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      Bystander resuscitation of a near-drowning child in a rural south China township

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          Abstract

          We report resuscitation of a near-drowning child by a bystander in a rural south China township. Resuscitation was performed on a 6-year-old, otherwise healthy boy who was witnessed drowning in a river, with submersion for approximately 12 min. Following several resuscitation attempts, spontaneous breathing was established at the scene and the boy was transferred to a nearby hospital. He developed pneumonia but recovered completely on the ward and was discharged without any neurologic disabilities. This case shows that early bystander resuscitation is an important factor for survival after submersion. The search for an ideal approach to resuscitation must continue, and all members of society must work together towards this goal.

          Most cited references16

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          Out-of-hospital cardiac arrest due to drowning: An Utstein Style report of 10 years of experience from St. Mary's Hospital.

          Drowning is a unique form of cardiac arrest and is often preventable. "Utstein Style for Drowning" was published in 2003 by the International Liaison Committee on Resuscitation (ILCOR) to improve the knowledge-base, to provide epidemiological stratification, to recommend appropriate treatments and to ultimately save lives. We report on the largest single-center study of the Utstein Style resuscitation for drowning.
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            Drowning.

            Recent epidemiologic data have shown that the burden of drowning is much greater than expected. Prevention and timely rescue are the most effective means of reducing the number of persons at risk. Early bystander cardiopulmonary resuscitation is the most important factor for survival after submersion. Cerebral damage is a serious threat when the hypoxic period is too long. In most situations, low body temperature is an indication of the severity of the drowning incident. Sometimes hypothermia that occurs during the submersion period can be brain protective. There is also new evidence to support the strategy of inducing mild hypothermia for a period of 12 to 24 hours in comatose drowning victims. In immersed patients, hypothermia should be treated. The most appropriate technique will depend on the available means in the hospital and the condition of the patient. Treatment of pulmonary complications depends on the lung injury that occurred during aspiration and the bacteria involved in aspiration. Understanding the pathophysiology of drowning may help us to understand lung injuries and ischemic brain injuries.
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              Prospective, Decade-long, Population-based Study of Pediatric Drowning-related Incidents

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                Author and article information

                Journal
                FMCH
                Family Medicine and Community Health
                FMCH
                Family Medicine and Community Health & American Chinese Medical Education Association (USA )
                xxx-xxx
                2305-6983
                December 2013
                December 2014
                : 1
                : 4
                : 45-47
                Affiliations
                [1] 1Emergency Department, Foshan Hospital of Traditional Chinese Medicine, Foshan, China
                [2] 2Department of Internal Medicine, Foshan Hospital of Traditional Chinese Medicine, Foshan, China
                Author notes
                CORRESPONDING AUTHOR: Zhixin Wu, Emergency Department, Foshan Hospital of Traditional Chinese Medicine, Foshan City, China, 6#Qinren Road, 528000, Foshan City, Guangdong Province, China, E-mail: seaguardsums@ 123456msn.com Tel.:+86 13528996895
                Funding: This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
                Article
                fmch20130316
                10.15212/FMCH.2013.0316
                c3d03063-4fa6-4ff8-9eee-4090ba29742d
                Copyright © 2013 Family Medicine and Community Health

                This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

                History
                : 12 November 2013
                : 30 December 2013
                Categories
                Case Study

                General medicine,Medicine,Geriatric medicine,Occupational & Environmental medicine,Internal medicine,Health & Social care
                Drowning,Bystander cardiopulmonary resuscitation,Resuscitation

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