Which specialist consultations are indicated in the treatment of drowning patients?

Updated: Jun 19, 2019
  • Author: G Patricia Cantwell, MD, FCCM; Chief Editor: Joe Alcock, MD, MS  more...
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Neurosurgical, orthopedic, or trauma consultation (institution dependent) is required for patients with concomitant significant head or neck trauma. Early consultation with the intensivist or admitting physician is wise for patients who exhibit pulmonary or CNS insult in order to coordinate ongoing ICU care.

Cardiovascular, intensivist, or trauma surgical consultation may be necessary for patients who require bypass for rewarming or ECMO.

Consider neurology consultation for seizures or persistent neurologic deficit. Consider neurosurgery consultation if associated head or spine trauma, hematoma, aneurysm, or CNS abscess is present.

Consider cardiology consultation for dysrhythmias or myocardial dysfunction, pulmonology consultation for severe or persistent respiratory compromise, and infectious disease consultation for pneumonia or CNS infection.

Physical therapy, occupational therapy, and rehabilitation therapy consultation are needed to help prevent disuse injury and provide early rehabilitation.

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