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What is dry drowning?
The terms “dry drowning” and “secondary drowning” (also called submersion injuries) are often used interchangeably — even by some experts — but they’re actually different conditions, says Mark R. Zonfrillo, M.D., MSCE, attending physician in the Department of Emergency Medicine at the Children’s Hospital of Philadelphia.
In dry drowning, someone takes in a small amount of water through his or her nose and/or mouth, and it causes a spasm in the airway, causing it to close up. In secondary drowning, the little bit of water gets into the lungs and causes inflammation or swelling that makes it difficult or impossible for the body to transfer oxygen to carbon dioxide and vice versa. Dry drowning usually happens soon after exiting the water, but with secondary drowning, there can be a delay of up to 24 hours before the person shows signs of distress. Both can cause trouble breathing and, in worst-case scenarios, death.
How to spot it ?
The good news is, dry drowning or secondary drowning (submersion injury) doesn’t happen out of nowhere. “You’re going to see warning signs,” says Sarah Denny, M.D. a member of the American Academy of Pediatrics’ Council on Injury, Violence & Poison Prevention, and an attending physician in the Section of Emergency Medicine at Nationwide Children’s Hospital in Columbus, Ohio.
No matter your child’s age, be on the lookout for:
What to do ?
Any time you’re concerned about your child and think he could have symptoms of dry or secondary drowning, whether you’re in your backyard pool or on a beach vacation, call the pediatrician right away for advice. Your child’s doctor should be able to talk you through it, says Dr. Berchelmann, and might advise you to go to the ER, a primary care doctor, or a national urgent care center.
But if your child is really struggling to breathe, call 911 and/or head to the emergency room right away. “Necessary treatment may not be available in settings other than the ER,” says Dr. Zonfrillo.
How it’s treated ?
Treatment for submersion injury depends on the severity of the patient’s symptoms, says Dr. Denny. The doctor will check the child’s vital signs, oxygen level, and work of breathing. Patients with more mild symptoms just need careful observation, in more serious cases, the doctor may also do a chest x-ray or give him oxygen. In cases of respiratory failure, or when a child can no longer breath on their own, extra support is needed — such as intubating or putting the child on a ventilator — but that’s very rare. The goal will be to increase blood flow in the lungs and get the child breathing well again.
How to prevent it ?
Prevention is the same for dry drowning and secondary drowning as it is for any other kind of drowning:
As long as you practice water safety, pay close attention to your kids after swimming, and get them checked out if you notice any signs of trouble breathing, you shouldn’t have to constantly stress about dry drowning or secondary drowning. “I can’t emphasize enough how rare they are,” says Dr. Zonfrillo. Heading into vacation season, that’s welcome news.