Best Rebecca R, Harris Benjamin H L, Walsh Jason L, Manfield Timothy
From the Cardiff University School of Medicine.
Institute of Medicine Education, Cardiff, Wales.
Pediatr Emerg Care. 2020 Mar;36(3):143-146. doi: 10.1097/PEC.0000000000001169.
Drowning is one of the leading causes of death in children. Resuscitating a child following submersion is a high-pressure situation, and standard operating procedures can reduce error. Currently, the Resuscitation Council UK guidance does not include a standard operating procedure on pediatric drowning. The objective of this project was to design a standard operating procedure to improve outcomes of drowned children.
A literature review on the management of pediatric drowning was conducted. Relevant publications were used to develop a standard operating procedure for management of pediatric drowning.
A concise standard operating procedure was developed for resuscitation following pediatric submersion. Specific recommendations include the following: the Heimlich maneuver should not be used in this context; however, prolonged resuscitation and therapeutic hypothermia are recommended.
This standard operating procedure is a potentially useful adjunct to the Resuscitation Council UK guidance and should be considered for incorporation into its next iteration.
溺水是儿童死亡的主要原因之一。对溺水儿童进行复苏是一种高压情况，标准操作程序可减少失误。目前，英国复苏委员会的指南中不包括小儿溺水的标准操作程序。本项目的目的是设计一种标准操作程序，以改善溺水儿童的治疗效果。
对小儿溺水管理进行文献综述。利用相关出版物制定小儿溺水管理的标准操作程序。
制定了小儿溺水后复苏的简明标准操作程序。具体建议如下：在此情况下不应使用海姆立克急救法；然而，建议延长复苏时间并进行治疗性低温。
本标准操作程序可能是对英国复苏委员会指南有用的辅助工具，应考虑纳入其下一版指南中。
