29/03/2019 DROWNING INTRODUCTION + Thee are sre aged pis indo PATHOPHYSIOLOGY Sequence of events leading to death + oterani spat autor vane a st + ese conics response ft allan eth ns I neni ve toler terest + waters spite ita tea and coughing oss rex reponse ay os (ply + comin stration > hypoxeria > lost of coniclounes and apnea + Fra! mode of death inches cre drys ahr > bradyean-> PEA > spsale + stole rowing proces om suimerdon or mmerson tarde ares uy ours Inaeconde oa few minutes >I hourin unas eaes of hypothermia) : by te ont of train hypoxa)29/03/2019 + Aker sbmerion the degre ol puonar nd (CNS) iat deternes the ate ocr + Diving reflex etry pe, peripheral secon and cat shanting cf tood ow) provided Casi proevon dsingautmenion > Sroges in nts ‘Sb om of age but the eles decresse with age + "Dry drowning” wich scours or 10% 49 20% of submersion + "Wet drowning” oir in which mater apited int the ings > The fects SALT WATER VS FRESH WATER + No sentiane dferenceri leit abnormal or degre of ugar despce (erencs ln comet dint «eter burden gree in kesh water (gam negnves meres, Stphlooc rg sips prteroan Aeromors) REN a EE | HYPOTHERMIA, etn ta survive prolonged someon epee23/03/20 erm aa ao omg RE een met Par a EKA treet rece tng ina St ees 1 SM IB eh (comp denn SP MANAGEMENT (PREHOSPITAL) ‘omg fom eon ean report pen ou twtr ASAP + Ory ind nds hol tet mater rece hii py ngs + Uk pate cut hoon (cuts posi rewire) + Rar we tng + Caamence bse Me upport (rms haenetieaton ardepumeray bys) HOSPITAL Goa (Wy pporea 8.6 (2) evar £034 Chor 24 (2 prev second bran ry + panive revarming remove wet clothes ete wth ants + sve reaming peripheral red sr warmer ot water bole ental (warmed hurled nied se warmed IVE agente terms reson vi vaxath29/03/201 QUESTIONS??? THANK YOU