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Scand J Trauma Resusc Emerg Med 2020 May 24;28(1):41. Epub 2020 May 24.

Department of Thoracic and Cardiovascular Surgery, Hallym University Sacred Heart Hospital, Hallym University Medical Center, Gwanpyeong-ro 170 beon-gil 22, Dongan-gu, Anyang-si, Gyeonggi-do, 14068, South Korea.

Background: Therapeutic extracorporeal membrane oxygenation (ECMO) is a challenging procedure in patients who have experienced severe trauma. Particularly, patients with traumatic lung injury and posttraumatic acute respiratory distress syndrome (ARDS) have a high risk of bleeding during this procedure. This study aimed to determine the safety and feasibility of ECMO in patients with traumatic ARDS. Read More

J Pediatric Infect Dis Soc 2020 Mar 10. Epub 2020 Mar 10.

Baylor College of Medicine, Department of Pediatrics, Houston, Texas, USA.

Background: Management of pediatric drowning often includes evaluation and treatment of infectious disease. There are few data describing the infections associated with pediatric drowning.

Methods: A descriptive retrospective study was designed, and patients aged < 19 years admitted for > 24 hours to our institution after a drowning were included from January 2011 through June 30, 2017. Read More

Hosp Pediatr 2020 Apr 6;10(4):369-375. Epub 2020 Mar 6.

Pediatric Hospital Medicine, Department of Pediatrics, Penn State Children's Hospital, Hershey, Pennsylvania;

In this article, we will review various aspects of long QT syndrome (LQTS) necessary for hospitalists who care for children, adolescents, and young adults who have known LQTS and also review presenting features that should make one consider LQTS as a cause of hospitalization. Pediatric hospitalists care for patients who have suffered near-drowning, unexplained motor vehicular accidents, brief resolved unexpected events, sudden infant death syndrome, recurrent miscarriages, syncope, or seizures. These common conditions can be clinical clues in patients harboring 1 of 16 LQTS genetic mutations. Read More

Chest 2020 Feb 14. Epub 2020 Feb 14.

Emergency Department, Timone University Hospital, Aix-Marseille University, Marseille, France.

Background: Drowning is still a major cause of accidental death worldwide. In 1997, Szpilman proposed a classification of drowning that has become the reference. As considerable efforts have been made to improve prevention and care, it seemed appropriate to reassess the prognosis and clinical presentation of drowning patients more than 20 years after this first publication. Read More

Emerg Radiol 2020 Feb 15. Epub 2020 Feb 15.

Department of Radiology, Westchester Medical Center, 100 Woods Road, Valhalla, NY, 10595, USA.

Recreational water use (RWU) injuries span from superficial lacerations to even death. Given the global popularity of RWU, radiologists should be aware of the common mechanisms and key imaging findings related to injuries in this setting. The goal of this article is to depict common RWU injuries and their emergent radiographic findings, which may have both important surgical and management implications. Read More

Neurology 2020 Mar 28;94(12):e1314-e1319. Epub 2020 Jan 28.

From the Departments of Neurology (R.V.D.C., S.S., C.J.K.), Physical Medicine and Rehabilitation (A.J.B.), Biomedical Statistics and Informatics (J.M.), Pulmonary and Critical Care Medicine (R.V.), and Laboratory Medicine and Pathology (C.J.K.), Mayo Clinic, Rochester, MN.

Objective: To investigate the following among patients with phrenic neuropathy: (1) occurrences of water immersion activity-induced dyspnea; (2) clinical, electrophysiologic, sonographic, and pulmonary function test abnormalities; and (3) frequency of documented counseling regarding the risks of water immersion activities.

Methods: We identified all patients with test-confirmed phrenic neuropathy seen from January 1, 2000, to December 31, 2018, at Mayo Clinic.

Results: Of 535 patients with phrenic neuropathy, documentation of dyspnea with water activities was identified in 4% (22/535). Read More

Int J Infect Dis 2020 Mar 19;92:114-122. Epub 2019 Dec 19.

