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An Update On Drowning in Children

Year 2013, Volume: 4 Issue: 15, 33 - 38, 03.03.2015

Abstract

Objective: Drowning maybe defined as death due to the aspiration of fluid in to the air pas sages. Drowning is the process of experiencing respiratory impairment from submersion/immersion in liquid. Drowning outcomes should be classified as: death, morbidity, and no morbidity. Drowning is a major, but often neglected, public health problem. Drowning is one of the fatal accidents frequently encountered during the summer and most common cause of accidental deaths in the world. According to World Health Organization it is the third preventable leading cause of death all over the World. Anoxia, hypothermia, metabolic acidosis is mainly responsible for morbidty. Conclusion: Origin of drowning may be accidental, homicidal or suicidal. Drowning is a high risk of death in children, it is frequently encountered. Especially, security precautions should be provided for settlements near ponds, rivers, swimming pools, or entertainment beaches in order to prevent drowning. In addition, basic first aid training of families will be a a life-saving effort

References

  • 1- Gök Ş. [Asphyxias]. In: Gök Ş, ed. Adli Tıp. 5th ed. İstanbul: Filiz Bookstore; 1983. p.135-49.
  • 2- Knight B. Immersion and drowning. Simpson’s Forensic Medicine. 10th ed. London: Edward Arnold; 1991. p.153-9.
  • 3- Yorulmaz C, Çakalır C. [Drowning]. In: Soysal Z, Çakalır C, eds. Adli Tıp. Vol. I, İstanbul: İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Yayınlarından Rek törlük No: 4165 Fakülte No.224; 1999. p.459-74.
  • 4- Arslan M, Kar H, Akcan R, Çekin N. [Evaluation of diagnostic methods used in drowning]. The Bulletin of Le gal Me di ci ne 2005;10(1):29-34.
  • 5- Bierens JJ, Knape JT, Gelissen HP, Drowming. Curr Opin Crit Care, 2002;8:578-586.
  • 6- Golden FC, Tipton MJ, Scott RC. Immersion, Near-drowning and Drowning. Br J Anaesth, 1997;79:214-225.
  • 7- Ballesteros MF, Schieber RA, Gilchrist J, Holmgreen P, Annest JL. Differential ranking of causes of fatal ver sus non-fatal injuries among US children. Inj Prev 2003;9(2):173-6.
  • 8- Lakadamyalı H, Doğan T. [Investigation of drowning cases in a tourism region of Turkey]. Turkiye Klinikleri J Med Sci 2008;28(2):143-8.
  • 9- Gordon I, Shapiro HA, Berson SD. Deaths usually initiated by hypoxic hypoxi a or anoxic anoxia. Forensic Medicine A Guide to Principles. 3rd ed. Edinburgh: Churchill Living stone; 1988. p. 115-27.
  • 10-Fatteh A. The diagnosis of drowning. Hand book of Forensic Pathology. 1st ed. Philadelphia: JB Lippincott Company; 1973. p. 155-65.
  • 11-Canturk N, Esiyok B, Ozkara E, Canturk G, Bulent Ozata A, Fatih Yavuz M. Medi colegal child deaths in Istanbul: data from the Morgue Department. Pediatr Int 2007;49(1):88-93.
  • 12-Väli M, Lang K, Soonets R, Talumäe M, Grjibovski AM. Childhood deaths from external causes in Estonia, 2001-2005. BMC Public Health 2007;7:158.
  • 13-Arslan MM, Çekin N, Hilal A, Kar H. [Investigation of drowning cases in Adana between years 1997-2006]. Turkiye Klinikleri J Foren Med 2008;5(1):13-8.
  • 14-Somers GR, Chiasson DA, Smith CR. Pediatric drowning: a 20-year review of autopsi ed cases: Demographic features. Am J Forensic Med Pathol 2005;26(4):316-9.
  • 15-Murray CJL, Lopez A. Mortality by cause for eight regions of the world: global burden of disease study. Lancet, 1997;349:1269-1276.
  • 16-Numa AH, Hammer J, Newth CJL. Near-drowning and Drowning. In: Chernick V, Kendig EL, (eds). Kendig’s disorder of the respiratory tract in children. Philadelphia: W.B Saunders Company; 2006, 661-665.
  • 17-Quan L, Cummings P. Characteristics of Drowning by Different Age Groups. Inj Prev, 2003;9:163-168.
  • 18-Szpilman D. Near-drowning and Drowning Classification. A proposal to stratify mortality based on the analysis of 1831 cases. Chest, 1997; 112:660-665.
  • 19-Torres SF, Rodríguez M, Iolster T, Siaba Serrate A, Cruz Iturrieta C, Martínez del Valle E, Schnitzler E, Roca Rivarola M. Near drowning in a pediatric population: epidemiology and prognosis. Arch Argent Pediatr 2009;107(3):234-40

ÇOCUKLARDA SUDA BOĞULMALARA GÜNCEL YAKLAŞIMLAR

Year 2013, Volume: 4 Issue: 15, 33 - 38, 03.03.2015

Abstract

Amaç: Herhangi bir sıvının solunum yollarından geçerek akciğer alveollerine kadar gitmesi sonucunda kişinin mekanik asfiksiden ölmesi suda boğulma olarak tanımlanmaktadır. Boğulma, sıvı içerisinde batma/dalma sonrasında gelişen solunumun bozulması ile giden süreçler dizisidir. Ölümle, morbiditeyle veya sağ kalımla sonuçlanabilir. Boğulma ciddi, ihmal edilmiş
küresel bir halk sağlığı sorunudur. Suda boğulmalar özellikle yaz aylarında sıkça karşılaştığımız ölümcül kazalardandır, dünyada kaza ile ölümlerin en sık sebeplerinden biridir. Dünya Sağlık Örgütü’nün verilerine göre dünya çapında önlenebilir yaralanmalar içinde ölüme götüren üçüncü nedendir. Boğulmalardaki morbiditeden esas olarak anoksi, hipotermi ve sonucunda gelişen metabolik asidoz sorumludur.

