Water Safety, do you know what 'drowning' really looks like?

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DaleH

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FYI, 3 people have drowned so far this season the river TomS slips his boat on, and one that I fish routinely ... be safe out there ... and be aware this Holiday weekend!

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Drowning Doesn’t Look Like Drowning by Mario on May 19, 2010

The new captain jumped from the cockpit, fully dressed, and sprinted through the water. A former lifeguard, he kept his eyes on his victim as he headed straight for the owners who were swimming between their anchored sportfisher and the beach. “I think he thinks you’re drowning,” the husband said to his wife. They had been splashing each other and she had screamed but now they were just standing, neck-deep on the sand bar. “We’re fine, what is he doing?” she asked, a little annoyed. “We’re fine!” the husband yelled, waving him off, but his captain kept swimming hard. ”Move!” he barked as he sprinted between the stunned owners. Directly behind them, not ten feet away, their nine-year-old daughter was drowning. Safely above the surface in the arms of the captain, she burst into tears, “Daddy!”

How did this captain know, from fifty feet away, what the father couldn’t recognize from just ten? Drowning is not the violent, splashing, call for help that most people expect. The captain was trained to recognize drowning by experts and years of experience. The father, on the other hand, had learned what drowning looks like by watching television. If you spend time on or near the water (hint: that’s all of us) then you should make sure that you and your crew knows what to look for whenever people enter the water. Until she cried a tearful, “Daddy,” she hadn’t made a sound. As a former Coast Guard rescue swimmer, I wasn’t surprised at all by this story. Drowning is almost always a deceptively quiet event. The waving, splashing, and yelling that dramatic conditioning (television) prepares us to look for, is rarely seen in real life.

The Instinctive Drowning Response – so named by Francesco A. Pia, Ph.D., is what people do to avoid actual or perceived suffocation in the water. And it does not look like most people expect. There is very little splashing, no waving, and no yelling or calls for help of any kind. To get an idea of just how quiet and undramatic from the surface drowning can be, consider this: It is the number two cause of accidental death in children, age 15 and under (just behind vehicle accidents) – of the approximately 750 children who will drown next year, about 375 of them will do so within 25 yards of a parent or other adult. In ten percent of those drownings, the adult will actually watch them do it, having no idea it is happening (source: CDC). Drowning does not look like drowning – Dr. Pia, in an article in the Coast Guard’s On Scene magazine, described the instinctive drowning response like this:

“Except in rare circumstances, drowning people are physiologically unable to call out for help. The respiratory system was designed for breathing. Speech is the secondary or overlaid function. Breathing must be fulfilled before speech occurs. Drowning people’s mouths alternately sink below and reappear above the surface of the water. The mouths of drowning people are not above the surface of the water long enough for them to exhale, inhale, and call out for help. When the drowning people’s mouths are above the surface, they exhale and inhale quickly as their mouths start to sink below the surface of the water.

Drowning people cannot wave for help. Nature instinctively forces them to extend their arms laterally and press down on the water’s surface. Pressing down on the surface of the water permits drowning people to leverage their bodies so they can lift their mouths out of the water to breathe.

Throughout the Instinctive Drowning Response drowning people cannot voluntarily control their arm movements. Physiologically, drowning people who are struggling on the surface of the water cannot stop drowning and instead perform voluntary movements such as waving for help, moving toward a rescuer, or reaching out for a piece of rescue equipment.

From beginning to end of the Instinctive Drowning Response, people’s bodies remain upright in the water, with no evidence of a supporting kick. Unless rescued by a trained lifeguard, these drowning people can only struggle on the surface of the water from 20 to 60 seconds before submersion occurs.”
(Source: On Scene Magazine - Fall 2006)

This doesn’t mean that a person that is yelling for help and thrashing isn’t in real trouble – they are experience aquatic distress. Not always present before the instinctive drowning response, aquatic distress doesn’t last long – but unlike true drowning, these victims can still assist in there own rescue. They can grab lifelines, throw rings, etc.

Look for these other signs of drowning when persons are in the water:

• Head low in the water, mouth at water level
• Head tilted back with mouth open
• Eyes glassy and empty, unable to focus
• Eyes closed
• Hair over forehead or eyes
• Not using legs – Vertical
• Hyperventilating or gasping
• Trying to swim in a particular direction but not making headway
• Trying to roll over on the back
• Ladder climb, rarely out of the water.

So if a crew member falls overboard and every looks OK – don’t be too sure. Sometimes the most common indication that someone is drowning is that they don’t look like they’re drowning. They may just look like they are treading water and looking up at the deck. One way to be sure? Ask them: “Are you alright?” If they can answer at all – they probably are. If they return a blank stare – you may have less than 30 seconds to get to them. And parents: children playing in the water make noise … when they get quiet … get to them fast and find out why!

Disclaimer: The views and opinions expressed by the author are not necessarily those of the Department of Homeland Security or the U.S. Coast Guard.
 
Dale,

Thanks for the article. It was very informative. I hope everybody takes the time to read it.
 
Dale - Many thanks for the information. I'll be sure to keep it in mind when we're at the beach this summer.
 
Thanks Dale...

I'm always amazed at what I don't know that I thought I did know or should know... this is one of those moments.

Richard
 
As a parent with a young child, thank you for posting this.
I had no idea.
 
Yes I do.... I rescued a person at Daytona Beach and Edisto Island GA....The later I went back for a foam boogie board so the person could latch onto instead of me like the person from Daytona. .. The current was pushing us away from land and it took all I had to bring us to shore......His quote buddies caught up with us and took him to Charleston medical center. ..He was stable, speaking in complete sentences and knew what was occurring around him.....I can say he truly meant saying thank you to me while I was thanking God didn't take us home that day....I walked back. ...it seemed like a million miles and found my family..... they were talking to real rescue pros and said I am ok and was I'll from ingesting so much water and we went back to vacation mode.... I can't say it was a
 
A smart decision but rescue were 15 minutes away and the guy was crying for help.....I am glad I took swimming lessons and can tread water. ....geez what a family vacation story when all of us are together playing cards. ..... I hope that young person is enjoying life fully today like I am.......sorry for long story
 

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