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HomeMy WebLinkAboutCOM 0522.014 2000-2002 Our testimony this morning will target specific areas to enhance and ensure community awareness and education through recreation utilizing our aquatic environ- ment. To safely implemenfi the following projected goals, additional safety equipment is necessary. Pr.~ re n ~fuc~~iQn would entail the following: 1. American Red Cross "Learn-to-Swim" levels (see attached}. 2. Lifeguarding (Pool/Beach Services): Guard Start, Youth Program. 3. Snorkeling (Youth/Adults). 4. Marine Life: Shoreline Environment (booklet attached). Dragon Boat Race/Canoe Paddling: Community Input. 6. Surfing/Boogie Boarding (see attached). comm. rr~ / ~ Fite I+T®.,.~,~,,, . Ref. Date ~ ~ Attachmenfi: AMERICAN REU CROSS "LEARN-TO-SWIM" LEVELS The "Learn-to-Swim" program is divided into seven course levels. The prerequisite for each level is successful demonstration of the skills from the preceding level, with the exception of Level 1 which has no prerequisite. Is anyone you know feeding a little wet behind the ears? Enroll him or her in an American Red Cross "Learn-to-Swim" course. There's something for everyone in the American Red Cross "Learn-to-Swim" program--seven levels of instruction designed to help swimmers of all ages and abilities develop and refine their skills. Authorized Red Cross Water Safety Instructors teach a variety of strokes, including the front crawl, back crawl, elementary backstroke, breaststrokes, sidestroke, and butterfly. They also introduce a wide range of personal safety skills and diving techniques. At more advanced levels, students refine skills, learn the basics of spring- board diving, and discover how to incorporate swimming into a lifetime fitness regimen. "Learn-to-Swim" is the most comprehensive and effective program of its time. Orient to aquatic environment and create a sound foundation for aquatic and safety skills. Safety and Rescue Skills: - Understand the basic water safety rules. - Know the fundamentals of using a life jacket. - Know how to handle a cramp. - Know how to get help. - Perform reaching assists without equipment. Swimming and ®iving Skills: - Enter and exit water independently. - Eu11y submerge face for 3 seconds; blow bubbles. - Sounce in chest-deep water (bob) to chin level 10 times. - Walk 5 yards in chest-deep water, maintaining balance. - Moat, while supported, on front and back. - Kick, while supported, on front and back. - Practice basic alternating arm action. - Understand safe diving rules. - Sob in water slightly over head to travel to safe area. Page 2 - Jump into deep water with life jacket on. - Jump into deep water from side of pool. - Demonstrate the Heat Escape Lessening Posture for 1 minute. - Perform "huddle" position with other participants for 1 minute. - Know how to open airway for rescue breathing. -Retrieve an object from the bottom- in-chest-deep water. - Perform 15 bobs in chest-deep water. - Do back crawl for 10 yards. - Do elementary backstroke kick for 10 yards. - Dive from- the- side of poo!-from kneeling anti tom-pact positions. - Tread water. - Reverse direction while swimming on back. - Coordinate arm stroke for front crawl with breathing to the front or side for 10 yards. - Perform front glide with push-off, 2 body lengths. - Reverse direction while swimming on front. Stroke Development: ~ir~: Develop confidence and competency in strokes and safety skills beyond preceding levels and introduce breaststroke and sidestroke. Safety amp: Rescue Skills - Become familiar with CPR. - Demonstrate Rescue Breathing. - Practice alternate breathing. - Swim under water 3 body lengths. - Tread water for 2 minutes with ~ different kicks. - Demonstrate basic dives: * Standing front dive from diving board. * Long, shallow dive. - Perform the following: * Breaststroke, 10 yards. * Sidestroke, 10 yards. * Elementary backstroke, 25 yards. " Dolphin kick, 10 yards. * Front crawl, 50 yards. * Back crawl, 50 yards. Feet-first surface dive. Stroke Proficiency: r Develop maximum efficiency and endurance for strokes and also introduce flip-turns. Page 3 Safety and Rescue Skills: - Demonstrate throwing assists. - Know how to roll a spinal injury victim face-up. Swimming and Diving Skills: - Perform turns (do breaststroke turn and pull-out). - Flip-turn for front crawl. - Tread water for 3 minutes (1 minute without hands, 2 with). - Demonstrate jump-tuck from diving board. - Perform an approach and hurdle on diving board. - Perform pike surface dive and tuck surtace dive. L1 FEGUARDING Pur~OSe: To teach lifeguard candidates the skills and knowledge necessary to prevent and respond to aquatic emergencies. ~earnin 'ect'~es: - Understand the value of behaving in a professional manner. - How to identify behaviors of distressed swimmers (active or passive driving victim). - Understand components of emergency action plans and how to activate them. - Understand general procedures of a water emergency when rescuing a victim. - Demonstrate how to perform equipment-based rescues. - Learn to administer First Aid, care for cardiac and breathing emergencies. - Learn how to recognize and care #or possible head, neck and back injuries. Course length: 28-1/4 hours. - C. Per P. Per - Community First Aid - Use of equipment: 1. Pocket Mask 2. Bag Valve Mask 3. Oxygen administration Automated External Defibrilation SNORKELING/SURFING/BOOGIE BOARDING 1. The Snorkler's Environment (how we care for Mother Earth, Coral Reef food chain) 2. The Equipment 3. fibs Skills 4. Pressure 5. Hypothermia Page ~ 6. ~lyperventilation Additional equipment 8. Pirst Aid 9. Planning a Snorkeling Adventure COMMUNITY INPUT: -Japanese/Okinawan Association - Canoe Paddling Clubs/Association - Surf Clubs CLOSING: We thank you for the opportunity you have given us to express our interest. We hope the American Red Crass will be able to fulfill its intent. . 1. When you are over the victim, let go of the rescue tube but keep hold of the strap. From a vertical position, press downward with your hands and give a strong kick to rise in the water (Fig. 7-1, A). Take a breath and let your body sink. Keep your legs straight and together with the toes pointed (Fig. 7-1, B). r:>, Figure 7-1, A s >x. .f _ Figure 7-1, B 145 2. When your downward momentum slows, turn your palms out- ward and sweep your hands and arms upward. Repeat this arm movement until you reach the desired depth (Fig. 7-1, C). Figure 7-l, C 3. Have participants practice the skill until they feel comfortable. Check off the participants' skills on the Lifeguarding Skills Checklist (Appendix M) as you watch them practice. Submerged victim Rescue (35 minutes) i A submerged victim may either be passive or active, but you use the same rescue skill in both cases. Explain and demonstrate how to perform a submerged victim rescue. Lifeguarding Today pages 118 & 119 TEACHING TIP: Demonstrate this skill on deck near a 1-meter diving board or another structure that is high enough and safe to stand on. Have a co-instructor, instructor aide, or participant stand on the board and hold the rescue tube up high vertically. The strap of the rescue tube is attached to you when demonstrating this skill (Fig. 7-2). By doing this, you can show participants both how to secure the victim and the interchange when pulling the towline down and placing it in the other hand. 146 ~;~;~.r Q ~:ti iii >~'~'kj ~n~i :•i}'.r. ~S~{::~:4.' :i~iFi'•' ~iii:~%~i:~: • r. ?i~r is S.:i .rp• Figure 7-2 Assign partners or ask participants to find a partner. Guide the participants through the following steps: Do not use swim goggles when performing this skill because serious injury may result. Swim goggles, unlike a scuba mask, do not allow you to relieve the pressure when diving or swimming to a depth. 