Sonuç: Suda boğulmada orijin, kaza, cinayet veya intihar olabilir. Suda boğulma çocukların sık karşılaştığı ve ölüm riski yüksek olan bir durumdur. Özellikle yerleşim bölgelerindeki su birikintisi, akarsu, yüzme havuzları ve eğlence plajlarında gerekli olan boğulmayı önleyici güvenlik tedbirleri alınmalıdır. Ayrıca ailelere temel ilk yardım eğitimi verilmesi hayat kurtarıcı bir çaba olacaktır.


References

  • 1- Gök Ş. [Asphyxias]. In: Gök Ş, ed. Adli Tıp. 5th ed. İstanbul: Filiz Bookstore; 1983. p.135-49.
  • 2- Knight B. Immersion and drowning. Simpson’s Forensic Medicine. 10th ed. London: Edward Arnold; 1991. p.153-9.
  • 3- Yorulmaz C, Çakalır C. [Drowning]. In: Soysal Z, Çakalır C, eds. Adli Tıp. Vol. I, İstanbul: İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Yayınlarından Rek törlük No: 4165 Fakülte No.224; 1999. p.459-74.
  • 4- Arslan M, Kar H, Akcan R, Çekin N. [Evaluation of diagnostic methods used in drowning]. The Bulletin of Le gal Me di ci ne 2005;10(1):29-34.
  • 5- Bierens JJ, Knape JT, Gelissen HP, Drowming. Curr Opin Crit Care, 2002;8:578-586.
  • 6- Golden FC, Tipton MJ, Scott RC. Immersion, Near-drowning and Drowning. Br J Anaesth, 1997;79:214-225.
  • 7- Ballesteros MF, Schieber RA, Gilchrist J, Holmgreen P, Annest JL. Differential ranking of causes of fatal ver sus non-fatal injuries among US children. Inj Prev 2003;9(2):173-6.
  • 8- Lakadamyalı H, Doğan T. [Investigation of drowning cases in a tourism region of Turkey]. Turkiye Klinikleri J Med Sci 2008;28(2):143-8.
  • 9- Gordon I, Shapiro HA, Berson SD. Deaths usually initiated by hypoxic hypoxi a or anoxic anoxia. Forensic Medicine A Guide to Principles. 3rd ed. Edinburgh: Churchill Living stone; 1988. p. 115-27.
  • 10-Fatteh A. The diagnosis of drowning. Hand book of Forensic Pathology. 1st ed. Philadelphia: JB Lippincott Company; 1973. p. 155-65.
  • 11-Canturk N, Esiyok B, Ozkara E, Canturk G, Bulent Ozata A, Fatih Yavuz M. Medi colegal child deaths in Istanbul: data from the Morgue Department. Pediatr Int 2007;49(1):88-93.
  • 12-Väli M, Lang K, Soonets R, Talumäe M, Grjibovski AM. Childhood deaths from external causes in Estonia, 2001-2005. BMC Public Health 2007;7:158.
  • 13-Arslan MM, Çekin N, Hilal A, Kar H. [Investigation of drowning cases in Adana between years 1997-2006]. Turkiye Klinikleri J Foren Med 2008;5(1):13-8.
  • 14-Somers GR, Chiasson DA, Smith CR. Pediatric drowning: a 20-year review of autopsi ed cases: Demographic features. Am J Forensic Med Pathol 2005;26(4):316-9.
  • 15-Murray CJL, Lopez A. Mortality by cause for eight regions of the world: global burden of disease study. Lancet, 1997;349:1269-1276.
  • 16-Numa AH, Hammer J, Newth CJL. Near-drowning and Drowning. In: Chernick V, Kendig EL, (eds). Kendig’s disorder of the respiratory tract in children. Philadelphia: W.B Saunders Company; 2006, 661-665.
  • 17-Quan L, Cummings P. Characteristics of Drowning by Different Age Groups. Inj Prev, 2003;9:163-168.
  • 18-Szpilman D. Near-drowning and Drowning Classification. A proposal to stratify mortality based on the analysis of 1831 cases. Chest, 1997; 112:660-665.
  • 19-Torres SF, Rodríguez M, Iolster T, Siaba Serrate A, Cruz Iturrieta C, Martínez del Valle E, Schnitzler E, Roca Rivarola M. Near drowning in a pediatric population: epidemiology and prognosis. Arch Argent Pediatr 2009;107(3):234-40
There are 19 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Review
Authors

Vefik Arıca

Hüseyin Dağ This is me

Sibel Kalçın This is me

Sevilay Kök This is me

Kübra Bölük This is me

Murat Doğan This is me

Publication Date March 3, 2015
Submission Date March 1, 2015
Published in Issue Year 2013 Volume: 4 Issue: 15

Cite

Vancouver Arıca V, Dağ H, Kalçın S, Kök S, Bölük K, Doğan M. ÇOCUKLARDA SUDA BOĞULMALARA GÜNCEL YAKLAŞIMLAR. mkutfd. 2015;4(15):33-8.