Getting back in the pool this summer? Children’s Hospital has some tips on how to take to the water safely.

Number one lesson: drowning doesn't look like you think it does

Parents are cautioned all the time about water safety — but accidents still happen.

The statistics in the United States are startling:

• Every 10 minutes someone dies from drowning.
• One out of every five drowning victims is a child.
• For every child who drowns, another five children are treated for injuries related to being submerged in water.
• Overall, drowning is the No. 2 leading cause of death in children ages 5 to 14 years old.

“Drowning is a silent killer,” said Purnima Unni, MPH, program manager, Pediatric Trauma Injury Prevention at Monroe Carell Jr. Children’s Hospital at Vanderbilt. “In less than two minutes under water, a child can lose consciousness, and brain damage can occur after just four to six minutes.”

Adults should be aware that drowning doesn’t look like the dramatic splashing or shouting that’s often depicted in movies or TV shows, Unni said.

“The sad truth is that many times the child slips under water silently, and even people near or in the pool with them have reported hearing nothing during drowning incidents,” she said.

Safety experts at Children’s Hospital want to highlight the ABCs of water safety:

A – Adult supervision

• Active adult supervision is arguably the most important water safety rule. At least one adult should be focused on the pool and close enough to touch the swimmers if necessary.
• Designate an adult “water watcher.” This person’s sole responsibility is to watch the pool area for 15 minutes and not read or talk on the phone. After 15 minutes, pass the responsibility to another adult for 15 minutes, and so forth. Ensure that the “water watcher” is a sober adult who knows CPR and has basic swimming skills.
• “Floaties” (inflatable armbands) or other inflatable flotation devices are not life jackets and should never be substituted for adult supervision.

 B – Barriers and boating safety

• Have a properly working physical barrier such as a fence, pool safety cover and pool alarm (one meeting code requirements).
• If the home opens directly to the pool, door alarms and locks should be installed.
• Always swim at a lifeguarded beach and pay attention to the beach warning flags.
• On a boat, wear properly fitted U.S. Coast Guard-approved life jackets.

 C – Classes

• Teach children to swim. The American Academy of Pediatrics recommends swimming lessons for children as young as 1.
• Adults and children 13 and older should learn infant and child CPR.

Monroe Carell Jr. Children's Hospital at Vanderbilt, Safety, Purnima Unni