Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Drowning
1.
2. A process resulting in primary respiratory
impairment from submersion in a liquid medium .
"Near drowning" means a person almost died from
not being able to breathe (suffocating) under
water.
3. DRY DROWNING
The airway
closes up due to
spasms caused
by the presence
of water.
WET DROWNING
The persone
inhaled water
which interferes
with respiration
and causes the
circulatory
system collapse.
4. The majority of near-drowning cases are attributed to
accidents that occur near or in the water.
Inability to swim
Panic in the water
Leaving children unattended near bodies of water
Falling through thin ice
Alcohol consumption while swimming or on a boat
Seizure, or heart attack while in water
Suicide attempt etc.
5. Cold or bluish skin
Abdominal swelling
Chest pain
Cough
Shortness or lack of breath
Vomiting
Rhonchi An abnormal lung sound
7. DECOMPENSATION
(gasping with further inhalation -swallowing with
emesis -loss of consciousness)
NEURONAL DYSFUNCTION
( blood brain barrier breaks down )
CARDIAC DYSFUNCTION
(bradycardia, arrhythmias, asystole )
BRAIN DEATH
8. Laboratory Studies
Blood gas analysis with co-oximetry
CBC count.
Serum electrolytes (with glucose)
Liver enzymes
Renal function tests
Continuous pulse oximetry
cardiorespiratory monitoring (may be needed)
Chest radiography
Head CT and cervical spine imaging if trauma suspected
Extremity, abdominal, pelvic imaging if clinically indicated
Echocardiography
9. Monitoring cardiac output and related hemodynamic
parameters .
General assessment.
Et intubation if unconscious .
100% o2 by face mask
Treat hypothermia, hypoglycaemia, seizures, hypovolaemia
and hypotension, if they occur .
If the patient is awake and alert, observe for at least six
hours. Pulmonary oedema may develop late .
Removal of vomit
Nasogastric tube .
Urinary catheter.