No abstract available.
Near Drowning*

No abstract available.
Blood Glucose* ; Near Drowning*

This study was carried out on 24 children with near-drowning admitted to the Institute of Pediatric during 1/1998 - 6/2000 to find the epidemiological factors, clinical profile and common cause of pneumonia associated with near-drowning. The results have shown that most of children with near-drowning were male children with ages of 6-9 who lived in the country side and can not swim. The accidents occurred mainly during 3 months holiday. The water resources in ponds and lakes were polluted serious. The levels of pneumonia lesion associated with near-drowning was usually severe: 10/24 (42%) children suffered the respiratory impairment when admitting to hospital. The direct cause of pneumonia was negative gram microbials related with polluted water resources where children suffered from the near-drowning.
Pneumonia ; Near Drowning

Children are in their course of growth and development, and this is the most important feature in understanding childhood injuries, which is somewhat different from those in adults. Injury is different from accident in that the latter cannot be expected and prevented, and also different from trauma that means the external forces on the body and the response against the force. Injury can be expected scientifically and prevented. The risk of injuries in children is closely related to the age, sex, socio-economical status, and environment. Injuries are always the most common cause of death in children throughout the world, and traffic accident is the most common cause of childhood injuries. Burn, near drowning, and fall down occupy most of the causes of injuries in infancy, and pedestrian injuries and traffic accidents are the major causes of injuries in pre-school ages. Suicide becomes an important cause of injuries in adolescents. Sexual abuse should be considered seriously in children with perineal injuries without definite causes. All of these childhood injuries are closely related to the status of growth and development of children.
Accidents, Traffic ; Adolescent ; Adult ; Burns ; Cause of Death ; Child ; Growth and Development ; Humans ; Near Drowning ; Sex Offenses ; Suicide

Scedosporium apiospermum, an asexual form of Pseudallescheria boydii, is a saprophytic mold with a worldwide distribution. It may cause severe pulmonary or disseminated infections in immunocompromised patients who have undergone organ transplantation, have hematological malignancies, or have received corticosteroid therapy. However, in immunocompetent patients, it usually produces localized infection and has been reported to cause pneumonia after near-drowning in polluted water. We present here the case of an immunocompetent 72-year-old woman with pneumonia caused by S. apiospermum.
Aged ; Female ; Fungi ; Hematologic Neoplasms ; Humans ; Immunocompromised Host ; Near Drowning ; Organ Transplantation ; Pneumonia ; Pseudallescheria ; Scedosporium ; Transplants

Antifungal Agents ; therapeutic use ; Humans ; Male ; Mycoses ; diagnosis ; drug therapy ; Near Drowning ; microbiology ; Scedosporium ; pathogenicity

Adult ; Extracorporeal Membrane Oxygenation ; methods ; Female ; Humans ; Near Drowning ; complications ; diagnostic imaging ; therapy ; Neuroimaging ; Treatment Outcome

The causes of complicated upper gastrointestinal bleeding in near-drowning have been known to be stress-induced gastritis, gastric ulcer, Mallory-Weiss syndrome, or Boerhaave syndrome. However, gastric mucosa laceration has often been observed in a drowned body's autopsy. Gastric fundus is the most common site of gastric mucosa lacerations, and the number of lacerations is almost always less than three. Reflex gasping in drowning leads to passive vigorous vomiting, the mechanical force of which causes gastric mucosa laceration. Gastric mucosa laceration is an important forensic clue in autopsy because it means that the victim was drowned alive or was abandoned after being murdered. However, gastric mucosa laceration has rarely been observed in a drowning survivor. We report a neardrowning case of a 9-year-old boy, who had multiple gastric mucosa lacerations treated by endoscopic hemostatic procedure. In our case, we suspect abdominal blunt trauma also to be another cause of gastric mucosa laceration because of uncommon site of the laceration and the large number of lesions. We also present a literature review.
Autopsy ; Child ; Drowning ; Gastric Fundus ; Gastric Mucosa* ; Gastritis ; Hemorrhage ; Homicide ; Humans ; Lacerations* ; Male ; Mallory-Weiss Syndrome ; Near Drowning* ; Reflex ; Stomach Ulcer ; Survivors ; Vomiting

