Drowning
Z. Rozkydal


•Drowning
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•Immersion  into water or liquid
•Airways are filling  with water or liquid
•Asphyxia- a person is unable to  breathe
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•Aspiration of water
•Laryngospasmus
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•Wet drowning
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•Water goes into the lungs
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•Dry drowning
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•Apnoe, then laryngospasm (in 30 %).
•- water does not go into the lungs
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•Sweet water
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•Water in lungs is hypotonic
•It is resorbed into circulation
•It increases volume of circulated blood
•- hypervolemia
•- haemolysis, high level of potassium
•- fibrilation of ventricles- cardiac arrest
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•Sea water
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•Water is hypertonic
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•Water and plasmatic proteins go from blood
•into alveoli of the lungs
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•- pulmonary oedema, atelectasis
•- respiratory failure  and acidosis
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•First aid
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•Removal of casualty from the water
•Risk of regurgitation of stomach content into the airways
•- roll him onto his side to clear his airways
•Do  primary survey- open his airways
•                                check his response
•Be sure there is not a injury of cervical spine
•If he is unconscious- give 5 initial rescue breaths
•Follow wit 30  chest compressions
•Continue CPR 30:2
•Call the ambulance
•Monitor vital signs

•Drowning in a cold water
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•Hypothermia – increases the chance for survival
•CPR should last longer
•Cover the casualty with warm blankets
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•Some cases of drowning- in epilepsy
•                                          after alcohol intake
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