Suggestions

Permission for Use

Near Drowning

Patient Presents

Triston was a 55 lbs., 6-year-old male in good health until he fell into a fresh water lake while duck hunting with his father. Triston was unaccounted for 15-20 minutes until his body was found floating face down in the water. He was immediately pulled out and basic life support was started.

What should the ED (emergency department) team be doing to prepare for this patient?

On arrival to the ED, Triston was cyanotic, pulseless and apneic with fixed and dilated pupils and a tympanic temperature of 80 degrees F. CPR was continued.

At this time, what initial actions should be taken?

(List actions in appropriate chronological order with an understanding that some of these procedures will be performed simultaneously by the team members)

What are the indications for intubating Triston?

What size ETT (endotracheal tube)?

What size ventilator tubing will be used?

How does the RCP (Respiratory Care Practitioner) assure ETT placement?

The BrS assessment indicated rhonchi t/o (bilaterally); how does the RCP react?

What size suction catheter will the RCP use on Triston?