Victim Score Sheet TEAM: Judge: Victim: RECOGNITION/ASSESSMENT –
CIRCLE ONE (Max 10)
TOW/CARRY –
CIRCLE ONE (Max 10)
10 6 3 1 0 Talk – no contact, not near victim Not in water when rescuing victim Reach or throw, not in water when rescuing victim Go, no contact, only talking Tow – no physical contact, tow with aid Carry, physical contact necessary No rescue 0 0 0 10 8 6 4 2 0
Recognition and direct response within:
0-30 seconds 31-60 seconds 61-90 seconds 91-120 seconds Not attempted
HAZARDS/ASSISTS –
CIRCLE ALL (Max 3)
Avoid or secure hazards Selection of an aid that works Effective use of selected aid 1 1 1
REMOVAL –
CIRCLE ONE (Max 5)
Victim removes self 2-person removal 1-person removal Victim not removed 5 3 1 0
ENTRY –
CIRCLE ONE (Max 10)
Rescuer remains on deck Safe, appropriate entry used Not attempted/inappropriate entry 10 5 0
FOLLOW-UP/CARE OF VICTIM –
CIRCLE ALL (Max 5)
Maintains clear, reassuring communication with victim Maintain ABCs, rest, reassurance, comfortable positioning, treatment Seeking assistance and EMS if necessary Organizing assistance (logical process followed) Directing available helper 1 0
APPROACH/REVERSE, READY AND REASSESS –
CIRCLE ALL (Max 7)
Approach so that victim cannot grab rescuer (or remains on deck) Efficient, speedy approach (or remains on deck) Reverse, ready and reassess (or remains on deck) Introduce self Ask permission to help Determine condition of victim Determine cause of injury 1 1 1 1 1 1 1 0 0 0 0 0 0 0
1
0
1 1 1
0 0 0
Raw score: ________ / 50 Priority multiplication factor: Priority 1 – weak swimmers and others who are mobile X 1.75 Priority 2 – non-swimmers and injured swimmers X 1.50 Priority 3 – unconscious, non-breathing, suspected spinal-injured swimmers X 1.25 Priority 4 – submerged swimmer X 1.00 Total Score: ________
Use of these Score Sheets are intended for the candidate/competitor training and practice and use by Hosts of