I think Exploriment has the right idea highlighting this post on recognizing a drowning person:
The Instinctive Drowning Response – so named by Francesco A. Pia, Ph.D., is what people do to avoid actual or perceived suffocation in the water. And it does not look like most people expect. There is very little splashing, no waving, and no yelling or calls for help of any kind. To get an idea of just how quiet and undramatic from the surface drowning can be, consider this: It is the number two cause of accidental death in children, age 15 and under...
Seriously, go read the article.
While we're on the topic of recognizing dangerous situations, it's worth remembering how to recognize a stroke.
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