The Effects of Fluid Volume in Seawater Drowning
Authors: JEROME H. MODELL
Journal: Annals of Internal Medicine (1967)

Article1 July 1967The Effects of Fluid Volume in Seawater DrowningJEROME H. MODELL, M.D., FRANK MOYA, M.D., EARLENE J. NEWBY, BRUCE C. RUIZ, APRIL V. SHOWERS, R.N.JEROME H. MODELL, M.D.Search for more papers by this author, FRANK MOYA, M.D.Search for more papers by this author, EARLENE J. NEWBYSearch for more papers by this author, BRUCE C. RUIZSearch for more papers by this author, APRIL V. SHOWERS, R.N.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-67-1-68 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe effect of drowning by total immersion in seawater on the serum electrolytes, blood constituents, and cardiovascular system of dogs was reported by Swann and Spafford (1). In their experiments they reported severe abnormalities in these parameters. The limited data available on human near-drowning victims, although showing trends similar to Swann and Spafford's data, do not show changes of the same magnitude (2). In general, the degree of abnormality of these values in human near-drowning victims would not be considered life-threatening.In a previous study it was found that the severity of immediate cardiovascular and electrolyte changes secondary to chlorinated...References1. SWANNSPAFFORD HGNR: Body salt and water changes during fresh and sea water drowning. Texas Rep. Biol. Med. 9: 356, 1951. MedlineGoogle Scholar2. FULLER RH: The clinical pathology of human near-drowning. Proc. Roy. Soc. Med. 56: 33, 1963. CrossrefMedlineGoogle Scholar3. MODELLMOYA JHF: Effects of volume of aspirated fluid during chlorinated fresh water drowning. Anesthesiology 27: 662, 1966. CrossrefMedlineGoogle Scholar4. SINGERHASTINGS RBAB: An improved clinical method for the estimation of disturbances of acid-base balance of human blood. Medicine (Balt.) 27: 223, 1948. CrossrefMedlineGoogle Scholar5. FERROHAM PVAB: A simple spectrophotometric method for the determination of calcium. II. A semi-micro method with reduced precipitation time. Amer. J. Clin. Path. 28: 689, 1957. CrossrefMedlineGoogle Scholar6. MODELLGAUBMOYAVESTALSWARZ JHMFBH: Physiologic effects of near drowning with chlorinated fresh water, distilled water and isotonic saline. Anesthesiology 27: 33, 1966. CrossrefMedlineGoogle Scholar7. WOODLEVITT GASH: Simultaneous red cell mass and plasma volume determinations using 51Cr tagged red cells and 125I labeled albumin. J. Nucl. Med. 6: 433, 1965. MedlineGoogle Scholar8. SWANNBRUCERMOOREVEZIEN HGMCBL: Fresh water and sea water drowning: a study of terminal cardiac and biochemical events. Texas Rep. Biol. Med. 5: 423, 1947. MedlineGoogle Scholar9. REDDINGVOIGHTSAFAR JSGCP: Treatment of sea-water aspiration. J. Appl. Physiol. 15: 1113, 1960. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Miami, FloridaFrom the Department of Anesthesiology, University of Miami School of Medicine and Jackson Memorial Hospital, Miami, Fla.This study was supported by research career program award 1-K3-GM33840,01 and grants GM12154O1A1 and NIH FR5363-045 Sub. 45/1390302, U. S. Public Health Service, Washington, D. C.A portion of this study was presented at the Annual Meeting of the American Society of Anesthesiologists, October 1, 1966, Philadelphia, Pa.Requests for reprints should be addressed to Jerome H. Modell, M.D., Department of Anesthesiology, University of Miami School of Medicine and Jackson Memorial Hospital, Miami, Fla. 33136. 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