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Drowning: A Quick and Silent Killer
In the time it takes to …
• …cross the room for a towel (10 seconds), a child
in the bathtub can become submerged.
• …answer the phone (2 minutes), that child can
lose consciousness.
• …sign for a package at your front door (4 to 6
minutes), a child submerged in the bathtub
or pool can sustain permanent brain damage.
www.safekids.org
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Safe Beginnings
A prevention program for Sacramento County to
reduce infant sleep-related deaths and drowningrelated injuries and deaths in children ages 0-5
Funded by California Kids’ Plates
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Safe Beginnings
• Program Elements
• Educate Service Providers
• Educate Parents and Caregivers
• Program Materials
• Video
• Brochure
• Media Materials
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The ABC’s of Drowning Prevention
Training for Service Providers
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Learning Objectives
After training, participants will be able to:
• Recognize drowning as a leading cause of
preventable deaths for children under the age of 6
• Identify the risk factors related to drowning
• Explain “Layers of Protection”
• Identify the ABC’s of Drowning Prevention
• Identify resources for additional information on
Drowning Prevention
• Utilize tools for hosting the ABC’s of Drowning
Prevention Parent/Caregiver Training
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Service Providers & Parents
• Sacramento County needs an education
campaign focusing on:
• The importance of adult supervision
• Barriers
• CPR/swimming
• Information should be delivered by:
• Health Care Professionals
• Fire Departments
• Child Care Providers
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Safe Beginnings Collaborative
Parent Focus Group Responses
What do you know about drowning?
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Drowning deaths are a major problem. (fact)
X
Most drownings occur in rivers and lakes. (myth)
Lack of supervision was a huge problem. (fact)
Pools without barriers or barriers not used
regularly are a problem. (fact)
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National Drowning Injuries & Death Statistics
• Drowning is the leading cause of injury-related death
among children between 1 and 4 years old. It is the
third leading cause of injury-related death among
children 19 and under.
• Statistics only show deaths, but for every…
• 1 Drowning Death there are 4 Hospitalizations
• 1 Hospitalization there are 4 ED Visits
www.safekids.org
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National Drowning Injuries & Death Statistics
• On average, 382 children younger than 15 fatally
drown every year between 2010 and 2012 in pools or
spas, with 76 percent (290) of the victims being
younger than 5.
• An estimated average of 5,400 children younger than
15 were treated between 2012 and 2014 in
emergency rooms for pool- or spa-related submersion
injuries every year, with 77 percent of the injured
being younger than 5.
• The annual cost of care per year in a chronic care
facility for an impaired survivor of a non-fatal
submersion event is $180,000
www.poolsafely.gov
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National Drowning Injuries & Death Statistics
• With victims younger than 5 years old; 87 percent of
the reported fatalities occurred at residential pools
or spas.
• More than 75% of victims had been missing for 5
minutes or less
• A child loses consciousness in 30 seconds or less
• The brain suffers irreparable damage in 4-6 minutes
• The child can die within 10 minutes.
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California Statistics
• 1,343 drowning deaths from 2000-2012, ages 0-18
• 67% (899 of 1,343) of child drowning deaths occur
in children 6 years of age and younger
• Leading cause of injury-related death for children
ages 1 through 6.
CDPH EPIC
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Sacramento County
• 78 drowning deaths from 2000-2012, ages 0-18
• 68% (53 of 78) of child drowning deaths occur in
children 6 years of age and younger
• Leading cause of injury-related death for children
ages 1 through 6.
• 100% preventable
CDRT 2000-2012
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Sacramento County
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Sacramento County
Drowning Data Ages 0-6
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Safe Beginnings Collaborative
Research Results
Why do children drown?
Three factors contribute to a child’s risk of drowning:
1. The age of the child
2. Easy access to water
3. Inadequate adult supervision
Children’s Hospital of Orange County
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Risk Factor #1 – Age
• Developmentally –
• No fear
• Greater curiosity
• Master new skills quickly
• Physiologically –
• Head weighs more than the rest of the
body
• Bones, tendons & muscles not fully
developed
• Can drown in as little as 2 inches of
water
Children’s Hospital of Orange County
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Risk Factor #2- Easy Access to Water
• Children under the age of 6 most often drown in
a residential pool or spa.
• Lack of an effective barrier between a child and a
body of water.
• Bodies of water include:
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Pool/ Spa
Bathtub
Toilet
Bucket
River/Lake
Children’s Hospital of Orange County
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Risk Factor #3- Inadequate Adult Supervision
Children have more time and opportunity to access
water when:
• Parents fail to communicate about supervision
• Older children supervising other children
• Parents are intoxicated during social gatherings
• Parents are sleeping or distracted
Children’s Hospital of Orange County
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Role playing exercise, Part 1
CHILD DROWNING
MYTHS AND FACTS
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Child Drowning
Myths and Facts – Part 1
• Myth: “Drowning takes a long time.”
