near drowning


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Related to near drowning: Dry drowning

near drown·ing

initial survival following immersion in liquid; the victim may die more than 24 hours later, for example, from adult respiratory distress syndrome.

near drowning

Etymology: ME, nere, almost, drounen, to drown
a pathological state in which the victim has survived exposure to circumstances that usually cause drowning. The return of consciousness does not necessarily ensure recovery. Intensive supportive therapy may be required for up to several days. Compare drowning. See also hypothermia.
A non-fatal symptom complex due to prolonged submersion in water

near drowning

Survival after immersion in water. About 330,000 persons, most of whom are children, adolescents, or young adults, survive an immersion injury in the U.S. each year, and of these, about 10% receive professional attention. Many who suffer near drowning do so because of preventable or avoidable conditions, such as the use of alcohol or drugs in aquatic settings or the inadequate supervision of children by adults. Water sports (e.g., diving, swimming, surfing, or skiing) and boating or fishing accidents also are common causes of near drowning. A small percentage of near drowning episodes occur when patients with known seizure disorders convulse while swimming or boating.

Etiology

The injuries suffered result from breath holding (“dry drowning”), the aspiration of water into the lungs (“wet drowning”), and/or hypothermia.

Symptoms

Common symptoms of near drowning result from oxygen deprivation, retention of carbon dioxide, or direct damage to the lungs by water. These include cough, dyspnea, coma, and seizures. Additional complications of prolonged immersion may include aspiration pneumonitis, noncardiogenic pulmonary edema, electrolyte disorders, hemolysis, disseminated intravascular coagulation, and arrhythmias.

Treatment

In unconscious patients rescued from water, the airway is secured, ventilation is provided, and cardiopulmonary resuscitation is begun. Oxygen, cardiac, and blood pressure monitoring, rewarming techniques, and other forms of support are provided (e.g., anticonvulsants are given for seizures; electrolyte and acid-base disorders are corrected).

Prognosis

Most patients who are rapidly resuscitated from a dry drowning episode recover fully. The recovery of near drowning victims who have inhaled water into the lungs depends on the underlying health of the victim, the duration of immersion, and the speed and efficiency with which oxygenation, ventilation, and perfusion are restored.

See also: drowning
References in periodicals archive ?
Cumulatively 302 incidents of drowning and near drowning were recorded from 2012 to 2014, with 291 (96.
CIA 'useful' torture information came from two suspects: Khalid Sheikh Mohammed was tortured by near drowning 183 times-six times daily for a month; and Abu Zubaydah, 83 times in August, 2003.
It comes to the St Helens Road, Ormskirk theatre courtesy of the European Arts Company which is promising a riotous journey of duelling, bribery, fisticuffs, mistaken identity, near drowning, cross-dressing and, finally, imprisonment for the hapless Mr Pickwick.
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Ian Pringle QC, prosecuting, has told the jury the near drowning was caused "by this company not having a proper system of work, not having sufficient lifeguards on duty, not having lifeguards clearly observing these people and not having a system where people would react properly when they saw a young boy in a dangerous part of the pool".
A WOMAN whose act of bravery amazed police and fire officers who were called to the scene of a near drowning is in line for three awards.
Former UCLA linebacker Justin London was there with a friend of his, Cody La Cala, a young man from Iowa who is battling to overcome a near drowning when he was a 1-year-old.
When I was eight I had a near drowning experience in the Thames and my parents got me into swimming lessons straight away.
Only on Wednesday, when he was still at Stoke, we were saying how fantastic it was that he had survived the near drowning.
He hasn't yet figured out how he fits into the scheme of things, and the near drowning of his nine-year-old sister doesn't make it any easier.
Doctors say sudden cardiac arrest causes the death of more than 300,000 Americans annually, and victims are usually stricken after a heart attack, electrocution or an incident of near drowning.