Tag: drowning

Dry Drowning – Hype or Hazard

Every day, about two or three kids drown in the United States.

And that’s why drowning is a leading cause of death for children and teens. In fact, it is the number two cause of unintentional death, right after motor vehicle traffic accidents. Not surprisingly, drowning is the number one cause of death for toddlers and preschoolers.

So, what are many parents afraid of?

Dry Drowning

Although the focus should be on making sure you learn CPR, fence off your pool, supervise your kids around water, and have them wear a Coast Guard approved life jacket around the water, some parents are overly worried about dry drowning instead.

“Parents are being unduly alarmed by media reports suggesting that children can die from drowning a week after swimming,” said Rebecca Parker, MD, FACEP, president of the American College of Emergency Physicians. “Some children can experience complications from swimming. For example, it is possible for a child to inhale water and develop an infection, such as pneumonia, which can become very serious and cause breathing problems. If a child has breathing problems at any time, the parent should take him or her to the emergency department. But there are no cases of completely normal, asymptomatic patients who suddenly die because they went swimming a few days ago. It’s also time to retire those incorrect terms, because it is inaccurate and incorrect to say a child was initially fine after a water event and then “dry drowned” a day or week later.”

Another story on The Today Show alerting parents to the dangers of dry drowning.
This story on The Today Show “alerting” parents to the dangers of dry drowning, ended up scaring many of them.

It isn’t hard to see why.

Although media reports of “dry drowning” deaths are rare, they are continuously shared on Facebook and other social media platforms, making it seem like they are much more common.

Still, it is important to note that what folks call dry drowning is often “delayed” drowning. Your child is not going to get sick simply because they coughed in the pool. They are going to have to cough, choke, and actually inhale some water to develop “delayed” drowning, which is rare.

Even though it is rare, you should still know about it though, right?

“You’ll want to keep a close eye on your child for about 24 hours following a close call in the water. Delayed symptoms of drowning include shortness of breath, difficulty breathing, coughing and/or chest discomfort. Extreme fatigue, irritability and behavior changes are also possible.”

Delayed Symptoms of Drowning: Know the Signs

Of course, but it shouldn’t be overblown to the point where you get panicked whenever your kids are in the water.

Or if you think more about dry drowning than you do about a much more common hazard – drowning.

What to Know About Dry Drowning Hype

Dry drowning is often a rare type of delayed drowning that occurs after a child inhales water and later develops what can become life-threatening symptoms, including fatigue, fever, coughing, and troubling breathing.

More on Dry Drowning Hype

Multiple Layers of Protection Can Keep Your Kids Safe

Parents are well aware of the need to use protection to keep important things safe.

After all, we build our homes thinking about fire protection, with firewalls and smoke detectors, plug our computers into surge protectors, and use virus protection software on our computers.

The same type of protection, usually grouped into a layers of protection plan, can also help keep your kids safe.

Layers of Protection

Using a layers of protection approach to child safety means using more than type of child safety technique, barrier, or warning, as a protection against a specific hazard. That way, if one protective layer breaks down, then one of the other layers of protection will still be in place to keep your kids safe.

Of course these layers of protection aren’t meant to keep your kids safe forever. They can buy you some time though if your child gets away from you for a few moments.

“…parents ought to appreciate the importance of applying multiple injury prevention strategies to a single category of risk, to provide children with layers of protection.”

Mark Widome, MD

Although often used in connection with the pool safety campaigns of the Consumer Product Safety Commission, it was mentioned as early as 1992 by Mark Widome, MD, who is on the American Academy of Pediatrics Council on Injury, Violence & Poison Prevention.

Layers of Protection for Water Safety

The concept of using layers of protection is often easiest to see when you think about water safety.

