orlando health emergency medicine
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Orlando Health Emergency Medicine
Submersion Injuries Mandi Stone, MD Orlando Health Emergency
Medicine No disclosures Vocabulary Vocabulary Drowning vs
near-drowning? Wet vs dry?
Primary vs secondary? Vocabulary Drowning vs near-drowning? Wet vs
dry?
Primary vs secondary? Vocabulary Drowning vs near-drowning? Wet vs
dry?
Primary vs secondary? A process resulting in primaryrespiratory
impairment fromsubmersion/immersion in a liquidmedium. Epidemiology
Estimated 500,000 deaths per year,worldwide Pathophysiology
Submersion Breathholding Air hunger Reflex gasping Aspiration Salt
vs Fresh water? Salt vs Fresh water? Surfactant washout Atelectasis
VQ mismatch Pulmonary edema ARDS H+ O2 Management Pre-hospital ED
Management A B C D E ED Management Cause of drowning? Trauma
Seizure Hypoglycemia
Arrhythmia Suicide attempt Abuse or neglect Immersion syndrome
Syncope secondary to cardiacdysrhythmia due to sudden contact
withcold water ASSOCIATED WITH CONGENITALPROLONGED QT SYNDROME
Caused by V.fib/Asystole secondary tocatecholamine release in
response toquick temperature change CXR Routine steroids or
antibiotics NOTrecommended Disposition Symptomatic patients - admit
forobservation, supplemental O2 Asymptomatic - observe for 4-8
hours Prevention Fences around pools Swimming lessons
Close monitoring of infants/children Avoiding alcohol/drug use
whileswimming Thank you!