Impact of lifeguard oxygen therapy on the resuscitation of drowning victims: Results from an Utstein Style for Drowning Study

IF 1.7 4区医学 Q2 EMERGENCY MEDICINE

Emergency Medicine Australasia Pub Date : 2024-06-20 DOI:10.1111/1742-6723.14454

Ogilvie Thom MBBS, Kym Roberts MN, BN, Susan Devine PhD, Peter A Leggat PhD, Richard C Franklin PhD

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引用次数: 0

Abstract

Introduction

No published evidence was identified regarding the use of oxygen in the treatment of drowning in two recent systematic reviews. The aim of our study was to investigate the impact of on scene, pre-Emergency Medical Services (EMS) oxygen therapy by lifeguards in the resuscitation of drowning victims.

Method

We conducted a retrospective case match analysis of drowning patients presenting to the EDs of Sunshine Coast Hospital and Health Service. Patients were matched for age, sex and severity of drowning injury. The primary outcome was in-hospital mortality. Secondary outcomes included positive pressure ventilation (PPV) by EMS and the ED, as well as admission to the Intensive Care Unit.

Results

There were 108 patients in each group. Median (IQR) age was 22 (15–43) in the oxygen group and 23 (15–44) years in the non-oxygen group. There were 45 females in the oxygen group and 41 females in the non-oxygen group. Sixteen patients had suffered cardiac arrest and three patients respiratory arrest in each group. There were five deaths in each group. Initial oxygen saturation on arrival of EMS was identical in both groups 89.2% (±19.9) in the oxygen group versus 89.3% (±21.1) (P = 0.294) in the non-oxygen group. The oxygen group required PPV more frequently with EMS (19 vs 11, P < 0.01) and in the ED (19 vs 15, P < 0.01).

Conclusion

On scene treatment with oxygen by lifeguards did not improve oxygenation or outcomes in drowning patients.

查看原文本刊更多论文

救生员氧疗对溺水者复苏的影响：乌特斯坦溺水风格研究的结果。

导言：在最近的两篇系统综述中，没有发现有关使用氧气治疗溺水的公开证据。我们的研究旨在调查救生员在现场进行紧急医疗服务（EMS）前氧气治疗对溺水者复苏的影响：我们对阳光海岸医院和卫生服务机构急诊室的溺水患者进行了回顾性病例匹配分析。患者的年龄、性别和溺水伤害的严重程度均匹配。主要结果是院内死亡率。次要结果包括急救中心和急诊室的正压通气（PPV）以及重症监护室的入院情况：每组共有 108 名患者。氧气组的中位（IQR）年龄为 22（15-43）岁，非氧气组为 23（15-44）岁。氧气组有 45 名女性，无氧组有 41 名女性。每组中有 16 名患者心跳停止，3 名患者呼吸停止。两组各有 5 人死亡。两组急救人员到达时的初始血氧饱和度相同，氧气组为 89.2%（±19.9），非氧气组为 89.3%（±21.1）（P = 0.294）。氧气组需要急救人员进行 PPV 的次数更多（19 对 11，P 结论：氧气组需要急救人员进行 PPV 的次数更多：救生员在现场提供氧气并不能改善溺水患者的氧合情况或预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Emergency Medicine Australasia 医学-急救医学

CiteScore

3.70

自引率

13.00%

发文量

217

审稿时长

6-12 weeks

期刊介绍： Emergency Medicine Australasia is the official journal of the Australasian College for Emergency Medicine (ACEM) and the Australasian Society for Emergency Medicine (ASEM), and publishes original articles dealing with all aspects of clinical practice, research, education and experiences in emergency medicine. Original articles are published under the following sections: Original Research, Paediatric Emergency Medicine, Disaster Medicine, Education and Training, Ethics, International Emergency Medicine, Management and Quality, Medicolegal Matters, Prehospital Care, Public Health, Rural and Remote Care, Technology, Toxicology and Trauma. Accepted papers become the copyright of the journal.