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[Near drowning: epidemiology--pathophysiology--therapy].

W Hasibeder1, B Friesenecker, A Mayr

  • 1Klinische Abteilung für Allgemeine und Chirurgische Intensivmedizin, Universitätsklinik für Anästhesie und Intensivmedizin, Universität Innsbruck, Austria. Walter.Hasibeder@uibk.ac.at

Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
|April 25, 2003
PubMed
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Near-drowning causes lung injury and low oxygen, leading to organ damage. Immediate resuscitation and treatment are vital for survival, as early prognosis is uncertain.

Area of Science:

  • Emergency Medicine
  • Pulmonology
  • Neurology

Context:

  • Near-drowning is a common, preventable cause of injury and death.
  • Pulmonary failure from fluid aspiration leads to hypoxemia and secondary organ damage.
  • Optimal survival depends on prompt emergency interventions.

Purpose:

  • To review the epidemiology, pathophysiology, and management of near-drowning incidents.
  • To provide guidance on emergency decision-making and treatment strategies.
  • To highlight the importance of immediate hypoxia interruption.

Summary:

  • Near-drowning results in primary pulmonary failure and severe hypoxemia, impacting multiple organs.
  • Neurologic prognosis is difficult to ascertain early after the event.

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  • Aggressive respiratory and cardiovascular support are critical for patient outcomes.

    • Impact:

    • This review offers comprehensive information for healthcare professionals managing near-drowning victims.
    • Understanding pathophysiology aids in targeted emergency interventions.
    • Emphasizes the critical role of prompt resuscitation in improving survival rates and reducing morbidity.