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[Asphyxia by immersion].

J Cordero, J Baeza, L Basauri

    Revista Chilena De Pediatria
    |November 1, 1990
    PubMed
    Summary
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    Near drowning in children is serious, with many requiring resuscitation. Early intervention and improved emergency care are crucial for better outcomes in pediatric near-drowning incidents.

    Area of Science:

    • Pediatric Emergency Medicine
    • Cardiology
    • Neurology

    Context:

    • Nineteen childhood near-drowning cases admitted to a private hospital between 1983 and 1987.
    • Patients ranged from infants to young children, with a mean age of 2 years and 3 months.
    • The study highlights the critical initial condition of patients upon arrival.

    Purpose:

    • To analyze the outcomes and complications of near-drowning incidents in children.
    • To evaluate the effectiveness of resuscitation efforts and medical management.
    • To identify key factors influencing survival and neurological damage.

    Summary:

    • Most patients presented with apnea (16/19), and only 11 received resuscitation, with 4 meeting standards.
    • Severity varied, with 10 patients in Stage C (Conn classification), 7 in Stage A, and 2 in Stage B.

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  • Complications included non-cardiogenic pulmonary edema (5 patients), hypotension (4 patients), and increased intracranial pressure (ICP) in two fatal cases.
  • Four patients died, all from Stage C, and one survivor experienced severe brain damage.
  • Elevated ICP was a later complication, occurring 24-48 hours post-admission.

    • Impact:

    • Highlights the need for prompt and standardized resuscitation in pediatric near-drowning.
    • Emphasizes the importance of advanced monitoring, including ICP, in severe cases.
    • Stresses the necessity of improved prevention strategies and emergency medical transport for children.