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Am J Hematol 2022 05 12;97(5):657-658. Epub 2022 Mar 12.

Centre for Haematology, St Mary's Hospital Campus of Imperial College Faculty of Medicine, St Mary's Hospital, London, UK.

J Fungi (Basel) 2021 Dec 27;8(1). Epub 2021 Dec 27.

Centre for Neurovascular Diseases Tübingen, ZNET, University of Tübingen, 72076 Tübingen, Germany.

is a typical mold causing cerebral abscesses, often after near-drowning. Infections are associated with high morbidity and mortality due to diagnostic challenges including the need for prolonged incubation of cultures. In addition, histopathological differentiation from other filamentous fungi, including may not be possible, excluding early specific diagnosis and targeted therapy. Read More

JPRAS Open 2022 Mar 10;31:62-66. Epub 2021 Nov 10.

The Lundquist Institute for Biomedical Innovation, Torrance, CA, United States.

Infections caused by opportunistic fungal organisms such as spp have been increasingly recognized over the last few decades. Most affected patients are immunocompromised or critically ill, but spp infections have also been described in immunocompetent patients, such as localized disease from direct inoculation or in near-drowning events. We describe a case of a patient with no known underlying immune impairment who experienced significant infection with at both sites of breast augmentation. Read More

Resusc Plus 2021 Dec 9;8:100179. Epub 2021 Nov 9.

Department of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, 2-15 Yamadaoka, Suita, Osaka 565-0871, Japan.

Background: The hemoglobin index (HbI) represents the amount of hemoglobin, which reflects the regional tissue blood volume. The HbI is calculated by a regional oxygen saturation monitor. In freshwater drowning, inhaled water is immediately absorbed into the blood causing hemodilution. Read More

Acute Med Surg 2021 Jan-Dec;8(1):e708. Epub 2021 Nov 3.

Department of Emergency and Disaster Medicine Showa University Tokyo Japan.

Background: spp. are gram-negative anaerobic rods that are mainly found in water. Respiratory infections due to sp. Read More

Nephrol Nurs J 2021 May-Jun;48(3):237-240

Chief Medical Officer, DaVita Kidney Care, Denver, CO.

Hemolysis may be an infrequent cause of hemodialysis blood leak alarms. We report the case of an unresponsive adult male who was placed on hemodialysis with a high-flux dialyzer. Within five minutes, the blood leak alarm sounded. Read More

Int J Obstet Anesth 2021 08 25;47:103193. Epub 2021 May 25.

Department of Anesthesiology, Perioperative, and Pain Medicine, Texas Children's Hospital, Baylor College of Medicine, Houston, TX, USA. Electronic address:

While it is well known that maternal temperature affects fetal heart rate, the exact relationship is not well described. The circumstances accompanying most cases of maternal hypothermia and rewarming (e.g. Read More

Am J Med 2021 11 5;134(11):e546-e547. Epub 2021 Jun 5.

Division of Infectious Diseases, Department of Medicine. Electronic address:

Crit Care Explor 2021 May 21;3(5):e0434. Epub 2021 May 21.

Department of Clinical and Administrative Pharmacy, University of Georgia College of Pharmacy, Augusta, GA.

This case series describes the effect of angiotensin II administration on hemodynamics in patients with parenchymal lung injury due to submersion injury.

Case Summary: A 33-year-old female and a 72-year-old female were both brought to the emergency department after incidents of near drowning. Upon arrival to the emergency department, both patients were hemodynamically unstable and were eventually intubated for airway protection. Read More

Resuscitation 2021 06 14;163:186-188. Epub 2021 Apr 14.

Research Group Emergency and Disaster Medicine, Vrije Universiteit Brussel, Belgium. Electronic address:

PeerJ Comput Sci 2021 11;7:e389. Epub 2021 Mar 11.

Faculty of Information and Communication Technology, Universiti Tunku Abdul Rahman, Kampar, Perak, Malaysia.

Keyword extraction is essential in determining influenced keywords from huge documents as the research repositories are becoming massive in volume day by day. The research community is drowning in data and starving for information. The keywords are the words that describe the theme of the whole document in a precise way by consisting of just a few words. Read More

Antonie Van Leeuwenhoek 2021 Jun 6;114(6):731-739. Epub 2021 Mar 6.

Department of Clinical Laboratory, Hunan Province People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha, 410005, Hunan, People's Republic of China.

