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Drowning - Coggle Diagram
Drowning
Risk factors
Children 0-4 years
Male
Intoxication
Occupation/ hobbies
diving
fishing
Farming
Medical conditions
Management
ATLS
Spinal management
Secure airway
Cosnider bronchoscopy
Lung protective ventilation
Do not use steriods
Neuroprotective measures
Tempreture control
Antibiotics
Contaminated water
Markers of poor prognosis
Submersion >10mins
Delayed resusciation
25misn CPR
GCS <5 or unreactive pupils prior to hospital
Pulsekess/apneic on arrival
pH <7.1
Pathophysiology
Respiratory
Larygospasm
Aspiration
Alveolar toxicity
Surfactant washout
Bronchospasm
Immersion/ submersion
ARDS
Cardiovascular
Diving reflex
CN V1
Apnoea
Bradycardia
Vasoconstriction
Catecholamine surge
HYpothermia
Bradycardia
J waves
VF/VT
Neurological
Hypoxia
Cerebral oedema
Seizures
Coma / death
Infection
Aerobic gram +ve (oropharynx)
Streptococcus
Staph aureus
Aerobic gram -ve (fresh water)
psudomonas
Classification
No evidence of aspiration
Evidence of asipration
With adequate ventilation
Inadequate ventilation
Abesent ventilation and circulation