• Fact: Children lose consciousness in 30 seconds or less. If a child is missing,
always check the pool or other water sources first. Every second counts!
• Myth: “As long as there are other adults around, children are safe.”
• Fact: Children can drown even though they are surrounded by adults.
• Myth: “My child can’t get to the pool by himself yet.”
• Fact: Children don’t announce when they’ve mastered something new. Just
because your child could not open a sliding glass door yesterday, does not
mean he or she can’t today.
• Myth: “Drownings only happen to families who don’t know better.”
• Fact: Drownings occur in every neighborhood, socioeconomic and ethnic
group, regardless of education level.
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Drowning Prevention
Layers of Protection
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Drowning Prevention
Layers of Protection
• No single device or solution can prevent child
drownings. Multiple strategies or devices
(“layers”) should be used constantly and
simultaneously. – NDPA
• “Layers of protection” are backups to the primary
means of accident prevention: Responsible Adult
Supervision. - APSP
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Drowning Prevention
Layers of Protection
• Children are most at risk in their own backyard,
when parents believe they are safely inside the
house.
• Devices can delay a child’s unsupervised access,
or warn of the child’s presence.
• Protect the area between the house and the pool.
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Building a Sacramento Program
• Research
• Surveys
• Models
=
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Sacramento County
ABC’s of Drowning Prevention
• A is for Adult Supervision
• B is for Barriers
• C is for CPR & Classes
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A is for Adult Supervision
• Supervision during non-water activities
• Children drown without a sound
• 69% of children who drowned in swimming pools
were not expected to be in or around water so
know where your children are at all times.
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A is for Adult Supervision
• Supervision during water activities
• Children should be watched by a responsible
adult 100% of the time they are in or near the
water.
• Keep children under age 5 within arm’s reach in
the water
• Water wings, floaties and life jackets should never
take the place of adult supervision.
• Assign a “water watcher”, a person who knows
how to swim whenever around water.
• Keep children away from pool drains, pipes and
other openings to avoid entrapments.
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B is for Barriers
• The only proven effective barrier is a 5 feet tall
non-climbable fence with self-closing, selflatching gates that completely encloses the pool.
• Secondary barriers include alarms and pool & spa
covers
• Install, inspect and always use barriers
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B is for Barriers
• Remove toys from in or around the pool area.
Toys can attract young children to the pool.
• Keep chairs, tables and other climbable things
away from fence.
• Visit National Drowning Prevention Alliance
website to learn more about layers of protection.
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B is for Barriers
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C is for CPR & Classes
• Learn CPR (Cardiopulmonary Resuscitation) and
rescue breathing.
• Start CPR and rescue breathing at pool side.
• To find CPR classes ask at a local Red Cross, parks
and recreation district or family resource center.
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C is for CPR & Classes
• Enroll all children and adults in
your family in swim lessons and
water safety training, but
remember these classes never
take the place of supervision or
barriers!
• To find swimming classes ask at
a local community pool, parks
and recreation district or family
resource center.
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ABC’s of Drowning Prevention Video
• View on Sacramento Metro Fire’s YouTube page
• or go to YouTube and search “ABCs Drowning
Prevention Sacramento”
• Video
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Role playing exercise, Part 2
CHILD DROWNING
MYTHS AND FACTS
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Child Drowning
Myths and Facts – Part 2
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Myth: “It can’t happen to me. I’m a good parent.”
Fact: All parents whose children have drowned felt this way. No one believes a drowning
could happen to their child or the children under their care. Without layers of protection, no
child is safe from the tragedy of drowning.
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Myth: “My child is safe because he’s had swimming lessons.”
Fact: When a child enters a pool alone, he may not behave the same way he does in a
swimming lesson because no one is there to cue him to swim or behave in a certain manner.
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Myth: “I’ll hear my child if he’s in trouble.”
Fact: Drowning is a silent event. Drowning children don’t splash, cry, or call out for help.
“Kids drown without a sound”.
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Myth: “My child is safe because he’s inside the house with me.”
Fact: Don’t assume your child is safe because you last saw him napping or playing. Toddlers
move fast. Unless the child is within your direct sight, there is the possibility he is in the
water.
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Training in a Box
• Contents
• Binder
• Thumb Drive
• DVD
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Hat
Water Wings
Life Jacket
Brochures
• Binder
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Sign-In
Pretest
Posttest
Class Evaluation
Tracking Form
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Resources
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Safe Kids Worldwide
CPSC – Pool Safely
National Drowning Prevention Alliance
Add local swim lesson information to your
presentation
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Thank You!
Jennifer Rubin
Safe Kids Greater Sacramento Coalition Coordinator
Dignity Health Mercy San Juan Medical Center
916-864-5684
[email protected]
www.safekidssacramento.org
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