A Gram-negative, aerobic, non-motile, pleomorphic, red-pigmented bacterium, designated HNSRY-1, was isolated from the blood sample of a near drowning patient in Republic of China. Strain HNSRY-1 grew at 15-37 °C (optimum, 35 °C), with pH 6.0-8. Read More

Handb Clin Neurol 2021 ;177:189-192

Department of Neurology, Ochsner/Louisiana State University Health Sciences Center, Shreveport, LA, United States. Electronic address:

Syncope is very common and usually comes with enough warning for the person to assume a safer position rather than fall in a potentially dangerous way. Syncope may be associated with pregnancy, for example, but we rarely encounter significant injury related to the potential for an associated fall. In the elderly, however, there are often comorbid factors such as delayed reaction time and other aspects of cognitive impairment, along with gait instability, that can affect the defensive reflexes to the point that brain injury, including subdural or epidural hematoma, is not uncommonly encountered. Read More

Am Surg 2021 Jan 31:3134821989055. Epub 2021 Jan 31.

Department of Surgery, 4157Conemaugh Memorial Medical Center, Johnstown, PA, USA.

Prehosp Disaster Med 2021 Apr 27;36(2):163-169. Epub 2021 Jan 27.

Faculty of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain.

Introduction: On-boat resuscitation can be applied by lifeguards in an inflatable rescue boat (IRB). Due to Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-COV-2) and recommendations for the use of personal protective equipment (PPE), prehospital care procedures need to be re-evaluated. The objective of this study was to determine how the use of PPE influences the amount of preparation time needed before beginning actual resuscitation and the quality of cardiopulmonary resuscitation (CPR; QCPR) on an IRB. Read More

Arch Pediatr 2021 Apr 22;28(3):252-254. Epub 2021 Jan 22.

Department of pediatric intensive care, centre hospitalier universitaire de Nantes, Children's hospital, 44000 Nantes, France.

An 11-year-old girl experienced an episode of near-drowning. She was immediately rescued and was defibrillated. Transthoracic echocardiography and coronary computed tomographic angiography confirmed the diagnosis of anomalous left coronary artery from the pulmonary artery (ALCAPA). Read More

Matern Child Health J 2021 Mar 7;25(3):414-427. Epub 2021 Jan 7.

Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA.

Objectives: Globally, unintentional injuries are one of the leading causes of infant death. Established risk factors for injuries during infancy include single parent households, socioeconomic disadvantage and maternal postpartum depression. We sought to examine whether maternal working status is associated with unintentional injury among infants in Japan. Read More

Am J Emerg Med 2021 03 26;41:90-95. Epub 2020 Dec 26.

Division of Pediatric Emergency Care, Department of Pediatrics, Dokuz Eylul University, Faculty of Medicine, Izmir, Turkey. Electronic address:

Background: In the present study, we aimed to investigate the demographic and clinical features, laboratory and radiologic characteristics, management, and outcomes of pediatric drowning patients in order to identify predictors of hospital admission, and to evaluate the need for respiratory support, and prognosis.

Methods: In this retrospective chart review, children aged 0 to 18 years who presented to the pediatric emergency department due to drowning between July 2009 and September 2019 were included. Demographics, initial vital signs, clinical findings, laboratory and radiologic results, and the need for respiratory support or cardiopulmonary resuscitation in the emergency department were recorded. Read More

Am Surg 2021 Jan 2:3134820983189. Epub 2021 Jan 2.

Department of Surgery, University of Oklahoma Medical Center, Oklahoma City, OK, USA.

Am J Emerg Med 2021 08 10;46:361-366. Epub 2020 Oct 10.

Pediatrics, Harborview Injury Prevention and Research Center, University of Washington School of Medicine, Seattle, WA, USA.

Background: Identification of predictors of outcome at the scene of drowning events could guide prevention, care and resource utilization. This review aimed to describe where, what and how scene predictive factors have been evaluated in drowning outcome studies.

Methods: We reviewed studies reporting scene drowning predictors published between 2003 and 2019. Read More

Chest 2021 04 14;159(4):1473-1483. Epub 2020 Oct 14.

Surf Lifesaving Great Britain, Exeter, UK; Medical Commission International Life Saving Federation, Leuven, Belgium; Extreme Environments Laboratory, Department of Sport and Exercise Science, University of Portsmouth, Portsmouth, UK.

Drowning is "the process of experiencing respiratory impairment from submersion or immersion in liquid." According to the World Health Organization, drowning claims the lives of > 40 people every hour of every day. Drowning involves some physiological principles and medical interventions that are unique. Read More

Am J Emerg Med 2020 Nov 16;38(11):2395-2399. Epub 2020 Sep 16.

CLINURSID Research Group. Nursing Departament, University of Santiago de Compostela, Santiago de Compostela, Spain; Pediatric Intensive Care Unit Area, Galician Health Service (SERGAS), Santiago de Compostela, Spain.

