SOP Das ertrunkene Kind

Ertrinkungsunfälle gehören zu den tragischen Ereignissen, die in kürzester Zeit zu bleibenden Schäden oder zum Tod von Kindern führen können. Zugleich besteht in eiskalten Gewässern selbst nach längeren Submersionszeiten eine wenn auch geringe Chance auf ein günstiges Outcome. In diesem Spannungsfeld sind am Unfallort und in der Notaufnahme wichtige Therapieentscheidungen zu treffen.

• Literatur

• 1 Roming M, Steigerwald M, Magunia H. Ertrinkungsunfall – So handeln Sie richtig!. retten! 2017; 6: 130-139
• 2 van Beeck EF, Branche CM, Szpilman D. et al. A new definition of drowning: towards documentation and prevention of a global public health problem. Bull World Health Organ 2005; 83: 853-856
• 3 Deutsche Lebens-Rettungs-Gesellschaft e. V. (DLRG). Statistik Ertrinken. 2023 Accessed May 01, 2024 at: https://www.dlrg.de/informieren/die-dlrg/presse/statistik-ertrinken/
• 4 World Health Organization Regional Office for Europe. Drowning in the WHO European Region. Stand: 12/2014 Accessed May 01, 2024 at: https://who-sandbox.squiz.cloud/en/health-topics/disease-prevention/violence-and-injuries/data-and-statistics/infographic-drowning-in-the-who-european-region-download
• 5 Singer D. Ertrinkungsunfälle im Kindesalter. Notfallmedizin up2date 2007; 2: 301-324
• 6 Handbook on Drowning: Prevention, Rescue, Treatment. Bierens JJLM. Berlin: Springer; 2006
• 7 Olfe J, Gottschalk U, Singer D. Ertrinkungsunfälle bei Kindern und Jugendlichen. Notfallmedizin up2date 2018; 13: 187-207
• 8 Singer D. Pediatric hypothermia: an ambiguous issue. Int J Environ Res Public Health 2021; 18: 11484
• 9 Lott C, Truhlář A, Alfonzo A. ERC Special Circumstances Writing Group Collaborators. et al. European Resuscitation Council Guidelines 2021: Cardiac arrest in special circumstances. Resuscitation 2021; 161: 152-219
• 10 Farr KM, Camp EA, Yusuf S. et al. Vomiting is not associated with poor outcomes in pediatric victims of unintentional submersions. Am J Emerg Med 2015; 33: 626-630
• 11 Horn LM. Ertrinkungsunfälle bei Kindern und Jugendlichen – Unfallgeschehen und Prognosefaktoren in einer deutschen Metropolregion [Dissertation]. Hamburg: Universitätsklinikum Eppendorf; 2021
• 12 Hilmo J, Naesheim T, Gilbert M. “Nobody is dead until warm and dead”: prolonged resuscitation is warranted in arrested hypothermic victims also in remote areas – a retrospective study from northern Norway. Resuscitation 2014; 85: 1204-1211
• 13 Romlin BS, Winberg H, Janson M. et al. Excellent outcome with extracorporeal membrane oxygenation after accidental profound hypothermia (13.8 °C) and drowning. Crit Care Med 2015; 43: e521-522
• 14 Auerbach PS. Some people are dead when they’re cold and dead. JAMA 1990; 264: 1856-1857
• 15 Kieboom JK, Verkade HJ, Burgerhof JG. et al. Outcome after resuscitation beyond 30 minutes in drowned children with cardiac arrest and hypothermia: Dutch nationwide retrospective cohort study. BMJ 2015; 350: h418
• 16 Raess L, Darms A, Meyer-Heim A. Drowning in children: retrospective analysis of incident characteristics, predicting parameters, and long-term outcome. Children (Basel) 2020; 7: 70
• 17 Gottschalk U, Köhne M, Holst T. et al. Outcomes of extracorporeal membrane oxygenation and cardiopulmonary bypass in children after drowning-related resuscitation. Perfusion 2023; 38: 109-114
• 18 Jasny T, Kloka J, Old O. et al. Results from 237 extracorporeal membrane oxygenation runs with drowned patients: a nationwide retrospective study. Crit Care 2023; 27: 293
• 19 American Academy of Pediatrics Committee on Injury, Violence, and Poison Prevention. Prevention of drowning. Pediatrics 2010; 126: 178-185
• 20 Girasek DC, Hargarten S. Prevention of and emergency response to drowning. N Engl J Med 2022; 387: 1303-1308