Base de dados : MEDLINE
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[PMID]:29172330
[Au] Autor:Sandmeyer J; Heightman AJ
[Ti] Título:Waterlogged. San Diego Fire-Rescue lifeguards faced with MCI in the water.
[So] Source:JEMS;41(8):40-1, 2016 08.
[Is] ISSN:0197-2510
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Serviços Médicos de Emergência/organização & administração
Incidentes com Feridos em Massa
Afogamento Iminente/prevenção & controle
Oceanos e Mares
Natação
[Mh] Termos MeSH secundário: Adolescente
California
Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171214
[Lr] Data última revisão:
171214
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE


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[PMID]:28550896
[Au] Autor:Chotai PN; Manning L; Eithun B; Ross JC; Eubanks JW; Hamner C; Gosain A
[Ad] Endereço:Division of Pediatric Surgery, Department of Surgery, University of Tennessee Health Science Center, Memphis, Tennessee.
[Ti] Título:Pediatric near-drowning events: do they warrant trauma team activation?
[So] Source:J Surg Res;212:108-113, 2017 May 15.
[Is] ISSN:1095-8673
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The purpose of this study was to determine the incidence of traumatic injuries, factors associated with mortality, and need for pediatric trauma surgery involvement for drowning and near-drowning events in children. MATERIALS AND METHODS: An institutional review board-approved, retrospective chart review was performed at three American College of Surgeons-verified Pediatric Trauma Centers (2011-2014). Patients with International Classification of Diseases, Ninth Revision, codes or E-codes for fatal-nonfatal drowning, fall into water, accidental drowning, or submersion were included. Bivariate analysis using chi-square or Fisher exact test for nominal variables and Mann-Whitney U test for continuous variables was performed. RESULTS: A total of 363 patients (median 3.17 y [18 d-17 y]) met the inclusion criteria. Drowning sites included pool (81.5%), bathtub (12.9%), and natural water (5.2%). A witnessed fall or dive was reported in 34.9%, 57.9% did not fall or dive, and 7% had an unwitnessed event. Most patients did not undergo cervical spine (83%) or brain imaging (75.5%). Seven patients (1.92%) had associated soft tissue injuries. Two patients (0.006%) received surgical intervention (bronchoscopy and extracorporeal membrane oxygenation) within 24 h of presentation. Only 2.2% were admitted to the pediatric trauma service. The percentage of patients discharged home from the emergency department was 10.2%. Overall mortality was 12.4%. Factors associated with mortality included transfer from outside hospital (P = 0.016), presence of hypothermia on arrival (P < 0.0001), Glasgow Coma Scale of 3 on arrival (P < 0.0001), drowning in a pool (P = 0.013), or undergoing brain cooling at admission (P = 0.011). CONCLUSIONS: This is the largest reported series of pediatric near-drowning events. Only rarely did patients require immediate surgical attention and the majority were admitted to nonsurgical services. These data suggest that routine pediatric trauma surgery service involvement in patients with near-drowning events may be unnecessary.
[Mh] Termos MeSH primário: Serviço Hospitalar de Emergência
Afogamento Iminente/terapia
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Afogamento/mortalidade
Feminino
Seres Humanos
Incidência
Lactente
Recém-Nascido
Masculino
Afogamento Iminente/diagnóstico
Afogamento Iminente/epidemiologia
Sistema de Registros
Estudos Retrospectivos
Centros de Traumatologia
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170913
[Lr] Data última revisão:
170913
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170529
[St] Status:MEDLINE


