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The Drowning/Near-Drowning Patient

  • James B. Mueller

Abstract

A 3 year old child was brought to the emergency room (ER) by the rescue squad after he was pulled from a freshwater pond. He had fallen through the ice and been submerged for approximately 5min. Initially, the child was apneic, pulseless, and cyanotic. Cardiopulmonary resuscitation (CPR) was started. Upon arrival in the ER, the patient was still receiving CPR and was being ventilated by bag mask. Initial core temperature was 30°C. Arterial blood gas values were pH 6.95, PaO2 250mmHg, PaCO2 68mmHg, HCO 3 12mEqlL. Other laboratory results included Hgb 8.5gmldl, Hct 25.4%, Na+ 135mmol/L, K+ 3.4mmol/L, CL 97mmol/L.

Keywords

Continuous Positive Airway Pressure Functional Residual Capacity Peritoneal Lavage Cold Water Immersion Intracranial Pressure Monitoring 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Birkhäuser Boston 1991

Authors and Affiliations

  • James B. Mueller

There are no affiliations available

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