Drowning and airway intervention:
Sobering up on stats
How can drowning affect the people you love and your community
Age breakdown
Deaths under ages of one are likely of bathtubs
1-4 usually drown in pools
5-13 usually drown in natural bodies of water because of no parental supervision
2.3x the percent of young blacks drown more than everyone else
You want to ask
How long have they been down
How long has something been done
What was the original cause
Definition of drowning: the process of experiencing respiratory impairment by submerging in a liquid.
Most deaths, 90%, of drowning happens in poor countries
500,000 people die of drowning
Leading cause of death for children under the age of five
Being drunk/making bad decisions disproportionately affect minorities
Myths
Wet and dry drowning is not true
There is no “near drowning
Saltwater and freshwater drownings have the same outcomes
All drowning victims require cervical collars
Drowning associated injuries
Broken limbs
hypothermia
When something swells inside a limited space the pressure increases
Prehospital settings
CPR
When too cold, your enzymes, electrolytes, etc balance is unproportional
As soon as your patient gets it
Take over for ems
Airway supremacy
Minimum goal rate 94%
strip&flip
Stab & lab
Attempts to warm up
Stab holes in chest and pour warm water in
Active rewarming
Stop seizure
Any seizure lasting more than five minutes is ….
If he fixes the seizure after seizuring more than 5 minutes, and they breathe on their own, it is not drowning
Do everything to ventilate patient as quickly as possible
If one lung is not similar to the other, you have to improve
Propofol, ketamine- seizure medication
Load with anti epileptic medication to ensure it isn't the cause for the neurological derangement
Any symptoms, go to ICU
Fluid will be in your lungs, so chest x rays are unnecessary
Once in ICU they should see, neurologist, VT, neurosurgeon, cardiologist, emergency general practitioner,
Living is an active process, and being alive is not interactive.
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