Drowning/Submersion Injuries

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1
The hallmark treatment of a drowning or submersion injury would be _______ by educating families on water safety
Prevention
2
The peak incidences for drownings is in your _____ & _______ population or < ____ y.o bc _____; and in _____ to ____ y.o d/t _______
- Infant & Young toddler
- 5 y.o bc Unable to swim (M=F)
- 16 to 24 y.o
- Risk taking behaviors & alcohol (>M)
3
The American Academy of Pediatric recommends swimming lessons should be started at _____ y.o
4 y.o
4
________ adolescents have almost _____ the mortality rate than the general adolescent population
- African American
- Twice
5
Deaths are attributed to _________ in ____ to ____ % of drownings in adolescents
- Alcohol intoxication
- 10 to 30%
6
Hypothermia in pts who have a submersion injury in __________ tend to have better outcomes
- Cold or icy water
7
Hypoxemia can lead to arrythmias (Tachycardia or Bradycardia) affects the atrium r/in ____
A fib
8
Hypoxemia can lead to acute tumor necrosis (Renal system) r/in ____
hemoglobinuria and myoglobinuria
9
Drowning & Submersion Injury management: Pa02 < ____ or PaCO2 >____ = intubate, Sp02 goal _____, _____, & _____
- Pa02 <60 or PaCO2 >50
- > 94%
- Elevate head of the bed (decrease ICP)
- Monitor temperature (warm IV fluids)
10
** Hypothermia can lead to ______ + _______ leading to _____
- vasoconstriction + diuresis
- hypovolemia and decreased BP
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