What is full in-water CPR primarily noted as?

Full in-water CPR is primarily noted as not possible due to the inherent risks and challenges associated with performing resuscitative efforts in a submerged environment. When a person is submerged, particularly in the water, it complicates the technique of CPR because it is difficult to maintain an effective airway, provide proper chest compressions, and perform rescue breathing safely.

The physiological requirements for CPR, such as space to maneuver, the ability to easily access the chest for compressions, and the need to ensure that rescue breaths are effectively delivered, make it impractical to implement full CPR underwater. Instead, standard procedures for drowning incidents typically emphasize getting the victim to dry land or onto a stable platform as soon as possible in order to perform the necessary life-saving protocols effectively.

In essence, while some adjustments can be made for basic rescue techniques in water, full in-water CPR is not feasible and should not be relied upon as an effective method of resuscitation.