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Pseudofracture: An Acute Peripheral Tissue Trauma Model
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Published on: April 18, 2011

Drowning after falling from a medium-height bridge: multiple trauma victims.

Nicholas Heming1, Emilie Serve, Nicolas Weiss

  • 1Service de Réanimation Médicale, Hôpital Européen Georges Pompidou, 20-40, rue Leblanc, 75908 Paris cedex 15, France.

Prehospital Emergency Care
|April 13, 2012
PubMed
Summary
This summary is machine-generated.

Patients who nearly drown after jumping from bridges often sustain severe trauma. Prompt spinal immobilization and imaging are crucial for survivors of near-drowning incidents from medium-height bridges.

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Area of Science:

  • Medical research
  • Trauma care
  • Emergency medicine

Background:

  • Drowning after falls from bridges can cause cardiac arrest due to hypoxia, hypothermia, or trauma.
  • Patients are frequently admitted for near-drowning in local rivers after jumping from bridges (16-22 meters).

Purpose of the Study:

  • To report on traumatic injuries in patients admitted for out-of-hospital cardiac arrest following near-drowning from bridge jumps.

Main Methods:

  • Retrospective review of intensive care unit admissions for out-of-hospital cardiac arrest due to drowning after bridge jumps.
  • Data collected between 2002 and 2010 for patients jumping from the Seine River.
  • Recording of all clinical or radiological evidence of trauma.

Main Results:

  • 37 patients admitted for out-of-hospital cardiac arrest due to drowning.
  • 14 patients underwent radiological examinations, revealing severe trauma in 5 cases.
  • One patient showed severe peripheral neurologic trauma; 7 patients (19%) survived.

Conclusions:

  • Near-drowning victims from medium-height bridges require immediate spinal immobilization.
  • Complete radiological examination is recommended for early detection of severe trauma.