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Rescue Theory – Part 3 (conclusion)

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The last two weeks we talked about the basics of rescue theory and how we use techniques to make as many parts of a rescue become automatic as we can. The key components of elimination of distracting variables are level of fitness, skills, equipment preparation, and state of readiness. That gives the guards the tools, but they still need to prepare themselves for the myriad of unexpected variables that inevitably are thrown at them while making rescues.

Cognitive flexibility under stress, the ability to demonstrate flexibility and creative problem-solving strategies under duress, is a little harder concept for the guards to grasp at first. Through repetition neural pathways become more “worn”, much like a foot path that has been traveled more often and therefore becomes easier to use. This is a good thing in that response to a given stimuli becomes automatic, but with the obvious benefits come inherent risks. The potential issue lies in the environment itself. The ocean and beach are in a constant state of flux, as are the beach patrons themselves.  No rescue is routine as there are a multitude of factors that can affect the process. When in a stressful situation we all have a tendency to default to what we know. That’s good if it means we perform CPR the way we were trained. But you also hear stories about police officers who, in the midst of a shootout, start collecting their empty magazines off of the street because that’s the way they did it when practicing at the range. The goal of teaching people to show “cognitive flexibility” during a rescue or crisis is for them to default to their training while at the same time being able to expand their awareness and come up with creative solutions to problems that pop up while dealing with a multitude of issues.

Understanding this principle helps in the teaching process. In ocean lifeguarding we teach from the top down. Our instructors focus on the overarching principles and teach to trouble shoot application of these principles to a variety of real life scenarios. For example, instead of teaching exactly how to make contact with a victim in the water, we focus on basic principles such as keeping floatation between the rescuer and victims’ bodies, pausing and assessing a safe distance from a victim. That way the concept works when you use other types of floatation and/or in a myriad of specific rescue techniques. Once these general concepts are internalized through training and repetition (muscle memory), the guards become more confident and comfortable in their ability to handle anything that is thrown at them.

These concepts and a respect for the power and variability of the ocean are the beginnings of forging competent and professional lifeguards.

Rescue Theory – Part 2

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Last week we talked about the basics of rescue theory and how we use techniques to make as many parts of a rescue become automatic as we can. The key components of elimination of distracting variables are level of fitness, skills, equipment preparation, and state of readiness.

Level of fitness involves a great deal of physical training that is specific to the actual environment that rescues will be made in. Our guards work out every day they work in the beach so they’re intimately familiar with the bottom contour, waves, and currents of that particular day. We also use periodic competitions as a means to motivate the entire staff to be at their physical peak during the beach season and to normalize the physical stresses inherent in a rescue.

Rescue skills atrophy if not used regularly. Incorporated into our daily pre-shift workouts is a skill component. They may practice CPR, hand signals, components of a rescue, public relations, or handling a lost child. Sports enthusiasts and public safety professionals regularly use the term “muscle memory” to signify repeating something over and over again until you don’t have to consciously think about it. For example, you may practice a modification to your swim stroke so many times that you start doing it automatically when you swim. It’s almost like your body remembers how to do something without your brain having to tell it. If these skills are kept current through repeated training and practice, they happen almost subconsciously during the rescue process so the rescuers consciousness isn’t spread too thin and he/she can focus on the weird stuff that inevitably happens instead on things that need to happen for every rescue.

Equipment preparedness is integral in the process. There’s nothing worse when trying to save another person than equipment malfunction. A fairly routine rescue can go horribly wrong when a fin strap breaks or a buoy is wrapped up improperly so the strap doesn’t play out smoothly. One of the first things the lifeguards learn is how to properly wrap their rescue tube. Once this is committed to “muscle memory” it’s automatically done the same way each time. The same principle applies to oxygen units, personal watercraft, rescue vehicles, automatic external defibrillators, and any other piece of equipment. Fewer variables stand between the rescuer and successfully saving a life.

State of readiness is a general concept that basically means the lifeguards come to the job each day prepared mentally, physically, and psychologically. They are able to maintain a state of alertness for their entire shift because they are well rested, hydrated, and wearing the proper gear for sun protection or temperature control. It also implies that they aren’t distracted by personal issues. Finally, before a lifeguard is able to work a stand, they need to have developed a certain level of confidence in their ability to save someone. This is accomplished by instilling the belief that they can handle unusual situations on the fly because they are proficient in their ability think creatively under the gun.

