Citation

Yanagawa Y, Jitsuiki K, Kushida Y, Omori K. J. Emerg. Trauma Shock 2021; 14(2): 118-119.

Copyright

(Copyright © 2021, INDO-US Emergency and Trauma Collaborative, Publisher Medknow Publications)

DOI

10.4103/JETS.JETS_174_20

PMID

34321813

Abstract

A 28-year-old woman who traveled to Izu Peninsula from Tokyo as a tourist drowned while undertaking diving training in the sea. The diving instructors noticed her accident and rescued her from the sea floor, at a water depth of 2 m. She was moved to the nearby shore, which she reached at 12:20, within a few minutes after the accident occurred. As she was in a state of deep coma with apnea, chest compression was performed. Automated external defibrillation was also performed, with the patient receiving one electric shock. When emergency medical technicians checked her at 12:34, she was in cardiac arrest. The initial rhythm was a pulseless electrical activity. She was transported to our emergency room by an ambulance; during transportation, she received chest compression, insertion of a supraglottic airway, and ventilation. She had no relevant past or family history. On arrival at 13:00, she remained in a state of cardiac arrest with dilated nonreactive pupils (both 8 mm). She underwent tracheal intubation, mechanical ventilation, securing of a venous route, and infusion of adrenaline (1 mg). At 13:07, a return of spontaneous circulation was achieved. On arrival, an arterial gas analysis, under 15 L/min of oxygen, revealed...

Language: en