We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Intact Survival Rates in Nearly Drowned, Comatose Children-Reply

Am J Dis Child. 1986;140(6):504-505. doi:10.1001/archpedi.1986.02140200014006.
Text Size: A A A
Published online


In Reply.—The letter by McComb addresses the controversial issue of brain resuscitation. The lack of prospective, well-controlled studies on nearly drowned victims is probably the source of confusion in designing therapeutic modalities for posthypoxic, severely brain-injured children. The difficulties in evaluating previous studies were compounded by the fact that instead of analyzing one variable between two well-matched groups, multiple factors were rather introduced. Unless the two groups of patients from Miller Children's Hospital, Long Beach, Calif,1 and Childrens Hospital of Los Angeles2 were well matched in terms of baseline evaluation and therapeutic approach, one should be cautious in comparing the results. In addition, some investigators believe that hypothermia3,4 may play a major role in "resuscitating" those neurons that were severely insulted by hypoxic event but that are capable of recovery. On the other hand, our experience with children who had either severe brain damage or full


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.