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Active Drowning Victim Rescue Technique: Water Safety First Aid for Drowning and Near-Drowning

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Sharon McCulloch

CEO and Founder of FirstAidPro, she brings over 21 years of experience as an Emergency Care Nurse and 12+ years as a First Aid Trainer.

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In water rescue situations, mastering drowning victim rescue technique is essential for saving lives. Whether in saltwater or freshwater environments, awareness of potential hazards around water and proper rescue techniques can make all the difference.

When attempting to rescue someone, it’s crucial to call for help immediately to ensure professional assistance is on the way. Non-contact techniques for rescue are particularly important to prevent rescuer drowning while helping a drowning victim. Through effective water rescue training, rescuers can learn how to approach the victim from behind, use the heel of your hand for support, and perform the rescue in a safe manner.

The prevention of drowning is essential, and rescue training plays a key role in equipping individuals with the necessary skills for saving lives and preventing future incidents.

Environmental Hazard Assessment: Adapting to Conditions

Before attempting any rescue, you must assess the environment and hazards to adapt your approach.

Open Water Depth and Visibility

Understanding water depth and visibility is crucial for adapting rescue techniques to the environment. While shallow water requires different victim support and entry methods compared to deep water, it’s important to focus on the specific risks present. Conduct a thorough assessment to identify potential water hazards, such as pools, tanks, or flooded areas, and ensure that appropriate rescue equipment is readily available.

Murky conditions can impair the ability to assess submerged victims. In low light and turbid conditions, systematic search patterns and landmark-based communication among rescuers become vital. Waves, debris, and obstacles may require modifying approach angles and equipment choices.

Weather and Temperature Factors

There are unique challenges posed by extreme weather conditions and temperature fluctuations, particularly for drowning victim rescue. During heatwaves, heightened risks arise from prolonged freshwater exposure in outdoor jobs and risky thermoregulatory behaviours.

Climate change amplifies hazards—a mere 1°C increase elevates drowning risk by 7.2%, with males especially vulnerable at a 7.6% rise per 1°C. Assess proximal water dangers in coastal sectors and potential flooding that can disrupt infrastructure.

Dry conditions may reduce visibility with dust storms. Adapt rescue plans for mental fatigue during extreme weather and complications from water bodies lagging behind air temperature changes. Maintain vigilance, as high-temperature days have nearly 5 times greater risk.

Rescue Equipment Selection

Selecting rescue equipment for drowning victims requires a thorough assessment of environmental conditions and hazards. You must choose gear that’s quickly accessible, highly visible, and suitable for the water’s proximity and depth.

Life jackets are essential for workers near water over 3m deep to ensure compliance with safety regulations. Lay rescuers prefer life rings for their effectiveness at both short and long distances during emergencies. While less favoured, reaching poles enable direct contact rescues when needed.

Fast currents necessitate placing buoyed rope lines for stabilisation and safety. Verify rescue equipment is centrally stored, clearly marked, and regularly maintained for emergency preparedness.

Man being rescued from the water

Drowning Victim Rescue Technique: Rescue Skills Approach

Optimise your emergency response with a strategic approach that prioritises safety and efficiency. When using a front approach, rotate the victim face-up while pulling them towards you, and extend the rescue aid past their shoulders or lower back for ideal support. Maintain head elevation using your hands under their armpits to prevent airway obstruction.

For a rear approach, place the aid under the victim’s back as you pull them onto the buoyancy device. Position your head sideways relative to the victim to avoid facial impact during retrieval. If you don’t need to change direction, roll the victim face-up while maintaining your original trajectory. Prioritise straightforward paths to exit points to reduce rescue time.

Flotation and Support Devices: Ensuring Victim Stability

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Once you’ve reached the casualty, you’ll need to position your rescue tube to keep their head above water. Proper head support techniques are crucial to maintain an open airway. Supplemental flotation aids can help stabilise the casualty during the rescue. Fatigue and exhaustion are common causes of drowning, so providing support is essential.

Rescue Tube Positioning

In any water rescue scenario, positioning the rescue tube correctly is essential for effective drowning prevention. The tube should be placed under the victim’s arms, supporting their chest and keeping their head above water. Proper positioning ensures the victim’s airway remains open, reducing the risk of aspiration or hypothermia.

