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The 2010 and 2015 American Heart Association Guidelines for cardiopulmonary resuscitation (CPR) recommend following a C-A-B pattern: sequentially performing chest compressions for circulation, airway, and breathing; however, drowning is an important exception. When rescuing a drowning adult, especially an apneic individual, rescue breathing is started immediately, prior to other interventions. Ventilation can be provided in the water, if possible. Two rescue breaths should be delivered to produce chest rise. If the victim does not respond, the rescuer should begin high-quality chest compressions and continue CPR according to BLS protocols, with 2 minutes of CPR and a 30:2 compression-to-ventilation ratio. The Heimlich maneuver, abdominal thrusts, or other postural drainage techniques to remove water from the lungs are of no proven value, and rescue breathing should not be delayed in order to perform these maneuvers.