Don’t Waste the “Golden Time”: Correct First Aid for Drowning Victims

19 Aug, 2025

Drowning is one of the leading causes of death among children in Vietnam, especially during summer. Many tragedies happen not only because of the accident itself but also due to incorrect first aid, which wastes the “golden time” –  the critical first few minutes that can save a life.

One of the most dangerous and outdated practices is turning the victim upside down to drain water. Medical experts strongly warn against this method.

  • It wastes precious time: Every second counts after drowning. Turning the victim upside down delays life-saving CPR.
  • It can make things worse: This position may cause water or stomach contents to enter the airway, leading to further complications.
  • It does NOT remove water from the lungs: The lungs do not empty like a container. This method is ineffective and harmful.

According to the Ministry of Health (Vietnam), the World Health Organization (WHO), and international resuscitation guidelines:

Step 1: Quickly bring the victim to safety

  • Remove them from the water as soon as possible.
  • Lay them on a flat, firm surface in a safe area.

Step 2: Check for response and breathing

  • Call out or gently shake the person to see if they respond.
  • Look for chest movement, listen and feel for breathing.

Step 3: If not breathing or no pulse – start CPR immediately
Here is where guidelines slightly differ:

  • WHO and European Resuscitation Council (ERC) recommend giving 5 initial rescue breaths first, because lack of oxygen is the primary cause of cardiac arrest in drowning cases.
  • American Heart Association (AHA) recommends starting chest compressions immediately if you are untrained or unsure.

If trained and able:

  • Give 5 initial rescue breaths, then start 30 chest compressions and 2 rescue breaths, repeating continuously.
  • Compressions: Place the heel of one hand on the lower half of the breastbone and press hard and fast at 100–120 times per minute.

Step 4: If breathing returns – put the victim in recovery position

  • Lay them on their side so any vomit or fluid can drain, reducing choking risk.

Step 5: Always take the victim to a medical facility

  • Even if they seem fine, secondary drowning or breathing problems can occur hours later.
  • Never leave children unsupervised near water, even for a moment.
  • Teach children swimming and water safety skills early.
  • Parents and caregivers should learn basic first aid, especially CPR.

Do NOT turn a drowning victim upside down!
Start CPR immediately. If trained, give 5 initial rescue breaths, then compressions. Every second matters.

Share this knowledge – the right action can save a life.

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