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Near Drowning and the Unresponsive Diver

Near drowning occurs when someone revives a diver or Swimmer who became unresponsive (unconscious, or unable to respond or act coherently) and stopped breathing while submerged. Swallowing water, extreme fatigue, entanglement and long over pressurization may be the cause, with panic, inefficient breathing, throat blockage, exhaustion, heart stoppage and unconsciousness contributing.

With an unresponsive diver, the primary concern is to check for breathing and to begin rescue breaths if the isn't breathing. If a diver is unresponsive underwater, bring the diver to the surface; someone may need to perform rescue breathing in the water, and if the victim has no pulse, CPR. You can't perform CPR effectively in water, so you need to get the diver out of the water.

Here are the four general procedures to follow if a diver appears to lose consciousness and becomes unresponsive in the water:

1. Quickly bring the diver to the surface and check for breathing.
2. Establish ample positive buoyancy for you and the victim.
3. Get assistance as needed in providing rescue breathing.
4. Help remove the diver from the water.

Assistance continues once out of the water, with the following steps also applying to a diver who, after diving, becomes unconscious or experiences symptoms of lung over expansion injury.


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