NeardrowningPrehospitalandEmergencyDepartment.pptVIP

Neardrowning: Prehospital and Emergency Department Management James Hoekstra, MD, FACEP Ohio State University Case Report: Neardrowning 17 year old male ejected from a boat during a violent turn in a fresh water reservoir Pulled from the water by friends Unconscious, not breathing at the scene Given mouth to mouth Total time submerged: 3-5 minutes EMS arrival in 20 minutes Case Report: EMS At EMS arrival, breathing but unconscious BP 130/90, P 110, R 24, good BS Obvious head injury with parietal scalp laceration, moving all fours to pain Backboard and C-collar immobilization O2 per face mas