Treatment of Hypothermic Cardiac Arrest in the Pediatric Drowning Victim, a Case Report, and Systematic Review

Bauman, Brent D.; Louiselle, Amanda; Nygaard, Rachel M; Vakayil, Victor; Acton, Robert D.; Hess, Donavan; Saltzman, Daniel A.; Kreykes, Nathaniel S.; Fischer, Gwenyth; Louie, Jeffrey P.; Segura, Bradley J.

doi:10.1097/pec.0000000000001735

Cited by 10 publications

(14 citation statements)

References 35 publications

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“…The summary table of included studies is detailed in Additional file 3. They included data on patients from 20 countries with the USA [15][16][17][18][19][20][21][22][23][24][25][26][27] and France [28][29][30][31] most frequently represented. Patient data were reported on 1973 patients.…”

Section: Resultsmentioning

confidence: 99%

“…Patient data were reported on 1973 patients. Patient demographics were incomplete with regards to gender in eleven papers [19,20,[25][26][27][31][32][33][34][35]. Data presented included 1093 (55.4%) males and 545 (27.6%) females and were similarly incomplete with regards to age groups in seven papers [10,16,31,32,34,36,37], with a minimum of 675 (34.5%) children included.…”

Section: Resultsmentioning

confidence: 99%

“…Data presented included 1093 (55.4%) males and 545 (27.6%) females and were similarly incomplete with regards to age groups in seven papers [10,16,31,32,34,36,37], with a minimum of 675 (34.5%) children included. Studies were predominately (30/41, 73.2%) from intensive (critical) care units [10,16,[20][21][22][23][24][25][26][27][28][29][30][31][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51], 6/41 (14.6%) from inpatient units [9,15,17,18,41,52] and five (12.2%) studies were based in the Emergency Department [19,32,33,…”

Section: Resultsmentioning

confidence: 99%

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Treatment of the lung injury of drowning: a systematic review

et al. 2021

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Background Drowning is a cause of significant global mortality. The mechanism of injury involves inhalation of water, lung injury and hypoxia. This systematic review addressed the following question: In drowning patients with lung injury, what is the evidence from primary studies regarding treatment strategies and subsequent patient outcomes? Methods The search strategy utilised PRISMA guidelines. Databases searched were MEDLINE, EMBASE, CINAHL, Web of Science and SCOPUS. There were no restrictions on publication date or age of participants. Quality of evidence was evaluated using GRADE methodology. Results Forty-one papers were included. The quality of evidence was very low. Seventeen papers addressed the lung injury of drowning in their research question and 24 had less specific research questions, however included relevant outcome data. There were 21 studies regarding extra-corporeal life support, 14 papers covering the theme of ventilation strategies, 14 addressed antibiotic use, seven papers addressed steroid use and five studies investigating diuretic use. There were no clinical trials. One retrospective comparison of therapeutic strategies was found. There was insufficient evidence to make recommendations as to best practice when supplemental oxygen alone is insufficient. Mechanical ventilation is associated with barotrauma in drowning patients, but the evidence predates the practice of lung protective ventilation. There was insufficient evidence to make recommendations regarding adjuvant therapies. Conclusions Treating the lung injury of drowning has a limited evidentiary basis. There is an urgent need for comparative studies of therapeutic strategies in drowning.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Treatment of the lung injury of drowning: a systematic review

et al. 2021

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“…The findings from the 6 new papers identified in this update 359b , 368 , 370 , 375 , 376 , 383 are consistent with the 2015 treatment recommendation. The previously identified limitations of this review (exclusion of factors after the victim is rescued, for example, bystander CPR 383 , 384 , 385 ; specialist interventions, such as the use of extracorporeal membrane oxygenation 386 , 387 , 388 , 389 , 390 , 391 , 392 , 393 ; and the lack of prospective validation of submersion duration as a clinical decision rule) persist. Similarly, continued reports of rare survival after prolonged (more than 30 minutes) submersion 387 , 392 , 394 highlight the need for case-by-case decisions that balance risk and potential for benefit.…”

Section: Special Circumstancesmentioning

confidence: 98%

Adult Basic Life Support

Berg¹,

Soar²,

Andersen³

et al. 2020

Resuscitation

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This 2020 International Consensus on Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care Science With Treatment Recommendations on basic life support summarizes evidence evaluations performed for 20 topics that were prioritized by the Basic Life Support Task Force of the International Liaison Committee on Resuscitation. The evidence reviews include 16 systematic reviews, 3 scoping reviews, and 1 evidence update. Per agreement within the International Liaison Committee on Resuscitation, new or revised treatment recommendations were only made after a systematic review. Systematic reviews were performed for the following topics: dispatch diagnosis of cardiac arrest, use of a firm surface for CPR, sequence for starting CPR (compressions-airway-breaths versus airway-breaths-compressions), CPR before calling for help, duration of CPR cycles, hand position during compressions, rhythm check timing, feedback for CPR quality, alternative techniques, public access automated external defibrillator programs, analysis of rhythm during chest compressions, CPR before defibrillation, removal of foreign-body airway obstruction, resuscitation care for suspected opioid-associated emergencies, drowning, and harm from CPR to victims not in cardiac arrest. The topics that resulted in the most extensive task force discussions included CPR during transport, CPR before calling for help, resuscitation care for suspected opioid-associated emergencies, feedback for CPR quality, and analysis of rhythm during chest compressions. After discussion of the scoping reviews and the evidence update, the task force prioritized several topics for new systematic reviews.

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“…Es wurden 2 SR [ 686 , 687 ], eine Leitlinie [ 685 ] und 7 relevante Nicht-RCT-Studien identifiziert [ 693 , 744 – 749 ].…”

Section: Evidenzen Für Die Leitlinienunclassified

Lebensrettende Maßnahmen bei Kindern (Paediatric Life Support, PLS)

Voorde

Turner

Djakow

et al. 2021

Notfall Rettungsmed

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Die Leitlinien des European Resuscitation Council (ERC) zu den lebensrettenden Maßnahmen bei Kindern (Paediatric Life Support, PLS) basieren auf dem 2020 verfassten „International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations“ der ILCOR (International Liaison Committee on Resuscitation). Dieses Kapitel beinhaltet Leitlinien zur Behandlung kritisch kranker oder verletzter Säuglinge, von Kindern und Jugendlichen vor, während und nach einem Atem-Kreislauf-Stillstand.

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Treatment of Hypothermic Cardiac Arrest in the Pediatric Drowning Victim, a Case Report, and Systematic Review

Cited by 10 publications

References 35 publications

Treatment of the lung injury of drowning: a systematic review

Treatment of the lung injury of drowning: a systematic review

Adult Basic Life Support

Lebensrettende Maßnahmen bei Kindern (Paediatric Life Support, PLS)

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