SavedAdd your journal

Journals / Adli Tıp Dergisi / 2011 / Cilt: 25 - Sayı: 3

CASES OF DROWNING AND NEAR-DROWNING IN PEDIATRIC INTENSIVE CARE UNIT

ÇOCUK YOĞUN BAKIM ÜNİTESİNDE TAKİP EDİLEN SUDA BOĞULMA VE BOĞULAYAZMA OLGULARI

Mehmet BOŞNAK
Gülseren BİLEN
Murat TUTANÇ
Ali KARAKUŞ
Cem ZEREN
Pages
177–182
Publication Date
2022-10-11
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In addition, basic firstaid training of families will be a alife-saving effort

📌 3 Key Takeaways

🎯
Objective & Hypothesis:ObjectiveEvaluation of drowning andnear-drowning cases taken toemergency room.Methods:A total of 12 drowning and neardrowningcases taken to theemergency room within 2003-2005time period were included in thestudy.
📊
Key Findings & Data:Patients were analyzedaccording to demographic andclinical characteristics.Results:10 cases were males and 2 caseswere females, age distributionwas between 1.5-9. 41.6% ofdrownings had occurred ina pool.
💡
Conclusion & Impact:In addition, basic firstaid training of families will be a alife-saving effort
🔬Design:Lab & Field Experiment
📍Scope:2003 Verileri
⚙️Variables:Domain Parameters

Abstract

ObjectiveEvaluation of drowning andnear-drowning cases taken toemergency room.Methods:A total of 12 drowning and neardrowningcases taken to theemergency room within 2003-2005time period were included in thestudy. Patients were analyzedaccording to demographic andclinical characteristics.Results:10 cases were males and 2 caseswere females, age distributionwas between 1.5-9. 41.6% ofdrownings had occurred ina pool. Five cases had beenintervened by their families infirst 5 minutes. Seven of the caseshad had respiratory distress,while breathing had stopped in 4cases. Mean Glasgow Coma Scaleaverage had been 7. All cases hadbeen hypothermic. Four patientshad been in metabolic acidosis,one had had thrombocytopenia.Ten patients’ SO2had beenbelow 90%. Five patients hadhad pneumonia; pneumothoraxhad occurred in 2 patients, andconvulsions had occurred in other2 patients. Antibioteraphy hadbeen given for 11 cases, ventilatorsupports had been applied for4 cases, anticonvulsant therapyhad been given for 2 cases and 2patients had undergone a closedtube drainage. Four cases haddied, 8 cases had been dischargedwith cure.Conclusion:Drowning is a high risk of deathin children, it is frequentlyencountered. Especially, securityprecautions should be providedfor settlements near ponds, rivers,swimming pools, or entertainmentbeaches in order to preventdrowning. In addition, basic firstaid training of families will be a alife-saving effort

Özet

Amaç:Acil servisimize getirilen sudaboğulma ve boğulayazma vakalarınıdeğerlendirmek.Yöntemler:Çalışmaya 2002-2006 yılları arasındaacil servisimize boğulmanedeniyle getirilen, dosya bilgileritam, toplam 12 olgu alınmış-tır. Hastalar demografik ve kliniközelliklerine göre incelenmiştir.Bulgular:Olguların 10'u erkek, 2'si kadın,yaş dağılımı 1.5-9 yaş arasındaidi. Boğulma olaylarının%41.6'sı havuzda gerçekleş-mişti.Beş vakaya ilk 5 dakikada aileleritarafından müdahaleedilmişti. Yedisinde solunumsıkıntısı mevcut, 4'ünde ise solunumyoktu. Glasgow KomaSkalası ortalama 7 idi. Olgularıntümü hipotermikti. Dördündemetabolik asidoz, birindetrombositopeni vardı. Onolguda SO2%90'ın altında idi.Beş hastada pnomoni, 2 hastadapnömotoraks, 2 hastadakonvülsiyon oluştu. Onbirineantibiyoterapi, 4'üne ventilatördesteği, 2'sine antikonvülsanilaç, 2 hastaya kapalı tüp drenajıuygulandı. Vakaların 4'üöldü, 8'i şifa ile taburcu edildi.Sonuç:Suda boğulma çocukların sıkkarşılaştığı ve ölüm riski yüksekolan bir durumdur. Özellikleyerleşim bölgelerindeki su birikintisi,akarsu, yüzme havuzlarıve eğlence plajlarında gerekliolan boğulmayı önleyici güvenliktedbirleri alınmalıdır. Ayrıcaailelere temel ilk yardım eğitimiverilmesi hayat kurtarıcı birçaba olacaktır.

