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학습 자료 둘러보기 →The primary pathophysiological threat in a submersion incident is cerebral hypoxia. Irreversible neuronal damage can begin within 3 to 4 minutes of oxygen deprivation, making immediate neurological evaluation the cornerstone of the primary survey's "Disability" assessment.
Prioritize evaluating level of consciousness and pupillary response. The presence of coma and fixed, dilated pupils upon initial examination is a strong prognostic indicator of severe, permanent brain damage or mortality, directly dictating the urgency of neuroprotective interventions.
While the ABCs (Airway, Breathing, Circulation) are always the first step, once a patent airway and spontaneous circulation are confirmed, the neurological assessment takes immediate priority over secondary concerns like hypothermia or detailed trauma evaluation.
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