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Related Experiment Videos

Survival after 40 minutes; submersion without cerebral sequeae.

H Siebke, T Rod, H Breivik

    Lancet (London, England)
    |June 7, 1975
    PubMed
    Summary

    Successful resuscitation and rewarming of a 5-year-old boy after 40 minutes of cold water immersion. Prompt treatment of metabolic acidosis and pulmonary edema led to a full recovery, demonstrating the efficacy of advanced life support in drowning incidents.

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    Area of Science:

    • Pediatric Emergency Medicine
    • Cardiology
    • Pulmonology

    Background:

    • Hypothermia and prolonged submersion in cold water present significant resuscitation challenges.
    • Early recognition and management of complications like metabolic acidosis and pulmonary edema are critical for survival.

    Observation:

    • A 5-year-old boy experienced a 40-minute cold freshwater submersion.
    • Severe metabolic acidosis was present upon initial resuscitation.
    • Fulminant pulmonary edema developed post-resuscitation.

    Findings:

    • Cardiopulmonary resuscitation and rewarming were successful.
    • Intravenous sodium bicarbonate corrected severe metabolic acidosis.
    • Positive-end-expiratory-pressure ventilation effectively reversed pulmonary edema.

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  • The patient regained consciousness, spoke intelligently, and showed progressive neurological and motor recovery.

    • Implications:

    • This case highlights the potential for survival and good neurological outcome even after prolonged cold water immersion.
    • Aggressive management of acidosis and pulmonary edema is crucial for successful resuscitation.
    • Effective rewarming and advanced life support strategies can improve outcomes in pediatric drowning victims.