Acidentes por submersão em pediatria: Revisão de literatura
OBJECTIVES: To review the literature on the most up-to-date knowledge in pathophysiology, management and prevention of drowning accidents in the pediatric age group to propose a protocol for the care of these patients in the emergency department. METHODS: Systematic literature review in PubMed, Emb...
Main Authors: | , , , , , , |
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Format: | Article |
Language: | English |
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Sociedade Brasileira de Pediatria
2023-03-01
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Series: | Residência Pediátrica |
Subjects: | |
Online Access: | https://residenciapediatrica.com.br/detalhes/1302/acidentes%20por%20submersao%20em%20pediatria-%20revisao%20de%20literatura |
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author | Lorena Luana Batista Stefanie Yaemi Takita Carolina Matos da Silva Oliveira Joelma Gonçalves Martin José Roberto Fioretto Rossano Cesar Bonatto Fábio Joly Campos |
author_facet | Lorena Luana Batista Stefanie Yaemi Takita Carolina Matos da Silva Oliveira Joelma Gonçalves Martin José Roberto Fioretto Rossano Cesar Bonatto Fábio Joly Campos |
author_sort | Lorena Luana Batista |
collection | DOAJ |
description | OBJECTIVES: To review the literature on the most up-to-date knowledge in pathophysiology, management and prevention of drowning accidents in the pediatric age group to propose a protocol for the care of these patients in the emergency department.
METHODS: Systematic literature review in PubMed, Embase and Cochrane Library databases using drowning, pediatrics, emergency treatment and accident prevention descriptors, including articles published in the last 5 years that cover the objectives of the present study.
RESULTS: Worst drowning outcomes are associated with age < 5 years, submersion time > 5 minutes, higher Szpilman score, and admission with lower Glasgow Coma Scale, hypothermia < 30°C, acidosis, hyperglycemia, hypernatremia, hyperkalemia, elevation of lactate and liver enzymes and an abnormal chest X-ray.
CONCLUSIONS: The analysis of prognostic factors through a review of the current literature provided the development of an algorithm for managing drowning patients in pediatric emergency and reinforced the importance of working preventive measures collectively. |
first_indexed | 2024-03-09T15:44:19Z |
format | Article |
id | doaj.art-f21b0c423aef4acdb384a5861968bf5f |
institution | Directory Open Access Journal |
issn | 2236-6814 |
language | English |
last_indexed | 2024-03-09T15:44:19Z |
publishDate | 2023-03-01 |
publisher | Sociedade Brasileira de Pediatria |
record_format | Article |
series | Residência Pediátrica |
spelling | doaj.art-f21b0c423aef4acdb384a5861968bf5f2023-11-24T19:40:55ZengSociedade Brasileira de PediatriaResidência Pediátrica2236-68142023-03-0113110.25060/residpediatr-2023.v13n1-808Acidentes por submersão em pediatria: Revisão de literaturaLorena Luana Batista0Stefanie Yaemi Takita1Carolina Matos da Silva Oliveira2Joelma Gonçalves Martin3José Roberto Fioretto4Rossano Cesar Bonatto5Fábio Joly Campos6Universidade Estadual Paulista, Departamento de Pediatria - Botucatu - SP - BrasilUniversidade Estadual Paulista, Departamento de Pediatria - Botucatu - SP - BrasilUniversidade Estadual Paulista, Departamento de Pediatria - Botucatu - SP - BrasilUniversidade Estadual Paulista, Departamento de Pediatria - Botucatu - SP - BrasilUniversidade Estadual Paulista, Departamento de Pediatria - Botucatu - SP - BrasilUniversidade Estadual Paulista, Departamento de Pediatria - Botucatu - SP - BrasilUniversidade Estadual Paulista, Departamento de Pediatria - Botucatu - SP - BrasilOBJECTIVES: To review the literature on the most up-to-date knowledge in pathophysiology, management and prevention of drowning accidents in the pediatric age group to propose a protocol for the care of these patients in the emergency department. METHODS: Systematic literature review in PubMed, Embase and Cochrane Library databases using drowning, pediatrics, emergency treatment and accident prevention descriptors, including articles published in the last 5 years that cover the objectives of the present study. RESULTS: Worst drowning outcomes are associated with age < 5 years, submersion time > 5 minutes, higher Szpilman score, and admission with lower Glasgow Coma Scale, hypothermia < 30°C, acidosis, hyperglycemia, hypernatremia, hyperkalemia, elevation of lactate and liver enzymes and an abnormal chest X-ray. CONCLUSIONS: The analysis of prognostic factors through a review of the current literature provided the development of an algorithm for managing drowning patients in pediatric emergency and reinforced the importance of working preventive measures collectively.https://residenciapediatrica.com.br/detalhes/1302/acidentes%20por%20submersao%20em%20pediatria-%20revisao%20de%20literaturadrowningpediatricsemergency treatmentaccident prevention |
spellingShingle | Lorena Luana Batista Stefanie Yaemi Takita Carolina Matos da Silva Oliveira Joelma Gonçalves Martin José Roberto Fioretto Rossano Cesar Bonatto Fábio Joly Campos Acidentes por submersão em pediatria: Revisão de literatura Residência Pediátrica drowning pediatrics emergency treatment accident prevention |
title | Acidentes por submersão em pediatria: Revisão de literatura |
title_full | Acidentes por submersão em pediatria: Revisão de literatura |
title_fullStr | Acidentes por submersão em pediatria: Revisão de literatura |
title_full_unstemmed | Acidentes por submersão em pediatria: Revisão de literatura |
title_short | Acidentes por submersão em pediatria: Revisão de literatura |
title_sort | acidentes por submersao em pediatria revisao de literatura |
topic | drowning pediatrics emergency treatment accident prevention |
url | https://residenciapediatrica.com.br/detalhes/1302/acidentes%20por%20submersao%20em%20pediatria-%20revisao%20de%20literatura |
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