Rescue Theory – Part 1

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A swimmer’s head sits low in the water and his arms flap out to the sides while trying to keep his head up. The lifeguard sees the telltale signs of a swimmer in distress. She immediately kicks into a whole pre-determined plan as she radios for backup, grabs her fins and rescue tube, chooses the proper entry (from sand or rocks), dolphins through shallow water while unwrapping her tube. Swimming with her head intermittently up to keep sight of the victim, she pauses on the approach, and talks to him as she keeps her buoy between them while extending it. Upon contact, she moves to his rear and buckles the buoy around him, assesses him, signals to shore what his condition is and if she needs help, swims him to the beach while checking intermittently, re-checks him more thoroughly at the shore and renders whatever medical aid is needed. While doing this she prepares to pass all this info on to her supervisor or other first responders.

Making an ocean rescue is a complicated process which requires a great deal of preparation to effect safely. There are a lot of ways this could potentially go sideways, so we spend a large percentage of precious training time on this topic. Obviously, there is a lot of physical training required in advance so the body is prepared, but the real keys are the mental aspects. These we break into two general categories, elimination of variables and cognitive flexibility under stress.

Elimination of variables encompasses a whole range of physical, mental, and psychological components. The overarching concept is when you start the rescue process there are a lot of things that need to happen, so you want to make sure you take care of as many of these variables as you can in advance and have fewer unknowns as you enter the rescue scenario. In addition to the areas that are consistent between most rescues, each event is unique and so things will be encountered that that could not be planned for.

When you go into action your body instinctively kicks in a whole range of physiological responses so you can do things you wouldn’t normally be able to do. Time seems to slow down as chemicals are dumped into your blood stream. Depending on your training and history you can experience a diminished mental capacity while at the same time have an enhanced physical capability. Taking care of as many things as possible in advance is crucial since you may not be at your best mentally during the rescue process. The key components in the concept of elimination of variables are level of fitness, skills, equipment preparation, and state of readiness.

This is the first of a three-part series that is the basis of how we teach rescue theory. Next, we’ll go into each of the specifics of the elimination of variables. Stay tuned for the next installment and Happy Holidays from all of us at the Galveston Island Beach Patrol!

Message In A Bottle

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Detective Kris Pompa works for the Galveston Police Department, but years back worked as a Beach Patrol Officer/Supervisor. One day, as he was patrolling the beach in front of the condos on the east end when he spotted something unusual on the shoreline. The aquamarine blue colored bottle glinted in the sun as he stopped the vehicle and walked over to it. It was an unusual, long necked bottle. It was corked, but the cork was covered in wax that had been carefully dripped down the length of the neck. It was light and felt empty of any type of fluid. As he held it up to let the early morning sun’s rays shine through, he noticed several pieces of paper folded up inside.

Back at our headquarters we opened the bottle and pulled three sheets of carefully folded paper out. We unfolded them to find two separate letters in meticulously written German.

I asked my brother, who is fluent in German, to translate for me and sent him scanned copies. A few days later he sent me a summary. The story was heartbreaking.

Both letters were written to a one year old child who would have been just a few days short of his second birthday if he had been still alive, although it sounded like he died just shy of his first birthday. They talked about how much they missed him, including his now 4-year-old brother. At the time of the letters, he also had a younger sister. The father talked about how he wished he could play soccer with him and his siblings and how he still wants to be a better father to him and to pay more attention to him. The mother talked about how she wants to set aside an hour every two weeks to think about him and how, even though she misses him terribly, nothing can take away the fact that she was once able to hold and kiss him. They both talked about how he belongs in their family and always will. Neither says how he died.

Another lifeguard told me he found a similar message to a lost loved one from the Corpus area, but others had found the bottle and added their own notes of sympathy. He added his own, resealed it, and set it free in the ship channel on an outgoing tide.

I’ve never found a message in a bottle but it seems like a really poignant way of communicating, especially in the digital age where everything is immediate, but seems to also hold less weight.

All too many of us know how true loss freezes that last moment in time. Sending a message in a bottle reflects that. It is simultaneously both impersonal and intensely intimate. Not only are you writing to a loved one, but also to a complete stranger who finds the bottle. The idea that this stranger is connected to you both by fate, and is potentially someone who fully understands the essence of your message, seems very significant.

Triple Rescue

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Recently, two young men and a woman were making an Uber Eats delivery to Galveston and decided to go to the beach. Walking down to the sand at 26th, they saw a ton of surfers and several people out swimming in the warm water. They decided to hit the water.

