The Center for Children’s Health (C4CH), led by Cook Children’s, installed its first loaner life jacket station in the spring of 2020. The stations provide five different sizes of U.S. Coast Guard approved life jackets, ranging from infant to adult, that can be borrowed and returned. The goal is to make sure no child or adult drowns at a public lake because they didn’t have access to a life jacket.

“Texas has a lot of lakes and having a loaner station at entry points is a great reminder for families,” said Amy Johnson, program coordinator for the Center for Children’s Health. “The signage on the station not only explains how it works but also how to properly fit a life jacket.”

Sadly, the number of drowning patients seen at Cook Children’s this month has already surpassed the number of patients seen in the same time period of 2020. So far, 35 children have been admitted to Cook Children’s for drowning, with two deaths. Three of the drownings occurred at area lakes.

The loaner life jacket program has 12 stations at lakes across DFW, including:

• Cleburne
• Alvarado
• Flower Mound
• Grapevine
• Weatherford
• Lewisville

The stations are constructed by Lifeguard Your Child partner and Texas-based construction firm, Linbeck. C4CH plans to extend the stations to pools in neighborhoods and communities soon.

Cleburne resident Robin Kiel has lived across the street from Lake Pat Cleburne for more than 30 years. As a former pediatric intensive care (PICU) nurse, she has seen her fair share of drownings and fatalities.

Recently, the two new loaner life jacket stations at the lake caught her attention.

“I saw something out of the corner of my eye one day and went to check it out,” Kiel said. “Once I realized it was a loaner life jacket station from Cook Children’s, all I could think about was how many lives could be saved.”

Kiel and her family have seen several tragedies while living directly across from the lake. She recalls instances over the years when helicopters have landed in her yard to transport a child to the emergency room, or emergency personnel rushing past her house to save someone’s life. Kiel says these moments are hard to watch, but what’s even worse is watching the number of children who enter the lake without a life jacket.

“During my time as a nurse, I’ve seen tragedy after tragedy,” Robin explained. “The hardest part was the water fatalities that could have been avoided. There's a lot of children that swim without life jackets and it's dangerous in a lake. You can't see the bottom if they were to fall or get swept away. You can't find them once they're under the water.”

Kiel says with school out and summer in full swing, she expects to see thousands of people at the lake on the weekends and she is hopeful people will take advantage of the loaner life jacket stations.

“I think it's just really important to remind people that if you don't have a Coast Guard approved life jacket, there are some that are loaned here in two different places on our lake and they can just borrow them and put them back when they're finished for someone else.”

Tara Janszen is Kiel’s daughter and the president of the Cleburne Chamber of Commerce. She says she’s also thankful for the additional safety measure at the lake.

“The collaboration between Cook Children’s, Cleburne Fire Department, and the Cleburne Parks and Recreation department is something that will benefit our residents and visitors who come to Lake Pat Cleburne,” Janszen said.

Lake Pat Cleburne is also home to holiday celebrations, and more. Tara says the city is happy to have their Independence Day celebration back at the lake this year, and she is hopeful having the life jackets will be an added safety measure for families.

“We have thousands of people that come out to enjoy the lake for the day. We shoot fireworks off the dam that evening,” Janszen said. “We want people to have fun, but first and foremost, we want people to be safe. I think this new opportunity for kids to be able to loan or borrow a life jacket, and for families to utilize this program is going to make our event just even better this year.”

Johnson shares the same feelings. She wants people to get out and have a good time, without any tragedies. Thus far, the stations have been well-received at all six lakes.

“Our community partners and families are excited about having the stations and how easy they are to manage,” Johnson explained. “The feedback from lake-goers has been amazing, and they are using the life jackets, which is the goal.”

Kiel says she enjoys walking out of her front door and seeing neighbors and visitors enjoying the lake, and she is hopeful this summer will conclude with every family making it back home safely.

“I think the life jackets can help save lives,” Kiel said. “Drowning happens so quickly, and it’s such a tragedy for families. I think it could save a lot of children's lives and I believe that’s the goal for Cook Children’s and the City of Cleburne.”

Johnson understands families are excited to get together for the summer, but safety has to be the top priority for everyone to have a good time.

