What To Do When Someone Is Drowning: Step-by-Step Emergency Instructions
Key Takeaways
- Drowning often happens quickly and silently.
- Call 911 and locate rescue equipment immediately.
- Reach or throw a flotation device instead of entering the water.
- Begin CPR with rescue breaths when the person is not breathing normally.
- Seek medical care after every nonfatal drowning emergency.
More than 4,000 people die from unintentional drowning in the United States each year. Do you know what to do if you see someone drowning? Knowing what to do before emergency responders arrive can improve a person’s chance of survival.
Drowning doesn’t look like the dramatic, splashing scenes that Hollywood movies depict. Instead, it happens silently, quickly, and unexpectedly. If you find yourself in a position to help, following a clear action plan reduces panic and guides critical decisions. Here is a comprehensive, step-by-step guide on what to do when someone is drowning.
Step 1: Recognize the Silent Signs of Drowning
Before taking action, you must recognize that someone needs rescue. A drowning person rarely yells, waves, or splashes. Respiratory distress prevents them from calling for help because the human body prioritizes breathing over speaking.
Watch for these critical warning signs:
- Silence or an inability to call out for help
- Head tilted back with eyes closed, unfocused, or glassy
- Floating upright vertically in the water without using legs
- Hyperventilating, gasping for air, or bobbing up and down at surface level
- Hair hanging over the face or eyes without the person attempting to push it away
Step 2: Call 911 and Get Rescue Equipment
Direct one person to call 911 and, if an AED is available nearby, send another person to retrieve it. If you’re alone, call 911 on speakerphone and follow the dispatcher’s instructions. If you can’t call while providing care,
give about two minutes of care before leaving to contact emergency medical services.
Step 3: Reach or Throw, Don't Go
First responders and water safety experts strongly recommend the
Reach or Throw, Don't Go rule. Entering the water without specialized training puts your own life at risk, as a panicking swimmer will naturally submerge anyone who attempts a rescue.
Try these safe rescue methods first:
- Reach: Extend a sturdy object such as a shepherd's crook, a long pole, a tree branch, or a secure towel to the person. Secure your footing on dry land before extending the object.
- Throw: Cast a buoyant safety device toward the victim. Throw a ring buoy, a life jacket, or a floating cushion attached to a line.
- Row: Use a boat, kayak, or paddleboard to reach the individual safely if distance prevents throwing an object.
Only enter the water as an absolute last resort.
Step 4: Safely Remove the Person From the Water
Bring the victim safely to dry ground or aboard a vessel as quickly as possible. Support their head, neck, and spine if you suspect a diving accident or spinal injury. Keep the head level with the body to minimize unnecessary movement during transport.
Step 5: Check Breathing and Perform CPR
Place the individual flat on their back on a firm surface once you reach land. Check for responsiveness and breathing by looking closely at their chest for movement.
If the person remains unresponsive and is not breathing normally, begin
CPR (Cardiopulmonary Resuscitation) immediately. The American Heart Association emphasizes that
drowning CPR differs from standard cardiac CPR. Because oxygen deprivation causes drowning distress, rescuers must deliver rescue breaths first.
Follow these basic CPR steps:
- Tilt the person's head back slightly and lift the chin to open the airway.
- Pinch the nose shut and give two full rescue breaths, watching for the chest to rise.
- Place both hands in the center of the chest and deliver 30 rapid chest compressions.
- Alternate between two rescue breaths and 30 chest compressions until emergency medical services arrive or the person begins breathing.
Step 6: Provide Post-Rescue Care
Even if the person regains consciousness, monitor them closely until medical professionals arrive. Cover the individual with warm blankets, jackets, or towels to prevent hypothermia and shock. Turn the victim onto their side in the recovery position if they vomit or cough up water.
Always insist on a thorough medical evaluation at a hospital after any near-drowning incident. Complications such as fluid accumulation in the lungs can develop hours after the initial rescue.
Train Now So You Can Act Quickly in an Emergency
Quick action can save a life during a drowning emergency, but preparation matters long before anyone enters the water. Learn CPR, practice safe rescue techniques, and stay alert whenever people swim.
Stop Drowning Now offers water safety education and prevention resources that can help families, schools, and communities build lifesaving skills and reduce preventable drowning deaths.
When you donate to Stop Drowning Now, you help prevent drowning by funding our water safety outreach programs, including initiatives targeting schools and community groups to keep everyone safe. Check out our free resources for parents and educators to assess your family’s or community’s water safety readiness.
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