What are the steps of retrieving a drowning victim in a body of water?
Reach, throw, row, tow, go
victim is unconscious and not breathing. What is your next step?
CPR starting with respirations
T/F: The Heimlich maneuver is no longer recommended for drowning.
True
Consider _______________as many drowning patients swallow water prior to inhaling and between 60-80% will vomit at some point during recovery or resuscitation.
Gastric decompression
When do you terminate resuscitation efforts in the field for a drowning victim?
30 minutes with no ROSC, warm and dead at 86-93F
T/F: Drowning victims with return of spontaneous circulation (ROSC) who remain comatose should NOT be actively rewarmed above 90-93°F/32-34°C
True
Water in lungs washes out _________causing atelectasis (alveolar collapse), diminished gas transfer, ventilation perfusion mismatch, and hypoxia.
Surfactant
A drowning victim that was rescued from ____________waters may have increased chance of lung injury and require bronchoalveolar lavage to cleanse.
Contaminated
What are the risk factors for swimming induced pulmonary edema (SIPE)?
hyoertension, female, swimming over 1.2 miles, hostory of SIPE
SIPE treatment
supportive care, diurectics and supplemental oxygen