If a pool side emergency should happen, would you be prepared on what to do… without Hesitation?


Having the proper training and education is essential for anyone thrust into that emergency situation. Knowing what to do is paramount in rendering medical help. Let our company instill the confidence in you to jump in and perform and potentially save someone’s life.

In each one of our classes (which is done at your poolside) we teach everyone what to do in any medical emergency.


Topics covered:

  • Drowning/secondary drowning
  • Drowning prevention and what to look for
  • Having and emergency action plan
  • Adult, Child, and Infant CPR (American Heart Association)
  • Spinal cord Injuries
  • Slips and falls
  • Broken bones/sprains
  • Concussions


It’s worth the minimal investment!     licensed / Insured

Please call 949-547-3412 and schedule your class today…






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Dry or Delayed Drowning: A Caution for Parents

By: Kathleen Berchelmann M.D., FAAP

It’s not often that I beg parents to bring their kids into the ER, but that’s exactly what I did when I heard about a child with a dry-drowning episode. He knew how to swim but he inhaled some pool water by accident. He coughed a bit, but a few minutes later was back in the pool. The child looked fine, the parents reassured me. It was bedtime, and everyone was tired after a long day in the sun at the pool. “We’ll let him sleep, and if he’s having any issues in the morning we’ll take him into his pediatrician,” the father told me.

“No, you need to come to the ER now,” I told him. He didn’t want to believe me. They reluctantly came, forking over their $250 ER co-pay with annoyance. Then I showed them his chest x-ray that revealed extra fluid in his lungs, and his laboratory results including a low sodium level. The atmosphere in the exam room changed from annoyance to fear. This was real. Their child was drowning.

Dry drowning scares me. The kids can look fine– they just had a little sputtering and coughing episode after a scary moment while swimming. Occasionally dry drowning can happen in the bathtub. But sometime within the next 24 hours their lungs start a massive inflammatory reaction to the water they inhaled into their lungs. Sometimes they need a ventilator to breathe for them, and drugs to keep their blood pressure up. But the worst cases of dry drowning are the children I never see, the ones who were put to bed and never wake up in the morning.

My patient was ultimately fine– he was admitted to the hospital overnight and treated with oxygen and IV fluids, but by the next day he was well. He was a lucky one.

What is “Dry Drowning?”

There is some debate about the definition of the term “dry drowning”– usually this term refers to situations where some water got in a child’s lungs and the child has a severe inflammatory reaction to the water hours after the incident. This phenomenon is also called “secondary drowning,” or “near drowning.”

There is another phenomenon, also sometimes called “dry drowning,” in which suffocation occurs but no water ever entered the lungs. In these rare situations, the larynx (voice box) spasms and stays shut, causing involuntary suffocation. Sometimes this spasm is triggered by water droplets hitting the larynx, or a sudden high speed submersion under water such as off a high-dive or a high speed water slide. This latter form of dry drowning generally doesn’t occur when kids are simply swimming or playing in the pool. These patients are also immediately ill. They may never come up from the water.

Warning Signs & Symptoms of Dry or Delayed Drowning

What are the warning signs and symptoms of “dry” or delayed drowning? When do parents have to worry about a child who had trouble while swimming?

These are reasons to bring your child to the emergency room, even if they look fine:

  • Coughing: Any person who has persistent coughing after playing in the water is at risk for water in their lungs. You may be thinking, “But this happened to me a million times when I was a kid.” But what was your oxygen level while you were sleeping that night?  You may have dropped and no one ever knew. Don’t go to bed worrying, just take your child in for evaluation.
  • Water rescue: Any person who was submerged in water and came up struggling, especially if he or she had to be retrieved from the water by a lifeguard, parent, or other bystander needs medical evaluation. This may seem obvious, but I’ve seen kids get back in the pool and play after a water rescue.
  • Amnesia: Any person who was unconscious underwater or has limited memory of an incident that occurred in water needs immediate medical care. I had a patient once who had an underwater head injury with loss of consciousness, but finished her swim meet before going to the ER. I’m just thankful she didn’t drown or bleed into her brain during that second race.
  • Behavior change: If your child feels sick, acts too sleepy, or has a change in mental status/behavior after a day at the pool, take it seriously. The worst thing you can do with a child who may have inhaled water is put them to bed. They need immediate medical care.
  • Vomiting: Vomiting after a day of swimming can be due to waterborne infectious disease (poop in the pool water…), but can also be a sign of severe illness due to dry drowning.


