Life Saving, First Aid and beyond!

Life Saving is an essential, but thankfully, little used skill.  First Aid is much more common.  It is presumed that you are paddling in a group and someone has some knowledge of first-aid.  The world has become a very dirty place.  Because of this Kayaking has hazards that are often little thought of, and yet, they can be far more hazardous than being 5 miles out to sea in a force 9!

BCU  lifeguards A very interesting page on canoe safety
Communicable Disease Surveillance Centre It is all too easy to say "I won't catch that!"  If you know how some bugs travel you are even less likely to
Giving Blood In the outdoor world you may be thankful of this service one day
Hypothermia - Accidental Learn about the increased risk winter brings for older people. Browse through safety tips, fast facts, a symptoms list, and treatment options.
Hypothermia - Appalachian Mountain Club Learn what hypothermia is, what its symptoms are, and how to treat it. Also find gear and clothing recommendations.
Hypothermia & Cold Weather Injuries Discussion about body temperature and hypothermia, and how to recognize, prevent and treat hypothermia, frost bite and chilblains.
Hypothermia & Cold Water Survival Alaska Information Cache provides valuable information, including pointers on survival, first aid tips, and how cold cold water is.
Hypothermia - First Aid Page Minnesota student's first aid project defines hypothermia, describes how to treat it, and gives preventive suggestions.
Hypothermia - Health Central Explains how to treat individuals exposed to cold for too long. Includes a list of symptoms and advice on when to seek emergency assistance.
Hypothermia - Humboldt-Toiyabe National Forest Hypothermia is the #1 killer of outdoor recreationists and can occur in temperatures as high as the 70s. Explore prevention and treatment tips.
Hypothermia - National Weather Service Browse through a list of hypothermia safety rules. Learn the difference between acute and chronic hypothermia and about normal body temperatures.
Hypothermia - Not Just a Winter Problem Read an article about hypothermia, the silent killer that, surprisingly, strikes most often in the spring, summer, and fall.
Hypothermia Prevention, Recognition Articles, protocols and research on the life-saving skills of keeping hypothermia victims alive by core rewarming techniques.
Hypothermia - Special Situations Paper by Andrew Weinberg, MD offers information on the varying degrees of hypothermia and a general overview of the issues.
Hypothermia - Surviving the Cold Pamphlet provided by Workers' Compensation Board of British Columbia gives causes of hypothermia, danger signs, and how to reduce risks.
Hypothermia - Water Safety Guide Learn about water-induced hypothermia. Includes a list of things to avoid when treating victims and water temperature survival estimates.
Hypothermia - Winter Camping & Hypothermia Files Find safety rules, instructions, survival training details, FAQ's, articles, and reports. Includes a hypothermia and cold weather injury workshop.
Injury Prevention A very hot topic with all the problems people seem to suffer.
RNLI Lifesaving issues are discussed on this page.
St Johns  
Safety And Survival Colorado Mountain Club offers pointers on preventing hypothermia and goes over the symptoms to look out for.
SARBC - Hypothermia Search and Rescue Society of British Columbia site includes the physiology, signs, symptoms and treatment considerations for the condition.
Weils Disease A disease associated with inland water but a hazard to us all, read on! (c) Ringwood Canoe Club.
SARBC - Hypothermia Search and Rescue Society of British Columbia site includes the physiology, signs, symptoms and treatment considerations for the condition.

INJURY PREVENTION IN KAYAKING   Next Item Back to Top
By Dave R

Over the last couple of years the British Canoe Union has been running a course on injury prevention in paddlesport. This has come about because of the increased awareness of the risk of injury when canoeing. This applies not only to activities on the water, but also to any associated activity on the bank. The BCU is aiming these courses at the Instructors so that over the next few years there will be a "trickle down" effect as the instructors teach safer habits to the new comers to the game. This year I attended one of these courses and the essence of the "new principles" of safer canoeing were stressed at the 3* course that the PDCC ran in the summer. I am hoping that, in the next few paragraphs, I can summarise the main points that should help to minimise injuries in kayaking due to on and off water activities. Bear in mind, I am not qualified in this subject so don’t treat these few sentences as the definite word on the topic.

We must remember, however, that kayaking is an adventurous sport and without the element of risk it would not be very challenging. I often recall a quotation from an early edition of the Canoeing Handbook, edited by Geoff Good. In the chapter on safety he wrote "...it is essential that activities of this kind [meaning canoeing/kayaking] should be properly organised. Nothing should be allowed to detract from the spirit of adventure with the handling of small craft, and some element of risk must be accepted; but all reasonable precautions should be taken to reduce the possibility of accidents..." The emphasise is, therefore, on risk reduction rather than risk elimination.

Clearly, members of the PDCC run a greater risk of drowning and being run over by hovercrafts than chess players, but history suggests that they are minor, and manageable risks.

Risk is reduced by :

Although we can incur all types of injuries in canoeing (such as cuts, drowning, sunburn, and eye damage, to name but a few) the type of injury that I want to focus on is back injuries. I was shocked to realise that injuries to the back are progressive, and not necessarily the result of one particular incident. General wear and tear can accumulate over time as the back is twisted and bent. Eventually something gives because the accumulation of injury, ageing and general misuse decreases the shock absorbing ability of the discs. That’s when the troubles begin, as many paddlers will testify.

So, how can we reduce the risks caused by lifting and twisting ? Unfortunately, if we follow the "official" advice we would have to give up kayaking, and probably shopping as well !!.

The Health and Safety Commission has issued some guidelines on the maximum loads to lift when the load is at different positions. I have reproduced it as the figure shown. These maximum loads should be reduced by 30% if the person is over 55 or a female. Look at the "shoulder height" figures; they say that loads of more than 10kg should not be lifted at shoulder height close to the body.

Lifting limits on the body.

As I said above, if we are to adhere to all the advice implicit in this figure then we would have to take up another sport, such as tiddly-winks. Nevertheless, being aware of the hazards should make us more cautious and diligent in looking for ways to minimise the risk.

So, before lifting heavy canoes:

Are you going to carry the canoe to the car, carry them over slippery rocks, lift the canoes onto the roof rack, carry out a rescue? Remember that the dangers arise from:

If you are lifting a canoe then, clearly, it is unwise to do it alone. Bearing in mind the twisting effect of lifting and carrying a canoe on ones own, then clearly these guidelines suggest that to carry a canoe, especially a sea kayak, on ones own is definitely not good practice. Another very dangerous practice is the lifting and carrying of a (open) canoe on your shoulders, as shown by Bill Mason in his book "Path of the Paddle".

This is all very well when one is moving equipment on dry land but how do you follow these principles when on the water ? Especially, how do you do a rescue?

Consider the following points:

Clearly, the new guidelines have important implications, not just for our health and welfare, but for the traditional ways we have done things. Rather than memorising prescribed methods of doing things, it is more important to question the risks and methods we use BEFORE doing anything. As with the wearing of safety equipment, we should make the practice of risk assessment and safe handling in kayaking second nature. Once the principles are understood then safe practises will continue to evolve.

This is a very brief, and incomplete, summary by a non-medical person of the ideas discussed on the BCU course. If you are interested in learning more about it then enrol on one of the sessions that are held around the country. The BCU has prepared a leaflet on the principle called "Injury Prevention in Paddlesport", CB 574 04/06/98, ask them for a copy.

As I said at the beginning of the article, I’m a novice in this subject. I am grateful for Sue and Martin S’s comments on my earlier drafts. If any other readers have ideas, experiences or criticisms on this topic please send them in. It is an issue that is to all of our best interests so let us share ideas.