Pia Carry
The Pia Carry was created for use exclusively by lifeguards by Frank Pia. It requires a strong legs-only kick that is used to support the drowning non-swimmer as far out of the water as possible (at least the shoulders out), to stop the instinctive drowning response. It is standard procedure for most lifeguard training. Frank Pia is a recognized authority on lifeguarding and drowning.
It is a control carry which may be used on conscious, drowning non-swimmers (frequently abbreviated as DNS); as such, it is considered an extremely high-risk rescue technique and rescuers should attempt it only if trained and fit to do so.[1] Direct contact with victims should be chosen last, after having attempted or ruled out all other "rungs" of the Ladder Approach.[2]
The technique consists of approaching the victim from behind and below to minimize risk and maximize control; encircling the victim's waist or hips with one arm; and supporting the victim's buttocks or thigh on your hip. This ensures that the victim's head and shoulders are clear of the water while you swim to safety with a one-arm pull and either whipkick or eggbeater kick. The rescuer should attempt to keep his or her head clear of the surface to reassure the victim while moving to safety. This carry is used only over short distances where safety can be reached within 10–15 m and there is back-up help available.[3]
While encouraged, the Pia carry is not the only accepted control DNS carry; "must-sees" for the NLS physical skill only require the victim's head and shoulders be clear of the water. [4]