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ll skippers must bear in mind that they should
                     have the notions of how to act in the event of
                     an  accident  or drowning,  that  is  to  say,  how
                     to save a person’s life. The first moments are
         Acrucial and you have to stay calm so as not to
          waste time or the ability to help.

          The circumstances that can surround a drowning are multi-
          ple. It´s not the same when it occurs during bathing, or div-
          ing, during the day or night, while sailing (man overboard),
          or when anchored, etc. We´re not going to explain here the
          pathophysiological mechanisms, or the types of drowning,
          but rather give quick and effective advice in an unwanted
          situation like this.

          First of all, we shouldn´t allow children to run around are-
          as where they can fall into the water. In addition, the small
          ones must travel with the appropriate life jackets on while     dr. s. giménez artieda
          adults  should avoid,  above all  if there is bad weather, to
          make movements without having the three recommended          urólogo-andrólogo | urologist-andrologist
          support points.

                                                                            santos@uroandrologia.com

                                                              While anchored, the basic precautions are common sense:
                                                              you shouldn´t jump headfirst or standing up from the boat
                                                              in unknown or rocky areas where we don´t know the depth.
                                                              A trauma can facilitate drowning and make it extremely dif-
                                                              ficult for the injured person to be reached.
                                                              We must avoid swimming if we´ve been drinking more than
                                                              necessary or if we are under the influence of drugs or med-
                                                              ication that alter our reflexes.

                                                              In an emergency we must quickly remove the victim from
                                                              the water. If he breathes, it is a priority to make him cough to
                                                              expel the water that might obstruct his respiratory tract and
                                                              to check if he responds to orders so that we can assess the
                                                              degree of consciousness. If water comes out when cough-
                                                              ing, that is a very good sign, and we should place the patient
                                                              with his head on one side to help the water to come out.

                                                              If the person is unconscious or doesn´t breath, we have to
                                                              start CPR maneuvres, but only by cardiac massage, with-
                                                              out doing “mouth-to-mouth” (except for qualified persons),
                                                              because  we  can  aggravate  the  condition  by  insufflating
                                                              more water. With the movements of the cardiac massage
                                                              we can facilitate the exit of residual water, keeping the head
                                                              tilted at all times, extending the neck, separating the chin
                                                              from the thorax and preventing the tongue from obstruct-
                                                              ing the tract. The next step would be to go back to port and
                                                              call 112.

                                                              If the affected person recovers spontaneous breathing and
                                                              heartbeat, we will have saved the life of a loved one and the
                                                              satisfaction will be immense. Let´s hope that nobody is ever
                                                              in this situation.




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