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Original Research

Open Access Special Issue

Relationship between rescue distance and the quality of simulated CPR: a pilot study with lifeguards

  • Brais Ruibal-Lista1,2
  • J. Enrique Moral-García1,3
  • Sergio López-García1,2,3

1Faculty of Education, Pontifical University of Salamanca, Salamanca Spain

2Grupo de Investigación en Actividades de Prevención y Socorrismo (GIAPS). Universidade da Coruña (UDC), Spain

3Grupo de Investigación en Actividad Física, Deporte y Salud (GIADES). Pontifical University of Salamanca, Spain

DOI: 10.22514/sv.2021.044 Vol.17,Issue 3,May 2021 pp.137-143

Submitted: 27 December 2020 Accepted: 26 January 2021

Published: 08 May 2021

*Corresponding Author(s): Sergio López-García E-mail:


Objective: The aim of this research was to investigate if the distance travelled in a ‘rescue’ is associated with differences in the quality of the CPR provided.

Methods: A group of 10 lifeguards performed simulated CPR for 2 minutes at rest. Next, they performed 2 rescues, one of 50 meters and the other of 100 meters. After each rescue, the lifeguards immediately performed simulated CPR.

Results: The time invested in the rescue of 50 meters was significantly lower than in the 100 meters (P < 0.001). Simulated CPR at rest obtained high quality values in the compressions (94.8 ± 9.6%) but not in the ventilations (41.0 ± 22.8%). 50 and 100 meter rescues were associated with a significant decline in the overall quality of CPR (68.4 ± 11.0 vs. 51.0 ± 9.3 vs. 49.7 ± 7.2%, P = 0.002), correctness of hand position (100% vs. 91.0 ± 7.0 vs. 85.9 ± 12.3, P = 0.006), and in the quality of the ventilations (41.0 ± 22.8 vs. 12.0 ± 17.5 vs. 11.0 ± 12.8%, P = 0.001). The quality of the above measures was similar in 50 and 100 meter rescues.

Conclusions: Rescues of 50 and 100 meters were similarly associated with a decrease in the quality of simulated CPR vs. at rest simulated CPR. Lifeguards should practice performing CPR following rescue activities with added focus on performing rescue ventilations correctly.


Cardiopulmonary-resuscitation; Drowning; Emergency; Lifeguard; Rescue

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Brais Ruibal-Lista,J. Enrique Moral-García,Sergio López-García. Relationship between rescue distance and the quality of simulated CPR: a pilot study with lifeguards. Signa Vitae. 2021. 17(3);137-143.


[1] World Health Organization (WHO). Global report of drowning. Prevent-ing a leading killer. Bloomberg Philanthropies. Geneva. Switzerland. 2016.

[2] Prieto JA, Nistal P, Méndez D, Abelairas-Gomez C, Barcala-Furelos R. Impact of error self-perception of aerobic capacity in the safety and efficacy of the lifeguards. International Journal of Occupational Safety and Ergonomics. 2015; 22: 159-163.

[3] Szpilman D, Soares M. In-water resuscitation-is it worthwhile? Resusci-tation. 2004; 63: 25-31.

[4] Szpilman D, Bierens JJLM, Handley AJ, Orlowski JP. Drowning. New England Journal of Medicine. 2012; 366: 2102-2110.

[5] Daniel K, Klauck J. Physiological and biomechanical load parameters in life-saving. Biomechanics and Medicine in Swimming. Swimming Science VI. 1992; 321-325.

[6] Reilly T, Wooler A, Tipton M. Occupational fitness standards for beach lifeguards. Phase 1: the physiological demands of beach lifeguarding. Occupational Medicine. 2006; 56: 6-11.

[7] Saborit JA, Soto Mdel V, Díez VG, Sanclement MA, Hernández PN, Rodríguez JE, et al. Physiological response of beach lifeguards in a rescue simulation with surf. Ergonomics. 2010; 53: 1140-1150.

[8] Prieto-Saborit JA, Egocheaga-Rodríguez J, González-Díez V, Montoliu Sanclement MA, Alameda JC. Determinación de la demanda energética durante un salvamento acuático en playa con y sin material auxiliar. Selección. 2001; 10: 211-220. (In Portuguese)

[9] Salvador A, Penteado R, Lisboa F, Corvino R, Peduzzi E, Caputo F. Physiological and metabolic responses to rescue simulation in surf beach lifeguarding. Journal of Exercise Physiology. 2014; 17: 21-31.

