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학습 자료 둘러보기 →The primary determinant of survival and long-term outcome in a pediatric drowning is neurological status. A submersion time of even 3 minutes can cause significant hypoxic-ischemic brain injury.
An altered level of consciousness with a Glasgow Coma Scale score of 10 indicates moderate brain injury and a compromised airway. This is the most concerning finding and requires immediate intervention, superseding less severe respiratory or circulatory issues.
A depressed level of consciousness signals that the brainstem may be compromised, placing the child at high risk for airway loss and respiratory failure. Immediate preparation for airway protection and possible intubation is critical, even if oxygen saturation is acceptable.
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