Resuscitation and emergency care in drowning: A scoping review.

Bierens, J, Abelairas-Gomez, C, Barcala Furelos, R, Beerman, S, Claesson, A, Dunne, C, Elsenga, H E, Morgan, P, Mecrow, T, Pereira, J C, Scapigliati, A, Seesink, J, Schmidt, A, Sempsrott, J, Szpilman, D, Warner, D S, Webber, J, Johnson, S, Olasveengen, T, Morley, P T and Perkins, G D (2021) Resuscitation and emergency care in drowning: A scoping review. Resuscitation. ISSN 1873-1570. This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs

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Official URL: http://www.journals.elsevier.com/resuscitation/

Abstract

BACKGROUND

The ILCOR Basic Life Support Task Force and the international drowning research community considered it timely to undertake a scoping review of the literature to identify evidence relating to the initial resuscitation, hospital-based interventions and criteria for safe discharge related to drowning.

METHODS

Medline, PreMedline, Embase, Cochrane Reviews and Cochrane CENTRAL were searched from 2000 to June 2020 to identify relevant literature. Titles and abstracts and if necessary full text were reviewed in duplicate. Studies were eligible for inclusion if they reported on the population (adults and children who are submerged in water), interventions (resuscitation in water / boats, airway management, oxygen administration, AED use, bystander CPR, ventilation strategies, ECMO, protocols for hospital discharge (I), comparator (standard care) and outcomes (O) survival, survival with a favourable neurological outcome, CPR quality, physiological end-points).

RESULTS

The database search yielded 3242 references (Medline 1104, Pre-Medline 202, Embase 1722, Cochrane reviews 12, Cochrane CENTRAL 202). After removal of duplicates 2377 papers were left for screening titles and abstracts. In total 65 unique papers were included. The evidence identified was from predominantly high-income countries and lacked consistency in the populations, interventions and outcomes reported. Clinical studies were exclusively observational in nature.

CONCLUSION

This scoping review found that there is very limited evidence from observational studies to inform evidence based clinical practice guidelines for drowning. The review highlights an urgent need for high quality research in drowning.

Item Type: Article
Additional Information: This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs
Subjects: W Public health. Health statistics. Occupational health. Health education
WO Surgery > WO500 Anaesthesia
Divisions: Clinical Support
Related URLs:
Depositing User: Jamie Edgar
Date Deposited: 17 Feb 2021 10:32
Last Modified: 17 Feb 2021 10:32
URI: http://www.repository.uhblibrary.co.uk/id/eprint/3977

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