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Biomedical subjects

D H Beyda

Publications and source records attributed to D H Beyda.

6 recordsLinked to original sources
PubMed1998

Childhood submersion injuries.

The overall prognosis for children who sustain a submersion incident is directly related to several variables including length of submersion, initial neurologic evaluation, time to first breath, initial pH, and others. Resuscitation after near-drowning is unsuccessful in terms of death and neurologic deficit in 30% of those children who are treated at our institution. Despite the fact that we have been able to present variables that are somewhat predictive of outcome, it is almost impossible to identify 100% of the time which particular comatose child will survive neurologically intact. Therefore skilled attempts at resuscitation and management are mandatory. The understanding of the sequence of events that occur during the drowning process and the pathophysiologic consequence make it possible for health care personnel to provide aggressive therapeutic interventions that will enhance the likelihood of a normal recovery.

Cardiopulmonary Resuscitation↗
PubMed1997

Controlled external lumbar drain as treatment for therapy resistant intracranial hypertension--case report.

We report the case of an eleven year old male with a history of severe head injury who had manifested high intracranial pressure refractory to aggressive medical therapy, including ventriculostomy, controlled hyperventilation, mannitol and barbiturate application. The insertion of an external lumbar drain in this patient resulted in rapid permanent control of the intracranial hypertension. No transtentorial or tonsillar herniation occurred.

Barbiturates↗
PubMed1991

Pathophysiology of near-drowning and treatment of the child with a submersion incident.

The overall prognosis for children who have had a submersion incident is directly related to several variables including length of submersion, initial neurologic evaluation, time to first breath, initial pH, and others. Resuscitation after near drowning is unsuccessful in terms of death and neurologic deficit in 30% of those children who present to our institution. Despite the fact that we have been able to present variables that are somewhat predictive of outcome, it is almost impossible to identify 100% of the time which particular comatose child will be part of the group that will survive neurologically intact. Therefore, skilled attempts at resuscitation and management are mandatory. The understanding of the sequence of events that occur during the drowning process and the pathophysiologic consequence make it possible for health care personnel to provide aggressive therapeutic interventions that will enhance the likelihood of a normal recovery.

Child, Preschool↗
PubMed1991

Prehospital care of the child with a submersion incident.

The outcome is excellent for children having had a submersion incident who are quickly rescued and resuscitated. Delay in starting cardiopulmonary resuscitation adds further insult to the neuronal cells by allowing the progress of anoxia and ischemia. The institution of early resuscitation and transport to a pediatric facility will at least serve to maximize the best chance possible for normal survival. Although the ABCs are the hallmark of resuscitation, resuscitative efforts are most effective if one keeps in mind that ABC can also stand for "anticipate before complication."

Child↗