Consider some common drowning scenarios:

  • A 23-month-old in Redford Township near Detroit, Michigan, drowned by getting out of the house (the family was visiting friends) and climbing a ladder into an above-ground pool that only had about two feet of water in it.
  • A 3-year-old drowned in La Plata, Maryland during a birthday party while several other people were in the pool. When some started to get out of the pool, they noticed the child at the bottom of the deep end of the pool.
  • An 8-year-old drowned in a busy community pool near Indianapolis, IN.

To help prevent these types of drownings, the CPSC and the AAP recommend a layers of protection plan for water and pool safety, that includes:

  • close, constant, direct supervision of small children near water, whether it is a lake, pond, in-ground pool, spa, large portable pool, small wading pool, bathtub, or even a large bucket of water, etc.
  • closer “touch supervision” whenever an infant, toddler, or older child who is a weak swimmer is in the water, meaning that you are within an arm’s length of the child at all times.
  • installing a climb resistant isolation fence (a 4-sided fence that doesn’t allow direct access to the pool from inside the house) around backyard pools with a self-closing and self-latching gate.
  • adding a door alarm so that you know if your kids get out of the house and into the backyard, especially if your house makes up one of the four sides of the fence around your pool. A gate or pool alarm might also be useful.
  • making younger children wear a coast guard approved personal flotation device if they don’t know how to swim well and not just air-filled arm floaties. They should wear their personal flotation device whenever they are by the water, even if they are not swimming.
  • teaching kids to learn to swim, especially once they are 4-years-old, keeping in mind that knowing how to swim does not make your child drown-proof.
  • learning CPR, having a flotation device, and a telephone by the pool in case there is an emergency.

Also be sure to empty buckets of water, the bathtub, small kiddie wading pools, and other things with water when you are not using them.

Layers of Protection Work

How do the layers of protection work to reduce the risks of a drowning?

Consider a house with a fully childproofed pool. It has a 4-sided fence with a self-closing and self-latching gate. The door leading to the backyard is childproofed so that the twin toddlers who live in the home can’t open it. During a recent pool party, they even have a designated adult watching the kids in the pool.

When that person has to go to the bathroom, she asks someone else to take over. The new watcher isn’t as responsible though and gets distracted when he gets a phone call (one layer gone). One of the twins who had been inside, decides she wants to swim again. She walks to the backyard right through the door that someone had left open (another layer gone), through the open gate (yet another layer gone), and jumps into the pool without anyone seeing her.

The gate to the pool had been propped open during the party because people got tired of opening it every time they went from the pool to the house, and unfortunately, this breakdown in pool safety is a common way that kids drown. Fortunately, because the parents were using a layers of protection plan, the child was still safe, as she was still wearing her personal flotation device (last layer intact).

Layers of Protection for Home Safety

How can the layers of protection protect your kids at home?

For one thing, you can simply get rid of some of the things that are unsafe around kids, such as poisonous plants, unused household cleaners or poisons, and recalled products.

Next, add a few extra layers of protection when childproofing the house, since you can’t be expected to supervise your kids every second of the day:

  • install child-resistant door knob covers so that kids can’t get into rooms that are hard to child proof, like the bathroom
  • set the temperature of your hot water heater to 120 degrees, so that if your child does get into the bathroom and turns on the water he won’t get burned
  • store household cleaners and other poisonous substances in a high, out of reach location and then put a child-resistant lock on the cabinet for an extra layer of protection
  • place TVs and other appliances on stable furniture that won’t easily tip over, but as an extra layer of protection, anchor both the TV and furniture to the wall
  • lock your car so that your kids can’t get back in (hot cars, especially getting trapped in the trunk, is a common hidden danger for kids), and then secure your keys for an extra layer of protection

The layers of protection idea can even apply to car safety, In addition to an age appropriate car seat, booster seat, or seat belts, and keeping your kids in the back seat until they are at least 13-years-old, you can add to your family’s safety in the car by not getting distracted talking on your phone or texting.

What extra layers of protection can you add to other risks in and around your home?

More Information On Layers of Protection