TY  - JOUR
PY  - 2003//
TI  - Paediatric near-drowning: mortality and outcome in a temperate climate
JO  - Irish medical journal
A1  - Crowe, S.
A1  - Mannion, D.
A1  - Healy, M.
A1  - O'Hare, B.
A1  - Lyons, B.
SP  - 274
EP  - 276
VL  - 96
IS  - 9
N2  - 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>
LA  - en
SN  - 0332-3102
UR  - http://dx.doi.org/
ID  - ref1
ER  -