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Please use this identifier to cite or link to this item: http://archive.rubicon-foundation.org/7639

Title: Drowning and near-drowning workshop: an overview.
Authors: Acott, CJ
Keywords: Drowning
near-drowning
near drowning
pulmonary oedema
decompression illness
workshop
Hypothermia
Issue Date: 2002
Publisher: South Pacific Underwater Medicine Society
Citation: SPUMS 2002 Volume 32 Number 4.
Abstract: Drowning is the third most common cause of accidental death in the general population and causes about one fifth of all accidental deaths in children. Alcohol is a frequent association in immersion accidents. Drowning or near drowning is not a diagnosis, the cause for the incident must be found. The ability to predict outcome from near drowning has been difficult, but the presence of spontaneous breathing, or the return of breathing, and the presence of a pulse shortly after rescue are all associated with a good outcome. All near-drowned victims may deteriorate even if they appear ‘normal’ on hospital admission, and therefore require a period of observation which many consider should be at least 24 hours. Hypothermia as a cerebral protection mechanism in near drowning may play little role in scuba diving. Diving as a cause of drowning has been neglected statistically, and there are only limited data on the interaction between near drowning, compressed gas diving, decompression illness and treatment. Theoretically, near drowning should decrease inert gas elimination because of induced changes in cardiovascular and pulmonary function. There are no data on the management of the near-drowned diver who may require recompression. Theoretically, recompression in the initial management of the near-drowned diver may cause deterioration in the diver’s clinical condition. Due to these theoretical risks associated with recompression, the timing of recompression in the near-drowned diver may be important.
Description: Journal of the South Pacific Underwater Medicine Society.
URI: http://archive.rubicon-foundation.org/7639
ISSN: 0813-1988
Appears in Collections:Undesignated Accident and Fatality Reports
South Pacific Underwater Medicine Society Journal

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