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[PMID]:28431445
[Au] Autor:Stachon P; Kalbhenn J; Walterspacher S; Bode C; Staudacher D
[Ad] Endereço:Klinik für Kardiologie und Angiologie I, Universitäts-Herzzentrum Freiburg-Bad Krozingen.
[Ti] Título:[Near-Drowning with Good Outcome after ECMO-Therapy and Therapeutic Hypothermia Despite 20 Minutes of Anoxia and 16 Hours of Hypoxia].
[Ti] Título:Überleben mit guter Neurologie nach Beinahe-Ertrinken durch ECMO-Therapie und therapeutischer Hypothermie trotz 20-minütiger Anoxie und 16-stündiger Hypoxie..
[So] Source:Dtsch Med Wochenschr;142(8):596-600, 2017 Apr.
[Is] ISSN:1439-4413
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:Drowning with submersion over 10 minutes is associated with a high mortality. Here, we present a case, in which a good neurological outcome was achieved after interdisciplinary, intensive care therapy despite submersion of 20 minutes followed by 16 hours of hypoxia. A 19 year old man drowned in fresh-water. After 20 minutes submersion he was localized and salvaged from 8 meters depth and primarily resuscitated successfully after 10 minutes. Within the next hour, there condition worsened by respiratory deterioration due to a massive capillary leak syndrome in addition to a disseminated intravascular coagulation. This made implantation of a veno-venous ECMO (extracorporeal membrane oxygenation) therapy necessary. Despite intensive care medicine including extracorporeal therapy a sufficient oxygenation (arterial pO > 60 mmHg) was reached only 16 hours after the drowning. During this time the patient was treated with a mild therapeutic hypothermia for cerebral protection. Despite the prolonged hypoxia, ECMO could be removed five days after the drowning and the patient was extubated after another five days without significant neurological deficits. Despite submersion of 20 minutes followed by prolonged hypoxia, a good neurological outcome could be achieved in our patient. This case suggests, that tolerance of hypoxia is possibly underestimated after drowning.
[Mh] Termos MeSH primário: Oxigenação por Membrana Extracorpórea
Hipotermia Induzida
Hipóxia/terapia
Afogamento Iminente/terapia
[Mh] Termos MeSH secundário: Adulto
Seres Humanos
Masculino
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170627
[Lr] Data última revisão:
170627
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170422
[St] Status:MEDLINE
[do] DOI:10.1055/s-0043-101530


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[PMID]:28343728
[Au] Autor:Hruscã A; Rãchisan AL; Rödl S; Sorantin E
[Ad] Endereço:Division of Medical Biophysics, University of Medicine & Pharmacy "Iuliu Hatieganu", Cluj-Napoca, Romania.
[Ti] Título:Can Apparent Diffusion Coefficient Predict the Clinical Outcome in Drowned Children?
[So] Source:Can Assoc Radiol J;68(2):217-223, 2017 May.
[Is] ISSN:1488-2361
[Cp] País de publicação:Canada
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Pediatric cerebral hypoxic-ischemic injury frequently results in severe neurological outcome. Imaging with diffusion-weighted magnetic resonance imaging (DWi) demonstrates that the acute cerebral injury and apparent diffusion coefficient (ADC) allow the assessment of the severity of brain damage. The main objective was to examine if spatial distribution of reductions in ADC values is associated with clinical outcome in drowned children. METHODS: This is a retrospective study of 7 children (7 examinations) suffering from a hypoxic-ischemic event who underwent DWi. Seven subjects with normal DWi served as controls. The mean patient age was 4.88 ± 2.93 years and the male-to-female ratio was 5:2. The neurological outcome was divided into 2 categories: 4 children with Apallic syndrome and 3 deaths. We analysed the differences between the drowned children and the control group regarding clinical data, DWi abnormalities, and ADC values. RESULTS: The ADC values in the occipital and parietal grey matter were significantly different between the drowned children (765.14 ± 65.47 vs 920.95 ± 69.62; P = .003) and the control group (670.82 ± 233.99 vs 900.66 ± 92.72; P = .005). The ADC showed low values in the precentral area also (P = .044). CONCLUSION: The ADC reduction may be useful to predict the poor outcome in drowned children and can be a valuable tool for clinical assessment.
[Mh] Termos MeSH primário: Imagem de Difusão por Ressonância Magnética
Hipóxia-Isquemia Encefálica/diagnóstico por imagem
Afogamento Iminente/diagnóstico por imagem
[Mh] Termos MeSH secundário: Pré-Escolar
Feminino
Seres Humanos
Hipóxia-Isquemia Encefálica/etiologia
Masculino
Afogamento Iminente/complicações
Valor Preditivo dos Testes
Prognóstico
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170616
[Lr] Data última revisão:
170616
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170328
[St] Status:MEDLINE