“We know everyone is eager to enjoy the summer, but along with that we know there are a lot of potential distractions,” Kiel expressed. “We want families to remember to have an emergency plan in place, always designate a pool and lake ‘water watcher’ for safety, and to remember to keep a child’s life jacket on until they are safely away from the water’s edge.”

Important to note:

If you live in a community with a lake or pool that could benefit from a loner life jacket station, send an email to Safe.kids@cookchildrens.org. To learn more about the loaner life jacket program and other safety measures, visit lifeguardyourchild.com

Water safety advocates urge parents to stay vigilant to protect their children over Memorial Day Weekend and throughout the summer as backyard pool parties start happening again.

People are excited to socialize in person as coronavirus restrictions ease up -- but they must still keep close watch on the kids in the swimming pool. Drownings can occur even with many adults present.

“Everyone is so eager to get back into a normal routine and have those gatherings as COVID-19 decreases,” said Dana Walraven, manager of community health outreach for the Center for Children’s Health, led by Cook Children’s. “We’re just hoping for a heightened sense of awareness. When people are so happy to get back together, there may be distractions.”

In 2019, prior to the pandemic, the number of drowning admissions at Cook Children’s hit 71. Seven of those patients died. By comparison in 2020, there were 48 drownings seen at the medical center, three fatal. Those statics include drownings in bathtubs and open water, such as lakes; the majority, however, occurred in swimming pools.

2020’s decline in drownings came as a happy surprise to those who work to prevent injuries and deaths due to accidents in the water. One possible explanation? Last summer’s social distancing kept many families and friends from meeting up in big groups. Those big gatherings tend to be occasions when everyone assumes someone else is supervising the swimmers.

Sharon Evans, trauma injury prevention coordinator at Cook Children’s, encourages adults to take turns as designated watchers, fully attentive and within arm’s reach of kids in the pool. Designated watchers can spot trouble before it turns into tragedy.

“They don’t talk, they don’t drink, they don’t look at their phones,” Evans said. “You have to have that person in charge of watching. That is your job for 10-15 minutes, then you pass it off.”

Evans said drowning cases typically ramp up starting on Memorial Day. The age group most susceptible to drowning in pools is 1- to 4-year-olds. Precautions should be taken as well for older kids, even if they’re strong swimmers.

Drownings can happen silently and swiftly. A submerged person might not attract attention or appear to be in danger.

“It’s not like it is in the movies where they’re thrashing around and yelling for help,” Evans said. “In real life it almost looks like they’re climbing a ladder underwater, and if they can get their head above water, they just get a breath.”

“Lifeguard Your Child,” a drowning prevention campaign created by Cook Children’s, aims to get the message out through a regional collaboration of partners from eight counties across North Texas. The coalition includes school districts, police and fire departments, pool builders and swim lesson providers such as the YMCA. “Lifeguard Your Child’ promotes safety strategies through its website, videos, online classes and social media.

“The biggest piece we’re trying to do is have parents think about water safety and drowning prevention all year long,’’ Walraven said.

Campaign partners came up with new methods to reach their audiences during the COVID lockdown. Those efforts included a shift to greater virtual education. And in spite of the pandemic, “Lifeguard Your Child” reached 6,950 adults and children with educational toolkits between October 2019 and September 2020.

Highlights for drowning prevention include:

• Young children should know to never get in the water unless an adult is within reach and watching. Learn to swim and swim with a buddy.
• Teens should be alert for hazards lurking in murky lake water. No horseplay or risky stunts. Wear U.S.C.G. approved life jackets.
• Caregivers should create barriers to the pool, such as four-sided fencing. Don’t lose track of the kids during the transition from swimming to the next activity (a trip inside to the bathroom, loading the car etc.). Hospital admissions data increasingly show that drownings tend to occur during these unplanned situations “when one child goes back for a toy, or a child wants to jump in one more time,” Walraven said.

In addition to the education component, “Lifeguard Your Child” has distributed 1,296 life jackets this year in drive-through events and through six loaner stations at area lakes. The program recommends only those life jackets approved by the U.S. Coast Guard. Proper fit is essential too.

For more information about steps to prevent drowning, go to www.lifeguardyourchild.org.

Spring is already proving deadly for children in water.

In less than two weeks, three children have died after being rushed to Cook Children’s for drowning, while another three were admitted to the medical center for their injuries.

