Drowning is the number one cause of death to children aged 1-4 in the U.S. and is third for infants. Drownings can be some of the most easily prevented pediatric deaths as well as some of the most challenging to correctly diagnose for both living and deceased victims. Determining proper manner of death can be even more difficult in fatal cases. This presentation begins with the aquatic asphyxiation physiology journey to learn about the possible physiological consequences of inhaling fluid to help recognize signs/symptoms and to facilitate appropriate medical care. Myths of drowning will be covered, along with investigation protocols including the new National Center for Fatality Review and Prevention Water-Death Investigation Form. Prevention strategies will be presented with negligence indicators. We will also discuss what can be learned from civil cases.
Learning Objectives:
State the definition of drowning and list the three possible medical outcomes of a drowning event and describe the most common ways children drown.
Describe the pathophysiology of fatal and nonfatal drowning with morbidity in order to recognize the signs/symptoms and the consequences to the child.
List at least five aquatic incident investigative tools and best practices.