1 / 31

Submersion Injuries

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.

Leo
Download Presentation

Submersion Injuries

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Submersion Injuries • Mandi Stone, MD • Orlando Health Emergency Medicine

  2. No disclosures

  3. Vocabulary

  4. Vocabulary • Drowning vs near-drowning? • Wet vs dry? • Primary vs secondary?

  5. Vocabulary • Drowning vs near-drowning? • Wet vs dry? • Primary vs secondary?

  6. Vocabulary • Drowning vs near-drowning? • Wet vs dry? • Primary vs secondary?

  7. “A process resulting in primary respiratory impairment from submersion/immersion in a liquid medium.”

  8. Epidemiology • Estimated 500,000 deaths per year, worldwide

  9. Pathophysiology

  10. Submersion Breathholding Air hunger Reflex gasping Aspiration

  11. Salt vs Fresh water?

  12. Salt vs Fresh water?

  13. Surfactant washout • Atelectasis • VQ mismatch • Pulmonary edema • ARDS

  14. H+ O2

  15. Management

  16. Pre-hospital

  17. ED Management • A • B • C • D • E

  18. ED Management • Cause of drowning? • Trauma • Seizure • Hypoglycemia • Arrhythmia • Suicide attempt • Abuse or neglect

  19. Immersion syndrome • Syncope secondary to cardiac dysrhythmia due to sudden contact with cold water • ASSOCIATED WITH CONGENITAL PROLONGED QT SYNDROME • Caused by V.fib/Asystole secondary to catecholamine release in response to quick temperature change

  20. CXR

  21. Routine steroids or antibiotics NOT recommended

  22. Disposition • Symptomatic patients - admit for observation, supplemental O2 • Asymptomatic - observe for 4-8 hours

  23. Prevention • Fences around pools • Swimming lessons • Close monitoring of infants/children • Avoiding alcohol/drug use while swimming

  24. Thank you!

More Related