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Outcome in Children Who Nearly Drown:A British Isles Study BMJ 302:931-933, Kemp,A.M.&Sibert,J.R., 1991 See this aricle in Pubmed Article Abstract All of the children who were conscious on admission fully recovered.Of the 64 children unconscious on admission,31 had normally reactive pupils and all but three(all of whom had severe preexisting neurological disease) recovered fully.Of the 33 children with fixed dilated pupils on admission, 10 fully recovered,13 died,and 10 had severe neurological deficit. Spontaneous respiratory effect on admission was associated with normal survival.Pupils that remained dilated six hours after admission and fits continuing 24 hours after admission predicted a poor outcome.Conclusion: Children can survive normally after near drowning in the British Isles, particularly if they have been hypothermic.Resuscitation should not be abandoned in nearly drowned children until they have been rewarmed.

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(click to filter results - removes previous filter) coma disability,neurological drowning hypothermia mortality prognosis pupil pupil,abnormality in neurologic disorders pupil,dilated and fixed,bilateral respiratory arrest

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