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[PMID]:27995265
[Au] Autor:Koh WJ; Wee CP; Sewa DW; Wong TH
[Ad] Endereço:Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
[Ti] Título:A case of adult submersion injury with clinical and radiological evidence of severe brain and lung injury, and subsequent complete clinical recovery.
[So] Source:Singapore Med J;57(12):701-702, 2016 Dec.
[Is] ISSN:0037-5675
[Cp] País de publicação:Singapore
[La] Idioma:eng
[Mh] Termos MeSH primário: Oxigenação por Membrana Extracorpórea/métodos
Afogamento Iminente/terapia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Afogamento Iminente/complicações
Afogamento Iminente/diagnóstico por imagem
Neuroimagem
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161221
[St] Status:MEDLINE
[do] DOI:10.11622/smedj.2016182


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[PMID]:27462679
[Au] Autor:Tofield A
[Ti] Título:CardioPulse: Syncope and near drowning may signal sudden death risk.
[So] Source:Eur Heart J;37(7):585, 2016 Feb 14.
[Is] ISSN:1522-9645
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Morte Súbita/etiologia
Afogamento Iminente/etiologia
Síncope/etiologia
[Mh] Termos MeSH secundário: Diagnóstico Diferencial
Erros de Diagnóstico
Diagnóstico Precoce
Epilepsia/diagnóstico
Efeito Fundador
Seres Humanos
Canal de Potássio KCNQ1/genética
Síndrome do QT Longo/diagnóstico
Síndrome do QT Longo/genética
Mutação/genética
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (KCNQ1 Potassium Channel); 0 (KCNQ1 protein, human)
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170111
[Lr] Data última revisão:
170111
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160728
[St] Status:MEDLINE


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Texto completo
[PMID]:27423181
[Au] Autor:Zambon LS; Marta GN; Chehter N; Del Nero LG; Cavallaro MC
[Ad] Endereço:Emergency Department, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Av. Dr. Enéas de Carvalho Aguiar, 255, 5o andar, Sala 5023, Cerqueira Cesar, ZIP Code 05403-010, São Paulo, SP, Brazil. lucaszambon@yahoo.com.br.
[Ti] Título:Near-drowning-associated pneumonia with bacteremia caused by coinfection with methicillin-susceptible Staphylococcus aureus and Edwardsiella tarda in a healthy white man: a case report.
[So] Source:J Med Case Rep;10:197, 2016 Jul 16.
[Is] ISSN:1752-1947
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Edwardsiella tarda is an Enterobacteriaceae found in aquatic environments. Extraintestinal infections caused by Edwardsiella tarda in humans are rare and occur in the presence of some risk factors. As far as we know, this is the first case of near-drowning-associated pneumonia with bacteremia caused by coinfection with methicillin-susceptible Staphylococcus aureus and Edwardsiella tarda in a healthy patient. CASE PRESENTATION: A 27-year-old previously healthy white man had an episode of fresh water drowning after acute alcohol consumption. Edwardsiella tarda and methicillin-sensitive Staphylococcus aureus were isolated in both tracheal aspirate cultures and blood cultures. CONCLUSION: This case shows that Edwardsiella tarda is an important pathogen in near drowning even in healthy individuals, and not only in the presence of risk factors, as previously known.
[Mh] Termos MeSH primário: Bacteriemia/complicações
Coinfecção/microbiologia
Infecções por Enterobacteriaceae/complicações
Afogamento Iminente/complicações
Pneumonia/etiologia
Infecções Estafilocócicas/complicações
[Mh] Termos MeSH secundário: Adulto
Bacteriemia/tratamento farmacológico
Ceftriaxona/uso terapêutico
Ciprofloxacino/uso terapêutico
Clindamicina/uso terapêutico
Coinfecção/tratamento farmacológico
Edwardsiella tarda
Infecções por Enterobacteriaceae/tratamento farmacológico
Seres Humanos
Masculino
Meticilina
Afogamento Iminente/microbiologia
Oxacilina/uso terapêutico
Pneumonia/tratamento farmacológico
Infecções Estafilocócicas/tratamento farmacológico
Staphylococcus aureus
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
3U02EL437C (Clindamycin); 5E8K9I0O4U (Ciprofloxacin); 75J73V1629 (Ceftriaxone); Q91FH1328A (Methicillin); UH95VD7V76 (Oxacillin)
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170517
[Lr] Data última revisão:
170517
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160718
[St] Status:MEDLINE
[do] DOI:10.1186/s13256-016-0975-7


