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ED Management of Drowning

By Anton Helman, MD, CCFP(EM), FCFP | on July 6, 2023 | 0 Comment
EM Cases
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A special thanks to Dr. Dave Jerome for the EM Cases podcast from which this article was inspired. 

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ACEP Now: Vol 42 – No 07 – July 2023

References

Peden M, McGee K, Sharma K. The Injury Chart Book: a Graphical Overview of The Global Burden Of Injuries. Geneva: World Health Organization, 2002.

Center for Disease Control and Prevention. Drowning Facts. CDC website. https://www.cdc.gov/drowning/facts/index.html. Last updated October 2022. Accessed June 11, 2023.

Salomez F, Vincent JL. Drowning: a review of epidemiology, pathophysiology, treatment and prevention. Resuscitation. 2004;63(3):261-8.

European Resuscitation Council. Part 8: advanced challenges in resuscitation. Section 3: special challenges in ECC. 3B: submersion or near-drowning. Resuscitation. 2000;46(1-3):273-7.

Szpilman D, Bierens JJ, Handley AJ, Orlowski JP. Drowning. N Engl J Med. 2012;367(4):375-81.

The Joint Commission. Drowning: prevention and treatment. In: Clinical Care Program Standards: Hospital. 6th ed. Oak Brook, IL:Joint Commission Resources;2017;CCP.6.4.

Gregorakos L, Markou N, Psalida V, et al. Near-drowning: clinical course of lung injury in adults. Lung 2009;187:93-97

Kim KI, Lee WY, Kim HS, Jeong JH, Ko HH. Extracorporeal membrane oxygenation in near-drowning patients with cardiac or pulmonary failure. Scand J Trauma Resusc Emerg Med. 2014;22:77.

Ham, W. et al. Pressure ulcers from spinal immobilization in trauma patients: A systematic review. J Trauma Acute Care Surg. 2014;76(4):1131-41.

Haut, ER. Spine immobilization in penetrating trauma: more harm than good? J Trauma. 2010;68(1):115-20.

Jones T, Rennie A. BET 1: cervical spine immobilisation in the management of drowning victims. Emerg Med J. 2019;36(12):766-767.

Choi I, Choi Y, Han S, and Lee J. Successful endotracheal intubation using suction-assisted laryngoscopy assisted decontamination technique and a head-down tilt position during massive regurgitation. Soonchunhyang Medical Science. 2020;26(2):75-79.

Root C, et al. Suction assisted laryngoscopy and airway decontamination (SALAD): A technique for improved emergency airway management. Resuscitation Plus. 2020;1-2:100005.

Foex BA, Boyd R. Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary: corticosteroids in the management of near-drowning. Emerg Med J. 2001;18:465-466

Wood C. Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary: BET 1: prophylactic antibiotics in near-drowning. Emerg Med J. 2010;27:393-394

Pages: 1 2 3 | Single Page

Topics: Airway ManagementClinicalCritical CareDrowningResuscitationsuction assisted laryngoscopy and airway decontamination (SALAD)

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