Positioning of the Drowning Victim
For centuries, people falsely believed that draining water from the lungs of drowning victims was an essential part of the resuscitation process. In the eighteenth century, this was the main reason why victims were positioned hanging vertically head down. Even today, many theories about positioning are offered but few with hard data to back them. In the following chapter, an attempt is made to provide the most logical rationale for positioning based on the available information, recent studies and consensus. In turn, this discussion will focus on issues such as water in the lungs and positioning during rescue in the water and on land and positioning during resuscitation and recovery for the drowning victim (Table 97.1).
KeywordsChest Compression Cervical Spine Injury Basic Life Support Logical Rationale Prolonged Immersion
- 2.Werner JZ, Safar P, Bircher NG et al (1982) No improvement in pulmonary status by gravity drainage or abdominal thrust after seawater near-drowning in dogs. Anesthesiology 57:A81Google Scholar
- 3.Modell JH (1981) Is the Heimlich manoeuvre appropriate as first treatment for drowning? Emerg Med Serv 10:63–66Google Scholar
- 6.Szpilman D, Idris A, Cruz Filho FES (2002) Position of drowning resuscitation victim on sloping beaches. In: Book of abstracts, World congress of drowning, Amsterdam, p. 168Google Scholar