1. When controlling an active drowning victim, what should the rescuer keep between the victim and the rescuer?
The rescue tube should stay between the rescuer and the victim. It helps protect the rescuer and provides flotation support.
When prevention and recognition are not enough, a lifeguard performs a water rescue. This part of the exam covers the assists and rescues used for distressed swimmers and drowning victims.
Topics include the rescue tube, reaching and throwing assists, entries and approaches, active and passive victim rescues, and removing a victim from the water — always keeping the rescuer safe.
Questions last reviewed June 2026 · AHA/ECC guidelinesHow our questions are made
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The rescue tube should stay between the rescuer and the victim. It helps protect the rescuer and provides flotation support.
Use the rescue tube to establish control and keep the victim’s airway above water while keeping the tube between you and the victim. The tube stays in place because it helps support the person and create space for the rescuer at the start of contact.
A passive drowning victim may not be able to help themselves, so the first priority is to support the airway and get the person to safety. Keeping the victim face-up when possible helps keep the airway open during the rescue.
Keeping the victim face-up helps keep the airway open. That matters because a passive victim may not be able to protect their own breathing.
A slide-in entry is used when a careful entry is needed, especially in shallow or uncertain water. The other entries are better suited to situations where a quicker or more direct entry is appropriate, not when you need the most control.
A passive victim may not protect their own airway, so the rescuer must support it. The goal is safe movement with the airway as open as possible.
Keeping the tube between you and the victim gives you a barrier and flotation while you work. It protects the rescuer and supports the victim at the same time.
A rear approach is used to approach a distressed or panicked victim from behind so the rescuer can maintain control and avoid being grabbed. It improves safety and control, not to submerge the person.
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