This is the official manual of the United States Lifesaving Association. This manual is a comprehensive training and reference text for open water lifesaving. It is required for all training programs conducted in accordance with USLA Lifeguard Agency Certification Program. Learning aids are provided throughout including references, web sites, and discussion points. New material has been added in several areas, such as aquatic life hazards (shark bites and jellyfish stings), ice rescue, pathophysiology of drowning and sudden immersion syndrome, and junior lifeguard programs. Expanded and updated coverage of OSHA regulations, report forms, incident command, historical material and many other areas have been added to this extensive revision.