Their ages range from 11 months to 3 years.

“Two of the fatal drownings were in pools. One was in a bathtub,” said Magdalena Santillan, Trauma Injury Prevention specialist at Cook Children’s. “Four of the six total drownings were in bathtubs. That’s very unusual. In fact, we hadn’t seen a bathtub drowning at all this year until this month.”

Drowning is the leading cause of unintentional injury-related death in children ages 1 to 4 years old and the second leading cause of unintentional injury related death for ages 1 to 14.

“There is no amount of time that it’s safe to leave your child alone in water,” said Santillan.

SafeKids Tarrant County, led by Cook Children’s, gives these facts:

• Children can drown in as little as one inch of water.
• Drowning is quick and silent.
• Irreversible brain damage occurs in as little as 4 minutes.

“Safety begins in the home,” said Dana Walraven, manager of Community Health Outreach at Cook Children's and coordinator of the Safe Kids Tarrant County Coalition. “Bath time is a good time to bond with your baby, but it can also be a dangerous time if you’re not watching your child. Support safe habits with adult, not sibling, supervision.”

To protect your child from drowning:

1. Never leave your child unattended in the water.
2. Put the cell phone away. Give your child 100 percent of your attention.
3. Once the bath is over, immediately drain the tub.
4. Store empty tubs, buckets containers and wading pools away after use. Store them upside down and out of children’s reach.
5. Keep doors to bathrooms and laundry rooms closed.
6. Learn CPR.

Click here to learn more about Water Safety and Drowning Prevention from the experts at Cook Children's.

The family, which has requested to remain anonymous, shared their story with Checkup Newsroom in hopes of preventing tragedies to other families.

“It was just a normal day at the pool,” said the girls’ father.

They were at a community pool on a recent July afternoon. The two girls, ages 5 and 6, had been playing in the water for less than 5 minutes when their brother decided he wanted to get out.

“All three were in my line of site. I watched my son get out of the pool. I took my eyes off the water for a matter of seconds to give him a cookie. When I looked at the pool again, I thought they were still playing.”

The father said he thought the girls were playing a game to see who could hold their breath the longest. He wasn’t too concerned since both take swim lessons twice a week and spend many hot afternoons in the water. He says he saw one girl jumping up and down, but the other stayed submerged. That’s when he jumped in.

“I grabbed her and started screaming for the lifeguards. Then I realized my oldest daughter was in trouble too.”

More than a dozen lifeguards rushed to their aid, along with a parent who also happened to be a nurse. Both girls were given CPR while another parent took their brother to get a popsicle so he wouldn’t have to see what was going on.

“It happened so fast. The entire episode couldn’t have taken more than 15 or 20 seconds,” said the girls’ father. “It’s not like you see in the movies, there was no splashing, no yelling. There were adults right there that didn’t even know they were in trouble.”

Unfortunately, this is something emergency room physicians and nurses hear all too often at Cook Children’s. Already this summer, 24 children have been admitted to the hospital for drowning and two have died. Over and over again, parents say they didn’t know their child was in danger because they didn’t see or hear anything.

“This is a huge issue in our community, especially in the summertime,” said Dana Walraven, community health outreach manager for Cook Children’s. “Parents may not realize how quickly children can drown, that’s why we teach ‘layers of protection.’”

Layers of protection are safety techniques that have proven to be effective ways to prevent drowning.

They are:

• 100% adult supervision while children are in and around water
• If you are alone with your child, stay with your child. Get in the water with your child and be in arm's reach.
• Swim with U.S. Coast Guard-approved life vests. Don't use floaties filled with air.
• Learn to swim at any age.
• Learn CPR.
• Install a fence on all sides of a backyard pool or spa. Secure the fence with a self-latching gate.
• Use alarms that can be put on children's wrists.
• Update pool/spa drain covers.
• Follow pool rules and signs.
• Install door alarms to alert adults when a child is entering the pool area.

The father who shared his story about his daughters says the depth of the pool played a big part in their close call.

He says he believed the pool was two and a half feet of water, but it actually became deeper in areas.

“My youngest daughter is fearless. She swam into the deeper area without me realizing it. Her older sister saw what was happening and was trying to help.”

He says if he had known the water became deeper, the girls would have been wearing their life vests.

