Selected Injuries: Near-Drowning, Hypothermia, Barotrauma, Burns

  • Allan V. Abbott


Drowning is the third leading cause of accidental death in the United States, accounting for about 5600 deaths annually.1 Drowning is defined as death from suffocation in a liquid medium, and near-drowning is survival from submersion. Death occurring minutes to days after near-drowning is termed secondary drowning. Wet drowning results from aspiration of fluids and is responsible for 80% to 90% of all drowning deaths. Victims of dry drowning, or asphyxia due to laryngospasm, are much more likely to be resuscitated.2 In both cases, most deaths result from cerebral and pulmonary hypoxia.


Tympanic Membrane Eustachian Tube Decompression Sickness Inhalation Injury Silver Sulfadiazine 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Accident facts, 1987. Chicago: National Safety Council, 1987.Google Scholar
  2. 2.
    Lamphier TA. Current status of treatment of near drowning. Alaska Med 1979;21:72–77.PubMedGoogle Scholar
  3. 3.
    Fandel I, Banrealari E. Near drowning in children: clinical aspects. Pediatrics 1976;58:573.PubMedGoogle Scholar
  4. 4.
    Olshaker JS. Near drowning. Emerg Med Clin North Am 1992; 10: 339–50.PubMedGoogle Scholar
  5. 5.
    Knopp R. Near drowning. JACEP 1978;7:249–54.PubMedCrossRefGoogle Scholar
  6. 6.
    Orlowski JP. Prognostic factors in pediatric cases of drowning and near drowning. JACEP 1979;8:176–9.PubMedCrossRefGoogle Scholar
  7. 7.
    Heimlich H, Hoffman K, Canestri F. Food choking and drowning deaths prevented by external subdiaphragmatic compression. Ann Thorac Surg 1975;20:188–95.PubMedCrossRefGoogle Scholar
  8. 8.
    Gonzalez-Roth RJ. Near drowning: consensus and controversies in pulmonary and cerebral resuscitation. Heart Lung 1987;16:474–82.Google Scholar
  9. 9.
    Webster PP. Pool drownings and their prevention. Public Health Rep 1967;82:587–600.PubMedCrossRefGoogle Scholar
  10. 10.
    Jolly BT, Ghezzi KT. Accidental hypothermia. Emerg Med Clin North Am 1992;10:311–27.PubMedGoogle Scholar
  11. 11.
    Harnett RM, Pruit JR, Sias FR. A review of the literature concerning resuscitation from hypothermia. 1. The problem and general approaches. Aviat Space Environ Med 1984;54:425–34.Google Scholar
  12. 12.
    Treatment of hypothermia. Med Lett Drugs Ther 1983;27:89–90.Google Scholar
  13. 13.
    Harnett RM, Pruit JR, Sias FR. A review of the literature concerning resuscitation from hypothermia. 2. Selected rewarming protocols. Aviat Space Environ Med 1984;54:487–95.Google Scholar
  14. 14.
    Miller JW, Danzl DF, Thomas DM. Urban accidental hypothermia: 135 cases. Ann Emerg Med 1980;9:456–61.PubMedCrossRefGoogle Scholar
  15. 15.
    Zell SC, Kurtz KJ. Severe exposure hypothermia: a resuscitation protocol. Ann Emerg Med 1985;14:339–45.PubMedCrossRefGoogle Scholar
  16. 16.
    Neblett L. Otolaryngology and sport scuba diving update and guidelines. Ann Otol Rhinol Laryngol Suppl 1985;115:4–12.Google Scholar
  17. 17.
    Jerrard DA. Diving medicine. Emerg Med Clin North Am 1992; 10: 329–38.PubMedGoogle Scholar
  18. 18.
    Melamed Y, Shupak A, Bitterman H. Current concepts: medical problems associated with underwater diving. N Engl J Med 1992; 326:30–35.PubMedCrossRefGoogle Scholar
  19. 19.
    Haake R, Schlichtig R, Ulstad DR, Henschen RR. Barotrauma: pathophysiology, risk factors, and prevention. Chest 1987;91:608–13.PubMedCrossRefGoogle Scholar
  20. 20.
    Boettger ML. Scuba diving emergencies: pulmonary overpressure accidents and decompression sickness. Ann Emerg Med 1983; 12:563–7.PubMedCrossRefGoogle Scholar
  21. 21.
    Feller I. Burn epidemiology: focus on youngsters and the aged. Burn Care Rehabil 1982;3:285.CrossRefGoogle Scholar
  22. 22.
    Katcher ML. Scald burns from hot tap water. JAMA 1981;246: 1219–22.PubMedCrossRefGoogle Scholar
  23. 23.
    Griglak MJ. Thermal injury. Emerg Med Clin North Am 1992;10:369–83.PubMedGoogle Scholar
  24. 24.
    Carvajal HF. Burns in children and adolescents: initial management as the first step in successful rehabilitation. Pediatrician 1991;17:237–43.Google Scholar
  25. 25.
    Baxter CR, Waeckerle JF. Emergency treatment of burn injury. Ann Emerg Med 1988;17:1305–15.PubMedCrossRefGoogle Scholar
  26. 26.
    Lund CC, Browder NC. The estimate of areas of burns. Surg Gynecol Obstet 1944;79:352–8.Google Scholar
  27. 27.
    Heimbach DM, Afromowitz MA, Engrav LH, Marvin JA, Perry B. Burn depth estimation—man or machine. J Trauma 1984;24: 373–8.PubMedCrossRefGoogle Scholar
  28. 28.
    Joint Committee of the American Burn Association and the American College of Surgeons Committee on Trauma. Assessment and initial care of burn patients. Chicago: American College of Surgeons, 1986.Google Scholar
  29. 29.
    Robertson C, Fenton O. ABC of major trauma: management of severe burns. BMJ 1990;301:282–6.PubMedCrossRefGoogle Scholar
  30. 30.
    Mackersie RC, Karagianes TG. Pain management following trauma and burns. Crit Care Clin 1990;6:433–49.PubMedGoogle Scholar
  31. 31.
    Pushhar NS, Sandorminsky BP. Cold treatment of burns. Burns Incl Therm Inj 1982;9:101–10.CrossRefGoogle Scholar
  32. 32.
    Wyatt D, McGowan DS, Najarían MP. Comparison of a hydrocol-loid dressing and silver sulfadiazine in the outpatient management of second-degree burns. J Trauma 1990;30:857–65.PubMedCrossRefGoogle Scholar
  33. 33.
    Rosenberg NM, Marino D. Frequency of suspected abuse/neglect in burn patients. Pediatr Emerg Care 1989;5:219–21.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1994

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  • Allan V. Abbott

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