Drowning


title: Drowning tags: #FFICM notebook: 🌑-FFICM type: inprogress


source: [[mcqs-and-sbas-in-intensive-care-medicine-oxford-higher-special-training]]

Flashcard type:cloze
The {{c1::2005 WHO::year and organisation}} definition of {{c2::drowning::disease}} is that it is a process of {{c3::respiratory impairment}} from {{c4::submersion in a liquid air medium}}, and that a {{c5::liquid air interface is present at the entrance to the patients airway.}}

And basic anki:

Flashcard type:basic
Is it drowning in saltwater or fresh water that will mess up alveolar surfactant? Fresh Water
Is it drowning in saltwater or fresh water that will get water moving into the pulmonary microvasculature? Fresh Water
Is it drowning in saltwater or fresh water that will get water moving from the blood into the pulmonary alveoli? Salt Water
Is it drowning in saltwater or fresh water that will do most damage to the alveolar capillary membrane? Salt Water
Is it drowning in saltwater or fresh water that has a higher chance of infection? Fresh water
Should you give prophylactic antibiotics following near drowning? No
Is pneumonia following near drowning common or uncommon? Uncommon
How high a percentage of patients who drown aspirate fluid into their lungs? Around 80-90%
How high a percentage of patients who drown don't aspirate fluid into their lungs? Around 10-20%
How can you drown submerged in water without aspirating fluid into the lungs? Some have laryngospasm that never breaks
Is the chance of a good neurological outcome following cold water drowning any better than warm water drowning? Yes but it's rubbish in both