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An Evidence-Based Approach To The Evaluation and Treatment of Drowning and Submersion Injuries (Trauma CME) (Topic download) - $30.00
This issue includes 4 AMA PRA Category 1 CreditsTM; 4 ACEP category 1 credits; and 4 AAP Prescribed credits.
Authors
Emily Rose, MD
Assistant Professor of Clinical Emergency Medicine, Department of Emergency Medicine, Keck School of Medicine at Los Angeles County and University of Southern California Medical Center, Los Angeles, CA
T. Kent Denmark, MD, FAAP, FACEP
Medical Director, Medical Simulation Center; Associate Professor of Emergency Medicine and Pediatrics, Loma Linda University Medical Center and Childrens Hospital, Loma Linda, CA
Peer Reviewers
Robert R. Cooney, MD
Core Faculty, Department of Emergency Medicine, Memorial Medical Center, Johnstown, PA
Paula Whiteman, MD, FACEP, FAAP
MedicalDirector, Pediatric Emergency Medicine, EncinoTarzana Regional Medical Center, Encino, CA; Attending Physician, Cedars-Sinai Medical Center, Los Angeles, CA
Publication Date: June 1, 2011; Volume 8, Number 6
Excerpt from the issue...
Its 3 PM on a Saturday afternoon when the charge nurse alerts you of a call received at the base station. Paramedics are on scene where a 2-year-old girl was found floating in her family’s pool. The exact down time is unknown, but the child was last seen approximately 10 minutes prior to the 9-1-1 call. Her mother was in the kitchen preparing dinner, and her father was working outside in the pool shed. Her mother thought the child was with the father and vice versa. The child was pulled out of the pool by the father, and CPR was performed by the grandfather. Paramedics are actively performing CPR and asking if they should maintain cervical spine immobilization. As you prepare for the patient’s arrival, your inquisitive medical student asks about the planned management of the child and the statistical likelihood of survival and good neurological outcome. Upon arrival to the emergency department, the child is apneic, pulseless, and cool with fixed and dilated pupils.