1. Do a feet-first surface dive and position yourself behind the victim. 2. Reach one arm under the victim's arm (right arm to right side or left arm to left side) and across the victim's chest. Mold firmly on to the victim's opposite side (Fig. 7-3, A). 3. When you have secured the victim, reach up with the other hand and grasp the towline, then pull it down and place it in the hand holding the victim (Fig. 7-3, B). Keep pulling it until you reach the surface. If possible, push off the bottom and kick to help you reach the surface. 4. As you near the surface, position the rescue tube so that it is squeezed between your chest and the victim's back (Fig. 7-3, C). 147 11 5. Reach your free arm under the victim's armpit and grasp his or her shoulder (right arm to right shoulder or left arm to left shoulder) (Fig. 7-3, D). 6. Move the other arm from across the victim's chest and grasp his or her shoulder. 7. Support the victim in a face-up position on the rescue tube as in the active or passive victim rear rescue (Fig. 7-3, E}. 8. Move the victim to safety. 9. Have participants perform the skill several times and then change places with their partners and repeat the practice. Have partici- pants practice the skill until they feel comfortable performing it. Check off the participants' skills as you watch them practice. . Y~ i:Yr'•'i ..f...{ rf:~'?`~ ':'}i { Vii'+. r r ,~.,ff~, is ':yf: i, '::j:.'{ • . i. it{L~'~. v:% Figure 7-3, A Figure 7-3, B 148 f ~ ~$y r.... ' . v: ~v: Y:+ r{i' f. 1~.$ I •~••fr'~'~r ~'~'~rrf f' r?Xll ;i:;:j::;i:;:;i:: ~ff;:;iiitiirr> +f~r:•i}i iii}:. Figure 7-3, C ~.~-~R-- .~~fw` ..vx x ` ~1.. f ~ i:? ~ ~ rig i}:{?::iii`:: }fQ. ':Y,C•. fii;:};: Figure 7-3, D ;~:v<:;f r. Figure 7-3, E 149 111 Remouai From the Water (25 minutes) " ~ ' i Explain to the participants that their decision whether to remove the victim from the water depends on- Lifeguarding Today The victim's condition. page 121 The length of time before you expect help to arrive. The size of the victim. 1~ Others available to help you. If a victim needs rescue breathing or CPR, remove him or her from the water as soon as possible. Remind participants that they would not perform the following two removal skills if they suspect spinal injury and the person is breathing. Note: Care for suspected spinal injury is covered in Lesson 9. Two-lifeguard Lift ° ~ ° I i r~ Emphasize that two lifeguards are needed to remove a victim safely from the water. Explain and demonstrate the two-lifeguard lift. Assign or ask partici- pants to work in groups of three (two lifeguards, one victim). Guide participants through the following steps: Lifeguarding Today pages 121-123 SAFETY TIP: Make sure participants lift with their legs and not with their backs when practicing this skill. Improper lifting can cause injury. 150 3. When the victim grasps the rescue tube, slowly pull him or her to safety (Fig. 6-8, B). .f. z:5{ ° =rte:.; ' _ Figure 6-S, B 4. Have participants perform the skill several times and then change places with their partners and repeat the practice. Have partici- pants practice the skill until they feel comfortable performing it. Check off the participants' skills as you watch them practice. siutmim Feu Rescue (1 ~ minutes) t , ' i The swimming extension rescue is a simple rescue used for a distressed swimmer. 3 i 'Explain and demonstrate the swimming extension rescue. Guide participants hrough the following steps: 1. Approach the victim from the front. Slow your approach as you Lifeguarding Today near the victim (Fig. 6-9, A). page 114 Figure 6-9, A 135 2. Extend the end of the rescue tube to the victim. Tell the victim to grasp the rescue tube, hold it for support, and kick if he or she can (Fig. 6-9, B). Figure 6-9, B 3. Move the victim to safety (Fig. 6-9, C). Figure 6-9, C 4. Have participants perform the skill several times and then change places with their partners and repeat the practice. Have partici- pants practice the skill until they feel comfortable performing it. Check off the participants' skills as you watch them practice. 111 136 ~cti~e victim Rear Rescuc (25 minutes) ' ~ The active victim rear rescue can be used for either a distressed swimmer or an active drowning victim. Approaching from the rear is safest for you. ' ~ 1?xplain and demonstrate the active victim rear rescue. Guide participants through the f®llowing steps: Lifeguarding Today 1. Approach the victim from the rear. Slow your approach as you page 115 near the victim (Fig. 6-10, A). Figaere 6-I0, A 2. Reach under the victim's armpits and grasp the shoulders (Fig. 6-10, B). ,:w . . ~ ~ A4 A F `+.f q ,..rr W~~ } f. :ij%:. Figure 6-I0, B 137 Squeeze the rescue tube between your chest and the victim's back (Fig. 6-10, C). Figure ~-I®,_C 3. Lean back and pull the victim onto the rescue tube. Use the rescue tube to support the victim with his or her face out of the water. Talk to the victim to calm him or her (Fig. 6-10, D). .f:.:<:> .....Figure 6-I0, D SAFETY TIP: Keep your head to one side as you reach for and support the victim to prevent being hit by the victim's head if it comes back toward you. 138 4. Move the victim to safety using a kick you feel comfortable with. 5. Have participants perform the skill several times and then change places with their partners and repeat the practice. Have partici- pants practice the skill until they feel comfortable performing it. Cheek off the participants' skills as you watch them practice. ' ~ S ' ~ A rescue situation-may involve two or more victims. Often a victim -will clutch a nearby person in an effort to stay at the surface. ~,fegtcard~2~ ~oaay ` ff you are the only lifeguard in a situation where two victims are liage 120 elutchng each other, use the multiple-victim rescue. ~xpla~n and demonstrate the multiple-victim rescue. Assign or ask participants to-work in groups of three (two victims, one lifeguard). Guide participants through the following steps: Approach one victim from the rear and slow your approach before you make contact. 2. Grasp the victim by reaching under the victim's armpits and grasping the shoulders (Fig. 6-11, A). Squeeze the rescue tube between your chest and the victim's back. ~'agure 6-II, A 139 3. Begin kicking and lean back. This helps bring the faces of both victims out of the water (Fig. 6-11, B). Remember to talk to the victims to calm them. Figure G-Il, ~ Move the victims to safety. 5. Have participants rotate so that each participant performs the skill as the rescuer. Have participants practice the skill until they feel comfortable performing it. Check off the participants' skills as you watch them practice. Passive Victim Rear Rescue (20 minutes) You use the passive victim rear rescue when the victim seems unconscious and you do not suspect a spinal injury. Lifeguarding Today Because of differences in buoyancy, the victim's position may page 116 vary from nearly vertical to nearly horizontal. E Explain and demonstrate the passive victim rear rescue. Assign partners or ask participants to find a partner. Guide participants through the following steps: 1. Approach the victim from the rear. 2. Reach under the victim's armpits and grasp the shoulders. Squeeze the rescue tube between your chest and the victim's back (Fig. 6-12, A). 3. Roll the victim over so that he or she is face up on top of the rescue tube (Fig. 6-12, B). 4. Move the victim to safety; use one hand to stroke if you prefer. To do this, reach your right arm over the victim's right shoulder and grasp the rescue tube. Then use your left hand to stroke 140 (Fig. 6-12, Cj. Yew can also reach with y~nu~ left arm and stroke with your right hand. ;.:~.:v:::::::»:. - : t :ilk>;;>5>;: ii ~~~~'~~'I ar::' ' .r> },+~yc ~ it v. i......:.:::Y.v~ 31,E 1 .9.