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Drowning with persistent cough — DipIMC MCQ

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ModerateEnvironmental MedicineDrowning with persistent coughDipIMC

A 30-year-old kayaker is recovered after near drowning. He is alert but has persistent cough, oxygen saturations 93% and mild hypothermia. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Observe, give oxygen as needed, warm and refer for hospital assessment

Persistent respiratory symptoms after drowning require assessment because pulmonary complications can evolve. Oxygen and warming are appropriate supportive measures. Abdominal thrusts do not remove water from lungs and may cause harm. The pearl is that alertness after rescue does not exclude clinically significant drowning injury.

Reference: JRCALC Guidelines 2025; Resuscitation Council UK Special Circumstances Guidelines 2025