Acute respiratory failure after drowning: a retrospective multicenter survey

Michelet, Pierre; Bouzana, Fouad; Charmensat, O.; Tiger, F.; Durand-Gasselin, Jacques; Hraiech, Sami; Jaber, Samir; Dellamonica, Jean; Ichai, Carole

doi:10.1097/mej.0000000000000362

Cited by 26 publications

(50 citation statements)

References 16 publications

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“…The use of the Szpilman classification and ultrasound seems to be a way of improving the management of drowned persons by the BMPM SMURs, as demonstrated in the study by Michelet et al [11]. The significant rate of CPR and intubation that can be performed under sometimes difficult conditions supports the interest of exercises in exceptional situations and the probable interest of using a message board in a difficult and isolated environment.…”

Section: Discussionmentioning

confidence: 87%

Epidemiology of physician interventions in maritime environment by the Marseille Fire Brigade (BMPM) from 2005 to 2017

Boudsocq

Bellec²,

Gueho³

et al. 2019

International Maritime Health

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Background: Marseille is the second largest city in France. The Marseille Fire Brigade (BMPM) is the largest unity of the French Navy. This organization is in charge of rescue operations and medical intervention in the Marseille area. The aim of the study was to describe the epidemiology of interventions that required a physician to be present that were performed by the BMPM between the years of 2005 to 2017. Materials and methods: The statistical office database of the BMPM and the medical interventions forms (FIM) acquired from the BMPM medical ambulances (SMUR) archives were analysed from the years 2005 to 2017. Results: The BMPM performed a total of 2,375 interventions in the maritime environment between 2005 and 2017. A physician was necessary for intervention a total of 186 times. The extraction and analysis reports of 107 medical intervention forms found the BMPM archives revealed a significant number of interventions (67%) in the southern bay of Marseille and Frioul, specifically from the If and Planier islands. The majority of interventions (77%) took place within the 300m band. The most common cause of medical intervention was due to an accidental fall into the water, followed by boating (sailing and motor), and swimming. Drowning was the most common cause of mortality, consisting of 34% of all interventions. Diving accidents represented 14% of interventions. Trauma affected 22% of the study population and 83% of trauma patients were transported to the hospital under the supervision of a physician. Conclusions: Potential areas for improvement in the management of drowning victims are the use of Szpilman's classification, sonography, and non-invasive ventilation. A recertification course for medical education training of BMPM doctors on the management of diving accidents could help to optimize the information recorded on FIM. Accident prevention training should be continued and reinforced when it comes to maritime activities.

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Section: Discussionmentioning

confidence: 87%

Epidemiology of physician interventions in maritime environment by the Marseille Fire Brigade (BMPM) from 2005 to 2017

Boudsocq

Bellec²,

Gueho³

et al. 2019

International Maritime Health

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“…The summary table of included studies is detailed in Additional file 3. They included data on patients from 20 countries with the USA [15][16][17][18][19][20][21][22][23][24][25][26][27] and France [28][29][30][31] most frequently represented. Patient data were reported on 1973 patients.…”

Section: Resultsmentioning

confidence: 99%

“…Data presented included 1093 (55.4%) males and 545 (27.6%) females and were similarly incomplete with regards to age groups in seven papers [10,16,31,32,34,36,37], with a minimum of 675 (34.5%) children included. Studies were predominately (30/41, 73.2%) from intensive (critical) care units [10,16,[20][21][22][23][24][25][26][27][28][29][30][31][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51], 6/41 (14.6%) from inpatient units [9,15,17,18,41,52] and five (12.2%) studies were based in the Emergency Department [19,32,33,…”

Section: Resultsmentioning

confidence: 99%

“…Studies were predominately (30/41, 73.2%) from intensive (critical) care units [10,16,[20][21][22][23][24][25][26][27][28][29][30][31][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51], 6/41 (14.6%) from inpatient units [9,15,17,18,41,52] and five (12.2%) studies were based in the Emergency Department [19,32,33,53,54]. Three studies utilised the Utstein Style for drowning [28,29,44].…”

Section: Resultsmentioning

confidence: 99%

“…Mechanical ventilation (MV) is often used when supplemental oxygen alone is insufficient [15,17,19,29,39,41,54]. Other indications include decreased conscious state [28,52] or cardiac arrest [15,32,39,41,54]. Complications of MV include the development of pneumonia [36] and barotrauma [15,17,19].…”

Section: Mechanical Ventilationmentioning

confidence: 99%

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Treatment of the lung injury of drowning: a systematic review

et al. 2021

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Background Drowning is a cause of significant global mortality. The mechanism of injury involves inhalation of water, lung injury and hypoxia. This systematic review addressed the following question: In drowning patients with lung injury, what is the evidence from primary studies regarding treatment strategies and subsequent patient outcomes? Methods The search strategy utilised PRISMA guidelines. Databases searched were MEDLINE, EMBASE, CINAHL, Web of Science and SCOPUS. There were no restrictions on publication date or age of participants. Quality of evidence was evaluated using GRADE methodology. Results Forty-one papers were included. The quality of evidence was very low. Seventeen papers addressed the lung injury of drowning in their research question and 24 had less specific research questions, however included relevant outcome data. There were 21 studies regarding extra-corporeal life support, 14 papers covering the theme of ventilation strategies, 14 addressed antibiotic use, seven papers addressed steroid use and five studies investigating diuretic use. There were no clinical trials. One retrospective comparison of therapeutic strategies was found. There was insufficient evidence to make recommendations as to best practice when supplemental oxygen alone is insufficient. Mechanical ventilation is associated with barotrauma in drowning patients, but the evidence predates the practice of lung protective ventilation. There was insufficient evidence to make recommendations regarding adjuvant therapies. Conclusions Treating the lung injury of drowning has a limited evidentiary basis. There is an urgent need for comparative studies of therapeutic strategies in drowning.

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Immersion and Submersion

Savage

2022

Textbook of Acute Trauma Care

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Acute respiratory failure after drowning: a retrospective multicenter survey

Abstract: Despite the absence of recommendation for NIV use in case of drowning-related ARF, this technique was often used with safety and efficacy. The decision for NIV use was mainly based on the preserved or improved neurological status.

Cited by 26 publications

References 16 publications

Epidemiology of physician interventions in maritime environment by the Marseille Fire Brigade (BMPM) from 2005 to 2017

Epidemiology of physician interventions in maritime environment by the Marseille Fire Brigade (BMPM) from 2005 to 2017

Treatment of the lung injury of drowning: a systematic review

Immersion and Submersion

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