Drowning resuscitation requires another state of mind
2013; Elsevier BV; Volume: 84; Issue: 11 Linguagem: Inglês
10.1016/j.resuscitation.2013.09.005
ISSN1873-1570
AutoresJoost J.L.M. Bierens, David S. Warner,
Tópico(s)Trauma and Emergency Care Studies
ResumoThis issue of Resuscitation includes a large prognostic Utstein-based drowning resuscitation study from Osaka, Japan, which at first glance reports very disappointing outcomes. Of the 1737 drowning victims who were in a cardiac arrest at arrival of emergency medical services (EMS), only 0.8% were alive with normal neurological function after one month. 1 Nitta M. Kitamura T. Iwami T. et al. Out-of-hospital cardiac arrest due to drowning among children and adults from the Utstein Osaka Project. Resuscitation. 2013; 84: 1568-1573 Abstract Full Text Full Text PDF PubMed Scopus (49) Google Scholar The study is consistent with another Japanese cohort study, 2 Kitamura T. Iwami T. Kawamura T. et al. Bystander-initiated rescue breathing for out-of-hospital cardiac arrests of noncardiac origin. Circulation. 2010; 122: 293-299 Crossref PubMed Scopus (74) Google Scholar but contrasts with case reports where more optimistic outcomes have been reported. 3 Tipton M.J. Golden F.S. A proposed decision-making guide for the search, rescue and resuscitation of submersion (head under) victims based on expert opinion. Resuscitation. 2011; 82: 819-824 Abstract Full Text Full Text PDF PubMed Scopus (77) Google Scholar , 4 Guenther U. Varelmann D. Putensen C. Wrigge H. Extended therapeutic hypothermia for several days during extracorporeal membrane-oxygenation after drowning and cardiac arrest Two cases of survival with no neurological sequelae. Resuscitation. 2009; 80: 379-381 Abstract Full Text Full Text PDF PubMed Scopus (42) Google Scholar A conclusion of the current publication could be that resuscitation of drowning victims is useless and that we should perhaps return to the 17th century when the laws in many European countries required that drowning victims remain untouched with at least their feet hanging in the water so as to allow police to determine the cause of death. 5 Meursing B.J. The history of resuscitation. Handbook of drowning. 2nd ed. Springer-Verlag, Heidelberg2013 Google Scholar
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