Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- presença de fatores de risco
- comprometimento respiratório
- evidências de submersão ou imersão
Fatores de risco
- idade (1-4 anos)
- sexo masculino
- ingestão de álcool ou drogas
- nadar sozinho/mergulhar
- falta de conscientização dos riscos da água
- falta de habilidade para nadar
- doença cardíaca
- transtorno convulsivo
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- oximetria de pulso/gasometria arterial
- radiografia torácica
- perfil metabólico básico
Investigações a serem consideradas
- tomografia computadorizada (TC) da coluna cervical
- creatina quinase
- álcool sérico e drogas de abuso na urina
- eletrocardiograma (ECG)
- biomarcadores cardíacos séricos
- níveis de medicamentos anticonvulsivantes
Algoritmo de tratamento
Colaboradores
Autores
Medical Director - Brazilian Lifesaving Society - Sobrasa
Lieutenant Colonel MD, retired - Fire Department of Rio de Janeiro
Civil Defense Rio de Janeiro City - Education adviser Defesa Civil Municipal do Rio de Janeiro
Co-founder - International Drowning Researcher's Alliance - IDRA
Rio de Janeiro
Brazil
Declarações
DS is an author of several references cited in this topic.
Executive Director: Lifeguards Without Borders
Medical Director: International Surf Lifesaving Association
Medical Director: Starfish Aquatics Institute
Medical Director: Innovative Attraction Management Starguard Elite
Board of Directors: Safer 3 Water Safety Foundation
Staff: Global Outreach Doctors
Jacksonville Beach
FL
Declarações
JS has given expert testimony in court cases involving drowning.
Assistant Professor
Department of Emergency Medicine
University of Florida College of Medicine - Jacksonville
Medical Director
Jacksonville Beach Ocean Rescue
Deputy Medical Director
Trauma One
Jacksonville
FL
Declarações
AS declares that he has no competing interests.
Dr David Szpilman, Dr Justin Sempsrott, and Dr Andrew Schmidt would like to gratefully acknowledge Dr Bhakti K. Patel and Dr D. Kyle Hogarth, previous contributors to this topic. BKP and DKL declare that they have no competing interests.
Revisores
Assistant Professor of Internal Medicine
Department of Medicine
Division of Pulmonary and Critical Care Medicine
Charlottesville
VA
Declarações
AGV declares that he has no competing interests.
Associate Professor
James Cook University
Townsville
Queensland
Australia
Declarações
RF declares that he has no competing interests.
O uso deste conteúdo está sujeito ao nosso aviso legal