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Drowning and near-drowning

D L Levin1, F C Morriss, L O Toro

  • 1University of Texas Southwestern Medical Center, Dallas.

Pediatric Clinics of North America
|April 1, 1993
PubMed
Summary
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This study details drowning and near-drowning, focusing on patient monitoring and treatment. It covers initial field care, emergency department interventions, and pediatric intensive care unit management for drowning victims.

Area of Science:

  • Emergency Medicine
  • Pediatric Critical Care
  • Public Health

Background:

  • Drowning is a significant cause of injury and death, particularly in pediatric populations.
  • Understanding the epidemiology and pathophysiology is crucial for effective management.
  • Current treatment protocols require clear delineation from field to intensive care.

Purpose of the Study:

  • To present the incidence, epidemiology, and pathophysiology of drowning.
  • To highlight key neurologic and pulmonary indicators for monitoring and laboratory testing.
  • To outline patient transportation and treatment strategies across different care settings.

Main Methods:

  • Literature review on drowning incidence and epidemiology.
  • Analysis of pathophysiologic mechanisms, focusing on neurologic and pulmonary systems.

Related Experiment Videos

  • Review of current clinical guidelines for field, emergency department, and pediatric intensive care unit management.

    • Main Results:

    • Drowning pathophysiology involves complex cardiopulmonary and neurologic sequelae.
    • Specific laboratory tests and monitoring indicators are vital for assessing severity.
    • Effective management requires a stepwise approach from pre-hospital to intensive care.

    Conclusions:

    • Comprehensive understanding of drowning pathophysiology guides clinical decision-making.
    • Standardized monitoring and timely interventions improve outcomes for drowning victims.
    • Integrated care pathways enhance patient survival and recovery from drowning incidents.