OBJECTIVE To date, no study has systematically investigated the impact of drowning-induced asphyxia on hemostasis. Our objective was to test the hypothesis that asphyxia induces bleeding by hyperfibrinolytic disseminated intravascular coagulation. DESIGN Observational study. SETTING A 2,100-bed tertiary care facility in Vienna, Austria, Europe. PATIENTS All cases of drowning-induced asphy...

BACKGROUND Drowning is a serious but neglected health problem in low-and middle-income countries. OBJECTIVES To describe the effectiveness of drowning prevention program on the reduction of drowning mortality rates in rural settings at the north of Iran, and guide its replication elsewhere. PATIENTS AND METHODS This interventional design included pre- and post-intervention observations in t...

Recent mortality data indicate that approximately half a million people drown each year worldwide, with more than 97% of such deaths occurring in low-income and middle-income countries. The purpose of this study was to examine verbal autopsy data on the circumstances of childhood drowning in Matlab, Bangladesh. The study analysed 10 years (1996-2005) of data which reported 489 deaths in childre...

INTRODUCTION The purpose of this report is to describe the main autopsy and laboratory findings from a large number of drowning victims in Greece. METHODS A retrospective analysis was carried out of the consecutive cases of drowning victims autopsied in our department during the period 1997-2004. RESULTS A total of 197 submersion cases were referred to the Department. In 168 cases drowning ...

BACKGROUND The systematic collection of high-quality mortality data is a prerequisite in designing relevant drowning prevention programmes. This descriptive study aimed to assess the quality (i.e., level of specificity) of cause-of-death reporting using ICD-10 drowning codes across 69 countries. METHODS World Health Organization (WHO) mortality data were extracted for analysis. The proportion...

OBJECTIVES Drowning is the second leading cause of unintentional death for American children in middle childhood, but behavioral research designed to prevent pediatric drowning is limited. This study tested the efficacy of a brief intervention to improve lifeguard attention and surveillance at a public swimming pool. METHOD Observational data on patron risk-taking and lifeguard attention, dis...

All drownings of people under 15 years of age in Tasmania from 1981 to 1993 were identified from the Tasmanian coroner's case files. Age- and sex-specific mortality rates were calculated and found to be similar to Australian drowning mortality rates. An exception was the lower drowning rate for Tasmanian females aged 0 to 4 years. Only 9 per cent of drowning deaths were caused by immersion in a...

Drowning is one of the fatal accidents frequently encountered during the summer and is the most common cause of accidental death in the world. Anoxia, hypothermia, and metabolic acidosis are mainly responsible for morbidty. Cardiovascular effects may occur secondary to hypoxia and hypothermia. Atrial fibrillation, sinus dysrhythmias (rarely requiring treatment), and, in serious cases, ventricul...

Secondary drowning (and near-drowning) is one of the post-immersion respiratory syndromes. It is defined as deterioration of pulmonary function that follows deficient gas exchange due to loss or inactivation of surfactant. A review of 94 consecutive cases of near-drowning in childhood showed that this syndrome occurred in five (5%) cases. Its onset was usually rapid and characterised by a laten...