RESUMO
Some remarkable cases of full neurological recovery after cardiac arrest following immersion incidents have been intermittently reported in the journals over the years. These have largely been in children or teenagers who have fallen into extremely cold water. We report here two older adults who recovered completely after a period of cardiac arrest in cold water. Certainly, death should not be pronounced in cold water drowning, without a thermometer reading and ECG.
Assuntos
Parada Cardíaca/etiologia , Afogamento Iminente/complicações , Ressuscitação/métodos , Idoso , Protocolos Clínicos , Feminino , Parada Cardíaca/tratamento farmacológico , Parada Cardíaca/terapia , Humanos , Masculino , Metilprednisolona/uso terapêutico , Pessoa de Meia-Idade , Oxigenoterapia , Prognóstico , Respiração ArtificialRESUMO
This paper reviews the management and clinical course of patients after rescue from near drowning. Those with adequate ventilation on arrival at hospital had an excellent prognosis. The prognosis of those patients with inadequate ventilation, or who have suffered cardiac arrest, depends on rapid assessment and the institution of vigorous resuscitative measures. The medical management of all types of patients is reviewed in detail, the results tabulated and complications discussed.
