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Near drowning in cold water.

S R Mehta1, K V Srinivasan, M S Bindra

  • 192 Base Hospital, India.

The Journal of the Association of Physicians of India
|August 9, 2001
PubMed
Summary

Cold water near drowning (ND) can cause immediate death or varied clinical presentations. Energetic management, including continuous positive airway pressure, proved effective, though one case experienced lasting cognitive deficits.

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Area of Science:

  • Emergency Medicine
  • Toxicology

Background:

  • Near drowning (ND) is a significant cause of accidental death globally.
  • Cold water immersion can lead to rapid hypothermia and death before drowning occurs.

Purpose of the Study:

  • To analyze clinical features and outcomes of cold water near drowning.
  • To discuss management strategies and recent advancements in treating near drowning.

Main Methods:

  • Case series reporting on five near drowning incidents in cold water.
  • Clinical presentation, management, and neurological assessment were documented.

Main Results:

  • Patients presented with diverse neurological symptoms, including coma and fixed dilated pupils.
  • Continuous positive airway pressure (CPAP) was a successful intervention for most patients.
  • One patient developed transient organic psychosis and persistent cognitive deficits.

Conclusions:

  • Cold water near drowning requires prompt and aggressive management.
  • While CPAP is effective, long-term cognitive sequelae are possible.
  • Further research into the clinical spectrum and management of near drowning is warranted.

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