Fresh water drowning and near-drowning-an update

Conn, A. W.; Barker, Geoffrey

doi:10.1007/bf03007034

Cited by 45 publications

(15 citation statements)

References 10 publications

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“…Information has come mainlv from researchers in the more water oriented societies of Australia, the United States, and Canada. [1][2][3][4][5][6] There is controversy about the incidence of severe neurological deficit after near drowning. Peterson in California identified a 20% incidence of severe neurological deficit after submersion in children admitted to hospital unconscious.'…”

Section: Introductionmentioning

confidence: 99%

Outcome in children who nearly drown: a British Isles study.

Kemp

Sibert

1991

BMJ

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Objective-To determine the outcome in nearly drowned children in the British Isles and identify factors that might predict a poor prognosis. Design Results-All of the children who were conscious on admission fully recovered. Of the 64 children unconscious on admission, 31 had normally reactive pupils and all but three (all of whom had severe preexisting neurological disease) recovered fully. Of the 33 children with fixed dilated pupils on admission, 10 fully recovered, 13 died, and 10 had severe neurological deficit. Spontaneous respiratory effect on admission was associated with normal survival. Pupils that remained dilated six hours after admission and fits continuing 24 hours after admission predicted a poor outcome.

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Section: Introductionmentioning

confidence: 99%

Outcome in children who nearly drown: a British Isles study.

Kemp

Sibert

1991

BMJ

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“…4 Drowning in freshwater, on the other hand, was believed to create the opposite effect. 24 Freshwater drowning would lead to hypervolemia and dilutional hyponatremia, with dilution of other serum electrolytes as well. Later experimental studies by Modell 25 suggested that volumes far greater than what is normally aspirated in a drowning victim are required to create the necessary proposed blood volume changes.…”

Section: Pathophysiologymentioning

confidence: 99%

Submersion Injuries in Children and Adults

Falk¹,

Escowitz²

2002

Semin Respir Crit Care Med

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Drowning is defined as death by suffocation after submersion in a liquid medium. Near drowning is a term used when a patient recovers, at least temporarily, from the drowning episode. Most authors include loss of consciousness while submerged to complete the criteria of near drowning. In its Guidelines 2000 Conference, the American Heart Association urged that the term near drowning no longer be used and that it be replaced by the term submersion injury.

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“…Die Prognose Beinahe-Ertrunkener, die bei Klinikaufnahme somnolent oder wach sind, ist bei adäquater Therapie der pulmonalen Komplikationen als sehr gut angesehen [4,42]. Bei Kindern wird die Prognose allgemein als günstiger angesehen, allerdings variieren die Angaben über die Überlebensrate und das neurologische Outcome erheblich [4,5,27,33].…”

Section: Prognoseunclassified

Beinahe-Ertrinken

Muggenthaler¹,

Lackner

Strohmayr

et al. 1998

Notfall & Rettungsmedizin

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Unter Ertrinken versteht man den Tod durch Ersticken infolge Untertauchens in einerFlüssigkeit. Als Beinahe-Ertrinken (Abb. 1 und 2)bezeichnet man Fälle, in denen die Asphyxie -zumindest vorübergehend -überlebt und damit einer Behandlung zugänglich wird. Tod durch Ertrinken ist bei weitem kein so seltenes Ereignis wie man vielleicht annehmen möchte. Das Statistische Bundesamt zählte 775 Ertrinkungstote im Jahre 1994, 1995 starben 680 Personen durch Ertrinken [39]. 1994 konnte die DLRG 671 Personen, 1995 sogar 714 Menschen vor dem Ertrinken retten [8]. Der Anteil der Kinder unter 10 Jahren ist 1994 mit 21% und 1995 mit knapp 17 % sehr hoch. Fast 75% aller Ertrunkenen waren männlichen Geschlechts, in der Altersgruppe von 20 -35 Jahren betrug der Anteil sogar fast 90 % [39]. Möglicherweise ist diese Tatsache auf eine erhöhte Risikobereitschaft dieser Altersgruppe zurückzuführen [14]. Auch wird der Einfluß von Alkohol zum Unfallzeitpunkt als Kofaktor diskutiert [37].

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Fresh water drowning and near-drowning-an update

Cited by 45 publications

References 10 publications

Outcome in children who nearly drown: a British Isles study.

Outcome in children who nearly drown: a British Isles study.

Submersion Injuries in Children and Adults

Beinahe-Ertrinken

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