@article{ref1,
title="Near drowning",
journal="Circulation",
year="1986",
author="Modell, Jerome H.",
volume="74",
number="6 Pt 2",
pages="IV27-8",
abstract="Several conditions that contribute to drowning and near drowning must be considered in the treatment of near-drowned victims. Regardless of the cause, mechanical ventilation should begin as soon as possible and closed-chest cardiac massage should be administered when there is any question about the adequacy of cardiac output. After aspiration of either fresh or seawater, a large intrapulmonary physiologic shunt can occur, which requires aggressive mechanical ventilatory support to ensure adequate oxygenation and to return pulmonary function to normal. Near drowning is a multisystem disease and, while abnormalities of the lung and brain have been emphasized, definitive therapy must be tailored to each patient and must address all of the patient's needs.<p /> <p>Language: en</p>",
language="en",
issn="0009-7322",
doi="",
url="http://dx.doi.org/"
}