Quick cardNature and water
Nature and water

Fall into cold water

You fall into a cold lake, river, or sea. The gasping kills first, not the cold.

Call 911
Do this nowTap each step when done
  1. 1Control your breathing for the first minute: head up, mouth closed.
  2. 2Don't swim yet. Let the life jacket float you.
  3. 3Use the 10 minutes of strength to get out or climb onto something.
  4. 4Climb onto the overturned boat: you lose less heat and are easier to see.
  5. 5If you can't get out, use the HELP posture: arms crossed, knees to chest.
  6. 6In a group, huddle in a circle, chest to chest.
  7. 7Call for help with the whistle on your life jacket.
1. 1 min: control your breathing   2. 10 min: climb onto the overturned boat   3. HELP posture: arms crossed, knees up   4. In a group: huddle chest to chest
Don't
  • Don't take off your clothes or shoes.
  • Don't swim aimlessly: you cool faster.
  • Don't leave the boat to swim to a distant shore.
  • Don't move the rescued person roughly: keep them lying down and be gentle.
Have ready
  • Coast Guard-approved life jacket, worn and fitted.
  • Whistle tied to the life jacket.
  • Dry clothes and a blanket for afterward.
  • Pet life jacket with a handle on the back.
Key fact1-10-1 rule: 1 minute to control your breathing, 10 minutes of useful strength, about 1 hour before you pass out from hypothermia.

More detail

Next urgent cardUnconscious person / not breathing: CPR and AED

Reviewed: Nov 2026 · Sources: Chapter 13 · Sea, lakes, and rivers