Pediatric Hematology and Oncology, Hospital for Children and Adolescents, University Hospital, Goethe University, Frankfurt, Germany.

Objectives: Current knowledge on infections caused by Scedosporium spp. and Lomentospora prolificans in children is scarce. We therefore aim to provide an overview of risk groups, clinical manifestation and treatment strategies of these infections. Read More

J Artif Organs 2019 Dec 13. Epub 2019 Dec 13.

Mie University Hospital, Tsu, Japan.

We report two cases of acquired factor XIII deficiency with bleeding events during veno-venous extracorporeal membrane oxygenation (ECMO). Case 1: A 76-year-old man diagnosed with aspiration pneumonia after near-drowning was started on ECMO. Later, the patient presented with hemoptysis and anemia. Read More

No Shinkei Geka 2019 Nov;47(11):1173-1178

Department of Neurosurgery, Tokyo Metropolitan Police Hospital.

Intracranial epidermoid cysts are benign cystic lesions that typically exhibit slow growth. Their malignant transformation into squamous cell carcinoma is rare. We report a 77-year-old woman who was admitted to our hospital because of a near-drowning incident due to a seizure sustained in her bathtub. Read More

Emerg Med J 2019 Dec;36(12):767-768

Emergency Department, Manchester Royal Infirmary, Manchester, UK.

A short cut review was carried out to establish whether patients presenting to the emergency department after a near drowning should have a CT head scan as part of their initial assessment. A search of the literature found only three studies directly relevant to the question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. Read More

Emerg Med J 2019 Dec;36(12):766-767

Emergency Department, Manchester Royal Infirmary, Manchester, UK.

A short cut review was carried out to establish whether patients presenting to the emergency department after a near drowning should have cervical spine immobilisation. A search of the literature found only three studies directly relevant to the question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. Read More

Medicine (Baltimore) 2019 Oct;98(43):e17721

Department of Emergency Medicine, American University of Beirut Medical Center.

Drowning causes significant morbidity and mortality. Healthcare regionalization aims at improving patient outcomes. This study examines the impact of trauma center level designation on survival of drowning victims. Read More

Future Microbiol 2019 09;14:1191-1197

Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Medical Microbiology & Infection Control, Amsterdam, The Netherlands.

To show that a strain of became resistant to carbapenems by interspecies transfer of a plasmid using long-read sequencing. Whole genome sequencing of the four isolates was done using Illumina Hiseq, while the plasmid was reconstructed using the MinION sequencer. The resistome was identified with ResFinder. Read More

PeerJ 2019 27;7:e7585. Epub 2019 Aug 27.

Department of Neuroanesthesiology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.

Background: The origin and prevalence of near-death experiences are unknown. A recent study suggested a link with REM sleep intrusion but was criticized for its selection of control participants. We therefore assessed the association of REM intrusion and near-death experiences with different methods. Read More

J Anesth Hist 2019 04 26;5(2):60-61. Epub 2019 Jun 26.

Treadwell Library, Massachusetts General Hospital, Boston, MA 02114.

In The Boston Medical and Surgical Journal of 1847 (later to be called The New England Journal of Medicine), Boston chemist George Washington Frost Mellen claimed that inhaled nitrous oxide gas supports human life in the manner of oxygen gas, and he proposed the use of nitrous oxide in resuscitation from drowning and from carbon monoxide poisoning. The claim was reprinted in at least one dental journal and was long cited as justification for the use of 100% nitrous oxide for inhaled anesthesia. Advocates included anesthesia pioneer and painless dentist Gardner Quincy Colton. Read More

BMC Public Health 2019 Jul 17;19(1):955. Epub 2019 Jul 17.

Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan Province, China.

Background: Drowning is still the primary cause of death in children under 5 years old, however, little is known about the drowning of Hunan province children. This study identifies the previously unpublished incidence and characteristics of fatal drowning in children of Hunan Province, and provide a basis for formulating strategies for children's survival, development and protection.

Methods: Data were collected through sampling with the multistage stratified cluster. Read More

Eur J Pediatr 2019 Sep 16;178(9):1379-1384. Epub 2019 Jul 16.

