In the case of a witnessed drowning, when should resuscitative measures be initiated?

Initiating resuscitative measures while removing the patient from the water is critical in the case of a witnessed drowning incident because prompt action can significantly increase the chances of survival. When a drowning occurs, time is of the essence, and starting CPR or other resuscitative measures as soon as possible can help to restore oxygen flow and circulation.

Beginning resuscitation efforts immediately during extraction allows the rescuer to assist the patient without wasting time after their removal. In many situations, every second counts, as brain damage can begin within minutes due to the lack of oxygen. Therefore, the focus should be on not only extricating the victim from the water safely but also starting resuscitation as quickly as possible to provide the best chance for recovery.