Lightning Rounds: Submersion Injuries

8/24/2016

Especially in the summer, children, and young men are at higher risk of submersion injuries.

Management of a drowning victim

When a patient is identified in an active drowning situation;

Call for backup: Scene safety and utilization of appropriately trained personnel is important to prevent additional victims.
Drowning victims have alveolar collapse due to surfactant removal.
"Dry Drowning" refers patients who drown with laryngospasm, preventing active water movement into the lungs.
Submersion for longer than 10 minutes predicts a much worse outcome than those submersed < 10 minutes.
Patients should be observed for 4-6 hours after a partial drowning event.

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