Water Safety 07.18.2014

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MORNING REPORT

FRIDAY, JULY 18TH

MITCH PETERSON & CAROLE MCCLANAHAN

*

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*

*CASE

*SECONDARY DROWNING

*RISK FACTORS

*DEMOGRAPHICS/ STATISTICS

*TIPS FOR PARENTS

*ADVOCACY

*CONCLUSION

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* 3 y.o. F presents with respiratory

distress secondary to near-drowning.

* Found face-up in pool, dusky,

unconscious.

* Began breathing immediately upon

removal from pool.

* EMS called.

* No CPR.

* Blow-by in ambulance, 1L NC O2in

ED.

* Sent to floor.

*

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*Laryngospasm or Water

Irritation

*Pulmonary Edema

*Cough, Chest Pain, Lethargy

*1-24 hours after initial hit

*1-2% of drowning

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*

*Observation x 24 hrs, weaned to RA, no

secondary drowning effects

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**10 sec: Cross the room for a

towel- Submerged

*2 min: Answer the phone- Lose

consciousness.

*4-6 min: Sign for a package at

front door- Permanent brain

damage

*CASE: Mother took sibling to

bathroom

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*WATERDANGER ATANY DEPTH

http://intermountainhealthcare.org/hospitals/primarychildrens/childhealth/parenting/Pages/water-safety.aspx

Intermountain Healthcares

campaign for Water Safety.

Go to URL below.

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* Every day, 2 children Whites

*Location:

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*POOR SWIMMING ABILITY

*NO BARRIERS

*NO SUPERVISION

*NO PFDs*ALCOHOL

*SEIZURES

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*

1. Block off/Eliminate

water hazards

2. "Touch supervision" or

Constant eyes

3. PFDs, not armbands

4. Choose swim locations

wisely

5. No drugs or alcohol

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*

6. No diving

7. Dont walk on ice

8. Seizure precautions

9. Near drowning? Bring

them in.

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1. 4 Sided Walls (Case)

2. Pool covers and alarms

good, but not sufficient.

3. Entrapment and

entanglement preventionequipment.

*

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*

*CPR for everyone!

*> 4 yo = Swim Lessons*1-4 yo = Maybe

*< 1 yo = What the what?

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In light of new research that has

revealed that swim instruction for

children 1 to 4 years of age may

decrease drowning, it is reasonable for

the AAP to relax its policy regarding the

age at which children should start

learning water-survival skills.7

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*

1. Required parental

involvement

2. A fun atmosphere with 1-

on-1 teaching

3. Qualified teachers

4. Warm water to prevent

hypothermia

5. Maintenance of water

purity

6. A limited number of

submersions to prevent water

ingestion and hyponatremia

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*

*1. 4 sided barrier laws

*2. Lifeguards at every public pool

*3. Lifeguards at recreational areas

(lakes, private)

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*

*4. No drugs/alcohol on boats

*5. Database

*6. EMS response

*7. Counseling for family andfriends of victims

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18/18REFERENCES

1.What are dry drowning and secondary drowning? http://www.webmd.com/parenting/news/20140602/dry-drowning-faq. Accessed July 15, 2014

2. Drowning prevention and water safety. Utah Safety Council.http://www.utahsafetycouncil.org/take-safety-home/drowning-prevention.asp. Accessed July 9, 2014

3. Water safety- injury statistics and incidence rates. University of UtahHealthcare.http://healthcare.utah.edu/healthlibrary/related/doc.php?type=90&id=P03004 . Accessed July 9,2014.

4. Unintentional drowning- get the facts. Centers for Disease Control andPrevention.http://www.cdc.gov/homeandrecreationalsafety/water-safety/waterinjuries-factsheet.html. Lastupdated May 15, 2014. Accessed July 9, 2014

5. Ten leading causes of injury and death. Centers for Disease Control and Prevention.http://www.cdc.gov/injury/wisqars/leadingcauses.html. 2011. Accessed July 16, 2014

6. World Aquatic Babies and Children Network. About WABC: guidelines. Available at: www.wabcswim.com.Accessed July 17, 2014.

7. Weiss, Jeffrey. Technical Report Prevention of Drowning Committee on Injury, Violence, and PoisonPrevention. American Academy of Pediatrics.