© 2001 the Emergency Medicine Journal
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Corticosteroids in the management of near-drowning
Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK
Correspondence to:
Correspondence to: Kevin Mackway-Jones, Consultant (kevin.mackway-jones@man.ac.uk)
Report by Bernard A Foex, Specialist Registrar Checked by Russell Boyd, Consultant (Adelaide, Australia)
A 15 year old boy was playing in the local canal. He jumped off a small bridge and got his foot caught in an old shopping trolley on the bottom. He was pulled out but he was unconscious and apnoeic. He was given BLS by the paramedics so that when he arrived in accident and emergency he was conscious, tachypnoeic, and centrally cyanosed. He had rhonchi and coarse crepitations in both lung fields. You wonder whether he would benefit from intravenous corticosteroids.
In a case of [near-drowning], does the [use of corticosteroids] affect [outcome in terms of survival or pulmonary complications]?
Medline 1966 to 08/01 using the OVID interface. (Exp drowning/ or exp near drowning/ or "drowning".mp) AND (exp steroids/ or "steroid".mp OR exp adrenal cortex hormones/ or "adrenal cortex hormones".mp OR exp adrenal cortex hormones/ or "corticosteroids".mp OR exp methylprednisolone/ or "methylprednisolone".mp OR exp hydrocortisone/ or "hydrocortisone".mp OR exp
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