I just went white water rafting with a bunch of friends in Malaysia - and on the boat were 2 other folks that were not great swimmers. We were in pretty good rapids, and the odds were for us flipping at some point. We were all wearing lifejackets, but in the rapids at times it feels like you aren't floating much at all.

The first patch of rapids another boat flipped and a bunch of people clutched on to each other basically climbing the ladder on each other - we quickly got to them but they all had swallowed a lot of water.

I gave a big speech about how if someone is drowning their instinct is to grab you and pull you under - so make sure when helping others you can safely just grab them.

A few rapids later we flipped. I quickly grabbed on to the raft and was doing fine - until I saw one of the poor swimmers floating face down drinking a lot of water and heading towards more rapids. I swam over and grabbed on to her, flipped her on her back and told her to relax we were going to be fine. Then we hit some more rough water and all of a sudden she was pushing down on my shoulders and I was under water for about a minute as we passed through rapids and she was struggling to stay on top of me. I outweighed her by 50 pounds and still struggled to get out from under her while being tossed around in the water. I was comfortable for the first 30 seconds or so, but at that point I started to get the whole "Damnit, I am drowning" feeling. I finally separated myself from her, threw up a few times, and then held the top of her lifejacket from a behind.

My long winded story is intended to say one thing. If someone is drowning, their natural instinct will be to climb on top of you to get above water. It doesn't matter how much bigger you are - how much better of a swimmer. Even if you are really experienced it can still be difficult to rescue a drowning swimmer.

I don't think I was ever seriously at risk with a life jacket on and plenty of other boats very close. But through the rapids - 10 feet away can mean you can't reach the person for a few minutes downstream.

Talking about it makes me want to do some more rapids - it was my first time and I really enjoyed it. It was class 4-5 so fairly difficult rapids even for a 6 man raft. Made for a lot of fun, especially when sitting in the front!

Reading this, I connected the dots on a childhood experience of mine. When I was very young, I was in a public pool that had a "big" deep end, about 5.5 feet. I couldn't swim, but I still went to the deep end. I sank to the bottom and jumped to the surface to get air, and slowly traveled wherever I wanted to go.

All of a sudden, WHAM! I got tackled from behind by a lifeguard and breathed a mouthful of water. He took me out and asked me if I was OK. Between hacking coughs I said I was. My mom brought my towel to me and asked me what I was supposed to say. I yelled and slapped his legs with my towel. I probably got punished for that later.

At the time I didn't understand why the lifeguard rescued me. I felt fine, and I was probably about a minute away from the edge of the pool at the rate I moved. But that's exactly what I looked like from the surface - both arms grabbing upwards and sideways to drive me to the surface

I'm not a trained rescue professional, and I didn't know any of this information before you posted it. It's kind of amazing to look back and see how textbook his response was (and how terrifyingly unprepared I was).

(Emphasis mine.)

I fully agree that waiting for unconsciousness is a very bad idea. Obviously it is an option of last resort. However from my training, I believe it to be a better idea than getting killed. And in my training it was suggested as an option of last resort if we had no other options and didn't feel comfortable making a rescue.

And yes, there are a lot of variables that come into play. For example my instructor once saw 3 people drowning in a river. She rescued 2 and let the third drown because she was developing hypothermia. (The story is that one broke through thin ice, the other two tried to rescue the first. The one who died was one of the would-be rescuers.)

However in general if you have the knowledge and experience to properly judge those factors for yourself, you should know more about drowning than my brief blog post.

Not obviously, since you listed it third of four and fourth was roughly "swim where they can't grab you, and drag them back to shore while avoiding their grasp", which sounds pretty straightforward to an untrained reader.

To give an example of what can go wrong, your description suggests that you just hold the person where they can't reach you and drag them. But if you try that you'll find out the hard way that there is no good way to drag the person while they are still panicking without getting grabbed.

To give another problem, can you swim in place for a minute with your hands out of the water? Try it before confidently asserting that you can. And that is substantially easier than swimming in place, holding a struggling, panicked person up.

Those are among the reasons why I've so strongly recommended that untrained people avoid option #4. If you can stand on the bottom, fine. Otherwise, not so fine.

Another important thing that they brought up in my training: the first thing to check for before going in to save someone (land or sea) is if the conditions are safe. As far as I know, every trained rescuer is told to put their own safety above the person or people they are trying to save. While I don't fault anyone that sacrifices themselves to save others, it doesn't make sense to add another death to what is already a tragedy.

