Drowning/Submersion Injury - Pediatric Algorithm

When is the Spinal Precautions protocol used in pediatric drowning?

If indicated.

What is done with wet clothing in an awake and alert drowning patient?

Remove it.

What is done for temperature in an awake and alert drowning patient?

Dry and warm the patient.

Should an asymptomatic awake and alert drowning patient be transported?

Encourage transport and hospital evaluation even if asymptomatic.

How long should asymptomatic drowning victims be observed?

4 to 6 hours.

What are asymptomatic drowning victims observed for?

Development of symptoms, such as pulmonary edema.

When is a cardiac monitor applied in an awake and alert drowning patient?

If indicated.

When is an IV started in an awake and alert drowning patient?

If indicated.

What protocol is used for dyspnea or wheezing in pediatric drowning?

Pediatric Airway Protocol.

When is a 12-lead ECG done in pediatric drowning?

If indicated.

What is done with wet clothing in an altered drowning patient?

Remove it.

What is done for temperature in an altered drowning patient?

Dry and warm the patient.

What protocol is used for an altered drowning patient?

Pediatric Altered Mental Status Protocol, as indicated.

When is the Pediatric Airway Protocol used for an altered drowning patient?

As indicated.

What monitoring is applied for an altered or unresponsive drowning patient?

Cardiac monitor.

When is IV/IO access established for an altered or unresponsive drowning patient?

If indicated.

What protocol is considered for cold exposure in pediatric drowning?

Pediatric Hypothermia Protocol, if indicated.

What protocol is used for a pulseless drowning patient?

Pediatric Pulseless Arrest Protocol.

What is done before transport in pediatric drowning?

Monitor and reassess.

What is the final step in pediatric drowning?

Transport.