Question

which of the following procedures must be performed when dealing with a patient found unresponsive and face down in a pool?

manual stabilization of head.
the heimlich maneuver.
deep nasal suctioning.
active rewarming.

Explanation:

Identify the clinical scenario

The question asks for a mandatory procedure when managing an unresponsive patient found face down in a swimming pool. This scenario involves a water-related incident where a diving injury or fall cannot be ruled out, making spinal trauma a high-priority concern.

Evaluate the options

Using the Drowning Resuscitation Protocols knowledge point:

• Manual stabilization of head: Essential because any patient found unresponsive in a pool has a high risk of cervical spine injury (e.g., from diving into shallow water). Manual stabilization must be maintained while turning the patient and removing them from the water.
• The Heimlich maneuver: Contraindicated for drowning victims unless there is a confirmed solid airway obstruction, as it can cause regurgitation and aspiration.
• Deep nasal suctioning: Not a standard initial rescue procedure and can cause complications.
• Active rewarming: Not the immediate priority over airway, breathing, and spinal protection during the initial rescue phase.

Answer:

• Manual stabilization of head. (Correct answer)
• The Heimlich maneuver.
• Deep nasal suctioning.
• Active rewarming.