[10] Soar J, Perkins GD, Abbas G, Alfonzo A, Barelli A, Bierens JJ, et al. European Resuscitation Council Guidelines for Resuscitation Section 8. Cardiac arrest in special circumstances: electrolyte abnormalities, poisoning, drowning, accidenta hypothermia, hyperthermia, asthma, anaphylaxis, cardiacsurgery, trauma, pregnancy, electrocution. Resusci-tation. 2010; 81: 1400-1433.

[11] Schmidt A, Szpilman D, Berg I, Sempsrott J, Morgan P. A call for the proper action on drowning resuscitation. Resuscitation. 2016; 105: e9-e10.

[12] Sanz-Arribas I, Aguado-Gómez R, Martínez-de-Haro V. Influencia de las aletas sobre el tiempo de ejecución en los rescates de víctimas con parada cardiorrespiratoria. Retos. 2017; 31: 133-136. (In Spanish)

[13] Abelairas-Gómez C, Romo-Pérez V, Barcala-Furelos R, Palacios-Aguilar J. Efecto de la fatiga física del socorrista en los primeros minutos de la reanimación cardiopulmonar posrescate acuático. Emergencias. 2013; 25: 184-190. (In Spanish)

[14] Claesson A, Karlsson T, Thorén A, Herlitz J. Delay and performance of cardiopulmonary resuscitation in surf lifeguards after simulated cardiac arrest due to drowning. The American Journal of Emergency Medicine. 2011; 29: 1044-1050.

[15] Moran K, Webber J. Too much puff, not enough push? Surf lifeguard simulated CPR performance. International Journal of Aquatic Research & Education. 2013; 7: 13-23.

[16] Morgan D, Ozanne-Smith J. Surf lifeguard rescues. Wilderness & Environmental Medicine. 2013; 24: 285-290.

[17] Tanaka H, Monahan KD, Seals DR. Age-predicted maximal heart rate revisited. Journal of the American College of Cardiology. 2001; 37: 153-156.

[18] Barcala-Furelos R, Abelairas-Gomez C, Romo-Perez V, Palacios-Aguilar J. Effect of physical fatigue on the quality CPR: a water rescue study of lifeguards: physical fatigue and quality CPR in a water rescue. The American Journal of Emergency Medicine. 2013; 31: 473-477.

[19] Abelairas-Gómez C, Barcala-Furelos R, Mecías-Calvo M, Rey-Eiras E, López-García S, Costas-Veiga J, et al. Prehospital emergency medicine at the beach: what is the effect of fins and rescue tubes in lifesaving and cardiopulmonary resuscitation after rescue? Wilderness & Environmental Medicine. 2017; 28: 176-184.

[20] Barcala-Furelos R, Szpilman D, Palacios-Aguilar J, Costas-Veiga J, Abelairas-Gomez C, Bores-Cerezal A, et al. Assessing the efficacy of rescue equipment in lifeguard resuscitation efforts for drowning. The American Journal of Emergency Medicine. 2016; 34: 480-485.

[21] Perkins GD, Colquhoun M, Simons R. Training manikins. In Colquhoun M, Handley A, Evans TR. (eds.) ABC of resuscitation (pp. 97-101). 5th ed. London: BMJ books. 2004.

[22] Barcala-Furelos R, Abelairas-Gomez C, Queiroga AC, García-Soidán JL. CPR quality reduced due to physical fatigue after a water rescue in a swimming pool. Signa Vitae. 2014; 9: 25-31.

[23] Lyons M, Al-Nakeeb Y, Nevill A. The impact of moderate and high intensity total body fatigue on passing accuracy in expert and novice basketball players. Journal of Sports Science & Medicine. 2006 5: 215-227.

[24] Freitas TT, Calleja-González J, Alarcón F, Alcaraz PE. Acute effects of two different resistance circuit training protocols on performance and perceived exertion in semiprofessional basketball players. Journal of Strength and Conditioning Research. 2016; 30: 407-414.

[25] Wenzel V, Idris AH, Banner MJ, Kubilis PS, Williams JLJ. Influence of tidal volume on the distribution of gas between the lungs and the stomach in the nonintubated patient receiving positive-pressure ventilation. Critical Care Medicine. 1998; 26: 364-368.

[26] USLA. An evidence-based review and report by the United States Lifeguard Standards Coalition. International Journal of Aquatic Research. 2008; 5: 61-129.

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