[Successful resuscitation in XXXX following drowning].

@entity1 @entity75 @entity2332 @entity1167
After breaking through thin ice, a 4-year-old @entity1 drowned in a lake. A quickly alerted rescue helicopter found and recovered the @entity1 , drifting underneath the clear, thin ice. Primary resuscitation by the helicopter crew was unsuccessful. Upon arrival in the hospital the @entity1 had fixed, dilated pupils and @entity1167 . Core temperature was 19.8 degrees C. Rewarming was conducted slowly while cardiopulmonary resuscitation was continued. Twenty minutes after arrival at the hospital, ventricular complexes appeared in the ECG (temperature 22.1 degrees C); after another 10 min this converted to sinus rhythm. At short intervals, blood gas analyses and electrolyte determinations were carried out and corrected adequately. For cerebral protection methohexital was given and the @entity1 was hyperventilated. Seventy minutes after arrival at the hospital the @entity1 was brought to the pediatric ICU with stable circulation. There, further rewarming (centrally/peripherally combined) was carried out, aiming at 1 degree C rewarming per hour until a normal temperature was reached. The @entity1 had to be kept on the ventilator for 10 days and after another 2 weeks was discharged home. He had recovered completely without any @entity75 . One of the reasons why 88 min of @entity1167 were tolerated by this @entity1 without sequelae may have been rapid and deep @entity2332 .
