1/10/19. > 309,000 Public Swimming Pools. > 1,300 Waterparks. > 200 million guests. >10,000 ER visits

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1 2018 Jeff Ellis & Associates, Inc. Attendees will be able to critically ealuate aquatic incidents to identify and correct errors in operations that lead to sub-standard care and potential lawsuits. Attendees will be able to formulate opinions regarding the actions taken to address seeral emergencies. Attendees will be able to discuss practices that could preent or minimize the likelihood of similar incidents. The names of incidents, locations, and those inoled in the incidents hae been hidden to protect the right to priacy, and/or to protect from disclosure any information that is not public domain. > 309,000 Public Swimming Pools > 1,300 Waterparks > 200 million guests >10,000 ER isits 1

2 > 1 million US lawyers > 16 million lawsuits > 700,000 personal injury lawsuits Deep Pockets 360 Superision Accountability Unsuperised Exhausted No Warning Signs Weak Mortar Inadequate Training No Engineering Controls/PPE Loose Bricks Faulty Design / Non-compliant Were the actions of the staff justified? Did the guest contribute to the problem? What could be learned from records (EMS, Witness, Hospital, Video)? What would a staff debrief include? If there was a lawsuit, what might be claimed and what do you think the outcome would be? Could the incident hae been aoided? 2

3 MAKING THE CASE FOR TECHNOLOGY Guarded lake 76 year old male swimmer witnessed in distress by a guest who tells 2 LGs & Superisor Recoered by LG in deep water with low isibility CPR performed / AED retrieed and used 2 no shocks and then 1 shock Cardiac arrest during EMS transport Deceased LG was in eleated chair - older male swimmer in distress was recognized by LG Rescued in 11 ft. of water, with low isibility, in approximately 1 minute Rescue breathing initially performed in the water LG1 managed guest; LG2 managed crowd; superisor called EMS and retrieed AED CPR performed - AED applied shock gien LGs and Superisor sitting in beach chairs near eleated guard stand Staff had no idea a person submerged Response delay of 45 seconds Rescue took > 3 minutes Lifeguard uncertain what to do once on land CPR not performed properly w/ or w/o AED Long lapses with nothing being done Could not use mask properly Had to wait on AED arrial Arried to find CPR in progress Adised 1 shock had been proided Patient remained in cardiac arrest during transport Gastric distention noted Seere bradycardic rhythm Unresponsie to treatment 3

4 Patient s condition deteriorated to asystole Following unsuccessful efforts to resuscitate, declared dead Water in lungs Adanced arteriosclerosis present Declared death the result of drowning 4

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6 SEIZE THE MOMENT Waterpark 22 year old male found conulsing in bathroom Staff notified and lifeguards respond Guest has weak pulse and stops breathing Lifeguards proide rescue breathing Police and EMS respond LG1 was returning to chair when summoned Saw guest haing seizure - EAP Guest unresponsie with infrequent (Agonal) breaths and weak pulse Proided rescue breathing with pocket mask Team proided O2 / BVM, suction, and NRB mask later Police arried ahead of EMS Drugs found in locker area along with guest s swim wear Officer proided medication to the guest Guest was regaining consciousness and breathing when EMS arried Saw a guest acting drunk in the men s locker room Heard a shout to get help Lifeguards moed the guest away from the toilet where he had collapsed and was seizing Oerheard LGs talking about doing CPR and using AED, but did not Lifeguards used a deice to clean mouth, and other deices to breathe for the person 6

7 Dispatched to unresponsie patient Adised by police that patient was possible opioid user Naloxone (Narcan) administered by police Lifeguards had proided rescue breathing and O2; SAO2 of 96% Patient remained agitated Patient was examined and monitored - Later released to custody of law enforcement. 7