~%? •::o•:: :~:~>:~::~:a>:~:a:~:~::.: •:n Tigure 6-12, B , • > .dry::. _ . ~'iguYe 6-12, C 141 5. Have participants perform the skill several times and then change places with their partners and repeat the practice. Have partici- pants practice the skill until they feel comfortable performing it. Check off the participants' skills as you watch them practice. ~IIYD~". Jr l111IB(1fSS Summarize the rescue skills covered in this lesson: ~ Entries Approaches ~ Extension Assist From the Deck ~ Swimming Extension Rescue Active Victim Rear Rescue ~ Multiple Victim Rescue ~ Passive Victim Rear Rescue Answer any questions. ~ Review Chapter 8 of Lifeguarding Today. 142 l OiDB~. J~® Bi9df9BIg~S ' ~ ' i The two specific rescue techniques used in the water to minimize movement of a victim's head and neck are the head splint and the head and chin support. Lifeguarding Today page 206 `~EA~HING SIP: You may want to demonstrate the in-line stabilization techniques on land first. Have a co-instructor, instructor aide, or participant stand on the deck as you demonstrate these skills. By doing this, you can sh®w-the :placement of the hands and arms when performing these skills. ' ? _ ~ ' f ' ~ The Mead glint technique is used for victims found facedown at or near the surface. It can be used in both shallow and deep water. Lifeguarding Today Standing in shallow water, explain and demonstrate the head splint page 206 technique. Assign partners or ask participants to find a partner. Guide participants through the following steps: 1, Approach the victim from the side. 2. position-the:victim's arms against his or her head. Do this by gasping the-..victim's arms midway between the shoulder and the elbow. Grasp the victim's right arm with your right hand and the victim's left arm with your left hand. 3. Squeeze he arms against the victim's head in an effort to immobilize the head and neck (Fig. 9-1, A). ...f~ . >:.:tr. Figure 4-1, A 179 l 4. With your body at about shoulder depth in the water, glide the victim slowly forward. 5. While moving, rotate the victim toward you so that he or she turns faceup in the water. This is done by pushing the victim's arm that is closer to you under water while pulling the victim's other arm across the surface (Fig. 9-l, B). > ~~.t.~. :.t:.:':.:.. . ; }i%::~:?::: n.. A ...::k::: yr. 4{~~ . n ~ i + ii1 •:f ~•I v/}: ~dgure 9--1, B 6. Position the victim's head in the crook of your arm, with the head in line with the body (Fig. 9-l, C). i ,Figure 9-1, C 7. Maintain this position until help arrives. 8. Have participants perform the skill several times and then change places with their partners and repeat the practice. Have partici- pants practice the skill until they feel comfortable performing it. Check off the participants' skills on the Lifeguarding Skills Checklist (Appendix M) as you watch them practice. l 180 Neal and Chin- Support Technique t The head and chin support can be used for a victim who is face up or face down. It can be used in deep water and in shallow water more than 3 feet deep. Lifeguarding Today pages 206 & 207 Standing in shallow water, explain and demonstrate the head and chin support technique for both aface-up and face-down victim. Guide participants through the following steps: 1. Approach the victim from the side. 2. With your body at about shoulder depth in the water, place one forearm -along the length of the victim's breastbone and the other forearm along the victim's spine. 3. Use your hands to gently position the victim's head in line with the body. I-Iold-the victim's lower jaw with one hand and the back of-the head with the other hand (Fig. 9-2, A and B). ~'agrare 9-2, A Fagure 9-2, B 181 l 4. Squeeze your forearms together, clamping the victim's chest and back. Continue to support the victim's head. 5. If the victim is face down, you must turn him or her face up. Using the head and chin support to stabilize the spine, begin moving the victim forward. Rotate the victim toward you while you start to submerge (Fig. 9-2, C). Roll under the victim while turning the victim over in the water (Fig. 9-2, D). Do this slowly to avoid twisting the victim's body. The victim will be face up when you surface on the other side (Fig. 9-2, E). >:~f~~ ~;:~r i1 ^~r°'.f ~~iii,ii ~i i~~i iii ~~i ~i'i . n}•. i ~ i;%;{ i Figldr~ ~-2, C ::;:t%•~ EE ~c.:. ~ I I . i iii iii ~ "i' i i iii ii ~i II i~ "Ii III III i ~i I I I >r::~.: . .•.::.w::. I, III Iii VIII i ::r i f:~ asv.: .ff... IIII I Figure 9-2, D 182 ii: . ~ r.. r r ~+ryr i x. ........:n . ..::...r;~ r. n; Off I { i:::. I - ~ ' . :hi? :~4f ./.~:~:::iij::. ;;f! :yt r ' • iii.;}., ri ! y.{riii:{i. r ~ ~ryC~r } ~ :..:v...... ~igtare 9-2, E 6< Support the- victim faceup in the water until help arrives. Have participants perform the skill several times and then change places with their partners and repeat the practice. Have partici- pants practice the skill until they feel comfortable performing it. Check off-the participants' skills as you watch them practice. x 7'6a~ae: ~5 aa3~ncete < ` > ' ~ Gnce you have stabilized the victim's head and neck with either the ~ ~ifeQ ~odai~ ` -bees-:splint or the head and chin support technique, immobilize the pages 208-2:12 ~ victim on a backboard and remove him or her from the water. { In shallow water, explain and demonstrate how to immobilize a victim on a backboard. Assign or ask participants to work in groups Backboards of five (one victim, two lifeguards, two bystanders). Straps N®te: If you have extra backboards, you can form groups with fewer Mead Iaaa~®biliaers than five participants. Have participants rotate, so that each participant plays the role of the primary rescuer, second lifeguard, and victim. Each participant will have 10 minutes to immobilize a victim on a backboard and remove the victim from the water. Guide participants through the following steps: 1. As you bring the victim toward the side of the pool, a second lifeguard enters the water, submerges the backboard, and slides it 183 under the victim (Fig. 9-3, A). The backboard must be posi- tioned so that it extends beyond the victim's head when the backboard is raised (Fig. 9-3, B). r: K..~f % Y~{ fr{ ~ .+~•~:f~Q~{ • :}y~:Yif •?iY . ':'~~:'i i ••~•~':F:;i?iii{:j r iii%r ~'+•'r• :ti?i:iiv ~i, ri,:: tt t. .n.. ~......fi Figure 4-3, A :z•; >7~> . u:! I~,'',', y'~•. I ~ I it i : :.!fi :<;•'f:; .,w.; ::'o . ~~:z• ~M~.. >:~%l ::•:G:' ;fi t 1~'igure 9-3, B 2e While the second lifeguard raises the backboard into place, carefully withdraw your arm from beneath the victim. If you are using the head and chin support, keep your hand on the chin and place your other hand under the backboard. If you are using the head splint technique, move your arm that is under the victim toward the top of the victim's head while the second lifeguard holds the victim using the head and chin support (one hand on the chin and one hand on the board). 3. When the backboard is raised, the second lifeguard holds the backboard in place. This is done by supporting the backboard l 184 against the chest and shoulders and squeezing the sides of the backboard:with the arms. The victim's head is supported by the second lifeguard placing both hands on the sides of the head (Fig. 9-3 If other rescuers are available, they can help support the backboard at the sides. ~~ZCS~:. :.r;~:; i' '%iriiiiii . :.?;:yam i}.•ii'~' `if .d-0~4 Fi ure 9-3, C .Secure the. victim to the backboard. Straps should be placed across he victim's chest, hips, and thighs. The strap used on the chest should: be placed across the chest and under the arms. Securing his strap tightly under the armpits helps prevent the victim from iidng:on the backboard during removal from the water (Fig. 9-3; D). 