•  A person is in the water with signs of distress. He or she can’t stay above water, swims unevenly, signals for help, etc.

•  Blue lips or ears. The skin is cold and pale.

•  Bloated abdomen. Vomiting. Choking.

•  Confusion. Lethargy.

•  The person does not respond or can’t breathe.

•  Not being able to swim. Being in water too deep and too rough for one’s ability to swim.

•  Water sport and other accidents. Not following water safety rules. Not wearing a life preserver, etc. Unsupervised swimming.

•  Falling through ice while fishing, skating, etc.

•  Injury or problems that occur while swimming, boating, etc. Examples are leg or stomach cramps, fatigue, and alcohol or drug use. A heart attack, stroke, seizure, and a marine animal bite or sting may have occurred.

•  Never leave an infant or child alone in any type of bathtub. Supervise young children in the bathroom.

•  Never leave a child alone near water, swimming pools, etc. Lock gates to keep children from getting near swimming pools.

•  Have a phone near outdoor pools, etc.

•  Teach children to swim. Tell them not to swim alone and not to swim too far from shore without a lifeguard or other adult swimmer.

•  Put a personal floatation device on each child when near the water or on a boat.

•  Tell children to check the depth of water before diving in. It should be at least 9 feet deep.

•  Do not allow children to go on untested ice.

•  Take CPR and water safety courses.

•  Learn to swim. Never swim alone at the beach or in a swimming pool. A lifeguard or other adult swimmer should be nearby in case you suffer a leg cramp or other problem.

•  Wear a personal floatation device when you are on a boat, when you fish, etc.

•  Check the depth of the water before diving in. It should be at least 9 feet deep. Never dive into an above-ground pool.

•  Do not use a hot tub or jacuzzi if you’ve had any alcoholic drinks. You could fall asleep, slip under the surface, and drown.

•  Take CPR and water safety courses.

•  Shout for help! Send someone to call 9-1-1!

•  If it is safe and possible, try to reach the person. Use a long pole, rope, life preserver, etc. Then pull him or her to safety.

•  Did the person fall through ice? Try a human chain rescue to safely reach the person, but stay as far away from cracked ice as you can.

•  If you must swim to the person, be sure you are strong and capable enough. Take a flotation device with you. Approach the person from behind in a calm manner. Grab a piece of the person’s clothing. Or, cup one hand under the person’s chin.

•  When getting the person out of the water, support the head and neck. (Suspect a neck injury, especially with diving or water sports.)

•  CHECK for a response. Give Rescue Breaths and CPR, as needed. If you suspect a spinal injury, use jaw thrust instead of chin-lift for rescue breaths.

•  Once out of the water, keep checking the person for a response. Give first aid, as needed.

•  Put the person in the Recovery Position. Immobilize the person as much as possible. If the person is vomiting, clear his or her mouth of it.

•  Remove cold, wet clothes. Cover the person with a blanket, etc.