Question

Which of the following is most likely to result in a favorable outcome in pediatric drowning?

1) Spontaneous circulation established in the ER
2) Core temperature in the ER <33°C
3) Return of spontaneous circulation at the scene of the drowning
4) Reactive pupils at the scene of the drowning

Answer 1

Return of spontaneous circulation at the scene of the drowning is most likely to lead to a favorable outcome in pediatric drowning due to reduced time without oxygen to the brain.

Step-by-step explanation:

Among the options for most likely to result in a favorable outcome in pediatric drowning, 3) Return of spontaneous circulation at the scene of the drowning is the most favorable. The immediate return of spontaneous circulation often indicates a better prognosis, especially in cases of pediatric drowning. This is due to the fact that the longer the brain is without oxygen, the higher the risk of brain damage or brain death, which is likely after about six minutes without oxygen. Cases of hypothermia can sometimes provide protective effects in cold water drowning, as the lowered body temperature can slow down the metabolism and reduce the body's need for oxygen.