“I’m one of the lucky ones. I got there in time to get them out. The lifeguards did a great job. I could have easily been planning a funeral right now for two little girls.”

Both girls were released from the hospital just one day after the incident. Their father says both are doing great and even had a plan for what they wanted to do once they were able to leave Cook Children’s

“When we left the hospital, the girls (as a family) wanted to go to thank the lifeguards for everything they did for us. My youngest response was "after we thank the lifeguards, can we go swimming?"

Lifeguard Your Child

Did you know that Texas is #1 in the nation for child pool drownings, or that drowning is the leading cause of accidental death for children ages 1 to 4? This year, Cook Children's is asking all parents to #LifeguardYourChild around water. For more information about how to protect your children around water, including where to find swim lessons and what to look for when purchasing a life-saving device, visit our drowning prevention website.

• 2 deaths to begin the month of July
• 26 non-fatal drownings from June 1 to July 1, 2015
• 43 non-fatal drownings from Oct. 1, 2014 to July 1, 2015
• 4 fatal drownings during that same time frame

And now we head into the July 4^th weekend where people will be throwing pool parties at their house or apartment or going out to area lakes … and at many of those parties there will be drinking.

So what’s left to say? Sharon Evans, Trauma/Injury Prevention outreach coordinator at Cook Children’s, admits to being tired, frustrated, sad and even a little angry that no matter how much the message is delivered, kids drown.

“I feel like a broken recording at this point,” Evans said. “But I don’t know what else to do. We have to keep telling people. We have to keep getting the word out. Tell your friends. Tell your neighbors. Tell your other family members. Kids are dying.”

And then Evans collects herself to deliver the message again.

“I don’t think people know how quickly it happens,” Evans said. “It’s just seconds and it’s a silent killer. Kids died silently. You can’t just let your kids go. Water is dangerous. It scares me because now we are headed toward the July Fourth weekend.”

If nothing else, Evans wants to make sure everyone reading this gets this point.

“It can happen to you,” Evans said. “I can say it, but I don’t think people really realize it. It can happen to you. Don’t take your eyes off of your child. You have to hold on to his or her hand sometimes. The most important thing is to be there for your child. And my God, whatever you do, you can’t let your kid go swimming or to the water alone. You have to have adult supervision.”

Evans speaks strong, but you can hear the pain and heartbreak in her voice. She’s seen a lot of this in her career and twice the amount of drownings over the last month as she saw last year. And what troubles her the most is that she knows no matter how much she speaks about drowning prevention, she will see more again.

“I wish I had a better line, a better solution,” Evans said. “I don’t know what else to say. I just know it’s preventable, if we take the right precautions.”

Click to read the following information for those precautions:

• Drownings double from a year ago 
• Be a water watcher. Adult supervisions saves lives.
• Is your baby ready for swim lessons?
• Drowning tragedy - 'I can't believe this happened to me.'
• Cook Children's drowning prevention page

Of those drownings, 26 were backyard or community pools.

If you believe swim lessons are nothing more than a fun summer activity, think again. The skills children learn in swim classes could make the difference in life and death.

During swim lessons, kids get used to the water and learn important water safety skills. According to Safe Kids Tarrant County, led by Cook Children's, children who don't know how to swim or who are being supervised by adults who can't swim are eight times more likely to drown or fatally drown.

"Children as young as 2 to 3 years old develop the ability to self-rescue during swim lessons, which means that if they fall into a swimming pool, they can turn around in the water and either float on their back until rescued or use the skills they have learned to swim to the side of the pool," said Tyler Emler, action team chair for drowning prevention for Safe Kids. "The sooner children get in the water, the sooner they become comfortable with swimming. If you wait until children are 6-8 years old to begin swim lessons, they won't have the same comfort level as children who have been in the water since they were younger."

Which swim class is best?

When choosing swim lessons for your child, visit local health clubs and recreational centers to meet with swim instructors and educate yourself on the classes offered. 

According to Emler, the most successful classes teach a love for water while also building necessary swimming and water safety skills.

While swim classes should have accommodations in place to assist children who don't acclimate to the water or who aren't reaching swim class goals, Emler notes that parents can help their child's progress by spending family time in the pool and stopping any pressure a child may feel to master skills more quickly. 

