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February 10, 2012

Drowning (cont.)

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What are the risk factors of drowning?

There are two peak ages for drowning: children aged younger than 4 and young adults aged 15 to 25.

  • Children less than one year old most often drown in bathtubs.

  • Children younger than age 5 most commonly drown in residential swimming pools.

  • Young adults tend to drown in larger bodies of water (for example, rivers and lakes). Neck fractures caused by diving into shallow water are associated with drowning in this age group. Alcohol is also implicated in up to 50% of drownings in this age group.

  • Medical emergencies that occur in the water can lead to drowning. These may include, among others, seizures, heart attack (myocardial infarction), sudden cardiac death, and hypoglycemia (low blood sugar in a person with diabetes).

What are the symptoms of drowning?

The appearance of drowning can vary widely. A drowning victim may show no symptoms or complaints, or may be found deceased.

It is the rare person who is found thrashing in water. Instead, most drownings are unwitnessed and the person is found floating or submerged in the water.

For those who are alive, they may be anxious, confused, and short of breath. Again, it is the function of the brain and lungs that are the main concerns in drowning victims.

Special Situations

Young children may have a mammalian diving reflex. When they are suddenly immersed in cold water less than 68F (20C), they can stop breathing, slow their heart rate dramatically, and shunt all the blood flow to the heart and brain. Though not common, these children may be resuscitated and return to normal function. Cases have been reported of survival, even after being underwater for an hour.



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