ICU SAQs · Environmental emergencies
Near-drowning — the respiratory and the neurological management
A CICM Second-Part SAQ on the drowning — the oxygen/PEEP/ventilation, the TTM, the NOT the prophylactic antibiotics/steroids.
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Prompt
A 20-year-old is pulled from the ocean after 10 minutes submersion. He is unconscious, GCS 5, cyanotic, with bilateral crackles and SpO2 82 per cent on 15 L. Outline the ICU management.
Question
A 20-year-old is pulled from the ocean after 10 minutes submersion. He is unconscious, GCS 5, cyanotic, with bilateral crackles and SpO2 82 per cent on 15 L. Outline the ICU management.
References2ShowHide
- [1]Szpilman D, Morgan PJ Management for the Drowning Patient. Chest, 2021.PMID 33065105
- [3]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.