Patient Tr.A.Kh. (10 years old, male resident in Hoa Thuan ward, Vinh Long), after exploiting the medical history, the child was swimming in the swimming pool when the child's father found him and could not find him for 4 minutes. After that, the child's father discovered the child lying on his back and called him but did not answer. The child was brought to shore, the rescue worker sealed the child's heart in the chest for about 2 minutes, the child vomited in water, in large quantities, opened his eyes, and called unanswered. Immediately, the patient was taken to Tra Vinh General Hospital.
At the Emergency Department, Tra Vinh General Hospital, the child fell into a state of enlargement, response response is not responded to, was placed in the endotracheal tube, and recorded pink foaming through the endotracheal tube. After that, the child patient was transferred to Tra Vinh Obstetrics and Pediatrics Hospital for treatment, within 4 days with ventilator, anti-encephalt, antibiotics, infusion, supportive care, consultation, then transferred to the City Children's Hospital.
At the City Children's Hospital, children were recorded as coma, purple, and convulsions at one time, chest X-ray of intensive damage to both lungs, chest CT scan recorded brain edema damage, thick constipation, intensive infection of the two lungs, no damage to organs in the abdomen was recorded...
According to Dr. Nguyen Minh Tien - Deputy Director of the City Children's Hospital, the child was diagnosed with N4 drooling, acute pulmonary edema, lack of brain oxygen, inhaled pneumonia, treated with ventilator, anti-spasm, anti-brain edema, adjusted electrolyte water and given antibiotics to treat inhaled pneumonia.
After nearly 3 weeks of treatment, the child's condition improved, he was able to interact, had no seizures, and had a ventilator removed.
"In this case, we remind parents that when swimming, they need adults to follow the children to observe and monitor them, promptly reporting to rescuers to support when the children are submerged in water. Parents should let their children learn to swim, know how to exercise lightly, " warm up" before swimming to avoid sagging, know how to provide emergency apnea at the scene to help save children's lives, and not leave brain sequelae later. This case was fortunate to be detected early by rescuers and given timely cardiopulmonary resuscitation, as well as coordinated with the hospital to actively resuscitate the child and transfer him to the City Children's Hospital to continue successfully treating the child," Dr. Tien emphasized.
