Flowers Sea Swim
Situation--identify what the emergency is with the people on scene for communication purposes to EMS responders/receivers
Mission--create a 'readiness' on-site contingency that has the sole purpose of handling/transporting/or preparing for transport the emergency
What I mean by this is that you should ideally have a fast, stable boat that has the exclusive purpose of transporting the patient. This boat should not be used to collect bouys or serve as an alternate for any other purpose, and ideally have your MD or an RN that is trauma certified ( same goes for MD). While generous to volunteer, you don't want a dermatologist who has no ER experience.
Execution--have a pre-race brief to discuss exactly who, what, where, when and how the emergency response will be executed (race director, MD, RN, EMTs should be in attendance, in addition, anyone driving boats or vehicles should know their roles)......an abbreviated version of this 'execution' s/b communicated to participants and other support (ex..kayakers)
Admin--key step; review with on scene medical personnel what resources will be used; what hospital/s, clinics, EMS services (district/municipalities) will be involved.....have a site identified, and confirmed for pick up: land or otherwise for Helicopter transport, obviously this s/b centrally located..... And communicated as often as possible. This is also the area to consider what equipment is necessary, and who is responsible for said equipment.
You cannot 'overcommunicate'....have a dedicated channel for radio comms, but have two-way radios as back up, and Cel phones as back up for that. ESTABLiSH a primary- backup method which will likely be Cel phones ( unless you're in a poorly covered area---Check this before race day).
-review comm procedures/ signals with swimmers/kayakers/boat drivers
-place these procedures on your website, info flyers, and certainly review in your pre-race brief
-additionally, have procedures, contacts, agreed upon rallying points all printed (with a map of course) on one laminated sheet for all key peronnel, medical, and boat drivers/car driver/s.
Check and recheck that local medical EMT services and facilities are aware of your event's time, and document that you have done so.
This is simply a framework, hope it helps. Fill in the details as you see fit.
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