Drowning is the second most common cause of accidental death of children in Korea. But the study of near-drowning is very rare in Korea. The purpose of our study is to determine the factors that may influence survival on the basis of submersion time, consciousness state upon admission to hospital, the kinds of water, laboratory findings and neurological outcomes. The survey was performed by a retrospective cohort study on 28 near drowning victims of less than 15 years of age who were admitted to the emergency room in the Chosun University Hospital between May 1988 & May 1997. The results were as follows 1) Sex distribution was 22 males and 6 females. 2) Submersion time was (5 minutes in 9 cases, 5-9 minutes in 6 cases,10-14 minutes in 5 cases,15-19 minutes in 3 cases, > or =20 minutes in 5 cases. 3) Comatose patients upon arrival were 6/7 cases in the death group(86%) and 2/21 cases in the improved group(10%). they had unfavorable outcomes(P<0.05). 4) The first pH value was mean 7.02)0.12 in the death group and mean 7.31 +/-0.13 in the improved group. there was a statistically significant difference between the death and the improved group(P<0.05). 5) The patients who had increased blood glucose concentration were all 7 cases in the death group and 12/22 cases in the improved group(54%). The mean blood glucose concentration was mean 424.7235.6mg/dl in the death group and mean 140.182.7mg/dl in the improved group. There was a statistically significant difference between the death and the improved group(P<0.05). 6) The patients who had pulmonary edema upon arrival were all 7 cases in the death group and 1/21 cases in the improved group(18%). They had unfavorable outcomes(P<0.05). 7) The patients who had been submerged more than 15 minutes were all 7 cases in the death group and 6/21 cases in the improved group(5%). They had unfavorable outcomes(P<0.05). We conclude that pediatric victims of near-drowning can be assigned to high or low likelihoods of unfavorable outcomes with the use of five variables, comatose mentation upon arrival, decreased initial blood pH, increased initial blood glucose concentration, pulmonary edema, and maximum submersion time estimated longer than fifteen minutes. This prediction rule may be useful if it can be validated in another cohort.
Blood Glucose ; Child* ; Cohort Studies ; Coma ; Consciousness ; Drowning ; Emergency Service, Hospital ; Female ; Humans ; Hydrogen-Ion Concentration ; Immersion ; Korea ; Male ; Near Drowning ; Pulmonary Edema ; Retrospective Studies ; Sex Distribution

BACKGROUND: Drowning represents the third most common cause of all accidental deaths worldwide. Although few studies of submersion injury were done in Korea, the subjects were mainly pediatric patients. The purpose of this study is to describe the clinical feature of submersion injury in adults. METHODS: The medical records of 31 patients with submersion injury who were >15 years of age and admitted to Kyungpook National University Hospital from July 1990 to March 2003 were retrospectively examined. RESULTS: The most common age-group, cause, and site of submersion accidents in adults were 15-24 years of age, inability to swim, and river followed by more than 65 years of age, drinking, and public bath respectively. The initial chest radiographs showed bilaterally and centrally predominant distribution of pulmonary edema at lung base in about 90% of patients with pulmonary edema represented by submersion injury but at only upper lung zone in 10%. Eventually, 25 patients (80.6%) survived without any neurologic deficit and 2 patients (6.5%) with significant neurologic deficit, and 4 patients (12.9%) died. Age, arterial gas oxygenation, and mental status among baseline variables showed significant difference for prognosis. CONCLUSIONS: More than 65 years of age, drinking, and occurrence in public bath were relatively important in submersion injury of adults, and the successful survival of 80.6% of patients suggests that cardiopulmonary resuscitation should be intensively done in even adults.
Adult* ; Baths ; Cardiopulmonary Resuscitation ; Drinking ; Drowning ; Gyeongsangbuk-do ; Humans ; Immersion* ; Korea ; Lung ; Medical Records ; Near Drowning ; Neurologic Manifestations ; Oxygen ; Prognosis ; Pulmonary Edema ; Radiography, Thoracic ; Retrospective Studies ; Rivers