6 year old Khaleesi brought in by ambulance after submersion in the backyard pool.
She is alert and not needing any O2 support. her vital signs and examination is normal.
Take history from the mum Cersei regarding the incident and explain the prognosis.
Take history only.examination not required as everything is normal.
There is only mum present.
You are Cersei , 6 year old Khaleesi's mum.
You found Khaleesi drowning in the pool.she was standing right next to you and you just turned to greet a friend who had come in to talk to you.
when you turned back Khaleesi was in water drowning.
she went underwater 2-3 times and came back up spluttering.by the time you got to her she was under water only for a few seconds.
She was not responding when you got her out of water and you shook her a few times.She came good immedietly after that.
The friend had called the ambulance and she was brought in here.
Khaleesi did not need any CPR.
She is back to Normal.
She does not have any other medical problems.
nil problems when she was born or during pregnancy.
Khaleesi does not know swimming but willbe taking classes soon.
Pool does have a fence but he gate might not shut properly and you are trying to get it repaired.
You have a partner who is Khaleesi's dad and he is coming to hospital straight from work.
you are anxious about the effects of drowning.
will my daughter die?
will she have any complications?
will she come home tonight?
no interaction with the candidate.
Poor prognosis Duration of submersion >5 minutes (most critical factor) Time to effective basic life support >10 minutes Resuscitation duration >25 minutes Age >14 years GCS <5 (ie, comatose) Persistent apnea and requirement of cardiopulmonary resuscitation in the emergency department Arterial blood pH <7.1 upon presentation