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[PMID]:27362855
[Au] Autor:Moler FW; Hutchison JS; Nadkarni VM; Silverstein FS; Meert KL; Holubkov R; Page K; Slomine BS; Christensen JR; Dean JM; Therapeutic Hypothermia After Pediatric Cardiac Arrest Out-of-Hospital Trial Investigators
[Ad] Endereço:1Department of Pediatrics, University of Michigan, Ann Arbor, MI. 2Critical Care Medicine, The Hospital for Sick Children, Toronto, ON, Canada. 3Pediatric Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, PA. 4Department of Pediatrics, Wayne State University, Detroit, MI. 5Department of Pediatrics, University of Utah, Salt Lake City, UT. 6Department of Physical Medicine and Rehabilitation and Neuropsychology, Kennedy Krieger Institute and Johns Hopkins University, Baltimore, MD.
[Ti] Título:Targeted Temperature Management After Pediatric Cardiac Arrest Due To Drowning: Outcomes and Complications.
[So] Source:Pediatr Crit Care Med;17(8):712-20, 2016 Aug.
[Is] ISSN:1529-7535
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To describe outcomes and complications in the drowning subgroup from the Therapeutic Hypothermia After Pediatric Cardiac Arrest Out-of-Hospital trial. DESIGN: Exploratory post hoc cohort analysis. SETTING: Twenty-four PICUs. PATIENTS: Pediatric drowning cases. INTERVENTIONS: Therapeutic hypothermia versus therapeutic normothermia. MEASUREMENTS AND MAIN RESULTS: An exploratory study of pediatric drowning from the Therapeutic Hypothermia After Pediatric Cardiac Arrest Out-of-Hospital trial was conducted. Comatose patients aged more than 2 days and less than 18 years were randomized up to 6 hours following return-of-circulation to hypothermia (n = 46) or normothermia (n = 28). Outcomes assessed included 12-month survival with a Vineland Adaptive Behavior Scale score of greater than or equal to 70, 1-year survival rate, change in Vineland Adaptive Behavior Scale-II score from prearrest to 12 months, and select safety measures. Seventy-four drowning cases were randomized. In patients with prearrest Vineland Adaptive Behavior Scale-II greater than or equal to 70 (n = 65), there was no difference in 12-month survival with Vineland Adaptive Behavior Scale-II score of greater than or equal to 70 between hypothermia and normothermia groups (29% vs 17%; relative risk, 1.74; 95% CI, 0.61-4.95; p = 0.27). Among all evaluable patients (n = 68), the Vineland Adaptive Behavior Scale-II score change from baseline to 12 months did not differ (p = 0.46), and 1-year survival was similar (49% hypothermia vs 42%, normothermia; relative risk, 1.16; 95% CI, 0.68-1.99; p = 0.58). Hypothermia was associated with a higher prevalence of positive bacterial culture (any blood, urine, or respiratory sample; 67% vs 43%; p = 0.04); however, the rate per 100 days at risk did not differ (11.1 vs 8.4; p = 0.46). Cumulative incidence of blood product use, serious arrhythmias, and 28-day mortality were not different. Among patients with cardiopulmonary resuscitation durations more than 30 minutes or epinephrine doses greater than 4, none had favorable Pediatric Cerebral Performance Category outcomes (≤ 3). CONCLUSIONS: In comatose survivors of out-of-hospital pediatric cardiac arrest due to drowning, hypothermia did not result in a statistically significant benefit in survival with good functional outcome or mortality at 1 year, as compared with normothermia. High risk of culture-proven bacterial infection was observed in both groups.
[Mh] Termos MeSH primário: Coma/terapia
Hipotermia Induzida
Afogamento Iminente/terapia
Parada Cardíaca Extra-Hospitalar/terapia
[Mh] Termos MeSH secundário: Adolescente
Reanimação Cardiopulmonar
Criança
Pré-Escolar
Coma/etiologia
Coma/mortalidade
Terapia Combinada
Afogamento/mortalidade
Feminino
Seguimentos
Seres Humanos
Lactente
Recém-Nascido
Análise de Intenção de Tratamento
Masculino
Afogamento Iminente/complicações
Parada Cardíaca Extra-Hospitalar/etiologia
Parada Cardíaca Extra-Hospitalar/mortalidade
Estudos Prospectivos
Taxa de Sobrevida
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160701
[St] Status:MEDLINE
[do] DOI:10.1097/PCC.0000000000000763


