Combat-associated drowning

The Journal of Trauma
Patrick F AllanNicholas G Conger

Abstract

The purpose of this article is to describe the clinical course and outcome of drowning cases related to current US military combat operations. This retrospective case series spans December 2002 to January 2009 of survivors transferred to an echelon IV military trauma center in Europe serving as the primary evacuation hub for ongoing combat operations. Patient demographics and the situational and clinical findings at the initial drowning scene were reviewed. A comprehensive analysis of care as each patient transitioned through the combat theater to the echelon IV trauma center in Europe was performed. Overall, mortality was 37.5% mortality rate (3 of 8 patients). Advanced modes of respiratory support such as high-frequency ventilation, airway pressure release ventilation, and extracorporeal membrane oxygenation were required in a majority of the cohort (6 of 8 patients). Limited-duration vasopressor infusions (7 of 8 patients) were also required to ensure adequate end-organ perfusion. Glasgow Coma Scale (GCS) scores and the need for cardiopulmonary resuscitation (CPR) at the scene of injury were associated with eventual patient mortality (100% mortality for an initial GCS score of 3 and 75% mortality for on-scene CPR). Survivor ...Continue Reading

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Citations

Mar 24, 2018·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Allart M VenemaJoost J L M Bierens
Jul 19, 2017·Circulation. Cardiovascular Quality and Outcomes·Ahamed H IdrisMary Fran Hazinski

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