Environmental Emergencies - Near-Drowning

Front 1

near drowning in cold water is associated with

Back 1

better survival than warm water

Front 2

T/F patients in coma or who arrive in the ED without vital signs may survive neurologically intact

Back 2

True

Front 3

T/F initial CXR may be normal in near-drowning with pulmonary injury

Back 3

True

Front 4

T/F innear drowning patients who are not hypothermic CPR greater than 30 minutes is unlikely to result in succesful rescuscitation

Back 4

true

Front 5

T/F most drowning victims swallow large amounts of water leading to electrolyte abdnormalities

Back 5

false

Front 6

T/F the heimlich maneuver is succesful in near-drowning victim without foreign body obstruction

Back 6

false

Front 7

T/F all near drowning victims require admission

Back 7

false

Front 8

temperature and CPR

Back 8

If the core temp is less than 35 the patient should be treated for hypothermia in patients with core of 35 or above, CPR is not likely to be succesful if continued for greater than 30 minutes dysrhythmias should be treated with ACS protocol

Front 9

intubated near drowning patients should have

Back 9

an NG tube to decompress...abx and steroids are not indicated for aspiration

Front 10

ABG use in near drowning

Back 10

only necessary for the intubated patient

Front 11

al patients requiring supplemental oxtgen should get what

Back 11

an EKG, CXR in all symptomatic patients

Front 12

water conditions that are predictors for increased mortality

Back 12

submersion in water warmer than 20 degrees and submersion longer than 5-10 minutos...survivla has not been reported for victims who were submerged for longer than 30 minutes in warm water