Proactive management of natural disaster - drowning

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Dear NetRUMians,

Drowning or near drowning is very common after flood and tsunamies.

Usually victims are hypoxaemic and hypothermic.

• Majority have metabolic acidosis.

• Fluid and electrolyte abnormalities; cerebral oedema and renal dysfunction.

Immediate care

• Clear airway

• Provide breathing - mouth-to-mouth ventilation

• External cardiac massage

• Prevent heat loss by wrapping victim in blankets or warm clothing.

• If possible, intubate and ventilate the comatose; establish IV access

.. Antibiotics and bronchodilators to combat aspiration pneuminia

Trupti