1`Jsing the hip strap, secure the victim's hands along his or her sides (Fig. 9-3, E) or in front of the body (Fig. 9-3, F). The third strap is placed across the victim's thighs (Fig. 9-3, G). ::n:::::::::>; f{~r' ;;,$r~>~ >:{r~r Figure 9-3, D 185 r~r.' : ii~f? f. ;:;:;:::f,:: . • ~ ..'t• •x:: :~.ir. •>:~:..t... ..t•:::.. ..y ' y'.,'yf;r •'i.": Figure 9-3, E ~>~~»»>::>:>:;:a i~`. :;:f;~:> <::;:.f; :y • . k...._ y Figure 9-3, F a :f's ..rY r :Y _..:.::...:f .f:<~:: , r . ::.:>~>r•~~:. s::z~ . . Figure 9-.?, G 11 186 5. Using a head immobilizing device, secure the victim's head to the board. To do this, place pads on each side of the victim's head. Then secure a strap across the victim's forehead (Fig. 9-3, H). . r. ::r ~dgure 9-3, Id 5. Once the victim is secured on the backboard, remove him or her from the water. To do this, position the backboard with the head end by the side of the pool and the foot end straight out into the pool. SAtFETl~ T~~: Make sure participants lift with their legs and not with their backs when practicing this skill. Improper lifting can cause injury. 187 7. With one lifeguard on each side, lift the head of the backboard slightly and place it on the edge of the overflow trough if possible (Fig. 9-4, A). i::. { r....... Lgi6rC 4~ 8. One lifeguard gets out of the pool and grasps the head of the backboard. The other lifeguard moves to the foot end of the backboard (Fig. 9-4, B). As the lifeguard on deck stands up, steps backward, and pulls the backboard, the lifeguard at the foot end pushes on the backboard (Fig. 9-4, C). Together they slide the backboard up over the edge of the deck, out of and away from the water (Fig. 9-4, D). If others are there to assist, they should position themselves in the water at the sides of the backboard and help lift the backboard onto the deck. x: ~;i< f~~. , ~ ~dgure 9-4, ~ 188 ~ r. &; ~'egaare 9-4, C ~ s» ..r, r .~r%:>: ~;~;'y~r{,: :idOS::i::;:~`:;:~?;:;: ;:;:;`ii::'Ni{:ii'riiiiii:Li{ r N!.~ Y:.. it . Ali.. ; 9. Have participants practice the skill until they feel comfortable. Check off participants' skills when they assume the position of the primary rescuer and perform the skill correctly. Note: The skills for deep water backboarding are taught in Lesson 10 of this instructor's manual. 189 l C~ ~ ri~rae: ~ ~ine~te~ ' ~ ~ Briefly reinforce that caring for a spinal injury requires the life- guard to minimize movement to the victim's head and body. The two techniques practiced will enable the lifeguard to keep the head in-line with the body and minimize movement. hP' Respond to any questions from participants. { ~ ~ Review Chapter 11 of Lifeguarding Today, and read Chapter 12 of Lifeguarding Today. 111 190 ANGER~US D 1Vlarine Organisms of Hawaii ~e ~~a,~ K~~=~m, ~ANG~ROUS MAI31N~ OF~GANISMS OR IiAVl/All by Athline M. Clark and J.K. Sims Sea Grant Advisory Report U N I H I-S EAG RANT-AR-78-01 July 1978 Revised Edition March 1987 Fifth Printing September 1989 This report is published with funding received by the University of A RANT Hawaii Sea Grant College program under Institutional Grant Nos. 04-7-158- 44129 (firstprinting), 04-8-fJi01-178 (secondprinting), NA79AA-[~-00085 (third printing), and- NA85P?A-~-SG082 (revised edition, fifth printing) from NOAA Office of Sea Grant, ®epartment of Commerce. The U.S. Government is ~ authorized to produce and distribute reprints for governmental purposes notwithstanding any copyright notations that may appear hereon. fie4~L~ OBe C®Nfi~NfiS INfii~ ®®U Cfil®N 1 Corals 2 Sea urchins 3 Portuguese rnan-of-war 4 a-lyciroids 5 Jeiiyfishes 6 Sea anerno nes 7 Palythoa toxica 8 Crown of thorns starfish 9 Sponges 10 Microcoleus lyngbyaceus 11 Cone shells 1 2 Octopus 13 Fireworrris 14 Crabs 1 5 Mantis s hrirrip 1 6 Moray eels 17 S urgeonfis hes 1~ Scorpionfish es 19 Great barracuda 20 Neediefishes 21 Stingrays 22 Sharks 23 Mycobacterium marinum 24 Sea snakes 25 ~4CKN®V19L~®GMEB~!"f'S 26 ` ~B~L6OG~APO°IY 27 iii 11fV°TR ®®UCl°I®N The semi-tropical waters of the hlawaiian Islands are among the safest in the world and present a fascinating and abundant display of marine life for the diver, fisher, swimmer, tide pool explorer, and casual beachgoer. However, every natural environment has its share of hazards. This brochure provides an introduction to marine organisms that are potentially injurious as they are encountered in the marine en- vironment; it is not a guide to organisms that are safe or unsafe to eat. Included are descriptions of potentially dangerous animals and plants, - injuries that can result from contact with them and their symptoms, treatments, and preventive measures. They are listed in order of the likelihood of injury. Corals are described first because coral cuts are the most common injury suffered by visitors to Hawaii's coastaE waters. It should be noted that any injury is always subject to secondary infection; therefore resid-ants and visitors alike should keep their antitetanus im- munizations current. The University of Hawaii Sea Grant extension Service is dede- cated to the expansion of knowledge about our unique marine environ- ment to make it safe and accessible to all. Use this brochure to become familiar with fibs potential hazards of som® types of sea life so that you can enjoy the ocean with greater pleasure, confid®nce, and safety. Corals (Ko'a) Description. Live coral heads grow down to depths of about ~0 m. Common stony corals are covered with mucus and bacteria, and have many polyps that sit within calyxes or cups that may have razor- sharp edges. Colors range from shades of white and brown to pastel pinks and yellows. Corals have stinging cells that can cause irritation to sensitive skin. Pieces of coral can lodge in a cut making it slow to heal and prone to bacterial infection. Contrary to popular myth, the coral will not grow in the cut. Symptoms injuries. Although a cut may seem clean and insignificant, local infections can result. Tiny pieces of core! embedded in the cut and the bacteria associated with them can often produce inflammation and tend®rness, leading to a festering sore, spreading infection, and even blood poisoning. Allergic reactions can also be very serious and time delayed. ~"reatment. Clean the cut immediately and thoroughly using hydrogen peroxide, soap and water, or normal saline irrigation to remove the coral debris. Apply tincture of iod'one or a topical antibiotic as soon as possible. If infection persists, see a physician. 1=or skin irritation, soak the affected area in a dilute vinegar solution. A topical antibiotic or prescribed antibiotics may be required. Preventive measures. Wear tabis (reef slippers) or sneakers when wading or walking on the reef, gloves when handling coral, and- fins with a full heel for protection when diving. ~ 1 1 ~ ~ r n . ~ .Y,i.: ' ~ :J~ 9 , 2 Sea urchins (Wane, `ina, etc.) ~escri tion~. There are two types of commonly encountered sea urchins which -are potentially dangerous to humans. The first, sometimes called wane, has long, brittle, needle-sharp primary spines and shorter, finer, venom-tipped secondary spines. It is rr~st often-black orviolet-black in color, although sometimes the spines have black and white bands. Wane grow up to 25 cm in diameter and are found at m®st depths either in crevices or in the open. The second-type is `ina, the rock boring sea urchin, which has _ shorter, thicker spines usually black, tan, grey, greyish green, or pink in color. It lives in holes that it bores in rock or coral along the shoreline. S~motorn~~fni, Spines from wane break off and remain em~ bedded in the flesh, causing; an immediate throbbing pain. The pain can last for hours and if the thicker spines are not removed an infection may develop; the thin, venomous spines may be left in for resorption after detoxification using the hot water or vinegar therapy described .below. The puncture wounds from black wane are characteristically blue-black in color. The 'ina also has spines which cause puncture wounds if stepped on, but the spines are strong and do