Pediatric Emergency Medicine, Sackler Faculty of Medicine, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, 6 Weizman Street, 6423906, Tel Aviv, Israel.

Drowning is a leading cause of injury-related death worldwide, but there are limited data on the management and disposition of asymptomatic and mildly symptomatic adults and children following a drowning event. Some authors have recommended admission for all drowning victims due to the possibility of respiratory and clinical deterioration in a seemingly well patient. In order to identify predictors for admission and to establish a unified approach for management, we retrospectively collected all children ≤ 16 years old presented following a drowning event to the pediatric ED over a period of 12 years. Read More

J Pediatr Psychol 2019 10;44(9):1034-1045

Psychology Department, University of Guelph.

Objective: The current study aimed to develop, implement, and evaluate the S.A.F. Read More

Pediatr Rev 2019 Jun;40(6):291-301

Department of Emergency Medicine and.

Neurology 2019 05 10;92(20):e2329-e2338. Epub 2019 Apr 10.

From the Department of Bioengineering (S.L., X.Z., B.L.), The University of Pennsylvania; Department of Neurology (K.A.D., B.L., N.S.A.), Perelman School of Medicine at the University of Pennsylvania; and the Departments of Pediatrics (N.S.A.) and Anesthesia and Critical Care Medicine (A.A.T., N.S.A.), Children's Hospital of Philadelphia and Perelman School of Medicine at the University of Pennsylvania, Philadelphia.

Objective: To determine whether quantitative EEG (QEEG) features predict neurologic outcomes in children after cardiac arrest.

Methods: We performed a single-center prospective observational study of 87 consecutive children resuscitated and admitted to the pediatric intensive care unit after cardiac arrest. Full-array conventional EEG data were obtained as part of clinical management. Read More

Nephrol Dial Transplant 2020 02;35(2):206-212

Department of Medicine D, Rambam Health Care Campus and Ruth & Bruce Rappaport Faculty of Medicine, Technion-IIT, Haifa, Israel.

Concepts regarding hypoxic acute kidney injury (AKI) are derived from widely used warm ischemia-reflow (WIR) models, characterized by extensive proximal tubular injury and associated with profound inflammation. However, there is ample clinical and experimental data indicating that hypoxic AKI may develop without total cessation of renal blood flow, with a different injury pattern that principally affects medullary thick limbs in the outer medulla. This injury pattern likely reflects an imbalance between blood and oxygen supply and oxygen expenditure, principally for tubular transport. Read More

Psychiatry Res 2019 02 31;272:507-514. Epub 2018 Dec 31.

Ansan Mental Health Trauma Center, Ansan, Republic of Korea; Department of Psychiatry, Korea University Ansan Hospital, Korea University College of Medicine, 123 Jeokgeum-ro, Danwon-gu, Ansan 15355, Republic of Korea. Electronic address:

Disasters have numerous harmful effects on the mental health status of trauma-exposed people. We investigated the differences in the association between trauma-related psychopathologies and posttraumatic growth according to the perceived social support level among victims of the Sewol Ferry disaster on April 16, 2014, in South Korea. Data from 241 bereaved family members, survivors, and family members of survivors were used. Read More

Neuropediatrics 2019 04 20;50(2):71-79. Epub 2018 Dec 20.

Clinic for Neuropediatrics and Neurorehabilitation, Epilepsy Center for Children and Adolescents, Schön Klinik, Vogtareuth, Germany.

Among 131 children admitted to our institution for early phase rehabilitation after freshwater near-drowning (ND) between the year 1986 and 2000, 87 were in unresponsive wakefulness syndrome (UWS) for at least 4 weeks after the accidents. An anonymous questionnaire was sent to the families after 0.5 to 15. Read More

Diving Hyperb Med 2018 Dec;48(4):224-228

Divers Alert Network Asia-Pacific Foundation, Ashburton, Victoria, Australia.

Aim: The aim of this study was to identify the number, location and characteristics associated with fatal shark attacks on divers in Australian waters from 1960 to 2017, inclusive.

