drowning management Flashcards
what are the steps of retrieving a drowning victim in a body of water?
reach with an object from shore, throw a floating object, row out in a boat, tow them in from shore, go into water (as a last resort)
once you get a drowning victim on land and call for additional help and ensure victims head and feet are at the same level. The victim is unconscious and not breathing, what is your next step
begin with 5 rescue breaths (ABC rather than CAB), then continue with 30:2 (compressions: rescue breaths).
T/F Heimlich maneuver NO LONGER recommended for drowning.
true
consider _______ as many drowning patients swallow water prior to inhaling and between 60-80% will vomit at some point during recovery or resuscitation
early intubation/mechanical ventilation/ Positive end-expiratory pressure (PEEP) or Bilevel Positive Airway Pressure (BiPAP).
when do you terminate resuscitation efforts in the field for a drowning victim
After 1 hour submerged in water, Resuscitation may be stopped after 30 minutes of CPR without return of spontaneous circulation if patient is not hypothermic
T/F drowning victims with return of spontaneous circulation who remain comatose should not be actively rewarmed above 90-93 degrees F
true
Water in lungs washes out _________causing atelectasis (alveolar collapse), diminished gas transfer, ventilation perfusion mismatch, and hypoxia.
surfactant
a drowning victim that was rescued from ______ may increase lung injury and require bronchoalveolar lavage to cleanse
contaminated (petroleum, sewage, organic, mud, sand, etc.) –
what are the risk factors for swimming induced pulmonary edema
hypertension, female, swimming ≥ 1.2 miles, prior histor
management of swimming induced pulmonary edema
typically resolves with rest within 24-48 hours. Hospitalization with diuretics and supplemental oxygen for severe cases.
