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Drowning First Aid: What To Do In An Emergency And How To Help

Affinity Health, a leading provider of high-quality health cover, urges the public to learn basic drowning first aid ahead of World Drowning Prevention Day on July 25.

Whether it’s a backyard pool, the beach, or a local dam, drowning can happen in an instant and knowing what to do at that moment can mean the difference between life and death.

“Drowning is one of the most silent and fastest types of emergencies,” says Murray Hewlett, CEO of Affinity Health.

“It often happens without warning, and many bystanders are unsure how to respond. By learning how to spot the signs and act quickly, we can prevent tragedy and protect our most vulnerable, especially children.”

Drowning in South Africa: The Hidden Crisis

According to a study published in the International Journal of Environmental Research and Public Health, South Africa records an average of 1,477 fatal drownings annually, with the highest incidence among children aged 0–4 years and young males aged 15–24 years. The study also highlights that males are significantly more likely to drown than females.

Drowning is one of the top causes of accidental death for children under five in South Africa. It often happens quickly and quietly, without any shouting or splashing. Many of these tragedies happen just a few metres away from help before anyone even notices something is wrong.

Would You Know What to Do in a Drowning Emergency?

When someone is in trouble in the water, every second counts. Your response can save a life. Here are five essential steps to follow:

1. Ensure Your Safety First

Assess the situation before jumping in. Use a pole, rope, flotation device, or towel to assist, if possible, and never put yourself at risk unless you are adequately trained and equipped. Call for help immediately if others are nearby, even while assisting.

2. Remove the Person from the Water

Get them out quickly but safely. Avoid rough handling, especially around the neck and head.

If you suspect a spinal injury (such as from diving or impact), try to keep your neck aligned and limit movement as much as possible.

3. Check Responsiveness and Breathing

  • If unresponsive and not breathing, start CPR immediately.
  • If the person is breathing but unconscious, place them in the recovery position.
  • If conscious, keep them warm, calm, and still.

4. Call Emergency Services

If you’re faced with a drowning emergency, call for help immediately.

Dial 10177 (ambulance) or 112 from a cell phone. You can also contact iER (Integrated Emergency Response) for assistance via their free app. Please provide your exact location and describe the person’s condition in detail.

5. Administer CPR if Needed

  • Start with 30 chest compressions, followed by two rescue breaths (if trained).
  • If you’re not trained in rescue breathing, hands-on CPR is better than doing nothing.
  • Continue until medical help arrives or the person regains consciousness.

Even if the individual seems stable, they should still be examined by a doctor. Near-drowning can lead to serious delayed complications such as fluid in the lungs, brain swelling, or infections.

Recognising the Signs: Drowning Is Often Silent

Contrary to popular belief, drowning is rarely a dramatic event. Be alert for:

  • Bobbing or struggling to stay upright.
  • Gasping for air, head tilted back.
  • Glassy or unfocused eyes.
  • Unusual quietness after active play.
  • Weak or ineffective movement.

When in doubt, check immediately. Seconds can make all the difference!

Drowning Prevention: What Every Parent and Caregiver Should Know

  • Never leave children unattended near water, not even for a moment.
  • Install barriers, pool covers, and childproof gates around swimming areas to prevent accidents.
  • Teach your child to swim from an early age.
  • Avoid alcohol when supervising or swimming.
  • Learn hands-on CPR—even basic knowledge can save lives.
  • Be extra cautious in remote areas with rivers and dams, where emergency assistance may be delayed.
  • Consider enrolling in a CPR or first aid course—many clinics, schools, and NGOs offer free or affordable training.

Conclusion

Drowning can occur very quickly and is typically silent. But most importantly, drowning is preventable. This World Drowning Prevention Day, take the pledge to learn the signs, teach your children water safety, and equip yourself with basic first aid. It could save a life—perhaps even someone you love. With Affinity Health’s affordable Day-to-Day and Hospital Plans, you’ll have access to emergency medical care, GP consultations, telehealth advice, and hospitalisation cover when every second counts.

About Affinity Health

Affinity Health is South Africa’s leading health cover provider, offering you a range of options at affordable rates, including access to the widest national provider network. We understand the importance of having medical insurance that meets your needs, budget, and lifestyle. Our healthcare products are designed to protect you and your family when it matters the most. We strive to give our clients peace of mind and the highest standard of service. For more information, follow us on Facebook, Twitter, and Instagram.

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