{"title":"Point-of-Care Ultrasound After Non-fatal Drowning in Rural Western Nepal: A Case Report.","authors":"Rochak Kansakar, Elijah J Katz, Justin Zhao, Evan Weldon","doi":"10.5811/cpcem.50737","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Drowning is a significant cause of death in Nepal, especially in rural areas. Identifying pulmonary edema is important for management of cases of non-fatal drowning, and while radiograph is the standard of care, point-of-care ultrasound (POCUS) offers a rapid, accessible alternative.</p><p><strong>Case report: </strong>A 40-year-old woman presented to the emergency department after non-fatal drowning with respiratory distress and hypoxia. Chest radiograph was unavailable. Point-of-care ultrasound revealed diffuse B-lines consistent with pulmonary edema. She was stabilized and transported to a hospital with intensive care-level management.</p><p><strong>Conclusion: </strong>Point-of-care ultrasound enabled rapid identification of pulmonary edema and guided timely referral. In resource-limited settings, POCUS is a valuable tool for managing drowning victims when other diagnostics are unavailable.</p>","PeriodicalId":31975,"journal":{"name":"Clinical Practice and Cases in Emergency Medicine","volume":"10 2","pages":"137-140"},"PeriodicalIF":0.0000,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13135445/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Practice and Cases in Emergency Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5811/cpcem.50737","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Nursing","Score":null,"Total":0}
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Abstract
Introduction: Drowning is a significant cause of death in Nepal, especially in rural areas. Identifying pulmonary edema is important for management of cases of non-fatal drowning, and while radiograph is the standard of care, point-of-care ultrasound (POCUS) offers a rapid, accessible alternative.
Case report: A 40-year-old woman presented to the emergency department after non-fatal drowning with respiratory distress and hypoxia. Chest radiograph was unavailable. Point-of-care ultrasound revealed diffuse B-lines consistent with pulmonary edema. She was stabilized and transported to a hospital with intensive care-level management.
Conclusion: Point-of-care ultrasound enabled rapid identification of pulmonary edema and guided timely referral. In resource-limited settings, POCUS is a valuable tool for managing drowning victims when other diagnostics are unavailable.
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