RESUSCITATION PROCEDURES FOR DROWNING VICTIMS
Saša Ignjatijević, Dušica Janković, Tatjana Mićić, Goran Živković
Emergency Medical Service, Niš, Serbia
INTRODUCTION: Drowning is one of the most common cause of accidental morbidity and mortality. It happens when the human body is immersed in a liquid, as a result of which disorder of respiratory function occurs, which causes hypoxia. In addition to respiratory dysfunction, the normal functioning of the cardiovascular and neurological system is impaired, which can end in fatal coma and cardiac arrest.
METHOD: Review of available medical literature.
OBJECTIVE: To determine guidelines for diagnostic and therapeutic procedures for drowning victims at all levels of health care.
SYNTHESIS OF AVAILABLE MATERIAL: Starting from eyewitnesses at the scene of the accident to intensive care units, diagnostic and therapeutic procedures provided to the drowned person aim to reduce, as much as possible, the effects of hypoxia on physiological processes in the victim's body. The brain is especially sensitive to hypoxia, which can cause a disturbance of consciousness.
The initial part of the chain of survival in rescuing a drowned person refers to the procedures that are provided in the first moments during and after rescuing the victim from water until the arrival of the ambulance. Upon arrival, the drowned person receives advanced resuscitation measures according to the guidelines, and after that, and return of spontaneous circulation, transport to the hospital with monitoring of vital parameters. In the emergency department, with the available diagnostic procedures, more intensive therapy starts, which aims to improve cardiorespiratory and neurological function. In case of more serious complications (Glasgow Coma Scale score <13 and O2 saturation <95%), patient is transferred to intensive care units for further management.
CONCLUSION: In their everyday work, health care workers do not encounter these kinds of patients so often, so these guidelines conduct diagnostic and therapeutic procedures.
Key words: drowning, cardiopulmonary resuscitation guidelines,
Saša IGNJATIJEVIĆ, MD
Zavod za hitnu medicinsku pomoć Niš
Vojislava Ilića bb
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