Drowning
Conditions
Keywords
Drowning, Emergency medical service, Pre-hospital care, Patient outcome
Brief summary
According to the 9th edition of "NOYADES" survey, 1480 drownings accidents occurred in France in 2021, of which 146 (i.e. nearly 10%), were in the Var department. These patient's care involve in first place the Emergency Medical Service (EMS). To date, there is no recommendation from French or European academic societies of emergency medicine formalising pre-hospital care of these patients (except for the specific case of cardiac arrest). This absence of recommendation therefore favours heterogeneity of practices.
Detailed description
Within a three-year period from 2019 to 2022, this retrospective observational study aims to provide an inventory of pre-hospital practices by the EMS in the Var department and to describe drowning patients' characteristics as well as their outcome, according to the initial regulation and the type of care. These data could help for pre-hospital care management.
Interventions
OTHERPrehospital care following drowning accident
Prehospital care provided by the emergency medical service 83 (SAMU 83)
Sponsors
Centre Hospitalier Intercommunal de Toulon La Seyne sur Mer
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Drowning patient 2. Aged 18 years old or over 3. Patient treated by pre-hospital care from the emergency medical services 83 (SAMU 83) between 1st January 2019 and 30th September 2022.
Exclusion criteria
1. Diving accident 2. Patient opposition to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Type of ventilation used in pre-hospital care | 3-year period from 2019-2022 | Mechanical ventilation, non-invasive ventilation, Continuous Positive Airway Pressure, oxygen therapy or none |
| Ventilatory settings used in pre-hospital care | 3-year period from 2019-2022 | Positive End Expiratory Pressure, pressure support, fraction of inspired oxygen, flow rate |
| Pre-hospital intervention duration | 3-year period from 2019-2022 | In minutes |
| Type of resources involved for pre-hospital care | 3-year period from 2019-2022 | None, fire brigade or emergency rapid response unit |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Onset of death | Up to 30 days | Analysis according to the orientation provided by the EMS regulation (emergency rapid response unit or fire brigade) and according to the different types of care by the EMS (Oxygen therapy, non-invasive ventilation or intubation). |
| Duration of hospitalisation | Up to 30 days | Analysis according to the orientation provided by the EMS regulation (emergency rapid response unit or fire brigade) and according to the different types of care by the EMS (Oxygen therapy, non-invasive ventilation or intubation). |
| Intubation rate at hospital | Up to 30 days | Analysis according to the orientation provided by the EMS regulation (emergency rapid response unit or fire brigade) and according to the different types of care by the EMS (Oxygen therapy, non-invasive ventilation or intubation). |
| Type of ventilation used at hospital | Up to 30 days | Analysis according to the orientation provided by the EMS regulation (emergency rapid response unit or fire brigade) and according to the different types of care by the EMS (Oxygen therapy, non-invasive ventilation or intubation). |
Countries
France
Contacts
STUDY_DIRECTORCélia BOUTIN, MD
Centre Hospitalier Intercommunal Toulon La Seyne sur Mer
Outcome results
None listed