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Submersion injuries in children and adults
L K DeNicola1, J L Falk, M E Swanson
1Department of Pediatrics, University of Florida, Health Science Center, Jacksonville, USA.
Critical Care Clinics
|July 1, 1997
Summary
Drowning is a leading cause of death in young children, especially in home swimming pools. Prompt cardiopulmonary resuscitation (CPR) and avoiding neurological impairment are key to successful outcomes for drowning victims.
Area of Science:
- Pediatrics
- Emergency Medicine
- Public Health
Background:
- Drowning is a significant cause of mortality and long-term disability in children.
- Toddlers (ages 1-4) are particularly vulnerable to drowning incidents in residential swimming pools.
Purpose of the Study:
- To highlight the critical factors influencing outcomes in pediatric drowning and near-drowning events.
- To emphasize the importance of immediate and expert resuscitation efforts.
Main Methods:
- Review of pediatric drowning cases focusing on submersion duration.
- Analysis of resuscitation requirements and neurological status post-incident.
- Evaluation of management strategies for respiratory failure.
Main Results:
- Submersion times exceeding 10 minutes are associated with poor prognosis.
- Lack of on-scene cardiopulmonary resuscitation (CPR) or prolonged resuscitation (over 20 minutes) indicates a worse outcome.
- Successful management is most likely in cases of respiratory failure without accompanying neurological impairment.
Conclusions:
- Constant parental supervision is essential for preventing drowning incidents in young children.
- Immediate and expert CPR is crucial for improving survival rates and reducing disability after drowning.
- Prioritizing respiratory support while preventing neurological damage offers the best chance for recovery.