Methods: Searches were made of the Divers Alert Network Asia-Pacific Diving Mortality Database; the International Shark Attack File website; the Australian Shark Attack File and the Global Shark Attack File to identify cases of fatal shark attacks on divers in Australia. In addition, a systematic search of published medical and sporting literature was conducted to identify relevant reports. Read More

BMJ Open 2018 11 24;8(11):e024868. Epub 2018 Nov 24.

Royal Life Saving Society-Australia, Broadway, New South Wales, Australia.

Objectives: The epidemiology of fatal drowning is increasingly understood. By contrast, there is relatively little population-level research on non-fatal drowning. This study compares data on fatal and non-fatal drowning in Australia, identifying differences in outcomes to guide identification of the best practice in minimising the lethality of exposure to drowning. Read More

Intern Med J 2018 Nov;48(11):1410-1411

Department of Pathology, Chungbuk National University College of Medicine and Chungbuk National University Hospital, Cheongju, Korea.

Resuscitation 2018 12 15;133:108-117. Epub 2018 Oct 15.

Department of Emergency Medicine, Louisiana State University Health Sciences Center, 1501 Kings Highway, Shreveport, LA 71103, USA.

Background: Extracorporeal life support (ECLS) describes the use of blood perfusion devices to provide advanced cardiac or respiratory support. Advances in percutaneous vascular cannula insertion, centrifugal pump technologies, and the miniaturization of extracorporeal devices have simplified ECLS. The intention of this discussion is to review the role of ECLS as a potential rescue method for emergency department (ED) clinicians in critical clinical scenarios and to focus on the prerequisites for managing an ECLS program in an ED setting. Read More

Neurophysiol Clin 2019 Feb 12;49(1):41-47. Epub 2018 Oct 12.

Division of pulmonary and critical care, department of pediatrics, faculty of medicine, Chulalongkorn University, Thailand.

Objective: To determine the prognostic value of continuous electroencephalography (EEG) in children undergoing therapeutic hypothermia after cardiac arrest.

Method: We retrospectively reviewed medical records and continuous EEG of all patients undergoing therapeutic hypothermia after cardiac arrest from November 2013 to September 2016. Demographic, clinical data and immediate complications were collected. Read More

Asian J Neurosurg 2018 Jul-Sep;13(3):792-796

Department of Neurosurgery, College of Medicine, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Republic of Korea.

Herein, we describe a fatal case of central nervous system (CNS) pseudallescheriasis following near-drowning. A 13-year-old boy, who had been successfully resuscitated after near-drowning, presented with a transient episode of mental confusion during a hospital stay after recovering from severe aspiration pneumonia and respiratory failure. A magnetic resonance imaging (MRI) scan of the brain showed a small brain abscess in the left basal ganglia and ventriculitis in the left lateral ventricle. Read More

MSMR 2018 Sep;25(9):15-19

Service members are at risk for unintentional drownings or near drownings during training, occupational activities, and off-duty recreation. During 2013-2017, there were 359 incident accidental drowning episodes (includes drownings and near drownings) for a crude rate of 5.7 cases per 100,000 person-years. Read More

Acta Paediatr 2019 04 17;108(4):731-739. Epub 2018 Oct 17.

The George Institute for Global Health, University of New South Wales, Sydney, NSW, Australia.

Aim: Our aim was to improve our understanding of the contextual factors contributing to child drowning in rural West Bengal, India.

Methods: This 2017 study used interviews, focus groups and observations and the participants included community leaders, household heads, parents and children aged 7-17 years from three remote villages. They included adults and children who had been directly affected by the loss of family members or friends. Read More

Rev Med Suisse 2018 Sep;14(617):1565-1567

Fondation Urgences Santé (FUS), Rue Dr César-Roux 29, 1005 Lausanne.

Drowning is a significant and neglected public health problem mostly affecting young children. The definition of drowning has recently been modified and the notions of « dry drowning », « secondary drowning » and « near drowning » are no longer accepted or used. However, recent articles in the media describing dry drowning of children have been reported. Read More

Rev Mal Respir 2018 Nov 13;35(9):959-962. Epub 2018 Sep 13.

