
protocol for CPR--A (airway), B (breathing),
and C (Circulation/Compressions), but now
there are three: C, CAB, and ABC. Most
cardiac arrest (usually from heart attack)
victims are adults, so laypersons (untrained)
may use C (compressions only/hands only)
for adults while trained persons (paramedics,
healthcare workers, etc.) should use CAB.
The priority here is the heart, and hence the
stress on compressions. But it is
acknowledged that in certain circumstances
the ABC protocol should still be used when
the primary insult effects the lungs and then
secondarily the heart.
Additional info:
Each year drowning is responsible for more than 500 000 deaths worldwide.
Drowning is a leading preventable cause of unintentional morbidity and deaths.
The drowning victim rescued from the water within a few minutes of submersion is
likely to exhibit abnormal (agonal) breathing. Do not confuse this with normal
breathing.
The reported incidence of cervical spine injury in drowning victims is low (0.009%).
Unnecessary cervical spine immobilization can impede adequate opening of the
airway and delay delivery of rescue breaths. Routine stabilization of the cervical
spine in the absence of circumstances that suggest a spinal injury is not
recommended. Spinal precautions are unnecessary unless there is a history of
diving in shallow water, or signs of severe injury after water-slide use, water skiing,
kite-surfing, or watercraft racing.
All victims of drowning who require any form of resuscitation (including
rescue breathing alone) should be transported to the hospital for evaluation
and monitoring, even if they appear to be alert and breathing at the scene.
Certified Online Course (CoC) on Water Safety- By Tengku Fadilah binti Tengku Kamalden