not usually break off. Treatment. The affected area should be soaked in very hot (not scalding) waterfor ~ 5 to 90 minutes until the pain goes-away. Pain relief may occur in as little as 7 to ~ 0 minutes. ether remedies include direct application of undiluted vinegar {very effective) or hot coffee {do raot scald). See a physician for the removal of embedded spines.and-fragments. Preventive measures. ~Iways wear protective clothing such as ` gloves and table with thick soles -when diving orwalking on reef flats. Avoid sticking your hands in crevices. IVo attempt should be made to handle wane. 3 P®rtuguese rnan-of-v~rar (Pa'i-malau) 6 description. The Portuguese man-of-war is a free- _ floating hydrozoan that looks like a jellyfish. It has a trans- parent, gas-filled, bluish float which may be as long ~as 5 cm. Attached to the underside of the float are numerous short . tentacles and one very long tentacle which can reach severaB meters. The long tentacle carries stinging cells (nematocysts) which, when stimulated, discharge threads containing a highly irritating toxin. The man-of-war floats on the surface of the water, drifting with the wind and water currents. It is found in the open ocean seasonally and is carried by onshore wind and waves to the beaches. Locally, it is seen most often on the windward shores when a strong onshore wind is blowing. Symptoms~inj_uries. The man-of-war sting produces prickling, stinging, and burning sensations. Sometimes blisters occur. In cases where people have severe stings or allergic reactions, if signs of difficult or irregular breathing and/or cardiac irregularities are present, seek emergaenc~r aid immediately. This is more likely to occur 'sf victim is stung about head, neck, or chest. Treatment. Remove the tentacles from the skin immediately using tweezers, a stick or leaf, a towel, or sand. ®o not use bare hands. Apply foil strength vinegar. If pain persists pour on Adolf's or generic unseasoned pepsin papaya meat ~ tenderizers (if patient is not allergic to papaya). Old 1-iawaiian ; remedies include the direct application of green papaya or papaya leaves. ®o not use fresh water as that will cause the nematocysts to discharge. v Preventive measures. These creatures should be avoided in the water if possible (they are difficult to see), and should never be touched, even when they are washed up on the beach. Avoid walking near them as an incoming wave may wrap the tentacles around an ankle. The stinging tentacles remain toxic for many hours after the organism is dead. 4 hydroids ®escr~tion, These attached hydrozoans era colonial organisms that are sometimes mistaken for seaweed. (Hawaiians call them stinging limo). They can be found attached to artificial habitats such as floats, pilings, submerged lines, boat bottoms, etc., or in areas rich in nutrients such as Kaneohe gay. Depending on the species, colonies grow from 1 mm to 15 cm in length. The larger species have a thick main stem and abundant side branches so that the colony looks like a feather, a fan, or a tree branch with little fuzzy anemones (polyps) on the sides and ends of each branch. The polyps- have microscopic stinging ceiis like those of the jellyfishes and Portuguese man-of-war. Svm„ptorns injuries. The hydroid sting causes burning, itching, and a rash that may last from several hours to several days. It can produce a severe al0ergic reacti~ogn in some people. Swimmers usually get a rash on the chestq al~d®meT3, and legs. Treatment. Use the treatment described under PORTUGUESE MAW-0I=-WAR. Preventive measures. Try not to brush against or grab the underside of floats, submerged lines, etc. 5 Jellyfishes (Polo-lie) ®escription. Jellyfishes are self-propelling creatures (compare with PQRTUGUESI! MAN-OI°-WAR) ranging in size from 11 mm to 30 cm or more in diameter. They are found in calm bays as weii as in the ®pen ocean. Open ocean forms are occasionally swept to nearshore waters by storms. Most jellyfishes are difficult to see because of their transparency. Charybdea elate and Charybdea rastorri are offensive jellyfish occasionally found in Waikiki from Thanksgiving to early April. ~m toms injuries. Jellyfishes produce the same kind of sting as the Portu-guess man-of-war. Treatment. Use the treatment described under PORTUGUf=SE MAN-OP-WAR. Preventive measures. Contact or handlin • 9 . .`~s4$b': should be avoided. Y 6 Sea anerr~®nes ('®-kola emi-emi, '®-kola ha-wale, and others) Descri tP ion. Several species of these email creatures can be found anchored in rocks- or -sand at most depths, but more often either at or below the- low-water m-ark. Sea anemones range in size from 1 mm to 1 ~ cm. The solitary polyps of most species are pale i~ color or translucent with opaque white tentacles arranged in a whorl. Like their relatives, the hydrozoans and Jellyfishes, sea anemones' tentacles may contain stingirsg cells (nematocysts). Those. species found attached to gastropod shells inhabited by hermit crabs often have nematocysts. ~m~toms/in,~uries. Although not t-rue of all species, a sting by some sea anemones can produce localized itching and burning which vary from a prickly sensation to severe pain. Nausea, fever, headache, and allergic reactions result only rarely. Treatment. Use the treatment described under P013TUGUES~ MAN-QP-WAFt. Preventive measures. Wear gloves and watch where you put your hands. 7 Palythoa toxica (Limn-make-o-Hasa) ®escription. Palythoa toxica, a zoanthid, is an anemone-like- animal which lives attached to other P. toxica in a colonial mass which resembles soft coral. The heavily-encrusted individuals average 5 mm in diam- eterand may grow to 14 mm in height, but colonies may Ise • extensive. The oral disk is brown, often with random patterns of white spots around the mouth. It is sometimes found in surge pools at Lanai Lookout and Blowhole on Oahu, and the Hana district on fVlaui. . Non-toxic zoanthids exist, including the common Palythoa tuberculosa or cushion zoanthid. S~m~tornsLnjuries. The strong toxin present in the mucus of this species can be deadly if ingested. If any mucus is accidently ingested or if the animal comes in contact with an open lesion, get emergency help immediately. Palythoa toxica was reportedly applied to speartips in old I-Iawaii to make them lethal. Treatment. Rinse promptly and thoroughly with water to remove toxin. Consult a physician immediately. Preventive measures. ®o not touch these animals and stay away from areas where they are found. Crown of thorns starfish (Hoku kai) ®escri tion. The crown of thorns starfish, Acanthaster planci, has 16 arms and ;can grow to a size of ~0 cm or larger. Its upper surface is covered with- sharp, fairly rigid spines greenish red to light brown in color. It lives on corals -and- feeds on coral polyps and can be found on reef flats or patch reefs to depths of 60 m. ~m horns in'uries. Apink-stained puncture from the crown of thorns starfish's short, sharp, venom-coated spines produces " immedi-ate and- severe pain, with signs of inflammation. Vomiting may occur shortly after-the injury and can last from ~ to ~4 days. Treatment. Remove loose spines; get medical treatment for embedded spines, These must be pulled out straight or they may break off at the tips and remain under the skin. Use the treatment~described under ~~A U~GHINS. Watch for inflection and obtain any needed treatment early. Preventive measures. Use extreme caution when handling crown of thorns starfish. Wear heavy gloves and tabis with thick soles when exploring the reef. ~ F t i ~ ~ ~,j~t t ~ A A t ~~t~~~~ / ~ ~ 8 ~~~~t 9 Sp®nges (F-lu'a-hu'a kaa'i or hu'a kai) UescriQtion. Common around most shorelines and an important component of most bottom environments, sponges are found to depths of 10,000 m. Sponges occur in a large variety of sizes, shapes, and