Objective: Introducing a new, simple and inexpensive portable equipment for lifeguards, consisting of a pre-assembled full-size plastic blanket with a mask and HEPA filter, which could offer significant time-saving advantages to reduce COVID-19 risk transmission in the first few minutes of CPR after water rescue, avoiding the negative impact of delayed ventilation.

Method: A pilot study was carried out to determine the feasibility of the pre-assembled kit of face-mask and HEPA filter adapted on a pre-set plastic-blanket. The first step consisted of washing hands, putting on safety glasses and gloves as the first personal protection equipment (PPE) and then covering the victim with an assembled plastic blanket. Read More

Front Pediatr 2020 10;8:564. Epub 2020 Sep 10.

Vinmec Research Institute of Stem Cell and Gene Technology (VRISG), Vinmec Health Care System, Hanoi, Vietnam.

Anoxic brain injury (ABI) due to non-fatal drowning may cause persistent vegetative state (VS) that is currently incurable. The aim of this paper is to present the safety and feasibility of autologous bone marrow-derived mononuclear cell (BMMNC) transplantation in five drowning children surviving in persistent VS. We used BMMNC as a novel candidate therapeutic tool in a pilot phase-I study for five patients affected by neurological sequelae after near-death drowning. Read More

Int J Surg Case Rep 2020 25;76:11-13. Epub 2020 Sep 25.

Department of Surgery, University of Texas Medical Branch, Galveston, TX, USA. Electronic address:

Introduction: Gastroesophageal (GE) junction injuries are rare in the pediatric population. A complete GE junction separation in a child secondary to trauma has not reported in the literature yet.

Presentation Of Case: A 14-year-old boy presented with a complete GE junction avulsion after a near-drowning experience. Read More

Resuscitation 2020 11 22;156:196-201. Epub 2020 Sep 22.

Department of Medicine, Centre for Resuscitation Science, Karolinska Institutet, Solna, Sweden.

Background: Submersion time is a strong predictor for death in drowning, already 10 min after submersion, survival is poor. Traditional search efforts are time-consuming and demand a large number of rescuers and resources. We aim to investigate the feasibility and effectiveness of using drones combined with an online machine learning (ML) model for automated recognition of simulated drowning victims. Read More

Zhonghua Jie He He Hu Xi Za Zhi 2020 Sep;43(9):772-777

Department of Respiratory Disease and Critical Care Medicine, the Second Affiliated Hospital, Air Force Medical University, Xi'an 710038, China.

To explore the therapeutic effect of carnosine and dexamethasone in lung injury caused by seawater drowning. The experiments with A549 cells were divided into 5 groups: blank control group (C), seawater injury group (S), seawater injury+dexamethasone treatment group (S+D), seawater injury+carnosine treatment group (S+C), seawater injury dexamethasone and carnosine combined therapy(S+D+C) group. The optimal therapeutic dose of drugs for the treatment of seawater drowning lung injury was tested . Read More

Neurol India 2020 Jul-Aug;68(4):906-909

Department of Microbiology, Bombay Hospital Institute of Medical Sciences, Mumbai, Maharashtra, India.

Scedosporium apiospermum is a filamentous fungus causing a broad spectrum of clinical diseases especially in those who are immunocompromised. The common sites involved are lungs, skin, sinuses, eyes, bones, joints, and central nervous system (CNS). CNS is involved in invasive Scedosporiosis in the form of a cerebral abscess. Read More

Emerg Infect Dis 2020 09;26(9):2186-2189

We report a severe case of Chromobacterium haemolyticum pneumonia associated with near-drowning and detail the investigation of the pathogen and river water. Our genomic and environmental investigation demonstrated that river water in a temperate region can be a source of C. haemolyticum causing human infections. Read More

Arch Dis Child Educ Pract Ed 2021 04 24;106(2):88-93. Epub 2020 Jul 24.

Paediatric Emergency Department, University Hospital of Wales, Cardiff and Vale University Health Board, Cardiff, UK.

Drowning is a significant cause of childhood morbidity and mortality globally. The underlying mechanisms vary with child development and most are modifiable to public health promotion strategies. This article serves to highlight some of the specific considerations for the clinical management of drowning in children, both prehospital and by the in-hospital paediatric resuscitation team. Read More

Mov Disord Clin Pract 2020 Jul 2;7(5):573-574. Epub 2020 Jun 2.

Department of Rehabilitation, Center of Expertise for Parkinson & Movement Disorders Radboud University Medical Centre; Donders Institute for Brain, Cognition and Behaviour Nijmegen The Netherlands.

View Supplementary Video S1 View Supplementary Video S2 View Supplementary Video S3. Read More