Near Drowning

Flashcards about Near Drowning

Drowning

Suffocation and death as a result of submersion in liquid.

Dry Drowning

The glottis spasms and prevents water from passing into the lungs.

Wet Drowning

Glottis relaxes and allows water to flood the tracheobronchial tree and alveoli

Near Drowning

Situation in which a victim survives a liquid submersion, at least temporarily.

Primary Assessment findings in Near Drowning

Increased HR, RR, BP, May have apnea

Inspection findings for Near Drowning

Cyanosis, frothy secretions

Palpation findings for Near Drowning

Increased fremitus and decreased expansion

Percussion findings for Near Drowning

Hypo-resonance if atelectasis or consolidation develops

Auscultation findings for Near Drowning

Diminished, crackles

ABG findings for Near Drowning

Acute Ventilatory Failure with Hypoxemia

CXR findings for Near Drowning

Fluffy infiltrates

Management of Near Drowning

CPR if needed, Intubation/mechanical ventilation

Etiology of Near Drowning

Restrictive

Anatomic Alterations in Near Drowning

Laryngospasm, Interstitial edema, Decreased pulmonary surfactant with increased surface tension of alveolar fluid

More Anatomic Alterations in Near Drowning

Frothy, white, and pink secretions, Atelectasis, Alveolar consolidation, Bronchospasm

Favorable factors in near drowning

Younger age, short submersion time, colder water, clean water, no other serious injuries, less struggle, good CPR