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Drowning

Date Last Search Run: Jan 14, 2025
Table last updated: Nov 26, 2024
Data last added: Nov 21, 2024

Recommendation RECOMMENDATION FOR INTERVENTION
STRENGTH OF EVIDENCE FOR INTERVENTION   SUPPORTIVE (Green) NEUTRAL (Yellow) AGAINST (Red) NOT YET GRADED (White)
1 (strong evidence exists)        
2 (fair evidence exists)  
3 (weak evidence exists)    


Interventions

Intubation
Level Direction Primary Outcome Patient/Process Setting Reference
II Supportive (Green) ROSC Patient PH-Paramedic Yoshimura S, Kiguchi T, Nishioka N, et al. Association of pre-hospital tracheal intubation with outcomes after out-of-hospital cardiac arrest by drowning comparing to supraglottic airway device: a nationwide propensity score-matched cohort study. Resuscitation January 2024; 110129. Medline

NiPPV
Level Direction Primary Outcome Patient/Process Setting Reference
III Supportive (Green) Need for airway management Process ED-MD Dottorini M., Eslami A., Baglioni S. Nasal continuous positive airway pressure in the treatment of near-drowning in freshwater. Chest 1996; 110:1122-4. Medline

Prolonged Resuscitation
Level Direction Primary Outcome Patient/Process Setting Reference
II Neutral (Yellow) Survival Patient PH-Paramedic Youn CS., Choi SP., Yim HW., Park KN. OOHCA due to drowning: An Utstein style report of 10 years of experience from St. Mary's Hospital. Resus 2009; 80:778-3. Medline
III Neutral (Yellow) Restoration of spontaneous circulation Patient ED-MD Sumann G., Krismer AC., Wenzel V., et al. Cardiopulmonary resuscitation after near drowning and hypothermia: Restoration of spontaneous circulation after vasopressin. Acta Anaesthesiol Scand 2003; 47(3):363-365. Medline
III Neutral (Yellow) Attempted resuscitation Process PH-Paramedic Wyatt JP., Tomlinson GS., Busuttil A. Resuscitation of drowning victims in South-east Scotland. Resus 1999; 41:101-4. Medline

Supraglottic airway
Level Direction Primary Outcome Patient/Process Setting Reference
II Supportive (Green) ROSC Patient PH-Paramedic Yoshimura S, Kiguchi T, Nishioka N, et al. Association of pre-hospital tracheal intubation with outcomes after out-of-hospital cardiac arrest by drowning comparing to supraglottic airway device: a nationwide propensity score-matched cohort study. Resuscitation January 2024; 110129. Medline


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