wamba
Forum Guru
Topics: 149
Posts: 664
|
what is the first step in management for a patient who has been taken out of a swimming pool unconscious and probably has the lungs full of water?
1. ABC
2. heimlich maneuver
3. chest compression
4. intubation with 100% oxygen
|
| ARJ
Forum Guru
Topics: 133
Posts: 792
|
2. heimlich maneuver
___________________
"Live as if you were to die tomorrow. Learn as if you were to live forever." --Mahatma Gandhi
|
| drkpp
Forum Guru
Topics: 45
Posts: 882
|
just like in the hindi movies, haaa ARJ!!!!
___________________
"Where there is a will there is a way!"
-Anonymous
|
| phuluong2k
Forum Fanatic
Topics: 714
Posts: 2,008
|
I go with ABC
Kaplan note:
After remove from water, estabishment of the adequate airway is the most important initial step
|
| wamba
Forum Guru
Topics: 149
Posts: 664
|
this is interesting. According to me, at the end of the 80's, a study demostrated that about 60% of people who are ressuscitated with ABC die from the vomiting owing to gastric distension. the study also demostrated that breathing into lungs that are full of water is useless.
This is why the American heart asso, in the middle of the 90's approved the fact that the first step in management of near drowning was the removal of water, as it was done before with the schafer technique (patient face down with the rescuer who applies a pressure with his palms on his back), used in the world until 1961, when it was replaced with ABC.
ABC has then been replaced with the Heimlich maneuver; 4 maneuver are considered sufficient to clear the lungs and a recent study demostrated that about 80% of the victims recover spontaneous breathing without rescue. The same study also demostrated that while only about 60% of the people were saved with ABC, more than 80% were saved with Heimlich (just to confirm the importance of the water removal).
But according to the emergency department where I work here in Italy, Heimlich maneuver is no longer used. Near drowning and all kinds of airway obstruction (foreign body) are all treated in the same way: with chest compression similar to heart compression but deeper. In the near drowning situation it removes the water. in the obstruction it mimics heimlich.
But I don't know if it is the same in the states o for the exam. What do you say you guys?
|
| phuluong2k
Forum Fanatic
Topics: 714
Posts: 2,008
|
I think remove from water is taking the patient out ouf the pool, the water resource.
Does it means make the heimlich maneuver ?
|
| wamba
Forum Guru
Topics: 149
Posts: 664
|
remove the water from the lungs which is what heimlich maneuver does
|
| wamba
Forum Guru
Topics: 149
Posts: 664
|
but 'm not sure this is the right answer since I have read too many different opinions in this subject.
|
| frontal
Forum Guru
Topics: 53
Posts: 421
|
Very interesting study, wamba. The opinion seems divided at all levels.
|
| ARJ
Forum Guru
Topics: 133
Posts: 792
|
drkpp Hindi Films... I will start watching to get a good score
___________________
"Live as if you were to die tomorrow. Learn as if you were to live forever." --Mahatma Gandhi
|
| frontal
Forum Guru
Topics: 53
Posts: 421
|
Nice quote there, ARJ. I hope the wisdom rubs off on all of us.
|
| ARJ
Forum Guru
Topics: 133
Posts: 792
|
Actually inspired by Dr Conrad..... Here are some other quotes by Jalal al-Din Muhammad Rumi
"If in thirst you drink water from a cup, you see God in it. Those who are not in love with God will see only their own faces in it".
"Let the beauty of what you love be what you do"
___________________
"Live as if you were to die tomorrow. Learn as if you were to live forever." --Mahatma Gandhi
|
| achilles
Forum Guru
Topics: 87
Posts: 1,207
|
well the answer is a-ABC...
i am posting the link to a journal i found while searching on this topic...
http://circ.ahajournals.org/cgi/reprint/CIRCULATI...
___________________
" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "
|
|
| |
| | | | | | | | | | | | | |
