Hypercalcemia complicating an industrial near-drowning

R E Fromm1

  • 1Department of Emergency Services, Methodist Hospital, Houston, Texas 77030.

Summary

A 28-year-old man who nearly drowned on an offshore oil rig developed severe hypercalcemia. The condition was linked to exposure to calcium-rich drilling fluids. The patient was treated with saline diuresis and nasogastric suctioning, which improved his symptoms. This case highlights the importance of considering industrial fluid composition in trauma care. The study suggests that clinicians should be aware of the potential for industrial fluid toxicity in such incidents. The findings expand the differential diagnosis for unexplained electrolyte imbalances in trauma patients. The authors propose that this case informs future protocols for managing industrial near-drowning events.

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