Pediatric near-drowning events: do they warrant trauma team activation?

Chotai, Pranit N.; Manning, Lisa; Eithun, Benjamin; Ross, Joshua; Eubanks, James W.; Hamner, Chad E.; Gosain, Ankush

doi:10.1016/j.jss.2017.06.015

Cited by 2 publications

(7 citation statements)

References 1 publication

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“…Both patients requiring operative intervention suffered anoxic brain injuries after being found in a pool. These results were similar to the findings of Chotai et al 5 where only two (0.006%) of the patients received surgical intervention within 24 hours of presentation. These interventions included a bronchoscopy and extracorporeal membrane oxygenation.…”

Section: Discussionsupporting

confidence: 91%

“…Drowning and near drowning patients have a very low rate of associated traumatic injuries. 5,7,8 Only one patient (2.4%) in our study suffered a cervical injury, which is similar to the findings of Hwang et al 8 who found that 4.9% of drowning patients had injuries, all of which were cervical in nature. In addition, out of Hwang's drowning population, all but one of the patients with a cervical injury had a witnessed diving mechanism.…”

Section: Discussionsupporting

confidence: 91%

“…This supported the evidence of witnessed diving or other significant traumatic mechanisms and subsequent drowning justifying a trauma activation based on mechanism alone. Chotai et al 5 also found minimal traumatic injuries in their study of 363 pediatric drowning and near drowning patients. They only found soft tissue injuries in seven patients (1.9%).…”

Section: Discussionmentioning

confidence: 86%

“…Need for Trauma Team Activation. Chotai et al 5 found that only 2.2% of the 363 drowning and near drowning children were admitted to the pediatric trauma service due to the low incidence of surgical interventions at presentation. The majority of patients from our study died shortly upon arrival or had very brief hospital stays for observation and were discharged home on hospital day two.…”

Section: Discussionmentioning

confidence: 99%

“…Traumatic injuries rarely are identified in drowning patients. For example, Chotai and colleagues 5 performed a retrospective study of 363 pediatric patients, only seven (1.9%) of whom had traumatic soft tissue injuries. Furthermore, mortality was not affected by activating the trauma team in their study and only 2.2% were admitted to the pediatric trauma service.…”

Section: Introductionmentioning

confidence: 99%

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Patterns of Injuries in Drowning Patients - Do These Patients Need a Trauma Team?

Hunn¹,

Helmer²,

Reyes³

et al. 2020

kjm

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Introduction. Drowning is a major public health hazard worldwide, but associated traumatic injuries are rare. This study examined injuries and interventions performed on this population to assess the need for the trauma team activation. Methods. A 12-year retrospective review was conducted on all fatal and non-fatal drowning patients who underwent a trauma work-up. Data collection included demographics, injury characteristics, interventions, and outcomes. Results. Forty-three patients met inclusion criteria. Median patient age was six years (interquartile range 2 - 20) with 27.9% of patients under the age of 2 years. Most patients were white (62.8%) and male (69.8%), with median GCS score of 3 (60.5% had initial GCS = 3 with 25.6% with GCS = 15). Only two patients suffered traumatic injuries. Only two patients required operations, neither of which suffered traumatic injury. Eleven patients suffered anoxic brain injury (25.6%). Overall mortality was 48.8% (n = 21). Conclusion. Patients who present with drowning and no traumatic mechanism have a very low rate of traumatic injuries. Work-up and treatment would be appropriate for emergency physicians without the need for a trauma activation.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Patterns of Injuries in Drowning Patients - Do These Patients Need a Trauma Team?

Hunn¹,

Helmer²,

Reyes³

et al. 2020

kjm

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Cervical spine immobilisation is only required in drowning patients at high risk of axial loading of the spine

Thom

Roberts

Leggat

et al. 2022

Emerg Medicine Australasia

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Objectives: Wave forced impacts are known to result in cervical spine injuries (CSI) and approximately 20% of drownings in Australia occur at the beach. The most common mechanism of injury in studies examining the frequency of CSI in drowning patients is shallow water diving. The aim of the present study was to determine what proportion of CSIs occurring in bodies of water experienced a concomitant drowning injury in a location where wave forced impacts are likely to be an additional risk factor.

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Pediatric near-drowning events: do they warrant trauma team activation?

Cited by 2 publications

References 1 publication

Patterns of Injuries in Drowning Patients - Do These Patients Need a Trauma Team?

Patterns of Injuries in Drowning Patients - Do These Patients Need a Trauma Team?

Cervical spine immobilisation is only required in drowning patients at high risk of axial loading of the spine

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