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For persons with seizure disorders, drowning is the most common cause of death by unintentional injury, largely in the bathtub. 10 There was also consensus that the terms wet, dry, active, passive, silent, and secondary drowning should no longer be used. Citation needed Risk factors edit Populations groups at risk: 19 In the US: Children and young adults: Drowning rates are highest for children under 5 years of age and persons 1524 years of age. 10 Experts differentiate between distress and drowning. 49 Medical care edit People with a near-drowning experience who have normal oxygen levels and no respiratory symptoms should be observed in a hospital environment for a period of time to ensure there are no delayed complications.

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Archived from the original on Retrieved Mackensen,. Hyperventilation before any dive, deep or shallow, flushes out carbon dioxide in the blood resulting in a dive commencing with an abnormally low carbon dioxide level; a potentially dangerous condition known as hypocapnia. Archived from the original on Retrieved empsrott,. Rosen's Emergency Medicine: Concepts and Clinical Practice (9.). A drowning person may cling to the rescuer and try to pull himself out of the water, submerging the rescuer in the process. However, bystanders play an important role in drowning detection and either intervention or the notification of authorities by phone or alarm. 80 and is often confused with the equally inappropriate and discredited term "secondary drowning" or "delayed drowning". 7 In those whose heart is not beating and who have been underwater for less than an hour CPR is recommended.  Mario Vittone, lecturer and author in water rescue and survival 35 Submersion into cold water can induce cardiac arrhythmias (abnormal heart rates) in healthy people, sometimes causing strong swimmers to drown. Thereafter a sequence of two breaths and 30 chest compressions is recommended, repeated until vital signs are re-established, the rescuers are unable to continue, or advanced life support is available.

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Peripheral vasoconstriction, the restriction of the blood flow to the extremities to increase the blood and oxygen supply to the vital organs, especially the brain. 55 In the fishing industry, the largest group of drownings is associated with vessel disasters in bad weather, followed by man-overboard incidents and boarding accidents at night; either in foreign ports, or under the influence of alcohol. 38 The physiological effects caused by the diving reflex conflict with the body's cold shock response, which includes a gasp and uncontrollable hyperventilation leading to aspiration of water. A b GBD 2015 Disease and Injury Incidence and Prevalence, Collaborators. 4, significant amounts of water typically only enter the lungs later in the process. Committee on injury, violence, and poison prevention (2010). Morbidity and Mortality Weekly Report. "Alcohol use, aquatic injury, and unintentional drowning: A systematic literature review".