ePenyelamatJune, 2018

PERSATUAN PENYELAMAT

KELEMASAN MALAYSIA

(THE LIFE SAVING SOCIETY

MALAYSIA)

139A-1, Jalan Kelang Lama, 58000,

Kuala Lumpur, Malaysia

Tel.: 03-79801549 Fax: 03-79816084

E-mail: lssmhq@pd.jarring.my

PATRON:

YANG AMAT MULIA RAJA ZARITH

SOFIAH BINTI ALMARHUM SULTAN

IDRIS SHAH D.K., S.P.M.J., S.P.C.M.

HONORARY LIFE PRESIDENT:

DATO' TEOH TEIK LEE

D.S.P.N., D.J.N., A.M.N.

EXECUTIVE COMMITTEE 2016 – 2018

PRESIDENT

LIM CHIEN CH’ENG

DEPUTY PRESIDENT

GEH THUAN TEK

HONORARY SECRETARYTAN

TAN WEI HAN

HON. ASSIST SECRETARY .

LEONG SIEW FOONG

HONORARY TREASURER

ONG JIN LEONG

COMMITTEE MEMBERS

LIM CHEE GAY

ABDULLAH MAT SAID

YB. DATO' DR.THIAN BOON CHUNG

SAZALI BIN RAMLI

MOHD BUKHARI IBRAHIM

TENG SIEW LIAN

EDITORIAL BOARD

EDITOR : TENG SIEW LIAN

ADVISER : LIM CHIEN CH’ENG

Dear Members,

I am delighted to contribute to the inaugural copy of

ePenyelamat of Life Saving Society Malaysia. The hard-

copied version of the Penyelamat had been produced for

many years and lately, the executive committee of our

Society felt that we should keep up with the times by

issuing our newsletter in electronic form. In this way, our

Society hopes to keep in close touch with members and

vice versa in a timely manner.

Our Society was formed in 1964 and is therefore 54 years

old this year. Since its inception, our Society has trained

over 50,000 lifesavers and lifeguards in Malaysia besides

actively promoting lifesaving and water awareness among

the public. Members of our Society can proudly note that

LSSM has been a champion in urging the Government of

Malaysia to consider the need for a coordinated action

against the high rate of drowning in Malaysia.

Come end-July and beginning of August this year, our

Society will co-host a workshop for “Drowning Prevention

in Asia Pacific” with the Water Activity Safety Council and

the Royal Life Saving Society Commonwealth at the

NIOSH Center at Bangi, Selangor. On this occasion, our

members will be able to highlight the need to educate and

teach young Malaysians to swim and to save lives, and

the need for the government to encourage activities of

such nature as well as to build proper infrastructure

required to promote lifesaving. At this event, members will

also be able to share the experiences of life saving

activities with other participants from the ASEAN, the

Commonwealth and the government agencies. I look

forward to our members’ active participation at this event.

I congratulate the executive members for this inaugural

copy of ePenyelamat and I look forward to the next copy

soon.

Thank you.

By: Mr. Lim Chien Ch’eng

Quemcunque Miserum Videris Hominem Scias(Whomsoever you see in distress, recognise in him a fellow man.)

Source: World Health Organisation (2014). Global report on drowning –

Preventing a leading killer. Spain.

TEN ACTIONS TO PREVENT

DROWNING

Source: World Health Organisation (2014). Global report on drowning –

Preventing a leading killer. Spain.

Uitemate (Japanese Water Survival Technique )

- By Prof Hidetoshi Saiko

Lie spread eagle

Hands below the surface.

If plastic bottle available,

clutch them over the

chest.

Breathe in deep and

fill the lungs with air.

Pulling the chin up

makes breathings

easier.

Keep shoes on. Light shoes can

substitute for life preserver.

There has been considerable confusion among trainers and trainees of CPR. Toencourage more people to attempt CPR in emergency situations, the AmericanHeart Association, in 2010, changed the guidelines for cardiopulmonaryresuscitation (CPR). They included a compression-only (C) protocol for laypersonor people untrained in CPR or those who were reluctant to perform EAR. This wasupdated in 2015 and further recommendations will be made whenever newresearch evidence is published. There are also guidelines by various bodies likeILCOR, European Resuscitation Council (they recommend 5 rescue breaths), etc.

THE DROWNING VICTIM and CPR

– C, CAB or ABC?By: Dr. Zaid Chelvaraj Abdullah

One instance when the ABC protocol is used is in victims of drowning when the

heart stops because of suffocation. Healthcare providers (including lifeguards)

performing CPR for drowning victims should use the traditional ABC approach in

view of the hypoxic nature of the arrest. Victims with only respiratory arrest usually

respond after a few artificial breaths are given.

CPR (EAR) should begin, if possible, while the victim is still in the water. As soon

as the unresponsive victim is removed from the water, the rescuer should open the

airway (A), check for breathing (B), and if there is no breathing, give 2 rescue

breaths that make the chest rise (if this was not done previously in the water).

After delivery of 2 effective breaths, the lifeguard should begin chest compressions

(C) and provide cycles of compressions and ventilations (30:2) according to the

BLS guidelines. Continue CPR until an AED is available and attempt defibrillation if

a shockable rhythm is identified. It is only necessary to dry the chest area before

applying the defibrillation pads and using the AED.

