TY - JOUR
T1 - Ertrinkungsunfälle im kindesalter - Eine retrospektive analyse
AU - Durchholz, Christian
AU - Peters, J.
AU - Staudt, F.
AU - Pontz, B.
PY - 2004/10
Y1 - 2004/10
N2 - Drowning is one of the major causes of fatal accidence in young children. We examined 56 children admitted to the children's hospital Muenchen-Schwabing or Passau after drowning or near-drowning between 1989 and 1997. The age ranged between 13 to 145 months. We divided them into two groups: those who recovered completely and those who survived with severe neurological damage or died. We tested for significance for the outcome. Five significant clinical and laboratory parameters were combined to a score, and the range was predetermined from 0 to 12 points. In addition, we collected information of prehospital management by evaluating emergency doctors' reports. Airway and hypothermia management turned out to be non-satisfactory in prehospital management. Extracorporal circulation was never applied although it should be taken into consideration in special situations. We present a possible algorithm applicable for out of scene management. Most important goal is to prevent injury by the use of fences around garden ponds or pools.
AB - Drowning is one of the major causes of fatal accidence in young children. We examined 56 children admitted to the children's hospital Muenchen-Schwabing or Passau after drowning or near-drowning between 1989 and 1997. The age ranged between 13 to 145 months. We divided them into two groups: those who recovered completely and those who survived with severe neurological damage or died. We tested for significance for the outcome. Five significant clinical and laboratory parameters were combined to a score, and the range was predetermined from 0 to 12 points. In addition, we collected information of prehospital management by evaluating emergency doctors' reports. Airway and hypothermia management turned out to be non-satisfactory in prehospital management. Extracorporal circulation was never applied although it should be taken into consideration in special situations. We present a possible algorithm applicable for out of scene management. Most important goal is to prevent injury by the use of fences around garden ponds or pools.
KW - Algorithm
KW - Drowning in children
KW - Extracorporal circulation
KW - Predictors of outcome
KW - Prehospital management
KW - Score
UR - http://www.scopus.com/inward/record.url?scp=7644228073&partnerID=8YFLogxK
U2 - 10.1055/s-2003-815017
DO - 10.1055/s-2003-815017
M3 - Artikel
AN - SCOPUS:7644228073
SN - 0177-2309
VL - 20
SP - 168
EP - 172
JO - Notarzt
JF - Notarzt
IS - 5
ER -