• Critical care medicine · Jul 1979

    Review

    Multisystem failure: a review with special reference to drowning.

    • B H Hoff.
    • Crit. Care Med. 1979 Jul 1; 7 (7): 310-20.

    AbstractNear-drowning represents an insult that can affect all organ systems. A common pathway for injury is hypoxemia, acidosis, and hypoperfusion. Pulmonary insufficiency and CNS dysfunction are major causes of morbidity and mortality. Variations in vascular volume, heart failure, renal failure, coagulation disorders, and electrolyte disturbances may also be present. Patients should be observed for multisystem failure and therapy tailored to the particular needs of each victim.

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