colors. Sody support for the soft structure is provided by minute calcareous or siliceous rods called spicules or by spongin fibers, either separately or in combination with spicules. The I~iawaiian fire sponge is a red-orange encrusting form with a slimy surface. S~ptoms in'uries. When handled, sponge spicules can lodge under the skin, causing a burning and itching sensation. The fire sponge produces an irritating chemical that can cause burning, dermatitis, and small blisters in 4he skin. Treatment. Use the treatment described under C®RALS. Protective measures. Avoid handling sponges. , f = ~ .,r:. .t J . , 10 Microcoleus lyngbyaceus (Limu) ®escriotion. This fine, filamentous blue-green alga, which is often dark groan or blackish green, is commonly found tangled with other seaweeds on reef fiats, in tidepools, or in deeper subtidai habitats. It can be carried by waves into swimming areas, notably Laie and Kaiiua on Oahu and other windward areas, and often forms floating masses on the surface of Kaneohe Say. - Syme~toms in~ies. When fragments of Microcoleus lyngbyaceus lodge inside swimmers' suits, they can cause minimal to very severe inflammation of the skin, even if the person affected is not allergic to the alga. Treatment. swimmer who has been exposed to this blue_green- alga should wash the affected area immediately with soap and water and change swim suits. Preventive measures. Swimmers who are allergic to the alga should. stay out of the water when i# is present in large C,tlan$ltles. Con® shells (I'upu makaloa) ®esc~tion. Cone shells are conical, and some have gold, brown, or black patterns on the shell. Ranging in size from 1 to 10 cm they are found in reef crevices or buried in the sand on the undersides of dead coral and boulders. Cone shells have a venomous dart-like mechanism, released from the narrow end of the shell, which is used to . sting and paralyze prey. The effect may vary in intensity and the venom of many cones is not injurious to humans. 0-iowever, five tropical species have been proven to be deadly to man. On l~-fawaii the most dangerous cones are those with a triangular or "tent" pattern on the shell. S~m.~toms/injuries. The pain from a sting can range from minimal to extreme. The venom can cause either local stinging, burning, or numbness with inflammation. Vomiting may occur shortly after the injury and can last from ~ to 4 days. The most toxic species can cause paralysis, coma, respiratory failure, or cardiac arrest. Treatment. Use the hot water treatment described under SEA UI~CI-IIIVS. because the venom can be extremely dangerous, the victim should be treated at the nearest emergency medics! facility. If it can be done safely, bring the offending cone shell along for identification. Preventive measures. Great caution should be used when collecting live cone shells. Flandle them only from the broad end. They should be left alone; a moment of carelessness could prove to be very y painful. a 12 i i ®ctopus Uescrit~tion. The octopus, often called "squid" locally, has a rounded sac-like- body and eight sucker-lined arms. This timid creature hides under rocks or in holes in the reef fiat, but is capable of inflicting a bite with its beak, which is located at the center of the body on the underside. There are two species of octopus common in l°lawaii, the day "squid°° and the night '°squid'°. toms~in~uries. An octopus bite can produce a skin wound with possible bleeding. A toxin from the octopus' salivary glands may be injected into the victim when bitten. The injected toxin may cause a painful irritation similar to that produced by a bee sting. Treatment. Use the treatment described under C®Fie4LS. Preventive measures. Use care when handling an octopus. 8e gentle with it and it will be gentle with you. :o. ~ . . ~ . ~ ~ ~ . s. 13 I`ireworms {'Aha-hulu-hulu) ®escr~tion. Fireworms or "bristleworms" are segmented worms that live in dead coral heads or under rocks and found mainly on reef flats. Fireworms are white to salmon-colored with thin bristles on the sides of the body. They range in size from 1 to 10 cm. Symptomslinjuries. The fireworm's thin, sharp bristles can + penetrate even very tough skin. Because the bristles are tiny and curved, they are almost impossible to remove once they lodge under the skin. The bristles contain a toxin which may cause burning, itching; or stinging, and often the skin will swell and the individual punctures may become inflammed. Treatment. Use vinegar or the treatment described under SPONGES. Sometimes the tiny bristles can be removed with adhesive tape. Preventive measures. Se careful when turning over rocks in shallow water. Wear gloves for protection. Avoid handling. 14 Crabs (Pa-Pa'i) Description. Crabs are among the most varied of Hawaiian shoreline organisms. They come in an assortment of sizes, shapes, and colors, and live in a great diversity of habitats from tidal zones to reef flats and ocean bottoms. Because of their strong pinchers (chelae) many crabs are potentially harmful, and the larger the crab the more harm its pinchers can do. ~mptosr~s/on'u~ -ties. Crab pinchers can bruise, pinch, or cause shallow to deep wounds, depending on the size of the crab. Large crabs have been known to amputate fingers. Treatment. Wash wound with soap and water, treat with a topical antibiotic, and watch for infection. If wound is serious, apply pressure to control bleeding and consult a physician. Preventive measures. Be careful of pinchers when handling crabs. Wear gloves or use a net to catch them. S L'•. ''.a=.~ _ • a. 15 IMantis shrimp ('Alo 'alo) C~escription. These elongated, shrimp-like crustaceans can be found in shaiiow to deep water under stones or in holes in dead coral. They range in size from 2 to 3® cm in length and in color from dark greenish or reddish brown to bright orange, pale yellow, and white. Some have distinctive black markings. Sym~toms~(in~uries. Instead of pinchers, mantis shrimp have two enlarged, often spiny appendages that fold outward like the bladej, of a jackknife. When snapped open these appendages can inflict a knife-like wound. Treatment. Use treatment described under CRADS. Preventive measures. Do not handle with bare hands. Wear gloves when turning over stones or blocks of dead coral. Q J W 16 11A®ray eels (Puhi) ~escrit~tion. Most moray eels have fleacible, firm bodies, and sharp, recurved teeth for hunting fish within the reef. Their tough, scaleless skin is often colorful. Typical patterns include large, blackish spots on a white background, bands of zebra-like stripes, specks of . dark, star-shaped spo#s over the body, clouded pearl-tike, or yellow colorations, or solid colors including white. Moray eels range in length from 2® cm to ~ m, but average Tess than 1 m. Whey live in holes and crevices in the reef, and are often encountered with their heads protruding from the holes, mouths opened wide to breathe. They swim in the open at night. S,~mptoms/injuries. The sharp teeth of moray eels can inflict ragged wounds, often producing much bleeding and requiring immediate medical treatment. Nerve, muscle, ligament, and tendon injury can result as wail as skin and tissue damage. As with other fishes, the bite itself is not considered poisonous by many, but the teeth may be covered with bacteria that can cause infection. Treatment. 1=or superficial wounds wash thoroughly with soap and water and apply atopical-antibiotic. Apply pressure and elevate to control bleeding; apply ice to reduce pain and swelling. l`or more serious injuries use the treatm-ant described under SHARDS. Preventive measures. Moray eels usually do not attack unless provoked, although a few surprise attacks have been reported. ®ivers should be wary of sticking their fingers, arms, or legs in hidden crevices of the reef. s 17 Surgeonfishes (Kale, palani, etc.