Emergency Care - Near-Drowning

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The key takeaways are that drowning is a major cause of death globally and in India. It disproportionately affects children, males and those with increased access to water. Life threatening signs of near drowning include no breathing, no pulse and cyanosis.

Life threatening signs of near drowning include no breathing, no pulse, cyanosis, abdominal swelling, chest pain, cough and vomiting.

The management protocol for near drowning at the health and wellness centre level involves assessing ABCDE, providing CPR if needed, placing the victim in recovery position if breathing, and observing for complications.

PAGE 44 & 45 CHO MODULE

NEAR-DROWNING PAGE 46 & 47 SN MODULE


FOR EMERGENCY CARE
LEARNING
OBJECTIVES

At the end of the session, you will be able to


1. List the life threatening signs of near drowning.
2. Describe the management of near drowning at SHC-HWC level.
DEFINITION
“Drowning” commonly to refer to suffocation (respiratory
impairment) from water entering the nose and mouth of a
person,
“Near-drowning” which means almost dying from
suffocating under water.
This is the stage where emergency care is needed to save
the victim’s life.
DROWNING- KEY FACTS
Global
• Drowning is the 3rd leading cause of unintentional injury death worldwide,
accounting for 7% of all injury-related deaths.
• There are an estimated 320 000 annual drowning deaths worldwide.
• Children, males and individuals with increased access to water are most at
risk of drowning.
India
• As per the National Crime Records Bureau-Accidental Deaths and Suicides
(2012), 80 persons die of drowning each day in India, which accounts for
7.4% of all unnatural deaths
SYMPTOMS & SIGNS
A victim of near-drowning could most probably be unresponsive
Conduct AVPU

Signs that are life-threatening are:


­ Abdominal swelling
­ Chest pain
­ Cough
­ Vomiting

­ No breathing /Erratic breathing


­ No pulse
­ Nail beds, slow or no circulation
­ Mouth, nose or skin turning blue and cold skin
MANAGEMENT PROTOCOL AT
HEALTH
AND
AVPU and ABCDE WELLNESS CENTRE
Unresponsive on assessment
In need of CPR or assisted breathing.

When you Check for ABCDE in a victim of near-drowning, you could follow the below
mention approach: If no spinal injury,
BREATHING Put the victim in recovery
Check for the victim’s
breathing position
(Use look, listen, feel) Cover the victim in warm
Look for visible blanket
movement of chest Observe
Listen for breathing NOT BREATHING
sound GIVE URGENT CPR
Feel the victim’s pulse
NO PULSE
SPECIFIC MEASURES
(COMMUNITY LEVEL)
Call ambulance for referral to higher center
Remove the victim from water immediately
Assess for breathing.
If the victim is breathing then place him/her in recovery position.
If the victim is not breathing or moving then he/she might require Cardio-Pulmonary Resuscitation
(CPR)
Be very careful when handling the person and performing CPR, as the individual could have a neck or
spinal injury. Do not move or turn their neck or head. Stabilize the neck by manually holding the head
and neck in place or placing towels or other objects around the neck to support it.

Remove wet clothes and cover the victim with a blanket to prevent hypothermia (support the neck while
removing the victim’s clothes)

Remove any visible foreign body, weed, sand or mud from the mouth

Transfer the victim to the appropriate nearest health facility immediately


PREVENTION AND
AWARENESS GENERATION AT
THE COMMUNITY LEVEL
1. Do not leave infants and small children unattended around water bodies.

2. Do not leave vessels filled with water uncovered around small infants and
children, eg. Buckets, drums, gamla, etc.

3. Avoiding alcohol consumption while driving or boating or playing near


water bodies
EVALUATION
1. Give any 2 life-threatening signs in case of near drowning?

2. If a near drowning victim is not breathing and has no pulse, first action of
the CHO should be to cover the patient with blanket.
True/False

3. To check for the victim’s breathing, use look, …………., and feel.

4. Before placing a near drowning victim in recovery position, make sure --------
……………….

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EVALUATION
1. Give any 2 life-threatening signs in case of near drowning?
No breathing, no pulse, cyanosis
2. If a near drowning victim is not breathing and has no pulse, first action of the
CHO should be to cover the patient with blanket.
False
3. To check for the victim’s breathing, use look, …………., and feel.
Listen
4. Before placing a near drowning victim in recovery position, make sure
------- ……………….
there is no spinal injury

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THANK YOU

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