Update 1991 pp 11-17 | Cite as

The Resuscitation of Submersion Victims: WET-CPR?

  • J. J. Bierens
  • J. J. van Zanten
  • M. van Berkel
Conference paper
Part of the Update in Intensive Care and Emergency Medicine book series (UICM, volume 14)


Submersion victims represent a minority of lives that can be saved by resuscitation. Yet most submersion victims are young and it has been stated that drowning is the second leading cause of potential life lost. Besides this socio-economic argument, aspects with respect to adequate resuscitation justify special attention. Resuscitation of submersion victims has its own characteristics with respect to rescue, diagnosis, ventilation, prognosis and transport. In the emergency phase, complications that could lead to later hospital deaths can be prevented [1–3]. Because prehospital treatment is most important to reduce the mortality and morbidity of submersion victims, this chapter emphasizes the specific aspects related to the resuscitation of submersion victims.


Circulatory Arrest Cervical Spine Injury Basic Life Support Advanced Life Support Cold Water Immersion 
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.
    Pearn J (1985) The management of near drowning. Br Med J 291:1447–1452CrossRefGoogle Scholar
  2. 2.
    Ornato JP (1986) The resuscitation of near-drowning victims. JAMA 256:75–77PubMedCrossRefGoogle Scholar
  3. 3.
    Martin TG (1984) Near drowning and cold water immersion. Ann Emerg Med 13:263–273PubMedCrossRefGoogle Scholar
  4. 4.
    Greene PS, Cameron DE, Mohlala ML, Dinatale JM, Gardner TJ (1989) Systolic and diastolic left ventricular dysfunction due to mild hypothermia. Circulation 80 (Suppl III):44–48Google Scholar
  5. 5.
    Hickey PR, Anderson NP (1987) Deep hypothermic circulatory arrest: a review of pathophysiology and clinical experience as a basic for anesthetic management. J Cardiothor Anesth 2:137–155Google Scholar
  6. 6.
    Husby P, Anderson KS, Owen Falkenberg A, Steien E, Solheim J (1990) Accidental hypothermia with cardiac arrest: complete recovery after prolonged resuscitation and rewarming by extracorporeal circulation. Intensive Care Med 16:69–72PubMedCrossRefGoogle Scholar
  7. 7.
    Graf D, Meier P, Guse HG, Leitz KH, Bachmann H (1989) Lang dauernder Ertrinkungsunfall mit tiefer Hypothermie und Aufwärmung mittels extrakorporaler Zirkulation. Monatsschr Kinderheilkd 137:415–418PubMedGoogle Scholar
  8. 8.
    Bolte RG, Black PG, Bowers RS, Thorne JK, Cornell HM (1988) The use of extracorporeal rewarming in a child submerged for 66 minutes. JAMA 260:377–379PubMedCrossRefGoogle Scholar
  9. 9.
    Bierens JJLM, Velde EA van der, Berkel M van, Zanten JJ van (1989) Submersion cases in the Netherlands. Ann Emerg Med 18:366–373PubMedCrossRefGoogle Scholar
  10. 10.
    Bierens JJLM, Velde EA van der, Berkel M van, Zanten JJ van (1990) Is hypothermia a protective factor in submersion victims in the Netherlands? In: Sterk W, Geeraedts L (eds) EUBS 1990 proceedings. Foundation for Hyperbaric Medicine, Amsterdam, pp 241–244Google Scholar
  11. 11.
    Edwards ND, Timmins AC, Randalls B, Morgan GAR, Simcock AD (1990) Survival in adults after cardiac arrest due to drowning. Intensive Care Med 16:336–337PubMedCrossRefGoogle Scholar
  12. 12.
    Gallandat Huet RCG, Euverman ThSM, Coad NR, Vos R de, Karliczek CF (eds) (1988) Accidental hypothermia and near drowning. Symposium proceedings. Van Gorcum, AssenGoogle Scholar
  13. 13.
    Simcock AD (1986) Treatment of near drowning — a review of 130 cases. Anaesthesia 41:643–648PubMedCrossRefGoogle Scholar
  14. 14.
    Berkel M van, Lie RLK, Rooy T de, et al. (1990) Pulmonary edema, pneumonia and mortality in submersion victims. Intensive Care Med 16 (Suppl 1):S87Google Scholar
  15. 15.
    Bierens JJLM, Velde EA van der, Berkel M van, Zanten JJ van (1991) Submersion in the Netherlands: Prognostic indicators and results of resuscitation. Ann Emerg Med 19:1390–1395CrossRefGoogle Scholar
  16. 16.
    Nichter MA, Everett PB (1989) Childhood near-drowning: is cardiopulmonary resuscitation always indicated? Crit Care Med 17:993–996PubMedCrossRefGoogle Scholar
  17. 17.
    Biggart MJ, Bohn DJ (1990) Effect of hypothermia and cardiac arrest on outcome of near-drowning accidents in children. J Pediatr 117:179–183PubMedCrossRefGoogle Scholar
  18. 18.
    Wintemute GJ (1990) Childhood drowning and near-drowning in the United States. Am J Dis Child 144:663–639PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin, Heidelberg 1991

Authors and Affiliations

  • J. J. Bierens
  • J. J. van Zanten
  • M. van Berkel

There are no affiliations available

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