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Am Fam Physician. 2026;113(4):402-403

This clinical content conforms to AAFP criteria for CME.

Author disclosure: No relevant financial relationships.

• Drowning should be prevented with isolation fencing around swimming pools, life jacket use, swimming lessons, and lifeguard supervision.
• The initial response to possible drowning should include recognizing distress, providing flotation devices, and calling emergency medical services.
• In-water rescue breathing, when performed by trained rescuers, may prevent cardiac arrest after drowning.
• Ventilation is essential, even after cardiac arrest, and should be prioritized over AED use.
From the AFP Editors

Drowning accounts for 1 in 14 deaths from unintentional injury worldwide. It is also the leading cause of death from unintentional injury in children younger than 5 years and the second leading cause in children 5 to 14 years of age. In one study of rescues by lifeguards, less than 1% of people rescued from drowning required resuscitation. The American Heart Association (AHA) and American Academy of Pediatrics (AAP) published updated guidelines for resuscitation after drowning.

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Coverage of guidelines from other organizations does not imply endorsement by AFP or the AAFP.

This series is coordinated by Michael J. Arnold, MD, MHPE, Assistant Medical Editor.

A collection of Practice Guidelines published in AFP is available at https://www.aafp.org/afp/practguide.

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Copyright © 2026 by the American Academy of Family Physicians.

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