As they got out to chest deep, the feeder current pulled them towards the Pleasure Pier, gently causing their feet to bounce along the bottom. A fairly strong east to west longshore current ran along the beach. As it hit the jetties and piers, most had significant rip currents on the leeward sides (west side in this scenario). These rip currents had been running for a couple of days and had scoured out pretty deep troughs on the west side of all the structures.

The trio quickly went from bouncing in the shallow waters of the feeder to getting sucked away from shore in the deep waters of the rip current. All three started panicking and went vertical in the water, struggling for each breath.

Someone spotted what was happening, and called the 911 dispatcher, who quickly notified Beach Patrol, then the Galveston Marine Response partners of Police, Fire, and EMS. The call came in that there were 5 people in distress. A minute or so later, the first Beach Patrol truck arrived, and the two Supervisors hit the water.

It was a bit chaotic as they sorted out what was what, but eventually it turned out there were three victims, and the other people were surfers who were helping the victims. This isn’t unusual, surfers probably make at least as many rescues as lifeguards, although this can come at a cost, since most don’t have formal rescue training. Two of the victims were being brought in by surfers and Beach Patrol, Fire, and EMS went to help one that collapsed. One of the lifeguards helped with this while the other, Michael Lucero, went for the third victim on a rescue board.

Michael spotted her being assisted by a surfer, who was reaching across his SUP board and holding her steady about 60 yards from shore. The rip current had spat her out about halfway out the Pleasure Pier, and they were floating quickly to the 27th street jetty. Michael approached and made contact with them about the time they rounded the end of the 27th street jetty. He attempted to get her on the rescue board, and she fell off. Then it got interesting.

The surfer got her up on his board and said, “You ever surf? No? OK 1,2,3!”, and he pushed her into a wave. She made it part way in as Michael paddled after her as fast as he could. She then fell off the board and started to struggle and go under. Michael arrived just in time, grabbed her, wrapped her in his rescue tube, and took her the rest of the way to safety.

This would have gone a different way, were it not for the surfers, and those who make it possible for us to work guards all year!

Moving Into Winter

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As the season changes, we shift to winter mode. “Winter mode” isn’t what it used to be, when we would pull everyone off the beach for maintenance and administrative work. Today, we have more patrol responsibilities with increased water and beach visitation and have more professional trainings and certifications to maintain.

The first priority is, obviously the lifeguard towers. Our staff rotates through the patrol and maintenance positions. Each full-time staff member has a couple of areas of specialty such as towers, signs, vehicles, facility management, website oversight, Junior Lifeguards, museum project, public education, administration, etc. However, at times all staff that are not actively patrolling may work together to get something done. Signage and tower refurbishment are the first priority, and everyone helps out. For example, we maintain some 600 signs along the beachfront, so they are often in need of replacing a portion of them after high tide or weather events. Others are more specific. For example, Supervisor/Officer Jeff Mullin handles the bulk of our water safety education talks at schools and community group. Others handle, dispatch, website, medical supplies, rescue equipment, and more.

There is also important training that happens in the wintertime that we wouldn’t be able to do in the summer. New officers train with the Galvestion Police Department, mostly in the Patrol Division. That way, they get some good experience from the Island’s primary law enforcement entity and learn how to coordinate and assist GPD which is good for everyone. Each year we send a couple to be certified as Swift Water Rescue Technicians, so our team can better respond to natural disasters and more fully support the Galveston Marine Response Team. And there is always online training to sync with the Park Board, maintain EMT status, etc.

Each of the full-time employees has areas they are responsible for, but the goal is to get everyone’s projects done and it takes the entire team working together to make this happen.

It’s easier than you’d think to get all of our full-time crew to work together. They’ve mostly all been in our program since they were young. Most of them came up through our Junior Lifeguard program, starting at age 10. Their instructors taught them the importance of teamwork and the concept that we all work together for the good of the millions that visit our beaches.  As they matured, they became guards and put that idea into practice, trusting their lives to each other to make rescues and prevent accidents. They understand the value of our new leadership/resiliency/intercultural competency training that’s been integrated throughout our staff’s daily and periodic training. They recognize the importance of a harmonious work environment and the direct impact that it has on our ability to serve and protect beachgoers. They know we are only as strong as our weakest link, and they know it to their core.

Now they are the leaders and are teaching the younger guards and Junior Guards the values they were taught and live out daily. You can be very proud of your lifeguards.

Drones

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Drones have become commonplace over the past few years and are being integrated increasingly   into public safety. It is, however, hard to separate fact from fiction in a world where a YouTube video can go viral and become “fact” simply because there are so many people that see it and it takes on critical mass.

