{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T22:18:03Z","timestamp":1780525083257,"version":"3.54.1"},"reference-count":7,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T00:00:00Z","timestamp":1753228800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Wilderness &amp; Environmental Medicine"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Drowning is a global public health concern, with over 300,000 deaths annually. In Japan, approximately 700 drowning-related fatalities occur each year, increasingly involving older adults during marine leisure activities. However, limited data are available on the clinical characteristics of such incidents at tourist destinations. This study describes the characteristics and outcomes of drowning-related out-of-hospital cardiac arrest (OHCA) cases on a remote tourist island in Japan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective, single-center descriptive case series reviewed OHCA cases due to drowning at Yaeyama Hospital between June 2021 and December 2023. Patient demographics, incident details, and outcomes were collected. Key variables included age, type of activities, bystander cardiopulmonary resuscitation (CPR), instructor presence, time to hospital arrival, and neurological outcomes based on the Cerebral Performance Category (CPC) scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 31 OHCA cases, 90% (28 cases) involved tourists. The median age was 50 years, with most incidents related to snorkeling (10 cases) or scuba diving (9 cases). Bystander CPR was performed in 14 cases; 7 patients achieved return of spontaneous circulation. Instructors were present in 9 adult cases; however, whether they performed CPR could not be confirmed. At discharge, one adult had a CPC score of 1, and one had CPC 4. All 5 pediatric patients had CPC 1. The mean time from incident recognition to hospital arrival was 52\u2005min.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case series highlights demographic and situational patterns in drowning-related OHCA during marine activities. Further research is needed to identify risk factors and improve prevention strategies in resource-limited island settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10806032251359644","type":"journal-article","created":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T08:22:58Z","timestamp":1753258978000},"page":"60-63","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Descriptive Characteristics of Drowning-Related Out-of-Hospital Cardiac Arrest in Marine Leisure Activities on a Japanese Island"],"prefix":"10.1177","volume":"37","author":[{"given":"Akimi","family":"Tsuruta","sequence":"first","affiliation":[{"name":"Department of Emergency and Critical Care Medicine, Nippon Medical School, Tokyo, Japan"},{"name":"Emergency Department, Yaeyama Hospital, Ishigaki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yutaka","family":"Igarashi","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine, Nippon Medical School, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenta","family":"Tsuruta","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine, Nippon Medical School, Tokyo, Japan"},{"name":"Emergency Department, Yaeyama Hospital, Ishigaki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shigeto","family":"Takeshima","sequence":"additional","affiliation":[{"name":"Emergency Department, Yaeyama Hospital, Ishigaki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shoji","family":"Yokobori","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine, Nippon Medical School, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,7,23]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"World Health Organization. Global status report on drowning prevention 2024. Accessed January 22 2025. https:\/\/www.who.int\/publications\/i\/item\/9789240103962"},{"key":"e_1_3_2_3_2","unstructured":"National Police Agency. Overview of water-related accidents 2023. Accessed January 22 2025. https:\/\/www.npa.go.jp\/publications\/statistics\/safetylife\/r05_suinan_gaikyou.pdf"},{"key":"e_1_3_2_4_2","unstructured":"Divers Alert Network. DAN annual diving report 2020 Edition \u2014 A report on 2018 diving fatalities injuries and incidents. Durham NC 2020."},{"key":"e_1_3_2_5_2","unstructured":"Okinawa prefectural office. Overview of Visitor Statistics for Yaeyama 2023; https:\/\/www.pref.okinawa.jp\/_res\/projects\/default_project\/_page_\/001\/011\/861\/gaikyou2023nenkanshuusei.pdf"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19148863"},{"issue":"4","key":"e_1_3_2_7_2","first-page":"182","article-title":"Scuba injury death rate among insured DAN members","volume":"38","author":"Denoble PJ","year":"2008","unstructured":"Denoble PJ, Pollock NW, Vaithiyanathan P, Caruso JL, Dovenbarger JA, Vann RD. Scuba injury death rate among insured DAN members. Diving Hyperb Med. 2008;38(4):182\u201388.","journal-title":"Diving Hyperb Med"},{"key":"e_1_3_2_8_2","unstructured":"The Undersea and Hyperbaric Medical Society. Diver Medical Participant Questionnaire \/ Diver Medical Physician\u2019s Evaluation Form 2020. https:\/\/www.uhms.org\/resources\/featured-resources\/recreational-diving-medical-screening-system.html"}],"container-title":["Wilderness &amp; Environmental Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10806032251359644","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10806032251359644","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10806032251359644","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T02:32:54Z","timestamp":1777689174000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10806032251359644"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,23]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1177\/10806032251359644"],"URL":"https:\/\/doi.org\/10.1177\/10806032251359644","relation":{},"ISSN":["1080-6032","1545-1534"],"issn-type":[{"value":"1080-6032","type":"print"},{"value":"1545-1534","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,23]]}}}