Near drowning.

J H Modell

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PubMed · 3779930

Near drowning.

J H Modell

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Abstract

Several conditions that contribute to drowning and near drowning must be considered in the treatment of near-drowned victims. Regardless of the cause, mechanical ventilation should begin as soon as possible and closed-chest cardiac massage should be administered when there is any question about the adequacy of cardiac output. After aspiration of either fresh or seawater, a large intrapulmonary physiologic shunt can occur, which requires aggressive mechanical ventilatory support to ensure adequate oxygenation and to return pulmonary function to normal. Near drowning is a multisystem disease and, while abnormalities of the lung and brain have been emphasized, definitive therapy must be tailored to each patient and must address all of the patient's needs.

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J H Modell. 1986. Near drowning.. https://pubmed.ncbi.nlm.nih.gov/3779930/

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