The ladder approach is a widely taught lifesaving technique and is used to promote the safety of a rescuer during an aquatic rescue.^[1][2] The approach stresses using the least dangerous method possible during a rescue, and moving on to more dangerous options if it becomes necessary to do so.^[3]

This method can help keep the rescuer as safe as possible throughout the rescue.^[1]

The ladder approach

(Safest Option)

• Talk - Try to talk the victim to safety- see if they can help themselves.
• Throw - Throw an aid to the victim
• Reach - Reach with an aid to try to help the victim
• Wade - Wade into the water and provide aid to the victim
• Row - Row out to the victim and help them into your boat/provide them with an aid
• Swim - Swim out to the victim and provide them with an aid
• Tow - Swim out to the victim and tow them back to safety using an aid

(Most Dangerous Option)

• Helo - This stage, representing helicopter rescue is sometimes added. This carries a wide range of different and additional risks for both rescuers and casualty.^[4][5]