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Corticosteroids in the management of near-drowning
  1. Bernard A Foex, Specialist Registrar,
  2. Russell Boyd, Consultant (Adelaide, Australia)
  1. Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK
  1. Correspondence to: Kevin Mackway-Jones, Consultant (kevin.mackway-jones{at}man.ac.uk)

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Report by Bernard A Foex, Specialist Registrar Checked by Russell Boyd, Consultant (Adelaide, Australia)

Clinical scenario

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 …

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