} IDescri tp ion. Surgeonfish represent one of the most abundar families of Hawaiian fishes. They are distinguished from other ree fishes primarily by their high forehead, which may be horned, deeK body, and small mouth. They feed on algae and are found mainly or reef flats and in nearby deeper waters. Their colors vary greatly among species. Surgeonfish are named for their most distinguishing feature - a single sharp folding spine or pair of fixed spines at the base of the tail. Symptoms/injuries. The spines can inflict deep gashes sometimes leaving portions of the spine embedded. e4 painful sting may result from being stuck with the tail spines. r,,, , Treatment. Wash wound thoroughly with soap and water and apply a topical anti- , . biotic. Watch for infection. imbedded spine(s) should be removed by a physician. 1=or stings, use hot water treatment described under SEA l1RCHIiVS. Preventive measures. When handling Surgeonfish, be careful o the spines ...even when.the fish is dead. 1S Scorpionfishes (Nohu) Uescrit~tion. Scorpionfish in Hawaii do not include the most venomous group, ca-lied stonefish, but the spines of their dorsal fns are stilt quite venomous. They range in size from ~ to ~5 cm. In both form and color, scorpionfish blend so well with their surroundings that they can easily be passed over unobserved.. Some bear remarkable resemblance- to any of the odd pieces of eroded coral or reef rocks on or near which they sit motionless. Their sharp dorsal spines are often covered by loose skin. The wasp scorpionfish, also known as the lionfish or turkeyfish, grows to a length of 17 cm and can be found in shallow water perched in crevices of overhangs and rocks. The spines and rays of the dorsal and pectoral fins are very long and are particularly venomous. ~~toms n~u~ies. ~ wound produced by a scorpionfish's sharp spines can cause intense shooting and throbbing pain that can last for hours. I~lore serious complications include possible convulsions and cardiotespiratory failure, but this is very rare in Hawaii. Treatmen . Use the hot water treatment described under SEA URCHINS. Qbtain emergency medical help immediately. Preventive measures. Wear thick-soled shoes and other protective clothing when walking or swimming on reefs. Wear leather gloves when fishing or diving. Watch where you put your hands and feet. Scorpionfish should not be handled when living and carefully handled when dead. r.. ~ • 19 Great barracuda (Ka-ku) Description. Barracuda are long-jawed, large-toothed silver fish found in Hawaiian waters. There are two species the larger reaches a length of 2 m, while the smaller grows to only 60 cm. They are found in a wide range of habitats. Juvenile great barracuda swim in schools in inshore waters. They are often curious and will harmlessly follow swimmers. Large adults are frequently solitary and are attracted to bright-colored objects and speared fish. Symptoms juries. A barracuda bite produces a wound with straight lacerations. Ne-rues, blood vessels, ligaments, and tendons may be damaged as well as skin and muscle. Eiieeding may be profuse and victims may suffer shock. Treatment. In case of serious bleeding or symptoms of shock, use the treatment described under SHARKS. Obtain emergency medical treatment Immediately. ~ .r.s. a ~ as ci. s measures. In clear, _ local waters barracuda usually flee or hover, but do not attack. Bathers should use caution when a large, solitary barracuda is in the area because excessive splashing may attract its attention. 20 Needlefishes ('Aha or 'aha mete) ®escription. Needlefish are slender, silvery, elongated fish with large eyes and long, pointed beaks.. They vary in size from less than X15 cm to 2 m. This inshore species- usually swims rapidly near the surface and often leaps out of the water. Sym~tocns in'uries. Needlefish can drive their beaks like spears through objects in their paths producing deep puncture wounds. Frequently portions of the beak may break off and become embedded under the skin. Treatment. ®o not attempt to remove embedded portions of the needlefish's beak; obtain emergency medical- help. Preventive measures. o4t night, needlefish feed on small fish and plankton attracted to lights used by fishermen. They have been known to leafs into fishing boats. Torch fishermen and night divers showld erect a shield. r. e- t 21 k Stingrays (Cups and hihimanu) Descric~tion. Stingrays have a large, flat, round, or slightly angular black or sand-colored body that is more wide than long, typically 1 to ~ m. The tail is usually whip-like and has one or more large, jagged, venomous spines on its upper surface. When not feeding, they lie on the bottom, concealed under a light layer of sand or mud, with only their eyes, tail, and spine exposed. Eagle rays are similar to stingrays. They may have a single venomous spine at the base of the long, whip-like tail. Although a sp-ins wound cannot be inflicted by a whip of the tail, they are dangerous if stepped on. The spotted eagle rays have awing-Bike, triangular body up to 1 m wide and can be distinguished from other stingrays by numerous round, white spots on a dark back. Symptoms/injuries. When a stingray is stepped on or otherwise disturbed, it recoils its tail and strikes the offender with a venomous spine. A stingray can produce deep lacerations accompanied by severe pain. Because of the toxin discharged, abdominal, chest, head, or neck lacerations can be very serious. Treatment. Use the hot water treatment described under CONE SHELLS. Clean the laceration as described under CORALS. As with sea urchins and crown of thorns starfish, do not touch embedded spines; have a physician remove them. Preventive measures. Beachgoers should shuffle their feet as they walk in shallow, sandy areas. _ ~ 1 22 Sharks (Man®) ®escripti®n. Sharks are well-known ocean predators found in a variety of habitats and depths in the wa#ers surroun-ding the h-lawaiian Islands. Sharks are generally grey in color and- adults may range in size from the small 1.5-m blacktip to the fi-m tiger shark. Sharks seen most often here include the grey reef, blacktip, whitetip, hammerhead, and tiger. . ~m~toms/injuries. A shark bite can be mutilating, producing severe bleeding, shock, and possible fracture(s) or amputation(s). Dough denti~les on the shark's skin can cause skin abrasions and additional superficial wounds. Signs of shock (paleness, cold skin, dilated pupils, low/absent blood pressure, weak but rapid pulse, disorientation, and sometimes fainting) may indicate a serious condition, such as severe blood loss. treatment. Control the bleeding by applying pressure and elevating the wounded area. if shock symptoms are present, lie the person down, maintain body heat, and elevate legs i$ possible. ®btain emergency medical treatment immediately. Preventive measures. Although only two known deaths from shark bite have occurred in 1°iawaii since 1970, t-his unpredictable creature should be avoided at all times. ®ivers should not tow speared fish for long distances in water; surfers should return to s-hors if a shark is sighted, especially during dawn and dusk when sharks venture inshore to feed. Cloudy or murky waters, especially near sewage outfalls and garbage dumps, should be avoided. i ~ r'r< t~:s ~ wR~~rC w . s, 'y'. ~S. 23 Mycobacterium marinum ®escri tion. Mycobacterium marinum, formerly Mycobacterium balnei, is a microorganism that can be found on fishes, in aquarium water containing contaminated fishes, and on other marine life. This microorganism causes a common (and potentially severe) infection called "swimming pool granuloma." Those infected are usually fishermen, people who handle and clean fish tanks regularly, and people who work in aquaria. ~m®ptoms/injuries. The Mycobacterium marinum bacteria grow in cuts and skin abrasions producing swollen lumps or inflammed _ lesions. These may be difficult to distinguish from other severe skin conditions and a biopsy may be needed. If left untreated, scarring can result. Infection by this bacteria may also result in a false positive TE3 test. `Treatment. When symptoms appear, promptly consult a physician. Preventive measures. ,ovoid direct contact with contaminated fishes and aquarium water or when hands have cuts or skin abrasions. 