From the AW safety pages
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www.americanwhitewater.org]
Help/Emergency: Assist the signaler as quickly as possible. Give three long blasts on a police whistle while waving a paddle, helmet or life vest over your head. If a whistle is not available, use the visual signal alone. A whistle is best carried on a lanyard attached to your life vest.
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In my opinion a whistle signal is especially important when a swim or emergency is unexpected and potential rescuers have not noticed it or would not otherwise notice it, and are needed for the rescue. The whistle draws everybody's attention to the situation. A whistle can be a lifesaver as it can be heard much further than just your shouting.
A whistle signal is not so important or is not necessary in situations where the swim is not dangerous or unexpected, such as at a whitewater park, or where the rescuers are already aware of the swimmer.
The three long blasts of the whistle do not mean "swimmer", they mean, "Help! Help! Help!" The people who respond to the signal have to visually determine what the emergency is and respond appropriately.
A single whistle blast can mean a number of things, but basically just calls attention to the person blowing the whistle. Once others look towards the whistler, hand signals can be used for further information. Also when the lead boater goes over a drop and becomes invisible, a single whistle blast means they have made it through, are still upright, have not drowned and the next person can run the drop now.
At the beginning of each river trip, you should discuss with your paddling partners what whistle signals to use and when. Some people will not know what the signals mean and some people might have additional signals.