• Roberto Barcala-Furelos, David Szpilman, Cristian Abelairas-Gómez, Alejandra Alonso-Calvete, María Domínguez-Graña, Santiago Martínez-Isasi, José Palacios-Aguilar, and Antonio Rodríguez-Núñez.
• REMOSS Research Group. Faculty of Education and Sports Sciences, University of Vigo, Pontevedra, Spain; CLINURSID Research Group. Nursing Departament, University of Santiago de Compostela, Santiago de Compostela, Spain. Electronic address: roberto.barcala@uvigo.es.
• Am J Emerg Med. 2020 Nov 1; 38 (11): 2395-2399.

ObjectiveIntroducing a new, simple and inexpensive portable equipment for lifeguards, consisting of a pre-assembled full-size plastic blanket with a mask and HEPA filter, which could offer significant time-saving advantages to reduce COVID-19 risk transmission in the first few minutes of CPR after water rescue, avoiding the negative impact of delayed ventilation.MethodA pilot study was carried out to determine the feasibility of the pre-assembled kit of face-mask and HEPA filter adapted on a pre-set plastic-blanket. The first step consisted of washing hands, putting on safety glasses and gloves as the first personal protection equipment (PPE) and then covering the victim with an assembled plastic blanket. The second step consisted of 10 min of cardiopulmonary resuscitation (CPR) with PPE and plastic blanket, following the technical recommendations for ventilation during COVID-19.ResultsTen rescuers took part in the pilot study. The average time to wear PPE and place the pre-assembly kit on the victim was 82 s [IC 58-105]. After 10 min the quality of the resuscitation (QCPR) was 91% [87-94]. Quality chest compressions (CC) were 22% better than ventilations (V). Most of the rescuers (60%) thought that placing the plastic blanket on the victim on the beach was somewhat simple or very simple.ConclusionsResuscitation techniques in COVID-19 era at the beach have added complexities for the correct use of PPE. Plastic blanket plus basic ventilations equipment resource could be a new alternative to be considered for lifeguards to keep ventilation on use while reducing risk transmission.Copyright © 2020 Elsevier Inc. All rights reserved.

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