Service de pneumologie et oncologie thoracique, CHU de Caen, centre régional de compétence des HTAP sévères, 14033 Caen, France.

Introduction: Aeromonas pneumonia associated with near-drowning, though uncommon, is serious and a major morbidity factor for patients.

Clinical Case: A healthy 30-year-old man nearly drowned in a pound. He was admitted to the medical intensive care unit and required intubation and mechanical ventilation. Read More

Wilderness Environ Med 2018 Dec 9;29(4):549-551. Epub 2018 Sep 9.

Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Shizuoka, Japan.

J Pediatr Surg 2019 Jul 11;54(7):1405-1410. Epub 2018 Jul 11.

Keck School of Medicine of the University of Southern California; Division of Pediatric Surgery, Children's Hospital Los Angeles. Electronic address:

Background/purpose: Acute Respiratory Distress Syndrome (ARDS) results in significant morbidity and mortality in pediatric trauma victims. The objective of this study was to determine risk factors and outcomes specifically related to pediatric trauma-associated ARDS (PT-ARDS).

Methods: A retrospective cohort (2007-2014) of children ≤18 years old from the American College of Surgeons National Trauma Data Bank (NTDB) was used to analyze incidence, risk factors, and outcomes related to PT-ARDS. Read More

Acta Neurol Belg 2020 Apr 21;120(2):437-438. Epub 2018 Jul 21.

Department of Internal Medicine II (Cardiology, Pulmonology and Critical Care), Municipal Hospital Landshut, Landshut, Germany.

Kidney Int Rep 2018 Jul 1;3(4):833-840. Epub 2018 Mar 1.

Internal Medicine, Rambam Health Care Campus, Haifa, Israel.

Introduction: Acute kidney injury associated with near-drowning (ND-AKI) has rarely been reported and its incidence among survivors is unknown. A patient with AKI and urine biomarkers indicating tubular injury led us to assess the occurrence and clinical characteristics of ND-AKI and to evaluate possible causative mechanisms.

Methods: We evaluated medical records of patients rescued from near-drowning in the Mediterranean Sea and treated in a tertiary-level medical center during 2000 to 2017. Read More

Clin Neurol Neurosurg 2018 09 30;172:96-98. Epub 2018 Jun 30.

Department of Neurology, Paracelsus Medical University, Salzburg, Austria; Karl Landsteiner Institute for Neurorehabilitation and Space Neurology, Vienna, Austria; Neuroscience Institute, Christian-Doppler-Klinik, Paracelsus Medical University, Salzburg, Austria.

Clinical Case: We report on a 19-year old male patient who is recovering from near-drowning. The patient was admitted for re-evaluation in a Minimally Conscious State.

Method: A regular functional Magnetic Resonance Imaging was not possible due to complex motor tics of the patient with sudden flexion and extension movements of arms and legs as well as opisthotonic retroflexion of the head and trunk. Read More

J Crit Care Med (Targu Mures) 2018 Jan 9;4(1):12-16. Epub 2018 Feb 9.

Ondokuz Mayıs University School of Medicine, Division of Pediatric Critical Care, Samsun, Turkey.

Introduction: Brain death is currently defined as the loss of full brain function including the brainstem. The diagnosis and its subsequent management in the pediatric population are still controversial. The aim of this study was to define the demographic characteristics, clinical features and outcomes of patients with brain death and determine the incidence of brain death, donation rates and occurrence of central diabetes insipidus accompanying brain death in children. Read More

J Paediatr Child Health 2019 Feb 26;55(2):156-161. Epub 2018 Jun 26.

Department of Anaesthesiology, University of Auckland, Auckland, New Zealand.

Aim: To conduct a comprehensive analysis of surf lifeguards' real and perceived ability in paediatric cardiopulmonary resuscitation (CPR), knowledge of child resuscitation protocols and technical competency during a simulated CPR scenario.

