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[Drowning--near drowning]

P Vaagenes1

  • 1Anestesiavdelingen, Sentralsykehuset i Akershus, Nordbyhagen.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|September 10, 1993
PubMed
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Drowning is a significant cause of accidental death in Norway, particularly affecting young to middle-aged men, often linked to alcohol consumption. This paper details drowning

Area of Science:

  • Emergency Medicine
  • Pathophysiology
  • Public Health

Context:

  • Drowning is a leading cause of accidental death in Norway, with specific demographic and risk factor profiles.
  • Accidents at sea, involving vessels or offshore activities, are key scenarios in disaster medicine.
  • Alcohol consumption is a significant contributing factor in drowning incidents.

Purpose:

  • To describe the multifaceted aspects of drowning and its associated pathophysiological processes.
  • To elucidate the differences in drowning and near-drowning events in fresh versus saltwater environments.
  • To discuss the critical role of cardiopulmonary resuscitation and hypothermia management in drowning victims.

Summary:

  • Drowning in Norway affects approximately nine per 100,000 annually, predominantly men aged 25-40, with alcohol as a common factor.

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  • Pathological events include asphyxia, hypoxemia, hypercarbia, pulmonary edema, and circulatory arrest.
  • Treatment focuses on cardiopulmonary resuscitation, with considerations for fresh vs. saltwater near-drowning and the beneficial role of hypothermia.

    • Impact:

    • Informs public health strategies aimed at reducing drowning fatalities, especially among high-risk groups.
    • Provides critical insights for emergency medical services and disaster medicine protocols for drowning incidents.
    • Highlights the importance of prompt and appropriate resuscitation and temperature management in improving outcomes for drowning survivors.