So, the sequence for drowning is still DRABC. And this is what should be taught to

lifesavers and lifeguards.

At one time, there was essentially, one

protocol for CPR--A (airway), B (breathing),

and C (Circulation/Compressions), but now

there are three: C, CAB, and ABC. Most

cardiac arrest (usually from heart attack)

victims are adults, so laypersons (untrained)

may use C (compressions only/hands only)

for adults while trained persons (paramedics,

healthcare workers, etc.) should use CAB.

The priority here is the heart, and hence the

stress on compressions. But it is

acknowledged that in certain circumstances

the ABC protocol should still be used when

the primary insult effects the lungs and then

secondarily the heart.

Additional info:

Each year drowning is responsible for more than 500 000 deaths worldwide.

Drowning is a leading preventable cause of unintentional morbidity and deaths.

The drowning victim rescued from the water within a few minutes of submersion is

likely to exhibit abnormal (agonal) breathing. Do not confuse this with normal

breathing.

The reported incidence of cervical spine injury in drowning victims is low (0.009%).

Unnecessary cervical spine immobilization can impede adequate opening of the

airway and delay delivery of rescue breaths. Routine stabilization of the cervical

spine in the absence of circumstances that suggest a spinal injury is not

recommended. Spinal precautions are unnecessary unless there is a history of

diving in shallow water, or signs of severe injury after water-slide use, water skiing,

kite-surfing, or watercraft racing.

All victims of drowning who require any form of resuscitation (including

rescue breathing alone) should be transported to the hospital for evaluation

and monitoring, even if they appear to be alert and breathing at the scene.

Certified Online Course (CoC) on Water Safety- By Tengku Fadilah binti Tengku Kamalden

A Universiti Putra Malaysia (UPM)

researcher, Associate Professor

Dr Tengku Fadilah binti Tengku

Kamalden mooted this idea of an

online course to reach out to as

many people especially

youngsters about being safe in

and near water. Statistics has

shown too many unnecessary

death especially among youth

below 16 years of age in

Malaysia. The development of this

course is a collaborative effort

between UPM and OpenLearning

Global, a learning platform for

online courses based in Australia.

It is the first interactive course

online regarding water safety with

facilitators to guide the students

through the course. It is available

in two languages, English and

Malay Language and the

registration fees is RM30 per

person. Students will be able to

and learn from real experiences of

other students all over the world. There

are four short modules to be

completed at your own pace and your

own comfort. The expected normal

duration would be around two weeks.

Each step will be guided by

experienced facilitators, Dr Tengku

Fadilah Tengku Kamalden, Dr Teng

Siew Lian and Mr Geh Thuan Tek, who

have extensive water safety and

lifesaving experiences.

The knowledge and skill of being smart

and wise in and near water should be

in every parent, teachers and students

especially. A certificate of completion

supported by Life Saving Society of

Malaysia will be given at the end of the

course. Now you can still learn about

water safety without being near the

water. Please join the course at

www.keselamatanair.com.my

Exhibition in

Licencing Agreement Ceremony

Melentur aur biarlah dari rebungnya...

Berdasarkan Laporan Kelemasan Pertubuhan

Kesihatan Sedunia 2014, terdapat 372,000 orang

yang mati akibat lemas setiap tahun. Laporan

tersebut turut menyatakan bahawa lebih daripada

separuh insiden kematian adalah daripada

kalangan pemuda-pemudi di bawah umur 25

tahun. Oleh sebab itu, usaha untuk memulakan

pendidikan keselamatan air bagi golongan muda

perlu diberi penekanan.

Pakej Aquanaut merupakan satu program dirangka

khas untuk kanak-kanak, perenang permula dan

indvidu berkeperluan khas. Ia terdiri daripada

kemahiran asas renang, keselamatan air, ikhtiar

hidup dan resusitasi asas. Kanak-kanak bukan

sahaja harus digalakkan untuk belajar berenang

tetapi perlu juga memahami dan menguasai

kemahiran ikhtiar hidup dalam air. Oleh itu,

kemahiran seperti bagaimana menjadi seorang

perenang cermat (safe swimmer) dan menguasai

kemahiran menyelamat (basic rescue) bukan

sahaja dapat melahirkan generasi muda yang sihat

cergas tetapi secara tidak langsung dapat

menyumbang kepada usaha menangani

kelemasan khasnya di negara Malaysia yang

dikelilingi dengan pantai dan mempunyai musim

tengkujuh yang amat kerap.

Sebagai pengiktirafan kepada

calon Aquanaut, kepada sesiapa

yang lulus kesemua kriteria

dalam Sijil Perenang Cermat 1, 2,

3, & 4 dan Sijil Kemahiran

Menyelamat 1, 2, 3, & 4 akan

dianugerahkan Sijil Aquanaut di

samping melayakkan diri mereka

untuk membeli lencana bagi

setiap sijil.

Persatuan menyeru semua pihak

yang terlibat secara langsung

atau tidak langsung untuk

bersama-sama berusaha

mempromosikan pakej Aquanaut

dalam kalangan pelajar-pelajar

kelas renang mereka. Persatuan

sedia memberi kerjasama dan

khidmat nasihat bagi program

yang berkenaan.