'Dry drowning': UAE experts caution parents to not ignore water-related incidents

At least one family member must know about Basic Life Support, a former senior lifeguard said

by

Sara AlKuwari

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Image used for illustrative purpose. Photo: File
Image used for illustrative purpose. Photo: File

Published: Sat 31 Aug 2024, 6:00 AM

Last updated: Tue 3 Sep 2024, 8:53 AM

An 8-year-old boy and his mother were sitting on the shoreline when a sudden wave unexpectedly hit them. The boy, though conscious, was struggling to breathe after accidentally swallowing water.

Fortunately, a rescuer nearby immediately activated an emergency action plan and performed artificial respiration until the boy's condition improved. Without this quick intervention, the boy could have lost oxygen and could have died.


Jessie Campos, a former senior lifeguard, explained that the boy experienced what is known as dry drowning. The incident occurred four years ago at Dubai's Al Mamzar Beach.

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Campos cautioned parents against ignoring signs of dry drowning, which can happen even in seemingly harmless situations like the one above. "At least one family member must know about Basic Life Support," Campos told Khaleej Times. He added that every school must do life-saving trainings to all the students at least once a month, and tell students to share their knowledge with their families.

Jessie Campos. Photo: Supplied
Jessie Campos. Photo: Supplied

He explained how dry drowning can happen: “Children playing in the pool can be at risk for dry drowning. For example, when they splash water or if one child jumps near another doing a back float, the waves can cause the floating child to swallow water.

This can also happen at the beach when there are rough waves. Additionally, dry drowning can occur while drinking water; if someone distracts you or scares you while you're drinking, it might cause you to swallow water. Lying on your back can also lead to this in rare cases,” Campos said.

Dr Mohamed Nagy Serour, a Medcare Royal Speciality Hospital Pediatrician, warned parents not to neglect any symptoms the child might show after inhaling water. “One common misconception is that symptoms of dry drowning appear immediately. In reality, they can be delayed, leading caregivers to overlook early warning signs."

Nagy advised caregivers to rescue the child immediately, assess their breathing, and start CPR if needed. Even if they appear okay, the child should be monitored closely. This vigilance can help detect delayed symptoms of dry drowning early.

“I had evaluated a child with breathing difficulties hours after swimming. The child was admitted for observation, treated with oxygen, and fully recovered,” he added.

Dr Mohamed Nagy Serour
Dr Mohamed Nagy Serour

Meanwhile, Dr Raiza Hameed, a pulmonologist at Aster Clinic, explained that inhaling water can lead to 'laryngospasm,' where the vocal cords seal the airway to prevent water from entering the lungs. "This results in water entering the stomach instead. While laryngospasm prevents water from entering the lungs, it also disrupts normal breathing.

Sometimes, the airway seal can persist until cardiac arrest occurs, resulting in what's dry drowning, as no water enters the lungs."

She further clarified that drowning and near-drowning events are leading causes of death in children, noting that one can drown in just a few minutes, even in water as shallow as an inch. The signs and symptoms of dry drowning are similar to those experienced during drowning.

Dr. Raiza Hameed. Photo: Supplied
Dr. Raiza Hameed. Photo: Supplied

No matter how many terms are used to describe it or how long the symptoms persist, drowning remains a significant danger to children. Caregivers must educate themselves so they can effectively care for and assist children in case of drowning incidents.

Symptoms

Dr Sudha Rao, a paediatrician at Aster Royal Clinic, said children with pre-existing respiratory conditions, such as asthma or allergies, are more susceptible to problems stemming from water inhalation, as it can lead to airway irritation and subsequent breathing difficulties.

Furthermore, children with neurological or developmental disorders, such as Cerebral Palsy or Down syndrome, face increased risks of accidental water inhalation due to limited motor control.

Dr Sudha Rao. Photo: Supplied
Dr Sudha Rao. Photo: Supplied

What to do

Dr Rao also explained how caregivers must act in case of child drowning:

  • Educating parents and caregivers about drowning prevention is crucial. Community education programs about water safety should include CPR training, swimming lessons, and water rescue techniques.
  • Staying calm is essential for assessing the situation if a child is experiencing drowning. Symptoms of drowning to look for include difficulty breathing, persistent coughing, and chest pain. In older children, sudden behavioural changes, confusion, agitation, or a bluish colour of the face or lips may be observed.
  • The next critical step is to call emergency services and monitor the child. If breathing becomes difficult or ceases altogether, CPR should be initiated by a trained individual. The child should be positioned comfortably and upright to ease breathing.
  • If a child is found submerged in water and lacks a pulse, starting CPR and alerting emergency medical services are vital. Additionally, if a child is found but has a pulse yet is not acting normally—such as being incoherent, lethargic, experiencing excessive coughing, or showing abnormal breathing (like rapid breathing or foaming at the mouth)—they still require immediate medical attention.

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