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
6ª
Sepsis
4a
Agression Sepsis
David Szpilman. Brazilian drowning profile - 2013. Publish on-line em www.sobrasa.org, August 2015