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Drowning is defined as death within 24 hours from suffocation by submersion in a liquid, normally fresh water or sea water.

Near drowning implies successful resuscitation from suffocation caused by immersion.

Secondary drowning refers to fluid accumulation in the lungs following what appears to be successful recovery from a near drowning event.

If someone suffocates while submerged underwater and are revived they can suffer from near-drowning while secondary drowning can still occur even after they are revived.

This can occur in someone that become tired while swimming, or have a secondary problem that prevents them from swimming appropriately or aspirating fluid while in the water.

If you find someone submerged in water, immediately remove them from the water, ensuring that you keep yourself safe. Place them on their back and assess for breathing. If they are breathing, place them in the recovery position and call EMS. If they are not breathing start CPR as we discussed in the drowning video.

People that do not lose consciousness but may have ingested a large amount of water should still be assessed by a Doctor as they may have secondary drowning. Lung injury and potentially life-threatening electrolyte disturbances, may occur from aspiration or ingestion of large amounts of water, whether it is from a pool, or salt or fresh body of water.

Secondary drowning happens when the airway opens up, letting water into the lungs, where it builds up, causing a condition called pulmonary edema. This causes trouble breathing.

Symptoms of Secondary drowning generally starts, within 1-24 hours of the incident. Secondary drowning symptoms include:

Coughing
Chest pain
Trouble breathing
Feeling extremely tired
If you have Oxygen available it should be given, to keep their Oxygen levels at the required level and to compensate for any lack in performance of the respiratory system.