Drowning and Submersion Injury Flashcards Preview

Nelson - Emergencies > Drowning and Submersion Injury > Flashcards

Flashcards in Drowning and Submersion Injury Deck (13):
1

Most important step to reducing the impact of drowning injury

Prevention followed by early initiation of CPR at the scene

2

Highest drowning rates were seen in children of what age group

1-4 y/o and 15-19 y/o

3

Leading cause of death from unintentional injury among children

MVA

4

2nd leading cause of death from unintentional injury among children

Drowning

5

T/F Drowning rates for adolescent males is higher than for adolescent females

T, 10x higher

6

Injury in drowning, the severity of which is dependent primarily on duration

Global hypoxia

7

MCC of mortality and long-term morbidity in drowning

CNS injury

8

Pediatric drowning victims should be observed for at least ___ even if asymptomatic on presentation at the ED

6-8 hrs

9

Drowning: Death or severe neurologic sequelae are likely in patients with

1) Deep coma 2) Apnea 3) Absence pf pupillary responses 4) Hypergly in the ED 5) Submersion >10 min 6) Failure of response to CPR given for 25 min

10

Most critical and effective neurologic measures after drowning

Rapid restoration and maintenance of adequate oxygenation, ventilation, and perfusion

11

2002 World Congress on Drowning recommended that ___ be instituted ASAP after resuscitation

Hypothermia 32-34C sustained for 12-24hrs

12

Best prognostication of long-term CNS outcome in drowning injuries

Neuro exam and progression during the 1st 24-72hrs

13

Most children are developmentally ready to swim by

4 y/o