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    "Chapter 14: Reflections on Lifeguard surveillance programs". An absence of diatoms does not rule out drowning, as they are not always present in water. Ferri's Clinical Advisor 2018 E-Book: 5 Books. 29 Aspirated water that reaches the alveoli destroys the pulmonary surfactant, which causes pulmonary oedema and decreased lung compliance which compromises oxygenation in affected parts of the lungs. 12 Lifeguards and other persons trained in rescue learn to recognize drowning people by watching for these movements. 44 Surveillance edit Many pools and designated bathing areas either have lifeguards, a pool safety camera system for local or remote monitoring, or computer-aided drowning detection. Rescue involves bringing the person's mouth and nose above the water surface. Retrieved b Preventing drowning: an implementation guide (PDF). More than half of drownings among those 15 years and older occurred in natural water environments. Guidelines for CPR and ECC (PDF).

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