If the victim is still in the water, try to draw him ashore with a rope or stick. Use a boat, if one is handy. Once on shore, follow these directions.

1. Roll the victim on his stomach. Remove water and debris from his mouth as quickly as possible.
2. Pull the tongue forward, grasping it between the thumb and forefinger. Use a dry cloth to hold the tongue, if necessary.
3. Mouth-to-mouth breathing. If the victim is not breathing, lay him on his back, bringing the chin forward and up. Hold the nose firmly and breathe gently into his mouth about 15 or 20 times a minute. These will inflate the lungs and help restore the circulation. If preferred, use some type of tube, firmly holding the victim’s lips around the tube while inflating the lungs.
4. Heart massage. If the heart has stopped beating, continue mouth-to-mouth breathing while someone else gives cardiac massage, by pressing firmly with the heel of the hand over the middle of the breastbone about 60 times a minute. Be sure to lift the hand off after each pressure.
5. Call an ambulance and transfer to the nearest hospital, placing the victim under good medical management.
6. Keep him warm.