最近审阅: 24 十月 2020
最近更新: 21 三月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 呼吸障碍
  • 淹没或浸入的证据

危险因素

  • 年龄(0-4 岁)
  • 男性
  • 酒精或药物摄入
  • 独自游泳/潜水
  • 缺乏识别深水区危险的意识
  • 缺乏游泳技能
  • 心脏疾病
  • 癫痫

诊断性检查

首要检查

  • 脉搏血氧测定/动脉血气分析
  • 胸部 X 线检查
  • 基础代谢检查
更多 首要检查

需考虑的检查

  • 颈椎 CT 检查
  • 肌酸激酶
  • 血清酒精和滥用药物尿检
  • 心电图 (ECG)
  • 血清心肌生物标志物
  • 抗惊厥药物水平
更多 需考虑的检查

治疗流程

撰稿人

Diretor Médico da Sobrasa

Ten Cel BM Médico RR - Corpo de Bombeiros Militar do Rio de Janeiro

Defesa Civil Municipal do Rio de Janeiro

Membro Fundador - International Drowning Research Alliance - IDRA

Rio de Janeiro

Brazil

利益声明

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

利益声明

JS has acted as a paid medical expert for cases related to emergency medicine and drowning. JS has accepted honoraria of up $1000 to speak at aquatics or EMS conferences on the topic of drowning resuscitation; however, he has engaged in no product endorsement and received no honoraria from device/pharma makers.

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

利益声明

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.

同行评议者展开全部内容

Assistant Professor of Internal Medicine

Department of Medicine

Division of Pulmonary and Critical Care Medicine

Charlottesville

VA

利益声明

AGV declares that he has no competing interests.

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