Nonfatal Drowning
Condition
(Drowning; Submersion Incident)
Definition
Nonfatal drowning is when a person has almost drowned from not being able to breathe due to being under a liquid, such as water.
Causes
Drowning is caused by a liquid filling the lungs and blocking normal breathing.
Risk Factors
Things that may raise the risk of a drowning event are:
- Having health problems, such as seizure disorder, fainting, and heart problems
- The use of drugs or alcohol before the event
- Trauma, such as unsafe diving
- Attempting suicide
- Not knowing how to swim or being very tired from swimming
Drowning is more common in children 1 to 3 years of age and boys age 15 to 19 years. Things that raise the risk in children are:
- A lack of supervision around water
- Rough play around water
- Not knowing how to swim or being very tired from swimming
- Underwater breath holding
Symptoms
Symptoms of nonfatal drowning may be:
- Drowsiness
- Being less alert
- Not being able to breathe
- Gasping for air
- Vomiting
- Coughing or wheezing
- Blue skin color
- Stopped heartbeat and breathing
Diagnosis
A physical exam will be done. Nonfatal drowning is diagnosed based on events and symptoms.
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Treatment
The first goal of treatment is to restore breathing as soon as possible. This may be done with:
- CPR—to provide oxygen rich air to the body
- Endotracheal intubation—to open the airway using a tube placed in the windpipe
Warming treatments may be given to raise the body of people who may have been in very cold water.
Medicine may be given to lower the risk of infection in people who were exposed to liquids that may be dirty, such as sewage.
Copyright © Nucleus Medical Media, Inc.

Prevention
To lower the risk of drowning:
- Do not leave children alone with any body of water, such as a pool, bathtub, or spa. Stay within arm's length of infants and toddlers at all times.
- Do not allow anyone of any age to swim alone.
- Secure pools and spas with childproof fences and locking gates.
- Teach children how to swim.
- Wear life vests when boating.
- Body parts and hair can be trapped in pool drains. Be sure that the pool has drain covers or a filter system to release the suction.
- Teach children to stay away from ice that is not fully frozen.
American Red Cross
Healthy Children—American Academy of Pediatrics
CANADIAN RESOURCES:
Canadian Red Cross
Health Canada
American Red Cross
Healthy Children—American Academy of Pediatrics
CANADIAN RESOURCES:
Canadian Red Cross
Health Canada
References
- Drowning prevention. Centers for Disease Control and Prevention website. Available at: https://www.cdc.gov/drowning/index.html.
- Near-drowning. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/near-drowning.
Contributors
- Mark S. Itzkowitz, MD, JD
(C) Copyright 2023 EBSCO Information Services
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