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[PMID]:27325174
[Au] Autor:Gaüzère BA; Chanareille P; Vandroux D
[Ad] Endereço:Centre hospitalier universitaire de La Réunion, site Félix-Guyon, allée des Topazes, CS 11021, 97400, Saint-Denis, La Réunion, France. bernard.gauzere@chu-reunion.fr.
[Ti] Título:[Post nearly Drowning Vibrio alginolyticus Septicemia Acquired in Reunion (Indian Ocean)].
[Ti] Título:Septicémie à Vibrio alginolyticus au décours d'une presque noyade à La Réunion (océan Indien)..
[So] Source:Bull Soc Pathol Exot;109(3):151-4, 2016 Aug.
[Is] ISSN:0037-9085
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:AbstractWe report the first case of Vibrio alginolyticus septicemia in the Indian Ocean (Reunion Island), in a patient (70-year-old-man) with multiple underlying conditions, following a nearly drowning in the lagoon of Reunion. From now on, V. alginolyticus should be considered as a possible agent of septicemia in the Indian Ocean, particularly following marine activities.
[Mh] Termos MeSH primário: Afogamento Iminente/microbiologia
Sepse/microbiologia
Vibrioses/etiologia
Vibrio alginolyticus
[Mh] Termos MeSH secundário: Idoso
Seres Humanos
Masculino
Afogamento Iminente/complicações
Reunião
Vibrioses/diagnóstico
Vibrio alginolyticus/isolamento & purificação
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170303
[Lr] Data última revisão:
170303
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160622
[St] Status:MEDLINE
[do] DOI:10.1007/s13149-016-0505-2


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[PMID]:27183945
[Au] Autor:Shaikh MA
[Ad] Endereço:Independent Consultant, Block No. 7, Gulshan-e-Iqbal, Karachi, Pakistan.
[Ti] Título:Epidemiology of drowning and near drowning at Karachi beaches from 2012 to 2014.
[So] Source:J Pak Med Assoc;66(5):602-5, 2016 May.
[Is] ISSN:0030-9982
[Cp] País de publicação:Pakistan
[La] Idioma:eng
[Ab] Resumo:Karachi Municipal Corporation's Emergency Response Center's lifeguards save drowning individuals, recover dead bodies of drowned individuals, and provide first aid care to injured victims of near-drowning and road traffic accidents on the road along the various beaches.Cumulatively302 drowning and near-drowning 302 incidents were recorded from 2012 to 2014, with 291 (96.3%) incidents involving males. One hundred ninety-six (64.9%) individuals were saved from drowning, out of which 116 (59.2%) were saved on Sundays, followed by 31 (15.8%) on Saturdays; with 79 (40.3%) being saved during the hours 06:00 PM to 07:59 PM. Out of total 34 dead bodies were recovered, Sundays registered 8 (23.5%) such incidents. Out of the 72 individuals who received first-aid care, 60 (83.3%) received it on Sundays and Saturdays. The months of April, May, and June were the peak months of incidents for saving from drowning. Results augur the need for targeted health education campaigns, especially during summer months.
[Mh] Termos MeSH primário: Afogamento/epidemiologia
Afogamento Iminente/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Pré-Escolar
Feminino
Primeiros Socorros
Seres Humanos
Masculino
Paquistão/epidemiologia
Fatores de Tempo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170104
[Lr] Data última revisão:
170104
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160518
[St] Status:MEDLINE



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