202
5.2.1 Training mode
During training exercises, rescuers have a live view
of the visualized effects of the BLS/RCPR/ALS
performed. The training mode screen shows the time
of on-going resuscitation from start to finish. When
you tart chest compressions, the screen shows the
forced heart rate as a curved line, similar to the rise
curve on electrocardiography equipment. In addition,
most of the information from the built-in display is
repeated in the exercise program. The heart and lungs
are shown from the time of compression/inspiration
in two colors (1). Good compressions or sufficient
ventilation volume are indicated in green, otherwise
in red. The pie diagram (3) shows the rate of
compressions (in this case 114 bpm), the chest
relaxation and, again, the quality of the hand position
on the chest. The vertical lines on the sides (4) of the
display show the depth of chest compressions with
numerical information (61 mm). The program also
provides information on the number of compressions
performed (5) and the amount and volume of
ventilation (6). The entire training course is
summarized with a summary displaying numerical
information on the entire resuscitation cycle carried
out.
Figure 11. Tablet display [9]
5.2.2 Evacuation mode
The evacuation mode involves simulating the
transfer of the casualty, in the course of resuscitation
efforts, from the place of danger to the rescue unit,
within timescale. In this way, a group of rescuers can
practice the process not only of resuscitation, but of
moving with a victim in danger of cardiac and
respiratory arrest from point A to point B. The
programmer does not indicate clear data or
illustrations during the rescue operation. After a set
time (max. 10 minutes), the results of the group or
groups are shown (if the actions are carried out
simultaneously on two or more phantoms). This mode
can contribute not only in a training way, but also in a
self-realization way for the employees of the Maritime
Search and Rescue Service.
6 CONCLUSIONS
The primary task of the Polish Maritime Search and
Rescue Service is to ensure continuous and effective
search and rescue operations throughout the Polish
area of rescue responsibility. For this purpose, the
rescue co-ordination center uses the knowledge
contained in all volumes of IAMSAR and many
additional regulations and plans. When comparing
the actual SAR operation with the IAMSAR
instructions, it can be seen that Polish SAR uses the
IAMSAR recommendations, modifying them
according to the situation. There is neither the time
nor space on the rescue units to produce a written
version of the SITREP, so information on the current
meteorological situation and the stage of the search is
transmitted by means of audio. It would be
worthwhile in IAMSAR to draw up a version of the
report transmitted by radio, which would be short
and in kind, such as:
RCC RCC RCC this is...
meteorological conditions at the scene of the action:
Wind... current... temperature... visibility…
up-to-date search data if the situation has changed
Over
Changing the communication channel during an
operation from 16 to 11 is a very prudent decision, as
according to GMDSS guidelines this channel is used
for distress calls and should not be blocked. The
solution used could be introduced into IAMSARU
vol. III, in order to improve the work of interoperable
emergency services around the world. A pre-
identified rescue channel would solve the problem of
agreeing the working channel. In addition, the use of
the same channel for communications by all units (sea
and airborne) affects the efficiency of information
transfer, as does the use of the David Clark wireless
system throughout Polish SAR and other Baltic SAR
services, which is an excellent solution for improving
communications between multiple units.
When carrying out a lifesaving operation,
communication with the crew is as important as the
skills of the rescuers, who try to restore or maintain a
person's vital functions until the casualty is handed
over to medics on shore. When setting out on a search
and rescue mission, rescuers do not know whether
they are picking up a person alive or dead, which is
why it is so important that they receive proper and
regular medical and rescue training. SAR is always
"Semper Paratus".
REFERENCES
1. Bałtyk IMGW: https://baltyk.imgw.pl.
2. IAMSAR: Manual: Volume II. (2019).
3. IAMSAR: Manual: Volume III. (2019).
4. Ministers Ordinance: How to organize the fight against
risks and pollution at sea, (2017).
5. National Plan for Combating Hazards and Pollution of
the Marine Environment: (2020).
6. SatBaltyk: http://satbaltyk.iopan.gda.pl.
7. Search and Rescue Operational Plan: (2017).
8. User’s Manual: DavidClark Belt Personal Station. (2020).
9. User’s Manual: Phantom for learning / practicing BLS /
CPR / ALS (with integrated feedback and intubation
capability). Simedu Sp z.o.o (2020).