Head Support Techniques

Head support is a critical part of any water rescue and resuscitation effort. When the victim cannot keep their head above water due to exhaustion, the rescuer should use one hand to stabilize the neck and head, ensuring proper cervical spine alignment. This minimizes the risk of secondary spinal injuries while allowing the rescuer to maintain an open airway. 

Supplemental Flotation Aids

Supplemental flotation aids play a vital role in preventing drowning and aiding the rescuer during an aquatic rescue. These devices provide essential support to the victim, especially if they are fatigued or experiencing hypothermia. Lifeguards are trained to use flotation aids effectively to prevent delay in the rescue process, ensuring that the victim remains afloat until they are safely removed from the water. In cases of unintentional drowning, these aids can be used without entering the water, allowing the rescuer to assist from a distance.

First Aid Advice: Supporting Victim Recovery

High angle view of rescue workers helping unconscious senior man at poolside

In the aftermath of a drowning incident, it is crucial to provide immediate first aid to ensure the victim’s recovery. By following established guidelines, including CPR and warming techniques, rescuers can help stabilise the victim and prevent further complications, such as hypothermia or respiratory distress. Effective first aid management during the post-immersion period can significantly impact recovery outcomes.

CPR for Victim Resuscitation

When someone’s drowning has resulted in unconsciousness or respiratory failure, CPR is essential for restoring oxygen flow. After rescuing the victim from the water, it is important to assess their breathing and circulation. If the victim is not breathing or is in severe respiratory distress, the rescuer should begin cardiopulmonary resuscitation (CPR) immediately. This involves performing compressions at a depth of 5 to 6 cm, ideally 30 compressions followed by two rescue breaths.

The five initial rescue breaths should be administered gently, ensuring that the victim’s airway is open and free from any water aspiration. CPR may need to be continued until help arrives or the victim begins to show signs of life.

Keeping the Victim Warm

Hypothermia is a serious concern after someone is rescued from the water, particularly in cold conditions. It is important to keep the victim warm to prevent further complications like pulmonary oedema or post-immersion syndrome. If the victim has been in the water for an extended period, begin warming them as soon as possible. This can be achieved by covering them with blankets, using warm clothing, or utilizing heat packs, particularly around their chest and neck. Monitoring the victim’s condition during the warming process is critical to avoid overheating, which can also cause distress. 

When drowning incidents occur, having a well-trained first aid response team is crucial for saving lives and minimising legal liability. To ensure your workplace is prepared, consider the following:

  • First aid training certificates validating compliance with regulatory requirements
  • Regular first aid drills and incident response plan documentation
  • Properly maintained first aid equipment, including resuscitation devices
  • Clear signage indicating location of first aid kits and trained personnel
  • Hazard assessments and control measures to prevent drowning incidents

Employers must ensure their first aid program meets regulatory requirements, such as having adequate numbers of trained first aiders, proper equipment, and regular refresher training.

Employers are responsible for ensuring their workplace first aid program is compliant with regulations, including sufficient trained personnel, equipment, and ongoing training.

Consulting with legal experts and safety professionals can help navigate compliance issues and mitigate legal risks associated with workplace drowning incidents.

FAQs

What should I do if I see someone struggling in the water?

If you see someone struggling in the water, the first step is to call for help immediately, ensuring professional rescuers are on their way. If it’s safe to do so, attempt a rescue using non-contact techniques, such as reaching with a long object or using a flotation device. Avoid jumping into the water unless trained, as this may put both you and the victim at risk.

Even if a drowning victim appears stable after being rescued, ongoing monitoring is essential. Post-immersion syndrome or pulmonary oedema can develop hours later, leading to complications like breathing difficulties or cardiac distress. Continuous monitoring allows rescuers to detect any changes in the victim’s condition, ensuring they receive timely medical intervention before serious complications arise.

A bystander’s actions—whether it’s calling for help, retrieving rescue equipment, or simply staying calm—can have a significant impact on the success of the rescue. However, an untrained bystander attempting to perform a rescue without understanding the proper techniques can inadvertently complicate the situation.

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