Swimming pool suction injury: etiology, profylaxis and management
Authors:
J. Škach 1; P. Kašák 2; J. Šrám 2
Authors place of work:
Chirurgické oddělení, Krajská nemocnice Liberec a. s., přednosta: MUDr. P. Hromádka
1; Traumatologicko-ortopedické centrum, Krajská nemocnice Liberec a. s. přednosta: MUDr. R. Lukáš, PhD
2
Published in the journal:
Rozhl. Chir., 2015, roč. 94, č. 1, s. 34-38.
Category:
Case Report
Summary
Swimming pool suction injuries are unique and rare with a substantive risk of fatal consequences. Little children under the age of 8 are the most frequent victims with serious injuries. Drownings of different seriousness are also a usual part of accidents. The case of a 19 year old man trapped in the gluteal area by a unsecured suction drainage hole illustrates the uniqueness of this problem in an interesting way. Prophylactic arrangements are well known but the problem is with their strict application. Fatal causes excluding drowning include hypovolemic shock from the sudden redistribution of intersticial fluid and blood and also the evisceration of the bowel and other abdominal organs. Localised often bizarre and large swellings and sufusions can be treated nonoperatively in the vast majority of cases. For the prevention of these injuries it is important to inform the public and increase their awareness to these injuries. It is also crucial for the correct management of these injuries a deeper awareness of this issue and a sharing of experiences and solutions with other experts.
Key words:
vacuum – accident – entrapment – compartment syndrome
Zdroje
1. Centers for Disease Control. Suction-drain injury in a public fading pool-North Carolina 1991. JAMA 1992;267:2868.
2. Davison A, Puntis JWL. Awareness of swimming pool suction injury among tour operators. Arch Dis Child 2003;88:584−6.
3. Valletta E, Zampieri N, Fornaro M, et al. Transanal intestinal evisceration from swimming pool skimmer suction: a spur to prevention. Acta Paediatr 2007;96:1376−7.
4. Gibson K. 2008−2012 Report Circulation/Suction Entrapments Associated with Pools, Spas, and Whirlpool Bathtubes, Report. U.S. Consumer Product Safety Commission 2013.
5. ANSI/APSP-7 2006, American National Standard for Suction Entrapment Avoidance in Swimming Pools, Wading Pools, Spas, Hot Tubs, and Catch Basins, p. viii.
6. Furter M, Germerott T, Thali MJ. Spa-drain entrapment complicated by suspicious of nonaccidental trauma and epilepsy onset. Pediatrics 2011;128:e1008−12.
7. Ihama Y, Ninomiya K, Noguchi M, Fuke C, Niki H, et al. An autopsy case of suction injury. Leg Med 2010;12:188−91.
8. Cosker T, Gupta S, Tayton K. Compartment syndrome caused by suction. Injury 2004; 35:1194−5.
9. Cain WS, Howell CG, Zigler MM, Finley AJ, Asch MJ, et al. Rectosigmoid perforation and intestinal evisceration from transanal suction. J Pediatr Surg 1983;18:10−13.
10. Hultman CS, Morgan R. Transanal intestinal evisceration following suction from an uncovered pool drain: case report. J Trauma 1994;37:843−7.
11. Ravikumar R, Robb A, Jawaheer G. Small bowel evisceration through the rectum in childhood. J Pediatr Surg 2008;43:562−3.
12. Gomez-Juares M, Casclaes P, Garcia-Olmo D. Complete evisceration of the small intestine through a perineal wound as a result of suction at a wading pool. J Trauma 2001; 51:398−9.
13. Bronkhorst MW, Wilde JC, Hamming JF, Heiji HA. Anorectal impalement in a pediatric patient with transanal evisceration of small bowel. J Pediatr Surg 2007;42:e23−e25.
14. Morris AM, Setty SP, Standage BA, Hansen PD. Acute transanal evisceration of the small bowel: report of a case and review of the literature. Dis Colon. Rectum 2003;46:1280−3.
15. Levy M, Goldberg I, Frisch E, Meir I, Schifmann H, et al. Severe “suction injury“ due to implosion of an underwater camera casing: mechanism of injury. J Trauma 1981;21:167−9.
16. U.S. Consumer product safety commission: Guidelines for entrapment hazards: Making pools nad spas safer 03/2005.
17. Juern J, Schmeling D, Feltis B. Transanal fading pool suction-drain injury resulting in complete evisceration of the small intestine: case report and review of the literature. J Pediatr Surg 2010;45:E1−3
18. Plagata EM, Bitman KL. Traumatic evisceration of intestinal loops through the anus. Ann Emerg Med 1982;11:102−4.
19. Price NR, Soundappan VS, Sparnon AL, Cass DT. Swimming pool filter-induced transrectal evisceration in children: Australian experience. Lessons from Practice 2010;192:534−6.
Štítky
Surgery Orthopaedics Trauma surgeryČlánok vyšiel v časopise
Perspectives in Surgery
2015 Číslo 1
- Metamizole at a Glance and in Practice – Effective Non-Opioid Analgesic for All Ages
- Metamizole vs. Tramadol in Postoperative Analgesia
- Spasmolytic Effect of Metamizole
Najčítanejšie v tomto čísle
- Phyllodes breast tumors
- Strategies of treatment of chest wall tumors and our experience
- Intramural haematoma of the oesophagus – a case report and literature review
- Swimming pool suction injury: etiology, profylaxis and management