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DROWNING: ANOTHER PLUNGE

CHARLES E. PUTMAN M.D.1, ANNA M. TUMMILLO M.A.2, DANIEL A. MYERSON M.D.3, and PAUL J. MYERSON M.D.3

1 Assistant Professor, Radiology and Medicine.
2 Research Associate, Radiology.
3 Attending Radiologist, Assistant Clinical Professor.

Hypoxia, pulmonary edema, acidosis, and aspiration compose the syndrome of near drowning. A review of 20 cases of near drowning indicates that the initial chest roentgenogram bears little weight in assessing the present or future clinical status. In some cases a 24 to 48 hour delay occurred before roentgenographic evidence for pulmonary edema was noted. The composition of fluid aspirated does not affect the outcome. The results of this report suggest that patients with a history of near drowning should be followed closely for at least 48 hours despite an initial normal chest roentgenogram.


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T. Gluecker, P. Capasso, P. Schnyder, F. Gudinchet, M.-D. Schaller, J.-P. Revelly, R. Chiolero, P. Vock, and S. Wicky
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