Lorilie A. Weber-Hardy, RRT-NPS(RCP), MEd
The purpose of this Near Drowning case is to test the knowledge and to build
confidence in the advanced respiratory care practitioner's ability to
critically think and perform in the care of a pediatric near-drown patient.
The case is written for pediatric intensive care workers. The case takes
place in an emergency department (ED) and a pediatric intensive care unit.
Prerequisites include a knowledge of advanced respiratory care of the
At the conclusion of this case, the advanced health
care worker will be able to:
- List the equipment that should be prepared in the ED prior to the
arrival of a pediatric patient in full cardiopulmonary arrest.
- List indications for intubation of a pediatric neardrown patient.
- Estimate appropriate endotracheal tube size when the patient's age is known.
- List assessment which would help identify proper placement of the ETT in the trachea.
- Calculate the appropriate size suction catheter to be used when the endotracheal tube size is given.
- Choose appropriate mechanical ventilator settings for a neardrown pediatric patient.
- Interpret arterial blood gas results.
- Complete a patient assessment and make appropriate mechanical ventilator changes in
accordance to the patient assessment findings.