MORNING REPORT

FRIDAY, JULY 18
TH

MITCH PETERSON & CAROLE MCCLANAHAN
*
*
*CASE
*SECONDARY DROWNING
*RISK FACTORS
*DEMOGRAPHICS/ STATISTICS
*TIPS FOR PARENTS
*ADVOCACY
*CONCLUSION
* 3 y.o. F presents with respiratory
distress secondary to near-
drowning.
* Found face-up in pool, dusky,
unconscious.
* Began breathing immediately upon
removal from pool.
* EMS called.
* No CPR.
* Blow-by in ambulance, 1L NC O
2
in
ED.
* Sent to floor.
*
*Laryngospasm or Water
Irritation
*Pulmonary Edema
*Cough, Chest Pain, Lethargy
*1-24 hours after initial hit
*1-2% of drowning
*
*Observation x 24 hrs, weaned to RA, no
secondary drowning effects
*
*10 sec: Cross the room for a
towel- Submerged
*2 min: Answer the phone- Lose
consciousness.
*4-6 min: Sign for a package at
front door- Permanent brain
damage
*CASE: Mother took sibling to
bathroom

*WATER
DANGER AT
ANY DEPTH
http://intermountainhealthcare.org/hospitals/primarychildrens/childhealth/parenting/Pages/water-safety.aspx

Intermountain Healthcares
campaign for Water Safety.
Go to URL below.
* Every day, 2 children <=14 die
from drowning
* 1/5 of all drowning deaths are
children
* Highest rate: Ages 1-4
* 80% male
* Blacks > Whites
* Location:
<1 y.o.: Bathtubs
3
1-4: Home Pools
15+: Natural water settings

*
*POOR SWIMMING ABILITY
*NO BARRIERS
*NO SUPERVISION
*NO PFDs
*ALCOHOL
*SEIZURES
*
1. Block off/Eliminate
water hazards
2. "Touch supervision" or
Constant eyes
3. PFDs, not armbands
4. Choose swim locations
wisely
5. No drugs or alcohol

*
6. No diving
7. Dont walk on ice
8. Seizure precautions
9. Near drowning? Bring
them in.

1. 4 Sided Walls (Case)
2. Pool covers and alarms
good, but not sufficient.
3. Entrapment and
entanglement prevention
equipment.

*
*
*CPR for everyone!
*> 4 yo = Swim Lessons
*1-4 yo = Maybe
*< 1 yo = What the what?

In light of new research that has
revealed that swim instruction for
children 1 to 4 years of age may
decrease drowning, it is reasonable for
the AAP to relax its policy regarding the
age at which children should start
learning water-survival skills.
7

*
1. Required parental
involvement
2. A fun atmosphere with 1-
on-1 teaching
3. Qualified teachers
4. Warm water to prevent
hypothermia
5. Maintenance of water
purity
6. A limited number of
submersions to prevent water
ingestion and hyponatremia
*
*1. 4 sided barrier laws
*2. Lifeguards at every public pool
*3. Lifeguards at recreational areas
(lakes, private)

*
*4. No drugs/alcohol on boats
*5. Database
*6. EMS response
*7. Counseling for family and
friends of victims

REFERENCES
1. What are dry drowning and secondary drowning? http://www.webmd.com/parenting/news/20140602/dry-
drowning-faq. Accessed July 15, 2014
2. Drowning prevention and water safety. Utah Safety Council.http://www.utahsafetycouncil.org/take-
safety-home/drowning-prevention.asp. Accessed July 9, 2014
3. Water safety- injury statistics and incidence rates. University of Utah
Healthcare.http://healthcare.utah.edu/healthlibrary/related/doc.php?type=90&id=P03004. Accessed July 9,
2014.
4. Unintentional drowning- get the facts. Centers for Disease Control and
Prevention.http://www.cdc.gov/homeandrecreationalsafety/water-safety/waterinjuries-factsheet.html. Last
updated May 15, 2014. Accessed July 9, 2014
5. Ten leading causes of injury and death. Centers for Disease Control and Prevention.
http://www.cdc.gov/injury/wisqars/leadingcauses.html. 2011. Accessed July 16, 2014
6. World Aquatic Babies and Children Network. About WABC: guidelines. Available at: www.wabcswim.com.
Accessed July 17, 2014.
7. Weiss, Jeffrey. Technical Report Prevention of Drowning Committee on Injury, Violence, and Poison
Prevention. American Academy of Pediatrics.