Near Drowning

• Previous message: Near Drowning
• Next message: [ccm-l] CT and appendectomy
• Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]

Hi Marc,

This is our local policy. Every patient rescued for near-drowning,
regardless of initial status is brought to our emergency room.Patients with
respiratory symptoms are admitted in a pediatric, medical, or critical car
ward according to data gathered from physical exam, chest X-ray, blood gases
etc. Patients with no symptoms are admitted in a short duration unit and
monitored overnight. 
We do not have a strong triage rule, and I believe such a situation to be
difficult to anticipate. I found a paper [Causey AL, Tilelli JA, Swanson ME
Predicting discharge in uncomplicated near-drowning Am J Emerg Med
2000;18:9-11]on that topic that could be helpful.
Gretings from the french seaside

Luc

----------------------------------------------------------------------------
----------------------------------------------------------------------------
------------------------------
Docteur Luc Ronchi
Praticien hospitalier - Chef de service
Anesthésiologie
Centre hospitalier BP 414
44606 Saint-Nazaire Cedex
Tél: (+33) 0 240 906 340
Fax: (+33) 0 240 906 385
----------------------------------------------------------------------------
----------------------------------------------------------------------------
------------------------------
Ce courriel et les pièces jointes ont été vérifiés avant leur émission par
la dernière version de Norton Anti-Virus
----------------------------------------------------------------------------
----------------------------------------------------------------------------
------------------------------

-----Message d'origine-----
De : trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
De la part de Scot, Marc
Envoyé : vendredi 5 août 2005 19:04
À : Trauma & Critical Care mailing list
Cc : jbierens at vumc.nl
Objet : RE: Near Drowning


Bierens, a prof. Emergency Medicine who wrote his thesis on (near) drowning,
suggested that these near drowning victums, who appear ok, should be taken
to a hospital for a phisical, X-chest, and ABG without extra oxygen.  If
this is normal, a 6 hour observation on a ward and repeat tests. Still
normal sent home.

Berkel M van, Bierens JJLM, Lie RLK, Rooy T de, Schultze Kool L, Velde EA
van der, Meinders AE. Pulmonary oedema, pneumonia and mortality in
submersion victims. A retrospective study in 125 patients. Int Care Med
1996;22:101-107

Bierens JJLM, Knape JTA, Gelissen PMM. Drowning. Current Opinion in Critical
Care 2002; 8:578-586 

Later,
Marc


M.G.M. Scot MD
Consultant Anesthesiology
Anesthesiology
Medisch Centrum Alkmaar
Huispost 228
Whilhelminalaan 12
Alkmaar
+31 (0)72 548 3128 / 3129
 Snailmail:
PO Box 501
1800 AM Alkmaar
the Netherlands 

-----Oorspronkelijk bericht-----
Van: Hill, Barb [mailto:bhill at lakeregional.com]
Verzonden: di 2-8-2005 20:06
Aan: 'trauma-list at trauma.org'
Onderwerp: Near Drowning
 
 <<Near Drowning.htm>>  
 
 Near Drowning

This email originated from Lake Regional Health System.
This email message, including any attachments, contains confidential
information which is intended only for the use of the individual or entity
named above.
If the reader of this email is not the intended recipient or agent
responsible for delivering it to the intended recipient, he/she is hereby
notified that you are in possession of confidential and privileged
information.
If you have received this email in error, please notify the sender
immediately. State and federal law prohibits you from making further
disclosure of this information without specific written consent of the
person to whom it pertains, or as otherwise permitted by law.

• Previous message: Near Drowning
• Next message: [ccm-l] CT and appendectomy
• Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]