Round 21 (Drowning)


Case Introduction

You are working a shift at EM Clerkship General when EMS calls you on the radio… “Hey doc we’re bringing a young female who drowned in a pool ETA 1 minute”.

Initial Vitals

  • Temp 95.0F
  • HR 55
  • RR 5-6
  • BP 110/82
  • O2 90%

Critical Actions

  • Evaluate for traumatic injury (and/or place C-Collar)
  • Intubate the patient
  • Identify Long QT Syndrome on ECG
  • Treat Pulseless Polymorphic VTach with defibrillation and IV magnesium
  • Treat Polymorphic VTach (pulse present) with overdrive pacing (transcutaneous pacing or isoproterenol)

Further Reading

Torsades de Pointes – EMCrit


  1. Marisol


    Thank you for the amazing content!
    I was wondering if there is any complete file containing all of the notes/podcast transcriptions that appear on this website:
    it would be incredibly useful!

    Greetings from Italy
    – Marisol

    • Zack

      I’m sorry, there is not a master file containing all of the notes at this time. Each set of episode notes needs to be individually viewed on the website.

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