Over the past few years there have been a number of internet hoaxes related to lifesaving and drones. Usually, the story is that a drone manufacturing company is testing a drone with a national lifeguarding association. These drones appear to drop some type of floatation device, such as an inflatable ring buoy to a person in distress in the water. In the videos a person is drowning and, just as they submerge the float falls magically within their reach. Then, even more magically, the person has the presence of mind to swim a couple of strokes and grab the buoy. Through the work I do with the International Lifesaving Federation, some of these stories come across my desk to look into. So far, when I’ve followed up with the national lifesaving groups in Brazil or Venezuela or wherever else, they’ve turned out to be clever marketing ploys with no basis. But that may change soon.

Drones are already deployed in some beaches for overhead surveillance of remote locations or to add an additional layer of protection. They fly regularly at beaches in California and New England for shark spotting. They’re also used for marketing crowd shots of special events, competitions, or lifeguard training activities. And, although actual rescue is still a little out of reach, search and recovery has improved because of them.

When used for public safety purposes, drones can get a bit expensive and complicated. For example, there is a requirement for a type of pilot’s license and flight planning especially near airports. Fortunately, there are local organizations that have drone programs. Proactive law enforcement agencies, like the Galveston Police Department, have introduced internal drone programs. And we rely more and more on our Galveston Community Emergency Response Team (CERT) to help. This summer CERT responded to a missing drowning victim several times to help search inaccessible wetland areas. It was amazing to see how efficiently they covered tough terrain, and could even see beneath the surface of the water when the light was right.

There is chatter about larger, smarter drones being developed that could use an algorithm to spot people in distress, grab them, and tow them to shore. They even predict that they could initiate CPR and maintain care until first responders arrive. It still seems a bit like science fiction, but we’re probably not too far away from some real developments. Real enough that the International Lifesaving Federation is having serious conversations about how this type of technology could augment lifesaving services around the world.

So, the next time you hear someone “droning on about drones,” it might be worth a listen.

Drowning, Rescue, and Beach Event

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Last weekend was the end of tower guarding for the season. A few towers covered with the seasonal lifeguards able and willing to give up their weekend between school or another job and work the beaches. But even with that help and our trucks patrolling up and down the beachfront, we had a drowning of a 60-year-old man at an unguarded area around 31st street. There didn’t appear to be a rip current in the area. Response was quick and a beach vendor reportedly was there to make first contact until our truck arrived. But even with a quick rescue and early CPR intervention he didn’t survive. Many thanks as always to our Galveston Marine Response partners with Fire, EMS, and Police as well as the Jesse Tree Survivor Support Program who provided a much-appreciated diffusion within a couple hours of the event itself.

Our staff went through a lot this past week. And I must hand it to them, they performed admirably under very tough circumstances. In addition to the fatality, we had a number of night call outs. One in particular was pretty impressive. Supervisor Stephen Limones made a rescue of a father and son who were caught by a rising tide way out on the south jetty. The call dropped at 2am and Stephen used a rescue board to ferry them one at a time across a cut in the rocks over to a couple of brave Galveston Police Department officers who made their way out on the barnacle and algae covered rocks to grab the pair. Stephen is a long-time guard who started with us many years ago as a Junior Lifeguard. He’s a surfer and great all-around waterman who allow works in the medical field. Good guy to have your back!

Whether or not people acknowledge it, these events take a huge emotional toll on our emergency response crews and others involved. But knowing you’re not the only group that cares means a lot. There is definitely a great team here in this county from the Emergency Operation Centers, dispatchers, first responders, and groups that provide emotional support.

Special kudos to the organizers of the annual Alzheimer’s Walk last Saturday! This is a wonderful annual event held at Stewart Beach. This year they really stepped it up with an amazing sounds system, a ton of participants, and a whole lot of vendors.

Our hard-working Coastal Zone Management Crews are in the process of picking up our lifeguard towards for the season. So, if you go out to the beach to enjoy some of this amazing October Galveston weather, please remember we are spread incredibly thin this time of year. Stay away from any structures like rock jetties to avoid rip currents and swim well within your limits. And if you see anything that looks questionable out there feel free to call our direct number 409-763-4769 so we can go check it out. And, as always, call 911 for any water related or other type of emergency.

Ike Anniversary

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We heard a lot about Hurricane Harvey, but September 13, the anniversary of Hurricane Ike, came and went without much fanfare.

