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Nonfatal Drowning

Tauhid Mahmud, MPH, MD Reviewed 05/2023
 


BASICS

DESCRIPTION

Respiratory impairment resulting from submersion in liquid 

EPIDEMIOLOGY

Incidence

  • From 2010 to 2019, an average of 3,957fatal unintentional drownings in the United States (1)

  • Three age...

DIAGNOSIS

HISTORY

The Revised Utstein-style approach provides a standardized template for evaluating drowning incidents and provides guidance for the history, physical exam, and appropriate management ...

TREATMENT

Early resuscitation and reversal of hypoxemia/acidosis are key. 

GENERAL MEASURES

  • Prehospital

    • Never approach a struggling victim alone. Initiate basic life support (BLS) and advanced cardiovasc...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Appropriate follow-up with primary care provider, orthopedic, neurologic, cardiac, pulmonary, and additional specialists as indicated 

Patient Monitoring

  • ABG monito...

REFERENCES

1
Centers for Disease Control and Prevention. Unintentional drowning: get the facts. http://www.cdc.gov/HomeandRecreationalSafety/Water-Safety/waterinjuries-factsheet.html/. Accessed January...

CODES

ICD10

  • T75.1XXA Unsp effects of drowning and nonfatal submersion, init

  • T75.1XXD Unsp effects of drowning and nonfatal submersion, subs

  • T75.1XXS Unsp effects of drowning and nonfatal submersion, sequ...

CLINICAL PEARLS

  • The most important treatment for near-drowning victims is prompt reversal of hypoxia.

  • Water safety education ( physical and behavioral modifications) helps prevent drowning.

  • Encourage po...

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