Can we identify termination of resuscitation criteria in cardiac arrest due to drowning: results from the French national out‐of‐hospital cardiac arrest registry

Hubert, Hervé; Escutnaire, Joséphine; Michelet, Pierre; Babykina, Evgéniya; Khoury, Carlos El; Tazarourte, Karim; Vilhelm, Christian; Hiki, Lahcen El; Guinhouya, Benjamin C.; Gueugniaud, Pierre‐Yves

doi:10.1111/jep.12562

Cited by 11 publications

(16 citation statements)

References 37 publications

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“…Female sex was found to be an independent predictor of survival to hospital admission from one study from Sweden [ 20 ] which reviewed 529 patients who experienced a cardiac arrest from drowning [ 20 ]. Other studies [ 51 , 52 , 61 ] found no difference in the outcomes between females and males in cardiac arrest from drowning. In Claesson et al [ 20 ] females made up 55% of the study population, compared to a smaller proportion of females in the study populations of the other studies 27% [ 61 ], 35% [ 51 ] and 44% [ 52 ].…”

Section: Discussionmentioning

confidence: 92%

“…Other studies [ 51 , 52 , 61 ] found no difference in the outcomes between females and males in cardiac arrest from drowning. In Claesson et al [ 20 ] females made up 55% of the study population, compared to a smaller proportion of females in the study populations of the other studies 27% [ 61 ], 35% [ 51 ] and 44% [ 52 ].…”

Section: Discussionmentioning

confidence: 92%

“…This review found no evidence from the five HICs on the clinical treatment provided to females in hospital after a drowning incident, and only a small number of studies reported the clinical outcomes of females hospitalised for drowning [ 4 , 36 – 39 ]. However, other countries including France, Sweden, Korea and Israel, have produced studies that report on the clinical treatment of females [ 49 , 50 ] and the clinical outcomes of females after drowning, such as from cardiac arrest from drowning [ 20 , 51 , 52 ], pneumonia [ 53 , 54 ] and acute kidney injury (AKI) [ 21 ]. However, findings from these studies are limited.…”

Section: Discussionmentioning

confidence: 99%

“…Further evidence on the clinical outcomes of females were found from papers outside the study locations of focus in this review including France, Israel, Korea and Sweden. This included papers on the outcomes of females from cardiac arrest from drowning [ 20 , 51 , 52 ], pneumonia [ 53 , 54 ], and AKI [ 21 ], although the results for the studies are also inconsistent and limited in their wider interpretation.…”

Section: Discussionmentioning

confidence: 99%

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A scoping review of female drowning: an underexplored issue in five high-income countries

et al. 2021

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Background Drowning is a significant public health issue, with females accounting for one third of global drowning deaths. The rate of female drowning has not decreased within high-income countries and presentations to hospital have increased. This scoping review aimed to explore adult female unintentional drowning, including risk factors, clinical treatment and outcomes of females hospitalised for drowning. Methods A systematic search of the literature following the PRISMA-ScR framework was undertaken. The databases OVID MEDLINE, Embase, CINAHL, OVID Emcare, Web of Science, Informit and Scopus were accessed. Study locations of focus were Australia, Canada, New Zealand, the United Kingdom, and the United States. Studies from January 2003 to April 2019 were included. The quality of evidence of included studies was assessed using GRADE guidelines. Results The final search results included 14 studies from Australia (n = 4), Canada (n = 1), New Zealand (n = 1), United States (n = 6), United Kingdom (n = 1), and one study reporting data from both Australia and United States. Nine studies reported risk factors for female drowning including age, with the proportion of female drowning incidence increasing with age. Although females are now engaging in risk-taking behaviours associated with drowning that are similar to males, such as consuming alcohol and swimming in unsafe locations, their exposure to risky situations and ways they assess risk, differ. Females are more likely to drown from accidental entry into water, such as in a vehicle during a flood or fall into water. This review found no evidence on the clinical treatment provided to females in hospital after a drowning incident, and only a small number of studies reported the clinical outcomes of females, with inconsistent results (some studies reported better and some no difference in clinical outcomes among females). Conclusion Adult females are a group vulnerable to drowning, that have lacked attention. There was no single study found which focused solely on female drowning. There is a need for further research to explore female risk factors, the clinical treatment and outcomes of females hospitalised for drowning. This will not only save the lives of females, but also contribute to an overall reduction in drowning.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A scoping review of female drowning: an underexplored issue in five high-income countries

et al. 2021

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“…Drowning was the leading cause of mortality (57%) managed by the BMPM SMUR (58.3% stage 5, 6 and death of Szpilman). This severity is observed in other studies [4,[7][8][9]. Jean-Paul Boudsocq et al, Epidemiology of physician interventions in maritime environment by the Marseille Fire Brigade (BMPM) While adults between ages 45 and 64 were the most commonly affected, the one infant (under age 5) that drowned was also a Szpilman stage 6 [1].…”

Section: Discussionmentioning

confidence: 59%

Epidemiology of physician interventions in maritime environment by the Marseille Fire Brigade (BMPM) from 2005 to 2017

Boudsocq

Bellec²,

Gueho³

et al. 2019

International Maritime Health

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Background: Marseille is the second largest city in France. The Marseille Fire Brigade (BMPM) is the largest unity of the French Navy. This organization is in charge of rescue operations and medical intervention in the Marseille area. The aim of the study was to describe the epidemiology of interventions that required a physician to be present that were performed by the BMPM between the years of 2005 to 2017. Materials and methods: The statistical office database of the BMPM and the medical interventions forms (FIM) acquired from the BMPM medical ambulances (SMUR) archives were analysed from the years 2005 to 2017. Results: The BMPM performed a total of 2,375 interventions in the maritime environment between 2005 and 2017. A physician was necessary for intervention a total of 186 times. The extraction and analysis reports of 107 medical intervention forms found the BMPM archives revealed a significant number of interventions (67%) in the southern bay of Marseille and Frioul, specifically from the If and Planier islands. The majority of interventions (77%) took place within the 300m band. The most common cause of medical intervention was due to an accidental fall into the water, followed by boating (sailing and motor), and swimming. Drowning was the most common cause of mortality, consisting of 34% of all interventions. Diving accidents represented 14% of interventions. Trauma affected 22% of the study population and 83% of trauma patients were transported to the hospital under the supervision of a physician. Conclusions: Potential areas for improvement in the management of drowning victims are the use of Szpilman's classification, sonography, and non-invasive ventilation. A recertification course for medical education training of BMPM doctors on the management of diving accidents could help to optimize the information recorded on FIM. Accident prevention training should be continued and reinforced when it comes to maritime activities.

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Studying outcome predictors of drowning at the scene: Why do we have so few answers?

Koon

Clemens

Bierens

et al. 2021

The American Journal of Emergency Medicine

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Can we identify termination of resuscitation criteria in cardiac arrest due to drowning: results from the French national out‐of‐hospital cardiac arrest registry

Abstract: The model is helpful to highlight explanative variables concerning CAD patients' outcome. The next step is the validation of these five factors by a larger study. Prevention and public training to lifesaving behaviours must be considered as priorities in French public health programmes.

Cited by 11 publications

References 37 publications

A scoping review of female drowning: an underexplored issue in five high-income countries

A scoping review of female drowning: an underexplored issue in five high-income countries

Epidemiology of physician interventions in maritime environment by the Marseille Fire Brigade (BMPM) from 2005 to 2017

Studying outcome predictors of drowning at the scene: Why do we have so few answers?

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