I still remember how the water felt as I slogged down 16th street heading into the biting wind. How the grit had gotten in my water shoes and how saturated my skin felt after several hours in and out of the water. The fear in my stomach as a transformer blew close by. Wondering if the electricity could travel through the water to me. Trying to breathe and see through the thick smoke coming off of the huge fire burning at the Yacht Basin.

It seems like yesterday I felt the tiny boy’s hand in mine, as I held on to him and his sister while walking chest deep in the grimy soup next to their mom and pulling a rescue board piled with another sibling and a few belongings that they begged to bring along. Bringing them to high ground at Broadway and piling them into a waiting police car that would take them to the emergency shelter at Ball High school. Taking a moment to watch them drive off and grab an energy bar before heading to the next group a few blocks away.

Those of us that went through Hurricane Ike have memories like this etched into us that probably will never leave. Unfortunately, as time slips by, that institutional memory fades. But it’s encouraging how much better prepared each group is now as a result of lessons learned.  Charlie Kelly, who is no longer with us, was the Director of the Emergency Operations for Galveston for many years. He once mentioned his fear that all the event memory would be lost as people who went through the storm moved on. Fortunately, proactive planning if done correctly, can put systems in that compensate for lack of personal experience. And it’s good to have a system that doesn’t depend on individual personalities or experience. After 9-11 the National Incident Management System was integrated throughout the nation’s emergency services. And locally, each group’s emergency action plan is much more comprehensive than what we had before. We annually revise the Park Board’s Emergency Action Plan, and I intentionally try to think of how it could be improved so that it doesn’t rely on any one person’s experience.

We still have a ways to go until we get through storm season, so don’t get complacent. In lifeguard training we talk a lot about eliminating variables that can mess you up during a rescue. We practice them to the point where your body remembers even if your brain doesn’t. If you practice and internalize all the things you can control in advance, you are better able to handle the inevitable wrinkles that arise. This applies to systems as well as individuals. It works for hurricanes and manmade disasters.  It works for officials and emergency response teams.

And it works for you and your family as well.

Interrelated Systems

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More and more I appreciate all the people that collaborate to make miracles happen in our beachfront spheres.

Last Saturday the annual American Institute of Architects (AIA) Sandcastle Competition went about as well as anything could go during an event of 11,000 people and 3,700 parked cars on one beach. The logistics supporting all the Architectural Firms’ teams building those incredible sculptures was an impressive feat. My role was on the organizational and security side, but it was a true “incident command system” with teams handling parking, trash, supplies, accounting, and medical response. As you’d imagine, it’s a ridiculous amount of work with a zillion moving parts. But when each subunit “digs in” and supports the others and the greater goal, it’s a rush to be part of. I’m impressed with the AIA volunteers, Park Board, and Houston Precinct 1 CERT (Community Emergency Response Team), all of whom labored over 12 hours in the heat to make it work. I have to say, after being involved in this event for over 20 years, this is the smoothest its run. We still can improve on a few things, but Park Board Park staff, Galveston Police Department managed security, AIA, CERT, Beach Patrol, and others all knocked it out of the park!

The next day was another collaborative effort of an entirely different type. The second drowning fatality of the year on the island, and again at the unforgiving San Luis Pass, occurred after 7pm on the north side of the pass in the wetland area. A 3-year-old girl on a float perilously drifted into the bay. Fortunately, our San Luis Pass Patrol crew was able to quickly rescue her using a jet ski, but her father perished in the unpredictable deep and treacherous waters while attempting to save her. With practiced professionalism the Galveston Marine Response (Beach Patrol, Police, Fire, and Jamaica Beach Fire) and the U.S. Coast Guard mounted a comprehensive search. The following day, Galveston County CERT joined local responders and deployed drones in an exhaustive search, following up again the next day with 3 drone crews. Meanwhile, the Jesse Tree/Beach Patrol Survivor Support Network assisted the family with critical information, counselling, and the additional support needed to navigate the first stage of this tragedy. Media outlets were respectful and continued to help push the message out to avoid swimming at either end of the island because of severe and dangerous tidal currents.

These are just two examples of how complicated the response can be to the many happenings on the beach. And behind the scenes, all the complex systems and relationships at both the City of Galveston and Park Board of Trustees provide us with the resources we need to serve residents and visitors. With that support and the incredible partnerships and systems we’ve developed through the years, we are able to accomplish so much more as an interrelated system than we could as individual entities. I’m thankful that we all work together to save lives.