2~ Sea snakes ®escrir~tion. The yellow-bellied sea snake lives on the surface of the open ocean, feeding on small fish. It is seldom seen in F~lawaii, but on rare occasions has been found in nearshore waters. The adults range from .5 to 1.5 m in length with the end of the tail flattened and broadened to form a paddle for swimming. The back of the sea snake is colored a striking yellow and black; the belly is ~ pale yellow. Short, r non-retractable fangs are located far back in the triangular-shaped head. The fangs deliver a nerve toxin which is used to paralyze prey. There have been no known cases of sea snake bites in Hawaii. ~m toms/injuries. The relatively painless bite from a sea snake produces 2 to 20 smelt pink to red dots. The victim wilB become tired and have difficulty moving. If untreated, dea#h from respiratory, heart, or kidney failure may result. Less severe cases may cause mus- cle, tissue, and kidney damage, but victims will recover without long term ill effects if antivenim is administered. Treatment. Wash wound with water and apply a venal constric- tive band. ®on't move; let someone else move you. Get emergency medical treatment immediately. The 1-lawaii Poison Center and the Waikiki Aquarium have sea snake antivenim available. Preventive measures. Avoid handling sea snakes. They are docile creatures, but have been known to bite defensively when caught in fishing nets. - - e' 23 ~~r ACKN®WLEIJGIVIEN°fS the University of Hawaii Sea Grant Extension Program acknowledges the following manuscript reviewers: Jon Pegg, M.D., clinical associate professor of physiology, John A. Burns School of Medicine, University of Hawaii; Edith H. Chave, researcher, Hawaii Undersea Research Laboratory; Maxwell S. Doty, professor of botany, University of Hawaii; Jeff Hunt, program analyst, Community Colleges, University of Hawaii; and Carol Hopper, Ph.D., science advisor, Waikiki Aquarium. Victoria Nelson, Susan Baldwin, and Athline Clark did the research and Wendy Nakano and Rick Cesar the line drawings. 2f i ~IDLI®(aRa4R~lY Sanner, A.N. 1977. I-lazardous marina animals. In f=orensic Medicine, ed. C.G. Tedeschi, W.G. Eckert, and L.G. Tedeschi, pp. 1378- 1436. Philadelphia: W.G. Saunders. Devaney, and L. Eldrege. 1977. Beef and Shore fauna of I-lawaii, Section Protozoa Through Ctenophore. Honolulu: Sishop Mu- seum Press. Edmonds, Carl, M.C. (No date.} Dangerous Marine Animals of the Indo- Pacific Region. Newport: Wedneil Publications. Gillet, K., and I°. McNiel. 1959. The Great barrier Reef and Adjacent Isles. Paddington: Coral Press Pub. Ltd. Gosline, W., and V. Brock. 1960. f~andbook of f-lavvaiian fishes. Honolulu: University of I-tawali Press. Halstead, R.W. 1978. Poisonous and Venomous Marine Animals of the World. Rev. ed. Princeton, New Jersey: Darwin Press. Halstead, R.W. 1959. Dangerous Marine Animals. Cambridge: Cornell Maritime Press. Helm, Thomas. 1976. Dangerous Sea Creatures: A Complete Guide to !-fazardous Marine Life. New York: f=unk and Waggnals. Randall, John. 1960. The living javelin. Sea frontiers 644):228-233. Sims, J.K. 1978. Dangerous aquatic organisms. In Emergency Nursing, ed. J. Barry, pp. 391-399. New York: McCaraw-I-fill. Sims, J.K. 1984. Dangerous marine life. In The Phgrsicians Guide to Diving Medicine, ed. C.W. Shilling, C.S. Carleton, and R.A. Mathias, pp. 427-440. New York: Plenum Press. Sims, J.K. 1985. Emergencies related to marine fauna. In Emergency Medicine A Comprehensive Study Guide, ed. J.E. Tintinalli, R.J. Rothstein, and R.L. Krome, pp. 384-386. New York: McGraw-Hill. 27 . . fit.:. Sims, J.K., F''.I. ~nomoto, €~.I. Frankel, and L.M.F. Wong. 1983. Marine bacteria complicating seawater near-drowning and marine wounds: ~ hypothesis. Annals of Emergency Medicine 12:212- 216. Strauss, M.~., and W.L. Orris. 1974. Injuries to divers by marine animals: ~ simplified approach to recognition and manage- . ment. Military Medicine 139:129-130. 28 . i Y' 1 • ~ ~ ~ • ~-Oe ' v • • • ~ • ~ • • ~ • 1 • ~ ' • ~ • • • ~ • ~ ~ • ~ ~ ~ • • • ~ ' ~ ~ ~ ~ , ~ ~ OO ~ • o . • • ~ 641(~H SURF SU®®EP9 ®R®P ®FF WAi/ES ®N LEt?~E QTR®I~G CURRENT t~ t IuIAN-®F-~OOAR SH~eRP CORAI ®ISNC~ER SH®REI~REAAlf SLIPPERY R®CKS Pr®BDCAR®SURFING? N®6®AR®SAILING N® S~IIMRA1NCa l+l®®I\41NG z~ a0 ~ ulp~ ~ \ ~~na ~ ~ ~ Q~ -y- - ~g q Protect your eyes Q and skin from the ~ sun's burning rays. ~ ` ~ ~Z ~ i i ~ UFEGUAR~ ON D~7Y 7 Ask the lifeguard $ss~ if it is safe to ~~~s swim. ss ® °`4. d ~ • 1 ~ s,~ e. ~ o~ ~ J'~- Watch out for deep places. Swim in waist deep water along the shore. i ~ ~ . ~ ~ • ~ ~ ~ ~ ~ ~ mm~ ~ ~ ~t. • • ; ° • • • 8• •I . ~ ~ 9 . •o• e • ~ ~ ~•e • ~ • • ese • j • • • • • • • f o ~ • a • .e• • • • e ® _ b • •e vp9 • ~ • 09 e • • se• • e a ~ a a• \ • • • • • • • • • • e ~ ~ ~ / ~o~ ~ ~f C~, mss.. ~ ~ ° ~i h~ ~ ~S Do not go into deep water with a raft or flotation toy. Waves and wind can pull you away from share. Rafts sink if #hey leak air. L 3 ~~o ~~~o~e~ ~ ~ ~ • t ~ 1 '~6 - ~r 1l ~ .l .v ~ ~ ~ ~ ~ ~ ~1 A ~ ~ ~ ~ uF~r~ p~.l pUTY H you get hurt, go to the lifeguard for first aid. ~ .v Q ~ O ry\ L J l V V Ii you get lost, go to the lifeguard for help. v o- A ~V~ Call for help if a person is having trouble swimming. ~ i~ f h ,...,r..? ~ P ~s r ^ ~ ~ ~ ~ ~ e ~-i_ " ~ If you are alone, dive samehng that ffoats a a O o person irr #rout~le. 0 o°o 0000 ~t~ B~ ooooUO~ - ~O G 1 54 tot START • • . ; 55 ~ 'S 9~ t3 • o 5y ° • :b 53 5.L • ~ o • 21 . ~ e 2~ 21 ~8 • ~ G ~ ~ ~ l4 y G s 2y d cJ ~ O p ~ V u 6 • ~ v ~ • Z5 G • 2.~ ~ ~ V V 45• •27 • D X14 • •2® v e~ ~ • o ' i, • 30 ~ 33 4s. ,3, • 3"0•3L s s~~ ° • 38 35 o .3~ e ~ o o 0 0 0 o v O • ~u o 0 ~ ~ ~ V u U V _ _ ~ ~N v ~rr~~ _ ~sv~ ~ Po cl~~~ o 1~ ~ - ~ ~ ~ tau ~ U~ ~i~~~~ L~~ ~ ~ ®®a v _ ~ 4 ~ q j'~ L a d d c~ Cali ~~1 if you need help from the ponce, fire department, car if you need an amb~ • once. - ~ w ~e.~ P ~ ~r J o0 n~ n y SYc o ~y ~i~ Keep our beaches clean and safe. Puf rubbish and glass bottles in the rubbish can. i ~~~Cy6.8~ 1 ~..,,,~e,e, ~RR®~~~pp' 6711 •~m ~9 A~ ME~APti~IV~ L" ~~(YGE~ l$N!T V L-~ ~ ' L -._1 r~ ~ _ ~ -r----~`--~--~ 2 _ _ J. T N~N~ ~ . . S ®6 ~ - • ~ ~ • ~ _ ~ / ~ - \ ~ ~ ~ ~ - _ ~`n ~ /Y~ M _ - ~ ~ M a ~ ~ ~ Q a ~ ~ J o~ ~ Qo - - _ ~ ~ u® ~ _ . 2 y_ vdAH• ~ Z - . •/~_L.,J (fit \~..,~C 11 a • III ~ ~ ~ - - ~I U J l ~ . S ~ ® R P R E V E N T i O N V4/ U X O T d3 V S R N F ~ NI R R I R 1 A K ~ I-~ ~ RA 1 X T U U O V F® T R E S C R N~ x P T C x u s E 1_ c R E I~ o R 1 K R K A S YV L U R R ~ ® S ~ J X F S Y ® Y R ~ I V G A R D E O V~ F T U G N N A I N ® T P ~ C Y C IaR T Q G W~ O Y lyl F8 141 P I~ ~ A C I~ ~ ~ ~ ~ D M A 1J R A U G E F I L T A O~ ~ P U S ~ ~V Id Y ~ Ifi IVI ~ L FI A Z A R U S L ~ V I C T 1 IVI ~ E S C U E ® P 13EACF1 PREVENTI®I11 ®®AT RESCUE R®®GIE13®ARO R9P CURRENT R®CKS FINS SAFETY FIRE RING SAN®l3A1~ F~®Al' SFIELL I-IA~1R®S SURF JEEP T®VVER ~IFEGUAR® VICTIM PIER 5~4AVE t B/ P® e• ~ Y • yes e.~ ~ 1 .tee ~ , V ~ ~ \9 ~ m ~ ~ ' • ~ • • ° • • • ~d • i a+ 1 t ~L 11~ e • • • agig • . ~ _a~o • • C`.J . • . • • . • ~ ~ . I~r®duc~d ~y: l~nite~ Mates Lifesaving ass®cs~tion I~aaii ~eagic~n City ~®unty N®n®iu~cll l.ifeguarc~s Technical Assistance: Seah®rse Pr®da~cti®ns Artist: ~~m ~iearty, yVater safety ®~ficer e e 4b 0 ...a .a IlnWall STATE DFPARIMENT OF HC.ALTH HEALTH PFiO~N®TBOt~ AN® EDUCATION DIVISt~N JOHN WAl1iEE JOHN C. LEWIN ' G~wrrnrr Sl~b~ nl Ilawa„ OrrwNOr of Health