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    Management of patients following cold water immersion

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    Author
    Strange, Barnaby
    Desjardins, Mathew
    Keyword
    Emergency Medical Services
    Drowning
    Hypothermia
    Immersion
    Cold-Shock Response
    Journal title
    Journal of Paramedic Practice
    
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    URI
    http://hdl.handle.net/20.500.12417/580
    DOI
    10.12968/jpar.2013.5.6.318
    Abstract
    Abstract published with permission. Sudden immersion in cold water results in a number of physiological changes within the human body. This disruption of homeostasis can have a detrimental effect on normal body function and lead to life-threatening consequences including drowning, hypothermia and sudden death. This article will examine the changes in physiology from the point of initial immersion through to rescue or death. Particular attention is given to the profound effects upon the respiratory, cardiovascular and neurological systems as a consequence of cold water immersion. This is then reviewed and observed from the perspective of paramedics practising within the United Kingdom, who may face challenges that arise from this phenomenon. The pre-hospital assessment of immersed patients will be discussed in order to identify and address potential and immediate life threats, with specific focus on rewarming hypothermic patients post immersion.
    ae974a485f413a2113503eed53cd6c53
    10.12968/jpar.2013.5.6.318
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    Publications - East Midlands Ambulance Service

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