@article{ref1,
title="Paediatric near-drowning: mortality and outcome in a temperate climate",
journal="Irish medical journal",
year="2003",
author="Crowe, S. and Mannion, D. and Healy, M. and O'Hare, B. and Lyons, B.",
volume="96",
number="9",
pages="274-276",
abstract="The decision whether to continue to resuscitate the paediatric victim of near-drowning is influenced by potential poor neurological outcome. A low core body temperature at presentation is frequently cited as a reason to continue resuscitation. We report the case of an 11 month old infant admitted to the intensive care unit following near-drowning and a prolonged resuscitation. The infant's core body temperature was 29 degrees C. Cardiac output was restored, but the child remains in a persistent vegetative state. We present the results of a ten year review of near-drowning in a tertiary referral institution, to evaluate the mortality and outcome in a temperate climate. Thirteen patients were identified in the review. The mortality was 23%. The incidence of a persistent vegetative state was 15%. Asystole, immersion time greater than 15 minutes, resuscitation time longer than 30 minutes, the administration of epinephrine, and a low core body temperature were associated with a poor outcome.<p /><p>Language: en</p>",
language="en",
issn="0332-3102",
doi="",
url="http://dx.doi.org/"
}