As summer approaches, more Americans will be heading to the waterways for fun and to get some relief from the heat. More than 76 million people will enjoy boating this year, and the American College of Emergency Physicians (ACEP) wants to make sure that boaters are aware of the dangers associated with drinking alcohol.

"An estimated one-half of all accidents and fatalities that occur on the water are a result of alcohol," said Michael Mello, MD, of ACEP. "Drinking while on the water also heightens the risk of dehydration, and especially when combined with the stresses of sun exposure, boat vibrations, engine noise, and constant motion. Alcohol impairs a boater's balance, vision, reaction time, and decision-making skills."

Dehydration occurs more easily when drinking because perspiration eliminates the body's fluids, while the alcohol remains in the system. Intoxicated passengers are also at risk of falling overboard, which can result in hypothermia or drowning.

Keep yourself and your passengers safe on the water this summer by remembering the following guidelines:

• Don't drink alcohol and operate a boat.
• Take along plenty of non-alcoholic beverages and food.
• Wear life jackets; everyone should wear one, and children 12 and under especially should wear them at all times.
• Keep an eye on the weather; check the forecast before you go, and check weather reports regularly.
• Always carry the necessary safety gear, and know how to use it.
• If you don't know how to swim, learn.
• Take a boating safety course offered through local marinas, the U.S. Coast Guard Auxiliary, the U.S. Power Squadrons, and the American Red Cross.

"Boat operators and passengers alike simply need to be aware of the hazards created by alcohol while on the water. By staying sober, everyone on board will be safer," said Dr. Mello.