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...

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Main Authors: Lorena Luana Batista, Stefanie Yaemi Takita, Carolina Matos da Silva Oliveira, Joelma Gonçalves Martin, José Roberto Fioretto, Rossano Cesar Bonatto, Fábio Joly Campos
Format: Article
Language:English
Published: Sociedade Brasileira de Pediatria 2023-03-01
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.
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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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