Resuscitation from Drowning in Cold Water

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To the Editor: In the April 2 issue, Felix et al.1 recommend immediate treatment of drowning victims, involving not only simple cardiopulmonary resuscitation (CPR) but also active rewarming. In our opinion, however, active rewarming started at the scene of the accident or even in the emergency room is not advisable and may be deleterious with respect to neurologic outcome. It is essential to recognize that even though restoration of respiration and circulation is the primary aim of resuscitation, the crucial point is to shorten the period of cerebral anoxia or hypoxia and to counteract the immediate and delayed effects of . . .

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