Kara Süleyman Gökhan, Bayram Başak, Halaç Şebnem Şakar, Sönmez Osman, Çolak Neşe
Department of Emergency Medicine, Ministry of Health Eskişehir City Hospital, Eskişehir, Türkiye.
Department of Stem Cell, Institute of Health Sciences, Eskişehir Osmangazi University, Eskişehir, Türkiye.
Turk J Emerg Med. 2025 Jul 1;25(3):208-215. doi: 10.4103/tjem.tjem_248_24. eCollection 2025 Jul-Sep.
This study sought to identify risk factors linked to mortality, intensive care unit admission, and poor neurological outcomes among drowning victims and to find markers for safe discharge from the emergency department (ED).
This retrospective cross-sectional study evaluated all drowning victims presenting to both adult and pediatric EDs at a single center over an 11-year period. Variables such as arrival time at ED, age, type of water, comorbid diseases, vital signs, treatments given, and prehospital interventions were assessed.
The study found that early basic life support (BLS) by bystanders significantly improves survival and neurological outcomes. Respiratory rate, oxygen saturation, and Glasgow Coma Scale (GCS) were identified as independent risk factors for poor clinical outcomes. While the Szpilman clinical score is useful, it alone is not sufficient for predicting poor clinical outcomes.
For optimal management of drowning victims, immediate BLS is crucial. In the ED, respiratory rate, oxygen saturation, and GCS should be closely monitored. Drowning victims with a GCS of 15, normal respiratory rate, normal oxygen saturation, and Szpilman score below 3 can be safely discharged from the ED.
本研究旨在确定与溺水受害者死亡率、重症监护病房收治率及不良神经学预后相关的危险因素，并寻找可用于急诊科安全出院的指标。
这项回顾性横断面研究评估了11年间在单一中心的成人和儿科急诊科就诊的所有溺水受害者。对到达急诊科的时间、年龄、水源类型、合并疾病、生命体征、给予的治疗以及院前干预等变量进行了评估。
研究发现旁观者尽早进行基本生命支持（BLS）可显著提高生存率和神经学预后。呼吸频率、血氧饱和度和格拉斯哥昏迷量表（GCS）被确定为不良临床结局的独立危险因素。虽然斯皮尔曼临床评分有用，但仅凭它不足以预测不良临床结局。
为实现溺水受害者的最佳管理，立即进行BLS至关重要。在急诊科，应密切监测呼吸频率、血氧饱和度和GCS。格拉斯哥昏迷量表评分为15分、呼吸频率正常、血氧饱和度正常且斯皮尔曼评分低于3分的溺水受害者可从急诊科安全出院。