Methods: Surf lifeguards aged 16 years and over were invited to complete a written survey and simulated test of five cycles of single-rescuer CPR on a paediatric manikin. In accordance with the latest Australia and New Zealand Committee on Resuscitation (ANZCOR) guidelines, practical skills were assessed by trained observers. Read More

MMW Fortschr Med 2018 Jun;160(12):50-51

Schwarzwald-Baar Klinikum, Klinikstr. 11, D-78052, Villingen Schwenningen, Deutschland.

Epilepsia 2018 06 23;59(6):1220-1233. Epub 2018 May 23.

Epilepsy Center, Department of Neurology, NYU School of Medicine, New York, NY, USA.

Objective: To examine the consistency of applying the Nashef et al (2012) criteria to classify sudden unexpected death in epilepsy (SUDEP).

Methods: We reviewed cases from the North American SUDEP Registry (n = 250) and Medical Examiner Offices (n = 1301: 698 Maryland, 457 New York City, 146 San Diego). Two epileptologists with expertise in SUDEP and epilepsy-related mortality independently reviewed medical records, scene investigation, autopsy, and toxicology and assigned a SUDEP class. Read More

Int J Environ Res Public Health 2018 04 15;15(4). Epub 2018 Apr 15.

Critical Care Unit, University Hospital of Martinique, 97200 Martinique, French West Indies.

Int J Environ Res Public Health 2018 04 10;15(4). Epub 2018 Apr 10.

Sociedade Brasileira de Salvamento Aquático, Barra da Tijuca, Rio de
Janeiro RJ 22631-004, Brazil.

We read with great interest the recent paper by Cerland et al. on the frequency, nature, and consequences of post-drowning pneumonia[.. Read More

Arch Dis Child 2018 08 23;103(8):784-789. Epub 2018 Mar 23.

Department of Paediatric Surgery, The Children's Hospital at Westmead, Sydney, New South Wales, Australia.

Objective: To investigate long-term neurocognitive outcomes after a near-drowning incident in children who were deemed neurologically intact on discharge from hospital.

Design: A prospective cohort study of near-drowning children.

Setting: 95 drowning and near-drowning admissions, 0-16 years of age, from January 2009 to December 2013, to The Children's Hospital at Westmead, Sydney, NSW, Australia. Read More

Cureus 2017 Dec 26;9(12):e1990. Epub 2017 Dec 26.

Emergency Medicine, Memorial University of Newfoundland.

Newfoundland and Labrador (NL) has one of the highest provincial drowning rates in Canada, largely due to the many rural communities located near bodies of water. Factor in the province's cold climate (average NL's freshwater temperature is below 5.4°C)and the prevalence of winter recreational activities among the population, there exists an inherent risk of ice-related injuries and subsequent hypothermia. Read More

J Pharmacol Exp Ther 2018 05 28;365(2):408-412. Epub 2018 Feb 28.

Service de Pharmacologie-Toxicologie-Centre Régional de Pharmacovigilance, Institut de Biologie en Santé (B.L., M.B., B.D.), MITOVASC, UMR CNRS 6214, Inserm 1083, Université d'Angers (M.B.), Micro- et Nanomédecines Biomimétiques, UMR INSERM 1066-CNRS 6021, Université d'Angers (J.R.), and Laboratoire de Parasitologie-Mycologie, Institut de Biologie en Santé (J.-P.B.), Centre Hospitalier Universitaire, Angers, France; Groupe d'Etude des Interactions Hôte-Pathogène (EA 3142), Université d'Angers, Université de Bretagne Occidentale, Institut de Biologie en Santé, Angers, France (B.L., C.G., P.L., P.V., J.-P.B., B.D.); and Service Commun de l'Animalerie Hospitalo-Universitaire, Université d'Angers, Angers, France (P.L.).

Cerebral infections usually occur in lung transplant recipients as well as in immunocompetent patients in the context of near drowning. Voriconazole is the first-line treatment. The diffusion of voriconazole through the blood-brain barrier in the context of cerebral infection and cyclosporine administration is crucial and remains a matter of debate. Read More