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Annals of the New York Academy of... Nov 2014For millennia, human beings have wondered what happens after death. What is the first-person experience of dying and being brought back to life? Technological advances...
For millennia, human beings have wondered what happens after death. What is the first-person experience of dying and being brought back to life? Technological advances in resuscitation science have now added an intriguing new chapter to the literature of out-of-body or near-death experiences by eliciting detailed and vivid accounts of those who have approached the threshold of death. Steve Paulson, executive producer and host of To the Best of Our Knowledge, moderated a discussion that included neurologist Kevin Nelson, neuropsychiatrist Peter Fenwick, emergency medicine expert Sam Parnia, and orthopedic surgeon and drowning survivor Mary Neal; they share some remarkable stories and discuss how they analyze such experiences in light of their own backgrounds and training. The following is an edited transcript of the discussion from December 11, 2013, 7:00-8:30 PM, at the New York Academy of Sciences in New York City.
Topics: Attitude to Death; Death; Humans; Near Drowning; Resuscitation
PubMed: 25059901
DOI: 10.1111/nyas.12473 -
Pediatrics in Review Mar 2021
Topics: Drowning; Humans; Risk Factors
PubMed: 33648991
DOI: 10.1542/pir.2019-0150 -
Internal Medicine (Tokyo, Japan) Jan 2019Objective Bath-related sudden cardiac arrests frequently occur in Japan. This study aimed to describe the actual incidence and characteristics of bath-related accidents,...
Objective Bath-related sudden cardiac arrests frequently occur in Japan. This study aimed to describe the actual incidence and characteristics of bath-related accidents, including non-fatal events, and to establish the etiology of bath-related sudden cardiac arrest. Methods This prospective cross-sectional observational study was conducted in Tokyo Metropolis and Saga and Yamagata Prefectures between October 2012 and March 2013. Emergency personnel enrolled events in this study when they recognized that activation of the emergency medical system was related to bathing. Surveillance cards were delivered and collected from the emergency personnel and attending physicians. Results In total, 4,593 events were enrolled (1,528 cardiac arrests, 935 survivors in need of help, 1,553 patients with acute illnesses, and 577 patients with injuries) in this study. In the group of survivors in need of help and with acute illness, consciousness disturbance and lethargy without any organic disease were recognized as the main symptoms. Acute coronary syndrome and stroke were infrequently diagnosed. Of the survivors, 30% had a body temperature above 38°C. Their consciousness level significantly correlated with their body temperature. Emergency personnel reported that 79% of sudden cardiac arrests were from victims whose faces were submerged in the tub water, while 18% of survivors had their faces submerged in the tub water. Conclusion This study revealed that accidents, including non-lethal events, frequently occur. The key symptoms were consciousness disturbance and lethargy characterized as a functional disorder and accompanied by an elevated body temperature. Those findings suggest that heat illness during hot water immersion causes drowning.
Topics: Accidents; Adolescent; Adult; Aged; Aged, 80 and over; Baths; Body Temperature; Child; Child, Preschool; Cross-Sectional Studies; Death, Sudden, Cardiac; Drowning; Female; Humans; Incidence; Infant; Infant, Newborn; Japan; Male; Middle Aged; Prospective Studies; Young Adult
PubMed: 30146565
DOI: 10.2169/internalmedicine.0825-18 -
Injury Prevention : Journal of the... Feb 2019Epidemiological characteristics and recent trends in unintentional drowning at the national level in China are unreported.
BACKGROUND
Epidemiological characteristics and recent trends in unintentional drowning at the national level in China are unreported.
METHODS
Using data from the Disease Surveillance Points system, the overall, sex-, location-, age- and cause-specific age-standardised mortality from unintentional drowning in China were calculated and compared. Linear regression was used to examine the significance of mortality trend changes over time.
RESULTS
The average mortality was 4.05 per 100 000 persons between 2006 and 2013. Men and rural residents had much higher drowning mortality rates than women and urban residents at all time points. Drowning following a fall into natural water was the most common mechanism (46% of all drowning deaths). The overall drowning mortality rate remained stable for all subgroups except for distinct decreases in urban residents, children aged 5-9 years, and other specified and unspecified drowning (-10%, -36% and -25%, respectively).
CONCLUSIONS
The overall drowning mortality rate remained high and stable in China between 2006 and 2013. Effective prevention measures like removing or covering water hazards, wearing personal floatation devices, supervision of children, and teaching survival swimming and resuscitation skills should be implemented nationwide.
Topics: Accident Prevention; Accidental Falls; Adolescent; Adult; Age Distribution; Child; Child, Preschool; China; Drowning; Female; Health Surveys; Humans; Infant; Male; Middle Aged; Policy Making; Population Surveillance; Public Health; Sex Distribution; Swimming; Young Adult
PubMed: 29691315
DOI: 10.1136/injuryprev-2017-042713 -
BMJ (Clinical Research Ed.) Feb 2019
Topics: Accidental Falls; Cause of Death; Death; Female; Global Burden of Disease; Humans; Male; Suicide
PubMed: 30728139
DOI: 10.1136/bmj.l416 -
Computational Intelligence and... 2022Advancements in health monitoring using smartphone sensor technologies have made it possible to quantify the functional performance and deviations in an individual's...
