{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T18:48:52Z","timestamp":1764874132878,"version":"3.40.5"},"reference-count":44,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,6,20]],"date-time":"2024-06-20T00:00:00Z","timestamp":1718841600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100002076","name":"Emergency Medicine Foundation","doi-asserted-by":"publisher","award":["EMLE\u2010162R34\u20102020\u2010THOM"],"award-info":[{"award-number":["EMLE\u2010162R34\u20102020\u2010THOM"]}],"id":[{"id":"10.13039\/100002076","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>No published evidence was identified regarding the use of oxygen in the treatment of drowning in two recent systematic reviews. The aim of our study was to investigate the impact of on scene, pre\u2010Emergency Medical Services (EMS) oxygen therapy by lifeguards in the resuscitation of drowning victims.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We conducted a retrospective case match analysis of drowning patients presenting to the EDs of Sunshine Coast Hospital and Health Service. Patients were matched for age, sex and severity of drowning injury. The primary outcome was in\u2010hospital mortality. Secondary outcomes included positive pressure ventilation (PPV) by EMS and the ED, as well as admission to the Intensive Care Unit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 108 patients in each group. Median (IQR) age was 22 (15\u201343) in the oxygen group and 23 (15\u201344) years in the non\u2010oxygen group. There were 45 females in the oxygen group and 41 females in the non\u2010oxygen group. Sixteen patients had suffered cardiac arrest and three patients respiratory arrest in each group. There were five deaths in each group. Initial oxygen saturation on arrival of EMS was identical in both groups 89.2% (\u00b119.9) in the oxygen group <jats:italic>versus<\/jats:italic> 89.3% (\u00b121.1) (<jats:italic>P<\/jats:italic>\u2009=\u20090.294) in the non\u2010oxygen group. The oxygen group required PPV more frequently with EMS (19 <jats:italic>vs<\/jats:italic> 11, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01) and in the ED (19 <jats:italic>vs<\/jats:italic> 15, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>On scene treatment with oxygen by lifeguards did not improve oxygenation or outcomes in drowning patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1742-6723.14454","type":"journal-article","created":{"date-parts":[[2024,6,20]],"date-time":"2024-06-20T08:44:22Z","timestamp":1718873062000},"page":"841-848","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Impact of lifeguard oxygen therapy on the resuscitation of drowning victims: Results from an <scp>Utstein Style<\/scp> for <scp>Drowning Study<\/scp>"],"prefix":"10.1111","volume":"36","author":[{"given":"Ogilvie","family":"Thom","sequence":"first","affiliation":[{"name":"College of Public Health, Medical and Veterinary Sciences James Cook University  Townsville Queensland Australia"},{"name":"Surf Life Saving Queensland  South Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5012-7534","authenticated-orcid":false,"given":"Kym","family":"Roberts","sequence":"additional","affiliation":[{"name":"College of Public Health, Medical and Veterinary Sciences James Cook University  Townsville Queensland Australia"},{"name":"Emergency Department Sunshine Coast Hospital and Health Service  Birtinya Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Devine","sequence":"additional","affiliation":[{"name":"College of Public Health, Medical and Veterinary Sciences James Cook University  Townsville Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter A","family":"Leggat","sequence":"additional","affiliation":[{"name":"College of Public Health, Medical and Veterinary Sciences James Cook University  Townsville Queensland Australia"},{"name":"College of Medicine, Nursing and Health Sciences University of Galway  Galway Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1864-4552","authenticated-orcid":false,"given":"Richard C","family":"Franklin","sequence":"additional","affiliation":[{"name":"College of Public Health, Medical and Veterinary Sciences James Cook University  Townsville Queensland Australia"},{"name":"Royal Life Saving Society \u2013 Australia  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,20]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Water Safety New Zealand.Institution. 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