Young children who take swim classes in late spring or early summer should return for indoor winter refresher courses every year until they reach 6 or 7 years old. This way, coordination and muscle memory has a chance to develop, allowing children to maintain skills for longer periods of time.

For more information

Learn more about drowning prevention and water safety here. This page gives helpful information on keeping your kids safe during swim season, including proper fit for life jackets, pool safety videos and fences/alarms information.

Since Oct. 1, 2014 to present, 40 drownings have been seen here and three of them have been fatal.

Those numbers are chilling and once again place an emphasis on water safety in the area.

Dana Walraven, community health outreach manager for Cook Children’s, wants to make sure that parents are prepared for warm weather and children in the water. She said the safety begins with making sure a grownup is watching the kids in the water at all times.

“Active adult supervision and layers of protection such as door alarms and a fence can lower the risk for your child,” Walraven said. “The majority of these water-related incidents happen in the child’s own backyard pools and to children 4 years old and younger. Drowning prevention around the pool starts with adult supervision.”

Children are protected by layers of protection by using these safety techniques whenever children are around the pool:

· Always have adult supervision present when children are swimming or around pools.

· A fence with a locking gate should surround the pool.

· Install door alarms to alert adults when a child is entering the pool area.

· Require life jacket use for non-swimmers.

· Enroll children in swimming lessons.

· Parents and caregivers should undergo CPR training.

In nearly nine out of 10 child drowning –related deaths, the parent or caregiver said the child had been with them in the house or pool within five minutes of the accident. Walraven says she knows it is difficult to supervise children 100 percent of the time. She said the levels of protection provide barriers in case the child should slip out of supervision.

Safe Kids Tarrant County, led by Cook Children’s, also offers Water Watcher tags to anyone or group who will use or distribute them. These are especially helpful at parties around the pool or lake to help designate adults that are watching the water. After 15 minutes, the tag is given to another responsible adult – letting everyone enjoy the party while ensuring that the kids are being properly watched. To receive a Water Watcher Tag, call 682-885-4244.

In large pools, it’s ideal to split up in groups and take sections of the pool.

“If you are somewhere where children are in the pool, insist that an adult be on watch,” Walraven said. “It should be done by a sober adult and that should be his or her only focus during their time watching the kids.”

Aside from supervision, four-sided isolation fencing with self-closing/self-latching gates is the best protection for your child and pets. It could prevent 50-90 percent of childhood drowning and near-drowning incidents. This type of fencing goes beyond the yard, to fencing in the pool itself, preventing direct access from the house.

Door and gate alarms give another signal that a child may have access to the pool area without supervision. The tendency is to disconnect it – especially at parties where people are going in and out. But these are also the times when small children are the most vulnerable for injury because of the confusion.

Learning CPR can save a child’s life by restoring breathing and circulation until advance life support can be given by health care providers.

Swim programs for children should teach good water safety behaviors in and around the pool but should not be seen as the sole way to decrease the risk of drowning.

Use a U.S. Coast Guard approved lifejacket with children who can’t swim. It should fit snugly when the child is buckled in and should not go beyond the top of the ears when lifted at the shoulders. Many air-filled, float-type toys are thought to be lifesavers but are not.

Check your pool and spa for cracked or broken drain covers on a regular basis. The suction around the drain can catch hair or clothing, pinning the child underwater. Anti-entrapment drain covers are available for as low as $40 and serve as another level of protection.

Since beach balls, noodles and other toys are attractive to curious young children – put them away when not at the pool.

For more information

Cook Children's has many resources on drowning prevention, beginning here. Click the links below with downloadable information in both Spanish and English, as well as videos. 

• Drowning prevention tips - English
• Drowning prevention tips - Spanish
• Water safety resources
• Drowning prevention education (English and Spanish)

Videos:

• Pool safety video step 1: Supervision
• Pool safety video step 2: Fencing
• Pool safety video step 3: Pool and spa covers
• Pool safety video step 4: Alarms
• Pool safety video step 5: Safety drain covers
• Pool safety video step 6: Swimming lessons
• Pool safety video step 7: Learning CPR
• Safe Kids Tarrant County Drowning Prevention Tips
• Safe Kids Tarrant County sugerencias de prevención de ahogamientos