Cold Water Shock

12 Jul 2019

A qualified nurse, author and first aid trainer with over 30 years’ healthcare and teaching experience

On a hot day, plunging into a cool pool or the sea may well be a very appealing prospect. However, every year people die from a physiological reaction known as cold water shock.

The Royal National Lifeboat Institution campaigns to spread awareness of the dangers of cold water shock and explain how people should react should they find themselves in difficulty.

Cold water shock occurs when someone suddenly enters cold water – of their own volition, or by falling in and the body involuntarily reacts to the shock of the cold water, causing panic and resulting in them being unable to breathe.

However, the Royal National Lifeboat Institution are highlighting the dangers of cold water shock that can make you unable to breathe if you suddenly enter cold water, either deliberately or from falling in. Their clear advice has already saved numerous lives and it is a message they are keen for us all to share:

Because of the contrast in air and water temperature, many people who fall into the sea, canal or lake are at high risk of suffering cold water shock.

Cold water shock causes you to gasp uncontrollably and panic, which often leads to drowning.  The shock of entering the water triggers the automatic flight and fright response resulting in panic and confusion, putting additional strain on the heart, further lowering skin temperature by shutting down the peripheral circulation. Thrashing around trying to swim will encourage air to escape from clothing, thereby reducing buoyancy and making it harder to float.

The RNLI Respect the Water Campaign urges people to avoid gasping, thrashing or swimming hard and to remain as calm as possible, turn onto their back and float instead.

Floating offers an opportunity to catch your breath; allowing the effects of cold water shock to pass. This should take no more than about 90 seconds.  Do not worry if you are wearing clothes and shoes as these will remain buoyant and help you to float in the initial minute it takes you to regain control of your breathing.

Once you have control of your breath, you can swim to safety, call for help or continue to float until help arrives.

Understanding this approach and floating rather than panicking will greatly increase your chances of survival.

The key message is to roll on your back, try not to panic and float, doing as little as possible until you can control your breathing.

The RNLI are urging people to practise floating and share this important message as it has been proven to save lives.

      Five steps to float:

  1. Fight your instinct to thrash around
  2. Lean back, extend your arms and legs
  3. If you need to, gently move them around to help you float
  4. Float until you can control your breathing
  5. Only then, call for help or swim to safety

RNLI respect the water campaign

The RNLI also advises if you see someone in difficulties in the water to fight the urge to go in and try and rescue them. Instead call 999 and ask for the Coastguard. Or call 112.

It is worth remembering too, that the sudden and extreme contrast between warm air and cold water, can lead to cardiac arrest. Consequently, it is strongly advised not to jump or dive straight into cold water on a hot day.


Emma Hammett

Emma Hammett is a qualified nurse, author and first aid trainer with over 30 years’ healthcare and teaching experience. Emma is the Founder of three multi-award-winning businesses; First Aid for Life,, First Aid for Pets and her social cause She has published multiple books and is an acknowledged first aid expert and authority on accident prevention, health and first aid. Emma writes for numerous online and print publications and regularly features in the press, on the radio and on TV. She is the first aid expert for the British Dental Journal, British Journal of School Nursing, the Mail online and Talk Radio with Eamonn Holmes. She is a member of the Guild of Health Writers and Guild of Nurses.

One Response to Cold Water Shock

  1. talkhealth

    Another helpful read from Emma

    on July 12, 2019 at 4:37 pm talkhealth

Add a comment

Your email address will not be published. Required fields are marked *