Example scenario (based on a real life occurrence, as related by my instructor): You approach an indoor pool, and see what looks to be a child floating face down in the water, and an adult also floating similarly nearby. Your first instinct might be to dive in to save one or both of them, but a subtle clue is present: while the child is in swimming attire, the adult is in street clothes. In actual fact, a live wire has somehow come to be in contact with the water -- the adult had dived in to try to save the child, but was electrocuted.

The lone shark starts at one end of a 25 meter pool, all the minnows at the other. The coach blows the whistle and all the minnows have to try to reach the other end without getting caught at the surface. Any minnows caught at the surface immediately become sharks. Repeat until there are no minnows.

I wasn't the fastest swimmer, but I could easily hold my breath from one end of the pool to the other, including wrestling underwater with sharks. If Sharks and Minnows were an Olympic sport I would have been competitive. Of course, that was when I was twelve ;-) At this point, I think I'd carefully consider how to approach an obviously drowning person.

My strategy was to breast-stroke as fast as I could while not quite scraping the bottom of the pool with my chest.

I usually came out pretty well in the end :)

We would also do exercises in the diving pool of treading water for a half hour+ at a time. Good times.

(I was also around 12)

Absolutely.

NOLS and the Sierra Club tell you the same thing, as well -- if you lead a hike for the Sierra Club and someone gets hurt, the FIRST thing you do is make sure the situation is safe. It doesn't do anyone any good if someone gets hurt and you get yourself hurt trying to get to them -- because now there are TWO victims.

Or more specifically, watch yourself before deciding not to mention it because it's "obvious".

As for you understanding the risks of #4 when explained, if you had understand it when it was first explained you shouldn't have responded as you did. Go back and re-read my original post. I said not once, but twice, that this was for trained people only. I further gave as two reasons the inability of untrained people to properly support a struggling person in the water, and the speed with which a mistake gets you killed. Yet your reaction was that #4 didn't look so bad.

I described #4 in the amount of detail I did because I thought people would be curious about it. But if people are going to misread my attempt to satisfy curiosity as a howto, it would have been much better for me to say no more than that going after a person drowning in water over your head is a recipe for suicide unless you have specialized training.

Precisely why 3 was before 4. 4 is only an option if you know you're capable of it, and know why. If you think you are, you're wrong.

Unskilled and unaware of it. Deadly unk-unks.

Don't underestimate a drowning swimmers ability to grab and hold you under the water - they are fighting for their life. It sounds ridiculous, but I have seen a small child do so to a large adult many times.

As btilly points out very aptly the first step to the rescue always has to be getting the person to calm down. However the moment they start to climb you, you need to go under to get them off. If you do manage to get a grip behind them and they start to struggle their sometimes lifeguards will arch their backs pulling both the rescuer and the victim's heads under water, this hopefully gets them to calm down.

One point that isn't mentioned is that this is an entirely different situation if you have a flotation device buoyant enough to hold both of you. Lifeguard tubes are ideal for of course ideal but fun noodles or kickboards can be used in a pinch. With such a device, your goal is to get a hold of the person without losing your float. With Lifeguard tubes you want to approach the person (ideally from behind) with the tube across your chest underneath your arms and grab them underneath their arms once you have them try to get as much of their weight onto the tube. If the tube is supporting their weight then they can't put any unexpected pressure on you, and they'll calm down very quickly when they feel the stability.

Edit: Having read the article--a noodle probably won't help somebody who's past aquatic distress and has started drowning.

What solution do you propose instead?

It's not unprecedented either. In CPR training, you are taught the Heimlich. You are also taught that you have to ask someone who is choking if they want help (or you will be sued, regardless if you save them). If they say no, they don't want help, you can either leave them to die, do it anyway and get sued for all you are worth (don't count on mercy, the law is 1000% against you), or wait until they pass out and then do it anyway (you are then protected by the Good Samaritan law)

Good Samaritan laws are 1000% in favor of the rescuer (especially if that rescuer is a lay person).

TL;DR; If you are familiar with the Heimlich Maneuver, and you see someone who is choking (can't speak or cough, clutching their throat, etc), _please_ don't hesitate to act.

Is this common advice?

It should go without saying, but your immediate course of action is to call for help and/or designate someone to do so in case of an actual drowning situation.

Your preferred choice of action is to stay out of the water entirely. Do not get in the water unless you must. Use any means at your disposal from lines to poles to thrown floatation devices to safely assist the victim. Keep eyes on the victim, assign someone to do so as well - in case you need to gather emergency equipment (above or swimming aides like mask/fins if they are available and if you are going in).

