Friday, July 5, 2013

Drowning Doesn't Look Like Drowning: A Timely Reminder

Summer on Lake Washington

Just back from our July 4th holiday, Kidspace parent Cathy Fedele told me about her reactions when she noticed a drowning woman dockside near her lakefront home. Cathy described her sense that something was amiss and yet what she was seeing seemed almost okay, but, no, not okay at all. She was trying to think of how to best respond.  She had her toddler in arms and her 3 year old by her side, and someone seemed to be drowning in front of her. Did she dare run for the life ring quite a ways away to toss? Would the woman even be able to grasp it if she did? Cathy certainly couldn’t get down into the water herself and leave the children on the dock. She called to the woman to confirm she needed help, then yelled loudly for others nearby to come assist. A couple people Cathy could not see did hear her and went out to the woman and brought her in.

 I recognized all the emotions and thoughts Cathy described. I learned from personal experience how quickly and silently someone can begin to drown. It’s an eerie feeling and somewhat disorienting when such imminent danger exists yet things seem surreally calm.

When I was four I was drowning in a lake within a few yards of my parents and they didn’t notice. My big brother did, though, and I felt his hands grope for me and pull me to the surface after what seemed to me an eternity under the water. My mother didn’t think I was in trouble until my brother jumped in. I was in swimming lessons every summer of my life after that and became an instructor and life guard and a scuba diver during my college years. Yet, when my daughter was five she nearly drown in my brother’s backyard swimming pool with nine of us adults seated around the pool chatting, all of us quite experienced swimmers and all ultra cautious with children around pools. We didn’t hear a thing to alert us, no splashes, cries, or gurgles. But, when my husband and I glanced her way we suddenly saw she wasn’t seated on the first step anymore with her cousins but was near the center of the pool, treading water silently, her eyes wide and intent above the surface, her paddle board out of reach. We couldn’t believe how quickly it had happened and how unreal it seemed as we both jumped in to get her. So I understood Cathy’s distress and relief when she recognized a woman drowning silently in the water. Her quick responses led to a successful rescue. She was able to recognize that drowning doesn’t look like drowning because she had read the article she shares with us below. I knew it was something very timely to share with every Kidspace family in the midst of our glorious summer when we are all spending time by the water. Thank you, Cathy! 

Cathy writes, I had an experience where I'm pretty sure I saved someone from drowning because I yelled for help after recognizing what's described here.  The woman ended up ok, but I was shaken, and [my son] was a bit traumatized ("I didn’t like how you yelled at that lady").  I'm so glad I had read this article one month ago [in Slate.com, appears below, too].  Hopefully your 4th was safe and boring!



Drowning Doesn’t Look Like Drowning

The new captain jumped from the deck, fully dressed, and sprinted through the water. A former lifeguard, he kept his eyes on his victim as he headed straight for the couple 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 10 feet away, their 9-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 50 feet away—what the father couldn’t recognize from just 10? 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 know 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 No. 2 cause of accidental death in children, ages 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. According to the CDC, in 10 percent of those drownings, the adult will actually watch the child do it, having no idea it is happening. 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.”

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:

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 all right?” 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.

Correction, June 4, 2013: The subhead for this piece originally misstated that in 10 percent of drownings, adults are nearby. In 50 percent of child drownings, adults are nearby; in 10 percent of those, adults are watching but do not know the victim is drowning.


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