Management of near-drowning in children

M. Sagy, Z. Barzilay, H. Boichis, J. Yahav

Research output: Contribution to journalArticlepeer-review

Abstract

Two cases of near drowning are reported. A 10 yr old boy was admitted from an outlying hospital after sea water submersion, with clinical as well as laboratory findings of mild pulmonary insufficiency. A 6 yr old was admitted in coma with convulsions and acute respiratory insufficiency after fresh water submersion for approximately five minutes. Both were hypoxemic and hypercapneic on admission and mildly acidotic. The boy was treated with oxygen via a face mask and with corticosteroids and recovered completely after 72 hours. The girl was intubated, mechanically hyperventilated and anesthetized with pentothal. In order to reduce intracranial pressure, she was cooled to 36.5°C. Both recovered completely without neurological sequelae after three and five days, respectively. In order to ameliorate severe brain damage in near-drowning victims, active brain resuscitation should be employed.

Original languageEnglish
Pages (from-to)64-67+99
JournalHarefuah
Volume98
Issue number2
StatePublished - 1980
Externally publishedYes

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