Advancements in health monitoring using smartphone sensor technologies have made it possible to quantify the functional performance and deviations in an individual's routine. Falling and drowning are significant unnatural causes of silent accidental deaths, which require an ambient approach to be detected. This paper presents the novel ambient assistive framework Falling and Drowning Detection (FaDD) for falling and drowning detection. FaDD perceives input from smartphone sensors, such as accelerometer, gyroscope, magnetometer, and GPS, that provide accurate readings of the movement of an individual's body. FaDD hierarchically recognizes the falling and drowning actions by applying the machine learning model. The approach activates embedding, in a smartphone application, to notify emergency alerts to various stakeholders (i.e., guardian, rescue, and close circle community) about drowning of an individual. FaDD detects falling, drowning, and routine actions with good accuracy of 98%. Furthermore, the FaDD framework enhances coordination to provide more efficient and reliable healthcare services to people.
Topics: Drowning; Humans; Machine Learning; Movement; Smartphone
PubMed: 35990165
DOI: 10.1155/2022/6468870 -
Resuscitation Jun 2021
Topics: Airway Management; Drowning; Emergency Medical Services; Heart Arrest; Humans; Near Drowning
PubMed: 33864875
DOI: 10.1016/j.resuscitation.2021.04.002 -
Pediatric Clinics of North America Feb 2016Unintentional injuries are a leading cause of deaths for children of all ages. Globally, they accounted for 15.4% of 2.6 million deaths recorded among children aged 1 to... (Review)
Review
Unintentional injuries are a leading cause of deaths for children of all ages. Globally, they accounted for 15.4% of 2.6 million deaths recorded among children aged 1 to 14 years in 2013. The 12 highest burden countries in the world by absolute death count and mortality are low- and middle-income countries (LMIC) except for Russia and Equatorial Guinea. These countries accounted for 58% of the 406,442 unintentional injury deaths among 1 to 14 year olds in 2013. Globalization drives inequalities in the distribution of economic gains, risks, and opportunities for preventing child unintentional injuries between high-income countries and LMIC.
Topics: Accident Prevention; Accidents, Traffic; Child; Drowning; Global Health; Humans; Pediatrics; Risk Factors; Wounds and Injuries
PubMed: 26613695
DOI: 10.1016/j.pcl.2015.08.009 -
Epilepsia Mar 2020The objective of this study was to investigate the accident-related mortality among people younger than 55 years of age with epilepsy compared with the general...
OBJECTIVE
The objective of this study was to investigate the accident-related mortality among people younger than 55 years of age with epilepsy compared with the general population and to study how psychiatric comorbidity influences this risk.
METHODS
This is a population-based cohort study of individuals born in Denmark between 1960 and 2015 (n = 3, 665 616). Persons diagnosed with epilepsy and psychiatric disorders were identified in the Danish National Patient Register and the Danish Central Psychiatric Central Register. We estimated the hazard ratio (HR) with 95% confidence intervals (CIs) of accidental death in people with epilepsy compared with persons without epilepsy.
RESULTS
We identified 61 330 persons (1.7%) diagnosed with epilepsy. Median age at end of follow-up was 27.8 years. In people with epilepsy, 5253 died during follow-up, 480 (9%) of whom died from accidents. Among people without epilepsy, 52 588 died during follow-up, of whom 1280 (2.4%) died from accidents. People with epilepsy had a 3.7-fold (95% CI 3.4-4.1) increased risk of accidental death compared with persons without epilepsy. When we adjusted for psychiatric disorders, the risk remained significantly elevated in people with epilepsy compared to people without epilepsy (adjusted HR [aHR] 2.44, 95% CI 2.22-2.69). When stratifying the analyses on epilepsy and psychiatric disorders, people with epilepsy and psychiatric disorders had an aHR of 4.95 (95% CI 3.82-6.41) when compared with persons without epilepsy and psychiatric disorders.
SIGNIFICANCE
The risk of accidental death was increased in people with epilepsy and was particularly high among people with epilepsy with psychiatric comorbidity. The findings highlight the need for awareness and prevention strategies in people with epilepsy, especially in people with comorbid psychiatric disorders.
Topics: Accidental Falls; Accidents; Accidents, Traffic; Adolescent; Adult; Asphyxia; Child; Child, Preschool; Cohort Studies; Comorbidity; Denmark; Drowning; Epilepsy; Female; Fires; Humans; Infant; Infant, Newborn; Male; Mental Disorders; Middle Aged; Proportional Hazards Models; Prospective Studies; Risk Factors; Sex Factors; Young Adult
PubMed: 32072623
DOI: 10.1111/epi.16453 -
International Journal of Injury Control... Jun 2019We examined the bathtub drowning mortality among older adults in Japan. Mortality data from Japan and 30 other Organization for Economic Co-operation and Development...
We examined the bathtub drowning mortality among older adults in Japan. Mortality data from Japan and 30 other Organization for Economic Co-operation and Development (OECD) countries were extracted from World Health Organization Cause of Death Query Online. During 2012-2014, unintentional drowning mortality rates in Japan were 9.5, 28.2 and 39.7 per 100,000 population for adults aged 65-74, 75-84 and ≥85 years, respectively-rates highest among the 31 OECD countries. In total, 6377 older adults aged ≥65 years died from unintentional drowning in 2014, of which 4857 (76%) deaths involved bathtubs. During 1995-2014, the bathtub drowning mortality rate for adults aged ≥65 years was stable in Japan. During 2011-2014, approximately 4800 older adults died from bathtub drowning annually. Death predominantly occurred 'while in a bathtub', rather than 'following a fall into a bathtub'. In 2014, 95% and 87% of bathtub drowning deaths among older women and men aged ≥65 years, respectively, occurred at home. In conclusion, bathtub drowning deaths at home is an important public health problem among older adults Japanese and efforts are needed to reduce these preventable deaths.
Topics: Accidents, Home; Aged; Aged, 80 and over; Baths; Drowning; Female; Humans; Japan; Male
PubMed: 30239269
DOI: 10.1080/17457300.2018.1515231