My modules›M9 Medical care›2. Hypothermia, cold-water immersion, drowning and heat illness
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Hypothermia, cold-water immersion, drowning and heat illness

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Medical care≈ 3 min read

Float to Live and staying alive in the water

1The lesson in plain words

In one sentence

If you fall in, fight your instinct to swim hard. Lean back, float, and let the cold shock pass. Then make a plan.

Float to Live

The RNLI’s Float to Live advice, based on Professor Mike Tipton’s research, works for most people. Lean back with your ears in the water and your face up. Spread your arms and legs, and use small hand movements to stay afloat if you need to. Try to relax and get your breathing under control. It takes about 60 to 90 seconds.

Why not swim?

Thrashing and swimming hard during cold shock makes you breathe water in, strains the heart and squeezes air out of your clothes, so you float lower. Your clothing traps air and helps you float, so keep it on. Most people can float, using small hand movements if needed. Once your breathing is calm, you can think, shout and look around.

Then make a plan

Once you have control, call for help, wave an arm or blow your whistle, and look for something to hold. Swim only if safety is very close: a ladder, a lifebuoy or a boat a few strokes away. Otherwise conserve heat and energy, stay with flotation and avoid unnecessary swimming. You will drift with wind and current.

With a lifejacket

A fitted, fastened lifejacket helps keep your mouth clear, but waves can cover your face. Fasten the crotch strap to stop the jacket riding up. Pull the spray hood, a cover against spray, over your face in waves. With the jacket supporting you, bring your knees up and cross your arms in the HELP position (heat escape lessening posture), only while your airway stays clear. To huddle, face each other, link arms and keep your chests close, with mouths clear of the water.

Stay with the boat

If a dinghy or yacht capsizes, stay with it. It is bigger and easier to see than a head in the water, and you may be able to climb partly out. Leaving it to swim for shore is one of the most common fatal mistakes.

2Key data

Float to Live
Lean back, ears in, arms and legs out, calm breathing
Time to calm breathing
About 60–90 seconds
Clothing
Keep it on: trapped air helps you float
HELP position
Knees up, arms crossed, lifejacket on; only with airway clear

3Key points

  1. 1

    Fight the urge to swim hard: lean back and float until the cold shock passes.

  2. 2

    Keep your clothes on; trapped air helps you float.

  3. 3

    Swim only if safety is a few strokes away.

  4. 4

    In a lifejacket: crotch strap fastened, spray hood down; HELP or huddle only while your airway stays clear.

  5. 5

    Stay with a capsized boat.

4Frequent mistakes

  • Wrong: Take off heavy clothes and boots so you can swim.

    Right: Keep them on. They hold air, help you float and slow cooling.

  • Wrong: Swim straight for the boat as soon as you surface.

    Right: Grab a secure handhold or flotation if it is within reach. Otherwise float while you control your breathing, usually for 60–90 seconds, then decide.

5Practice case & exam keys

Situation

Your small inflatable motorboat overturns in a sudden strong gust, 400 m from a beach. The water is 14 °C. You and a friend wear lifejackets with spray hoods; the upturned hull is floating beside you.

Show the answer

Grab the hull if you can reach it safely. Lean back in your lifejackets and control your breathing. Stay with the upturned hull: it is easier to see, and you may be able to climb partly onto it. Do not swim for the beach. Raise the alarm with a waterproof handheld radio or personal locator beacon if you have one. Use the spray hoods in waves and huddle together while keeping your airways clear.

Exam keys

  • Float to Live: lean back, ears in, relax, control breathing (usually 60–90 seconds); grab a secure handhold within reach.
  • Keep clothing on.
  • Lifejacket: crotch strap and spray hood; HELP or huddle only while your airway stays clear.
  • Stay with a capsized boat; swim only if safety is very close.

Finish this unit

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