Drowning, Near-Drowning, and Ice-Water Submersions

Orlowski, James P.

doi:10.1016/s0031-3955(16)36182-x

Cited by 148 publications

(63 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Many drownings occur in water only just deeper than the person's height (Stallman, 2008;Stallman, Junge, & Blixt, 2008). In terms of the water density, people can drown in fresh water (Lifesaving Society, 2000;Orlowski, 1987) and even in the extremely buoyant water of the Dead Sea that has high density due to the salt content (Yagil, Etzion, & Oren, 1983).…”

Section: Geography and Shape Of Aquatic Environmentsmentioning

confidence: 99%

Where Do People Drown? Encoding the Third Component of the 4W Model

Avramidis¹,

Butterly²,

Llewellyn³

2009

IJARE

View full text Add to dashboard Cite

Section: Geography and Shape Of Aquatic Environmentsmentioning

confidence: 99%

Where Do People Drown? Encoding the Third Component of the 4W Model

Avramidis¹,

Butterly²,

Llewellyn³

2009

IJARE

View full text Add to dashboard Cite

“…However, as many as 30% of patients will survive ND neurologically intact (9), but predicting the outcome in individual patients has proven to be difficult. Suggested indicators include: temperature of submersion medium (10), duration of submersion, Glasgow coma score (GCS), rapidity of restoration of heart beat, state of pupils, minimum blood pH, intracranial pressure, reduction in regional blood flow, EEG, and blood glucose (11,12). None of these factors, either individually or in combination, have been universally successful.…”

Section: Introductionmentioning

confidence: 99%

Hypoxic encephalopathy after near-drowning studied by quantitative 1H-magnetic resonance spectroscopy.

Kreis¹,

Arcinue²,

Ernst³

et al. 1996

J. Clin. Invest.

121

View full text Add to dashboard Cite

Early prediction of outcome after global hypoxia of the brain requires accurate determination of the nature and extent of neurological injury and is cardinal for patient management. Cerebral metabolites of gray and white matter were determined sequentially after near-drowning using quantitative 1 H nuclear magnetic resonance spectroscopy (MRS) in 16 children. Significant metabolite abnormalities were demonstrated in all patients compared with their agematched normal controls. Severity of brain damage was quantified from metabolite concentrations and ratios. Loss of N -acetylaspartate, a putative neuronal marker, from gray matter preceded that observed in white matter and was more severe. Total creatine decreased, while lactate and glutamine/glutamate concentrations increased. Changes progressed with time after injury.A spectroscopic prognosis index distinguished between good outcome ( n ϭ 5) and poor outcome ( n ϭ 11) with one false negative (bad outcome after borderline MRS result) and no false positive results (100% specificity). The distinction was made with 90% sensitivity early (after 48 h) and became 100% later (by days 3 and 4). This compared with 50-75% specificity and 70-100% sensitivity based upon single clinical criteria.MRS performed sequentially in occipital gray matter provides useful objective information which can significantly enhance the ability to establish prognosis after near-drowning. ( J. Clin. Invest. 1996. 97:1142-1154.)

show abstract

“…A prognosis score for pediatric near-drowning victims has been derived by Orlowski (33). It is based on five indicators: age younger than 3 year, maximum submersion estimated longer than 5 min, post-rescue delay in resuscitation for greater than 10 min, coma at time of admission and initial pH less than or equal to 7.1 (33). We thought that our patient's submersion duration was longer than 5 minutes.…”

Section: Discussionmentioning

confidence: 95%

A Rare Cause of Acute Respiratory Distress Syndrome: Near Drowning in Detergent and Sodium Hypo Chlorite Containing Solution

Biçer¹,

Demirkol²,

Karaböcüoğlu³

et al. 2015

Turk J Ped Em Int Care Med

View full text Add to dashboard Cite

ÖZETBoğulayazma çocuklar ve erişkinlerde yüksek morbidite ve mortalite nedeni olmaya devam etmektedir. Çocuk yoğun bakım ünitelerinin ve teknolojinin gelişmesiyle boğulayazma olgularının yaşatılabilirliği de artmıştır. Boğulayazmanın kısa vadeli sağ kalımındaki gelişmeye karşın, kurbanlarda akut solunum yetmezliği sendromu ve kalıcı hipoksik-iskemik merkezi sinir sistemi hasarında artışa neden olmuştur. Bu nedenle, batma olayı sonrası kurbanların akut dönemde yoğun bakımdaki tedavisi önemlidir. Bu yazıda, sodyum hipoklorit ve deterjan içeren su dolu kova içinde gerçekleşen boğulayazma olgusu sunulmuştur CAYD 2015;2(1):49-54. Anah tar Ke li me ler: Akut solunum yetmezliği sendromu, boğulayazma, hipoksik-iskemik merkezi sinir sistemi hasarı, sodyum hipoklorit Y R A M M U S Near-drowning continues to be associated with high mortality and morbidity in both children and adults. With the availability of sophisticated technologies and pediatric intensive care units, victims of near-drowning are now more likely to survive. However this improvement in short-term survival of near-drowning, victims after an acute submersion episode has also resulted in an increase of acute respiratory distress syndrome and persistent hypoxic-ischemic central nervous system injury. Therefore, it is important both to know the acute intensive care unit management of victims of neardrowning and also to understand the progression of the disease. We report a patient who had been near-drowned in bucket lled with sodium hypochlorite and detergent containing water CAYD 2015;2(1):49-54. : s d r o w y e K Acute respiratory distress syndrome, hypoxic-ischemic central nervous system injury, near-drowning, sodium hypochlorite

show abstract

Drowning, Near-Drowning, and Ice-Water Submersions

Cited by 148 publications

References 35 publications

Where Do People Drown? Encoding the Third Component of the 4W Model

Where Do People Drown? Encoding the Third Component of the 4W Model

Hypoxic encephalopathy after near-drowning studied by quantitative 1H-magnetic resonance spectroscopy.

A Rare Cause of Acute Respiratory Distress Syndrome: Near Drowning in Detergent and Sodium Hypo Chlorite Containing Solution

Contact Info

Product

Resources

About