Is it Necessary to Remove Wet Clothing After a Rescue?

Removing Wet Clothing After a Drowning Rescue

When rescuers arrive on the scene, their priority is to initiate cardiopulmonary resuscitation (CPR) and assess the victim’s airway, breathing, and circulation (ABCs). However, it’s essential to remove wet clothing before starting CPR to prevent further heat loss.

According to the American Heart Association, wet clothing can account for 75-90% of a person’s total heat loss in cold water. Remove the wet clothing, including any jewelry or watches that may be constricting, to prevent further heat loss. The American Red Cross recommends using a warm blanket to cover the victim, not a space blanket, which can reflect heat away from the body.

Prioritizing Hypothermia Prevention

In cold water immersion cases, hypothermia is a significant concern. Hypothermia sets in at a body temperature of 95°F (35°C), and it can cause cardiac arrest, confusion, and even death. Rescuers should prioritize removing wet clothing and using a warm blanket to prevent hypothermia. A warm blanket can raise the victim’s body temperature by 2-3°F (1-2°C) per hour, depending on the ambient temperature.

CPR and Wet Clothing Removal

When removing wet clothing, it’s crucial to do so quickly and carefully to avoid disrupting the victim’s airway. Rescuers can use a backboard or a large, flat surface to support the victim’s body while removing wet clothing. The American Heart Association recommends starting CPR with chest compressions only, if the victim’s airway is not secure. By removing wet clothing and using a warm blanket, rescuers can improve the victim’s chances of survival.