Drowning Doesn’t Look Like Drowning

4Run4YourLife

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I just saw this again on a boat forum and thought I would put it here. Those that spend a lot of time around water really should read this. It was an eye opener when I read it last year.

Drowning Doesn’t Look Like Drowning

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:

1. 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.

2. 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.

3. 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.

4. 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 perform voluntary movements such as waving for help, moving toward a rescuer, or reaching out for a piece of rescue equipment.

5. 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 experiencing 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 their 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 everything 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, you get to them and find out why.
 
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This. I saved a kid several years ago at a beach. His buddies were closer to shore playing in the waves and he was farther out, looking like he was dog paddling. I watched him go under and come up again then went under again and I took off and got to him. When I got him and pulled him up he was coughing and sputtering and scared. I carried him to shore and his parents actually were bewildered why was a stranger carrying their kid until he started crying and telling them he almost drowned. Everyone should be aware.
 
Great post and good for all to be aware of!

I saw this on a surf casting site I'm on and this reminds me to bump that thread to the top now that summers almost here...

Thanks for posting this!
 
I had no idea and I have lived on the water for over 30 years. I'm glad to have read this because we have 2 small children and spend a lot of time on the boat. Thanks. :thumb3:
 
This is one of my fears to lose a child this way. My oldest has swim lessons each season and my twins are going to get lessons soon as well. There was a little girl who passed away last summer near me. She was playing/following some older girls while the mom was close by, she followed the older girls into the 'big' pool and she drowned. It was about 18 seconds from the time her mom saw her last to when she drowned.
This is in the back of my head all of the time when I'm near a pool and kids are around. I just didn't realize what it actually looked like.

Thanks for posting.

Marc
 
That's a good read.

On a side note, when a drowning victom is underwater, and later revived, more often then not the experience is said to be relatively peaceful after the first breath water is inhaled (complete panic until that moment). By the second breath, you would pass out. Has something to do with the cold unfamiliar feel of water in the lungs combined with the shock of it all, as well as some form of acceptance.
 
Reading this article brought back some horrific memories for me. I can't emphasize this enough. I was cleaning our pool one afternoon and my then 3yr old son was driving his pedal car around the pool. I was brushing down the walls when I heard our 13 yr old springer spaniel barking. I thought, "that's odd",she hasn't barked in a long time cause her voice had gone. I glanced over and she was leaned over the far end looking as if she were about to jump in. She looks at me, looks back at the pool, forces out a hoarse bark, looks back at me. It was then I realized I didn't see my boy. Then it just clicked. Mind u this whole process took a few seconds. I ran to the deep end and caught a glimpse of color as I approached. The color of the pedal car! I dove in and there he was standing upright on the bottom, arms stretched upwards, staring straight up. I got him to the surface and he puked water in my face and coughed. I knew he was going to be ok. After that I broke down and cried. I was shaking like a leaf. It had happened right under my nose. Silently. Quickly. If it weren't for our beloved dog... I don't even want to go there. As I write this I'm tearing up. It was a near tragedy. We prided ourselves on being ultra vigilant. Never leaving the boys unattended for even ONE second. And yet it almost happened. Please, please, please be vigilant! Especially with little boys! They slip outside, they stack stuff to climb over pool fences! As a part-time pool tech I saw it all.
 

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