title: [Drowning accidents in childhood].
abstract: This is a report on five boys aged between 1 and 5 years who, after prolonged submersion in cold water, were treated at our department. On being taken out of the water, all the patients were clinically dead. After 1- to 3-hour successful cardiopulmonary resuscitation, with a rectal temperature of about 27 degrees C, they were rewarmed at a rate of 1 degree/hour. Two patients died within a few hours after the accident. One patient survived with an apallic syndrome, 2 children survived with no sequelae. In the event of a water-related accident associated with hypothermia, we consider suitable resuscitation to have preference over rewarming measures. The most important treatment guidelines and prognostic factors are discussed.
authors.affiliation: Kinderchirurgische Klinik im Dr. von Haunerschen Kinderspital, Universität München.
authors.forename: G
authors.initials: G
authors.lastname: Krandick
authors.forename: K
authors.initials: K
authors.lastname: Mantel
mesh_terms: D002675:Child, Preschool; D006801:Humans; D007035:Hypothermia / Q000628:therapy; D007223:Infant; D008297:Male; D015701:Near Drowning / Q000503:physiopathology / Q000628:therapy*; D011379:Prognosis; D012151:Resuscitation / Q000379:methods*; D013997:Time Factors
vernacular_title: Ertrinkungsunfälle im Kindesalter.