Drowning is the No. 2 cause of accidental death for children ages 14 and younger. Every year, approximately 760 children ages 14 and younger die from accidental drowning, and an estimated 3,000 go to the Emergency department after near-drowning incidents. Even a near-drowning incident can have lifelong consequences. Children who survive near-drowning may have brain damage; after four to six minutes under water, the damage is usually irreversible. The most important precaution is active supervision.