Drowning Prevention: Information for Parents

Drowning is a leading cause of death among children, including infants and toddlers. Most infant drowning’s occur in bathtubs and buckets. Toddlers between one and four years most commonly drown in swimming pools. However, many children in this age group drown in ponds, rivers, and lakes. Children older than five years old are most likely to drown in rivers and lakes, but this varies from one area of the country to another. It is important to know that children can drown in even one inch of water.

Drowning refers to death that occurs in this way. When a child is rescued before death, the episode is called a nonfatal drowning.

What You Should Do in a Drowning Emergency:

  • Get your child out of the water immediately, then check to see if she is breathing on her own. If she is not, begin CPR immediately.
  • If someone else is present, send him or her to call for emergency medical help, but don’t spend precious moments looking for someone, and don’t waste time trying to drain water from your child’s lungs.
  • Concentrate instead on giving her rescue breathing and CPR until she is breathing on her own. Vomiting of swallowed water is very likely during CPR.
  • Only when the child’s breathing has resumed should you stop and seek emergency help. Call 911. Once the paramedics arrive, they will administer oxygen and continue CPR if necessary.

Medical Exam Needed for Any Child Close to Drowning

Any child who has come close to drowning should be given a complete medical examination, even if she seems all right. If she stopped breathing, inhaled water, or lost consciousness, she should remain under medical observation for at least twenty-four hours to be sure there is no damage to her respiratory or nervous system.

Child Recovery from a Nonfatal Downing

A child’s recovery from a nonfatal drowning depends on how long she was deprived of oxygen. If she was underwater only briefly, she is likely to recover completely. Longer periods without oxygen can cause damage to the lungs, heart, or brain. A child who doesn’t respond quickly to CPR may have more serious problems, but it’s important to keep trying, because sustained CPR has revived children who have appeared lifeless or who have been immersed in very cold water for lengthy periods.

Drowning Prevention: Know the Warning Signs

These signs may signal that a child or adult is in danger of drowning:

  • Head low in the water, mouth at water level
  • Head tilted back with mouth open
  • Eyes glassy and empty, unable to focus
  • Eyes closed
  • Hair over forehead or eyes
  • Not using legs — vertical
  • Hyperventilating or gasping
  • Trying to swim in a particular direction but not making headway
  • Trying to roll over on the back
  • Appear to be climbing an invisible ladder

For newborn infants and children through four years of age, parents and caregivers should never—even for a moment—leave children alone or in the care of another child, while in or near bathtubs, pools, spas, or wading pools, or near irrigation ditches or other open bodies of water. With children of this age, practice “touch supervision”; that means that a supervising adult should be within an arm’s length of the child with full attention focused on the child at all times when she is in or near water. The supervising adult should not be engaged in distracting activities, such as talking on a telephone, socializing, or tending to household chores.

Home Swimming Pool Safety

Home swimming pools should be surrounded by a fence that prevents a child from getting to the pool from the house. There is no substitute for at least a four-foot-high, nonclimbable, four-sided fence with a self-closing, self-latching gate. Parents, caregivers, and pool owners should learn CPR and keep a telephone and equipment approved by the US Coast Guard (life preservers, life jackets, shepherd’s crook) at poolside.

Swimming Safety for Children with Special Needs

Toddlers, youngsters with an intellectual disability, and children with seizure disorders are particularly vulnerable to drowning, but all youngsters are in danger if unsupervised in or near water. Even a child who knows how to swim may drown a few feet from safety. Remember, children should be supervised at all times.




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