Prognosis and Management of Victims of Near-drowning

Oakes, David D.; Sherck, John P.; Maloney, John; Charters, Alan

doi:10.1097/00005373-198207000-00004

Cited by 77 publications

(32 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The Glasgow Coma Scale is also fairly accurate in predicting outcome, and worldwide most workers agree with Orlowski's findings (48,49,50,51). Conn(52) described a simple neurological classification for the victims of immersion injury using three main categories:…”

Section: Prognosissupporting

confidence: 59%

The Management of Near Drowning

Boffard

Bybee²,

Sawyer³

et al. 2001

J R Army Med Corps

View full text Add to dashboard Cite

Section: Prognosissupporting

confidence: 59%

The Management of Near Drowning

Boffard

Bybee²,

Sawyer³

et al. 2001

J R Army Med Corps

View full text Add to dashboard Cite

“…2 LOE 3 studies showing neutral effects [85, 296], 1 LOE 4 report indicating benefit [297], 1 LOE 4 report indicating a neutral effect [298], and 7 LOE 4 studies for which the effect was not specified [184, 266, 299-303]. These studies were all in drowning.…”

Section: Therapeutic Hypothermiamentioning

confidence: 99%

Brain Resuscitation in the Drowning Victim

et al. 2012

View full text Add to dashboard Cite

Drowning is a leading cause of accidental death. Survivors may sustain severe neurologic morbidity. There is negligible research specific to brain injury in drowning making current clinical management non-specific to this disorder. This review represents an evidence-based consensus effort to provide recommendations for management and investigation of the drowning victim. Epidemiology, brain-oriented prehospital and intensive care, therapeutic hypothermia, neuroimaging/monitoring, biomarkers, and neuroresuscitative pharmacology are addressed. When cardiac arrest is present, chest compressions with rescue breathing are recommended due to the asphyxial insult. In the comatose patient with restoration of spontaneous circulation, hypoxemia and hyperoxemia should be avoided, hyperthermia treated, and induced hypothermia (32–34 °C) considered. Arterial hypotension/hypertension should be recognized and treated. Prevent hypoglycemia and treat hyperglycemia. Treat clinical seizures and consider treating non-convulsive status epilepticus. Serial neurologic examinations should be provided. Brain imaging and serial biomarker measurement may aid prognostication. Continuous electroencephalography and N20 somatosensory evoked potential monitoring may be considered. Serial biomarker measurement (e.g., neuron specific enolase) may aid prognostication. There is insufficient evidence to recommend use of any specific brain-oriented neuroresuscitative pharmacologic therapy other than that required to restore and maintain normal physiology. Following initial stabilization, victims should be transferred to centers with expertise in age-specific post-resuscitation neurocritical care. Care should be documented, reviewed, and quality improvement assessment performed. Preclinical research should focus on models of asphyxial cardiac arrest. Clinical research should focus on improved cardiopulmonary resuscitation, re-oxygenation/reperfusion strategies, therapeutic hypothermia, neuroprotection, neurorehabilitation, and consideration of drowning in advances made in treatment of other central nervous system disorders.

show abstract

“…Much of the literature of near-drowning has concentrated on the respiratory effects of aspiration of salt and freshwater, and on the management of both early and late respiratory complications such as aspiration pneumonia and adult respiratory distress syndrome (1). However, near-drowning and immersion can have profound effects on other end organs such as cerebral (hypoxic brain injury, cerebral edema) (2), cardiac (atrial fibrillation) (3) and hematologic complications (coagulopathy and hemolysis) (4). Moreover, multisystem failure resulting from near-drowning is also well described (5).…”

Section: Introductionmentioning

confidence: 99%

A Case of Severe Acute Kidney Injury by Near-Drowning

et al. 2012

View full text Add to dashboard Cite

Acute kidney injury (AKI) secondary to near-drowning is rarely described and poorly understood. Only few cases of severe isolated AKI resulting from near-drowning exist in the literature. We report a case of near-drowning who developed to isolated AKI due to acute tubular necrosis (ATN) requiring dialysis. A 21-yr-old man who recovered from near-drowning in freshwater 3 days earlier was admitted to our hospital with anuria and elevated level of serum creatinine. He needed five sessions of hemodialysis and then renal function recovered spontaneously. Renal biopsy confirmed ATN. We review the existing literature on near-drowning-induced AKI and discuss the possible pathogenesis.

show abstract

Prognosis and Management of Victims of Near-drowning

Cited by 77 publications

References 0 publications

The Management of Near Drowning

The Management of Near Drowning

Brain Resuscitation in the Drowning Victim

A Case of Severe Acute Kidney Injury by Near-Drowning

Contact Info

Product

Resources

About