🔖

Cite This Article

BOŞNAK, M., BİLEN, G., TUTANÇ, M., KARAKUŞ, A., ZEREN, C. (2022). CASES OF DROWNING AND NEAR-DROWNING IN PEDIATRIC INTENSIVE CARE UNIT. Adli Tıp Dergisi, Cilt: 25 - Sayı: 3, 177–182. https://ajindex.com/articles/428838

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Lakadamyalı H, Dogan T. Investigation of drowning cases in a tourism region of Turkey. Med Sci 2008;28:143-148
  2. Gokirmak M, Avcı H, Kalkan S, Yildirim Z. An ARDS Case Due to Fresh Water Aspiration. Turkish Journal of Intensive Care Medicine 2006;6(1):52-57
  3. Staudinger T, Bankier A, Strohmaier W, Weiss K, Locker GJ, Knapp S, Roggla M, Laczika K, Frass M. Exogenous surfactant therapy in a patient with adult respiratory distress syndrome after near drowning. Resuscitation 1997;35(2):179- 182
  4. Gonzalez-Rothi RJ. Near drowning: consensus and controversies in pulmonary and cerebral resuscitation. Heart Lung 1987;16(5):474-482. 5. van Beeck EF, Branche CM, Szpilman D, Modell JH, Bierens JJ. A new definition of drowning: towards documentation and prevention of a global public health problem. Bull World Health Organ 2005;83(11):853-856. 6.Brenner RA. Childhood drowning is a global concern. BMJ 2002;324(7345):1049-1050
  5. Arslan MM, Cekin N, Hilal A, Kar H. Adana’da 1997-2006 Yılları Arasında Meydana Gelen Suda Boğulma Olgularının İncelenmesi. Türkiye Klinikleri J Foren Med 2008;5(1):13-18
  6. Arslan MM, Kar H, Akçan R, Çekin N. Suda Boğulma Tanısında Kullanılan Yöntemlerin İrdelenmesi. Adli Tıp Bülteni 2005;10(1):29-34
  7. Modell JH, Moya F. Effects of volume of aspirated fluid during chlorinated fresh water drowning. Anesthesiology 1966;27(5):662-672
  8. Modell JH, Graves SA, Ketover A. Clinical course of 91 consecutive neardrowning victims. Chest 1976;70(2):231- 238
  9. Steinberg KP, Hudson LD, Goodman RB, Hough CL, Lanken PN, Hyzy R, Thompson BT, Ancukiewicz M. Efficacy and safety of corticosteroids for persistent acute respiratory distress syndrome. N Engl J Med 2006;354(16):1671-1684
  10. The Acute Respiratory Distress Syndrome Network.Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 2000;342(18):1301-1308
  11. Ahmed MK, Rahman M, van Ginneken J. Epidemiology of child deaths due to drowning in Matlab, Bangladesh. Int J Epidemiol 1999;28(2):306-311
  12. Pearn J. Survival rates after serious immersion accidents in childhood. Resuscitation 1978;6(4):271-278
  13. Riley MD, Larson A, Langford J. Drowning fatalities of children in Tasmania: differences from national data. Aust N Z J Public Health 1996;20(5):547-549
  14. Wintemute GJ, Teret SP, Kraus JF, Wright MA, Bradfield G. When children shoot children. 88 unintended deaths in California.