When faced with a near-drowning victim, first-aid personnel should follow
cardiac life support (CPR) procedures, focusing on keeping the airway open and
stabilizing the neck in case of cervical spine or head injury. The goal of
treatment is to restore breathing as rapidly as possible.
Procedures at the accident site:
The victim should be rescued as quickly and as safely as possible, with use
of any available flotation aid. Rescue breathing should begin while the victim
is still in the water. Basic life support procedures do not call for clearing
the airway of aspirated water or performing the Heimlich maneuver or abdominal
thrusts (unless the airway is obstructed).
In all unconscious patients and those known to have been diving, the head
should be supported in a neutral position. Patients should be kept horizontal to
optimize brain perfusion, and oxygen should be administered as soon as possible.
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