@article{ref1,
title="Survival after 40 minutes; submersion without cerebral sequeae",
journal="Lancet",
year="1975",
author="Siebke, H. and Rod, T. and Breivik, H. and Link, B.",
volume="1",
number="7919",
pages="1275-1277",
abstract="Cardiopulmonary resuscitation and rewarming were successful in a 5-year-old boy who had been submerged for 40 minutes in ice-cold fresh water. Severe metabolic acidosis was corrected by intravenous infusion of sodium bicarbonate solution before spontaneous circulation could be re-established. Fulminant pulmonary oedema developed after re-establishment of spontaneous circulation. This was efficiently reversed by positive-end-expiratory-pressure ventilation. During 2 days of treatment of a respiratory the patient gradually regained consciousness; the endotracheal tube was then removed and the patient immediately started talking intelligently. The patient went through a period of slow cerebration and motor dysfunction but recovered rapidly, and on examination 13 months after the accident all findings were normal.<p /><p>Language: en</p>",
language="en",
issn="0140-6736",
doi="",
url="http://dx.doi.org/"
}