[Drowning accidents in childhood].

Area of Science:

• Pediatric critical care medicine
• Emergency medicine
• Submersion injury research

Background:

• Submersion injuries in children can lead to multiorgan failure.
• Hypothermia and various physiological disturbances complicate the clinical picture.

Purpose of the Study:

• To review the pathophysiology of multiorgan failure in pediatric submersion injuries.
• To outline current and aggressive therapeutic strategies for near-drowned children.

Main Methods:

• Comprehensive review of existing literature on pediatric submersion injuries.
• Detailed discussion of physiological changes and therapeutic interventions.

Main Results:

• Identifies key pathophysiological changes including hypothermia, and pulmonary, cardiovascular, neurologic, and renal disturbances.
• Outlines treatment protocols from pre-hospital resuscitation to intensive hospital management.
• Highlights the importance of aggressive therapy for comatose children to enhance cerebral salvage.

Conclusions:

• Effective management of near-drowned children requires understanding complex pathophysiology.
• Aggressive therapeutic approaches and extensive monitoring are crucial for improving outcomes in severe cases.
• Prompt cardiopulmonary resuscitation and specialized hospital care are vital.