Drowning and Submersion Injury

Question 1

Most important step to reducing the impact of drowning injury

Answer 1

Prevention followed by early initiation of CPR at the scene

Question 2

Highest drowning rates were seen in children of what age group

Answer 2

1-4 y/o and 15-19 y/o

Question 3

Leading cause of death from unintentional injury among children

Answer 3

MVA

Question 4

2nd leading cause of death from unintentional injury among children

Answer 4

Drowning

Question 5

T/F Drowning rates for adolescent males is higher than for adolescent females

Answer 5

T, 10x higher

Question 6

Injury in drowning, the severity of which is dependent primarily on duration

Answer 6

Global hypoxia

Question 7

MCC of mortality and long-term morbidity in drowning

Answer 7

CNS injury

Question 8

Pediatric drowning victims should be observed for at least ___ even if asymptomatic on presentation at the ED

Answer 8

6-8 hrs

Question 9

Drowning: Death or severe neurologic sequelae are likely in patients with

Answer 9

1) Deep coma 2) Apnea 3) Absence pf pupillary responses 4) Hypergly in the ED 5) Submersion >10 min 6) Failure of response to CPR given for 25 min

Question 10

Most critical and effective neurologic measures after drowning

Answer 10

Rapid restoration and maintenance of adequate oxygenation, ventilation, and perfusion

Question 11

2002 World Congress on Drowning recommended that ___ be instituted ASAP after resuscitation

Answer 11

Hypothermia 32-34C sustained for 12-24hrs

Question 12

Best prognostication of long-term CNS outcome in drowning injuries

Answer 12

Neuro exam and progression during the 1st 24-72hrs

Question 13

Most children are developmentally ready to swim by

Answer 13

4 y/o