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Drowning for love: the aquatic victim-instead-of-rescuer syndrome: drowning fatalities involving those attempting to rescue a child

机译：为爱而溺水：水生受害者代替救助者综合症：涉及试图营救孩子的人的溺水死亡

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Introduction: Non-intentional child drowning remains a leading cause of child mortality. A related and secondary syndrome is composed of those who drown in impulsive, altruistic attempts to go to the aid of a drowning child. Such 'rescuers' who attempt to save a drowning child may themselves drown, a tragic event we term the AVIR syndrome or aquatic victim-instead-of-rescuer.\ud\udMethods: This study is composed of a five-year (1 July 2002 to 30 June 2007) total population Australian survey, using the National Coroners Information System to identify cases and an analysis of every immersion rescuer–victim dyad where the primary 'victim' was a child and where the 'rescuer' drowned.\ud\udResults: In Australia (2002–2007), 17 rescuers drowned in 15 incidents in which the primary victim was a drowning child. In 93% of the incidents, the primary 'child–victim' survived, 82% of the victims were unfamiliar with the aquatic location (i.e. were a visitor) and 76% of the victims were a male parent, partner of first-degree relative. Alcohol was not generally involved.\ud\udConclusion: We define the AVIR syndrome as one that typically involves the following: a male, parent, partner or relative; an unfamiliar water hazard; a 'rescuer' who is a tourist; alcohol is not usually involved; and the primary victim usually survives. We posit that an increased awareness of such risks, the promotion of rudimentary rescue skills (e.g. being able to throw a lifeline) and increased advocacy for parents to learn the simple and basic life-saving skills of non-contact rescue will help reduce these drowning tragedies.
机译：简介：无意溺水仍然是导致儿童死亡的主要原因。相关的和继发性综合症由那些在冲动，无私的尝试下溺水帮助溺水儿童的人组成。此类试图救助溺水儿童的“救助者”可能会自己溺水，这是我们称之为AVIR综合征或水生受害者代替救助者的悲剧事件。\ ud \ udMethods：这项研究包括五年（7月1日） （2002年至2007年6月30日）澳大利亚总人口调查，使用国家验尸官信息系统确定病例，并对每个浸入式营救者—受害人二代进行分析，其中主要的“受害人”是孩子，而“救助者”淹死了。结果：在澳大利亚（2002年至2007年），有15名事件中的17名救援人员被淹死，其中主要受害者是溺水的孩子。在93％的事件中，主要的“儿童受害者”幸免于难，82％的受害者不熟悉水生地点（即来访者），76％的受害者是男性父母，即一级亲戚。结论：我们将AVIR综合征定义为通常涉及以下疾病：男性，父母，伴侣或亲戚；不熟悉的水灾；旅游者的“救助者”；通常不涉及酒精；主要受害者通常都能幸存。我们认为，提高对此类风险的认识，提高基本的救援技能（例如能够抛下救生绳）以及增加父母对非接触式救援的简单而基本的救生技能的宣传将有助于减少此类溺水事件。悲剧。

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