Trauma Week Day 2

Drowning in the process of experiencing respiratory impairment from submersion in liquid. Drowning outcomes are classified as "death, morbidity, and no morbidity" in professional environments. There is no such thing as dry drowning vs wet drowning, this terms should be avoided entirely, drowning is drowning.

The Myths

There is no near drowning, it's a submersion injury. There is no difference in saltwater drowning and freshwater drowning. All drowning victims require Cervical neck immobilization.

Drowning associated injuries mainly include seizures, hypothermia, sudden cardiac arrest, trauma (especially when diving is witnessed otherwise rare). Initially, an episode of panic results in a lost of normal breathing pattern and a struggle to stay above water (seizure or panic) eventual hypoxemia, Involuntary inspiration, aspiration, water in respiratory track, and laryngospasm. Water causes non-cardiogenic pulmonary edema, oxygen transport problems, low oxygen to tissues, cerebral hypoxia, cerebral edema and increased ICP, cardiac hypoxia, and arrhythmia consistent with degree of oxygen derangement. 20% of those who drowned will have neurological injury.

The emergency department will take over for EMS, airway supremacy, min CP02 Gold greater than 94%, and can use NIPPV adjuncts. Drowning is the leading cause of death globally in children under five years old bimodally distributed, first peak under five second ages 15 through 30. 500,000 people annually drown surviving and assist being drunk and bad decisions, don't help in the water. Disproportionately affect minorities of lower socioeconomic persons.