Next would be a wading assist, again, waist/chest deep wade into the water with a line/pole/floatation device.

Finally, if you must enter the water remember that YOUR SAFETY is above that of the victim. If you allow the victim to overpower you, you will become a victim yourself. The most powerful tool at your disposal at this stage is your voice. Talk to the victim, reassure them, let them know you are there for them and everything will be ok. Reel them back from the edge of panic. After that, the next powerful tool at your disposal if you are overtaken by a panicked swimmer is to dive and push the victim away from you while under water - the victim will not follow you down. Rinse repeat until the victim calms down, you get a hold on them from behind, or they pass out. Having the victim pass out is not the worst thing that can happen. It may require rescue breaths and/or cpr once you get the victim to shore/boat.

First, try and reach something out to the victim for him to grab hold of. If that won't work, try to throw something for him to hang on to. If that fails, go to them in some kind of boat (though a surfboard may work too). If, and only if, all those things do not work, swim out to rescue them.

[Edit: after having read the article, I realize that this is advice in what to do for someone experiencing aquatic distress, not someone who is drowning. My apologies.

Wait for their hands to stop moving.

that would be when they dip under and don't come back up? They're lungs would be full of water then? So you would have to swim down to them, pull them to dry land (they won't float) and resuscitate them?

They won't sink at this point, they'll just float with their face in the water. (There is a reason why the dead man's float is called that. See http://www.ehow.com/how_6582_survival-float.html for a description.)

And yes, at this point they'll have water in their lungs, and may need CPR.

I understand sometimes that could be the only option... but seems like a heavy responsibility.

If you're not trained, then getting in over your head (literally!) is an easy way to commit suicide. I had multiple years of lessons before any instructor gave me any instruction on how to go after someone in the water beyond, "Don't."

Now one thing that I didn't talk about was how you can tow someone in the water. If you have any swimming training you may be familiar with the elementary backstroke. (If not, hopefully you know the breaststroke, basically it is a version of that except on your back.) If you continuously do the kick from that, you get the whipkick. (Well to get it right you need to keep the knees a little closer together than many people's breaststroke, but close enough.) It turns out that the kick is enough.

Now what you do is lay the person with their head on your chest, your arms coming under their shoulders and crossing their chest, and just do that kick as fast as you can. You won't move very fast, but you can keep both your face and theirs in the air as you go. If you get them early enough, there is a good chance they will start breathing on their own as you tow them. At which point you get them to land and your job is done. If not, you'll get to land alive without having done further damage and can start CPR. (A life skill that I firmly believe everyone should have.)

One of the ways I have fun in the water is to breathe a good amount of my lungs out, and sit on the bottom as long as I can. Sit, not hold-by-swimming. It's an incredibly effective way of learning how to control your heartrate & panic response to holding your breath, because it's hardly possible without control, and then it's pretty darned easy.

"Ommmblblblubublbubublublb"

When in a dangerous situation, your first responsibility is to yourself. Rescuing someone else can be risky, and getting yourself into the same situation as the person in trouble helps no one, and increases the burden on any other would-be rescuers, whether professional (lifeguard, fire fighter, etc.) or another Good Samaritan like yourself.

But I agree that it seems like waiting for the drowning person to become unconscious dramatically increases the chance that they won't survive. That's gotta be a tough decision to make.

As such, I would say it's not unreasonable to wait for the drowning person to lose consciousness if you aren't confident you could prevent or deal with him or her dragging you down.

However, the good news is that drownings are one of the few times where Hollywood-style CPR "Do a couple rounds and they wake up" can occur. Their heart stopped beating because it stopped getting oxygen, not due to some other type of damage. So if you do CPR for a little while and get their heart oxygenated again, it can start back up in its own (most pools nowadays have an AED as well)

First, try to reach them with a pole or something from outside the water

Second, if that doesn't work, throw something that floats like a vest or life preserver. Hope they grab on to it.

Only as a last resort, actually swim out to a drowning person. Your objective should be to put the thing you just threw at them in their hands, not to drag them back to safety.

The following year they changed the "rules" and the instructor (who was also a teacher in my high school) said that we were now to keep an eye on a struggling victim, and attempt a rescue only after they stopped struggling. I think they'd had too many lifeguards end up in need of rescue themselves when they went after a panicked victim and got yanked underwater.