Drowning/Submersion Injury - Adult Algorithm
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21 Terms
When is the Spinal Precautions protocol used for drowning?
If indicated.
What is done with wet clothing for an awake and alert drowning patient?
Remove it.
What warming care is given to an awake and alert drowning patient?
Dry and warm the patient.
Should an asymptomatic drowning patient be encouraged to transport?
Yes, encourage transport and hospital evaluation even if asymptomatic.
How long should asymptomatic drowning victims be observed?
4 to 6 hours.
What is the observation period for asymptomatic drowning victims watching for?
Development of symptoms such as pulmonary edema.
When is the IV procedure done for an awake and alert drowning patient?
If indicated.
When is a cardiac monitor applied for an awake and alert drowning patient?
If indicated.
What airway protocol is used for a drowning patient with altered mental status?
Appropriate Airway Protocol(s), as indicated.
What protocol is used for a drowning patient with altered mental status?
Altered Mental Status Protocol, as indicated.
What is done with wet clothing for an altered drowning patient?
Remove it.
What warming care is given to an altered drowning patient?
Dry and warm the patient.
When is IV/IO done for an altered drowning patient?
If indicated.
What monitor is applied for an altered drowning patient?
Cardiac monitor.
What ECG is obtained for an altered drowning patient?
12-lead ECG.
What pathway does an unresponsive drowning patient with a pulse follow?
Appropriate Airway Protocol(s) and the altered mental status pathway.
What protocol is used for a pulseless drowning patient?
Cardiac/Pulseless Arrest and/or Arrhythmia Protocol(s).
What protocol is used for a drowning patient with dyspnea or wheezing?
Appropriate Airway Protocol(s).
What is done for a drowning patient without dyspnea or wheezing?
Monitor and reassess.
What additional protocol should be considered for drowning?
Hypothermia Protocol, if indicated.
What is the final step of the drowning algorithm?
Transport.