PALESTRA EM San Diego

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Page 1 ... Publish on-line em www.sobrasa.org, August 2015 .... Trabalho elaborado com base nos dados do Sistema de Informação em Mortalidade (SIM) ...
Drowning data Brazil COUNTING THE BURDEN

David Szpilman, MD Founder, Former President and Medical Director of Brazilian Life Saving Society – SOBRASA;

Research and Education Center – Director - Hospital Municipal Miguel Couto; Retired Head of Drowning Resuscitation Centre - Fire Department of Rio de Janeiro (CBMERJ) – GMAR; Former BOD Member and Medical Committee Member of International Life-Saving Federation; BOD Member of Rio de Janeiro Sports Medical Council. Founder Member – International Drowning Alliance - IDRA

David Szpilman, MD – SOBRASA

• 2,5 million people in 4 km of beach • 1,5 m waves • 145 rescues • 130 lifeguards on duty • 3 ambulances, 2 helicopters and 1 DRC • 37 medical attendance • NO death

David Szpilman, MD – SOBRASA

• 3 million people at the beaches – ONE DAY • 1 m waves • 2,000 rescues • 560 lifeguards on duty + 180 voluntaries • 5 ambulances, 2 helicopters and 3 DRC • 135 medical attendance • 4 death by drowning

David Szpilman, MD – SOBRASA

PRIORITY RESCUE ORDER Victim in water distress with signs of eminent submersion unable to float/move appropriately. May try to grab his would-be-rescue

1703 cases Victim in water stress but able to float/move and collaborate 1703 cases Victim UNAWARE of the drowning´s risk 1.563,300 cases Unconscious/no movement (non breathing) 14 cases Rafael Oliveira; David Szpilman; Ana Catarina Queiroga; Onir Mocellin. START method as

a triage tool for aquatic disaster situations – WCDP 2015

David Szpilman, MD – SOBRASA

• Population: 204 millions Brazil

• 12% of total fresh water in the planet • Coastline of 8,000 Km • One of the largest water use all year round • Average water temperature 22oC • One of the largest number of rescues

David Szpilman, MD drowning David Szpilman. Brazilian

profile - 2013. Publish on-line em www.sobrasa.org, August 2015

David Szpilman, MD – SOBRASA

7.152 death per year

18 each day David Szpilman. Brazilian drowning profile - 2013. Publish on-line em www.sobrasa.org, August 2015

David Szpilman, MD – SOBRASA

Cause of death among all 2nd cause from 1 to 9 years old 3rd from 10 to 19 4th among 20 to 24 6th at 25 to 29

David Szpilman. Brazilian drowning profile - 2013. Publish on-line em www.sobrasa.org, August 2015

David Szpilman, MD – SOBRASA

Death cause among 1 to 54 years old (2013) 1a4

5a9

10 a 14

15 a 19

20 a 24

25 a 29

30 a 34

35 a 39

40 a 44

45 a 49

50 a 54

1a

Pneumonia

transport

transport

Agression

Agression

Agression

Agression

Agression

Agression

AMI

AMI

2a

DROWNING

DROWNING

Agression

transport

transport

transport

transport

transport

transport

transport

Cebrovascular disease

3a

transport

Leukemia

DROWNING

DROWNING

Suicide

Suicide

HIV

HIV

AMI

Cerebrovascular disease

Transport

Pneumonia

Leukemia

Suicide

DROWNING

HIV

Suicide

AMI

Cerebrovascul ar disease

Agression

Diabettes Mellitus

Pneumonia

Pneumonia

HIV

Pneumonia

Pneumonia

cerebrovascular disease

HIV

HIV

Pneumonia

Suicide

Leukemia

Pneumonia

DROWNING

AMI

Suicide

Alchoolic hepatopathy

Pneumonia

Hiyperthensive disease

5a

Malformation Circulatory Intestinal infeccion



Sepsis

4a

Agression Sepsis

David Szpilman. Brazilian drowning profile - 2013. Publish on-line em www.sobrasa.org, August 2015

David Szpilman, MD – SOBRASA

DROWNING - BRAZIL - 2013 Mortality – 6.030 death