Original ArticlesPediatric Drowning A Standard Operating Procedure to Aid the Prehospital Management of Pediatric Cardiac Arrest Resulting From SubmersionBest, Rebecca R.∗; Harris, Benjamin H.L. MBBCh∗,†,‡; Walsh, Jason L. MBBCh∗,†,§; Manfield, Timothy MBBCh∥Author Information From the ∗Cardiff University School of Medicine †Institute of Medicine Education, Cardiff, Wales ‡St Anne’s College, University of Oxford, Oxford, England §Department of Cardiology, St George’s Hospital, Tooting, London ∥Emergency Medical Retrieval and Transfer Service, Llanelli, Wales, United Kingdom. Disclosure: The authors declare no conflict of interest. Reprints: Rebecca R. Best, 171 Malefant St, Cathays, Cardiff, Wales, United Kingdom CF24 4QG (e-mail: [email protected]). Pediatric Emergency Care: March 2020 - Volume 36 - Issue 3 - p 143-146 doi: 10.1097/PEC.0000000000001169 Buy Metrics Abstract Objectives Drowning is one of the leading causes of death in children. Resuscitating a child following submersion is a high-pressure situation, and standard operating procedures can reduce error. Currently, the Resuscitation Council UK guidance does not include a standard operating procedure on pediatric drowning. The objective of this project was to design a standard operating procedure to improve outcomes of drowned children. Methods A literature review on the management of pediatric drowning was conducted. Relevant publications were used to develop a standard operating procedure for management of pediatric drowning. Results A concise standard operating procedure was developed for resuscitation following pediatric submersion. Specific recommendations include the following: the Heimlich maneuver should not be used in this context; however, prolonged resuscitation and therapeutic hypothermia are recommended. Conclusions This standard operating procedure is a potentially useful adjunct to the Resuscitation Council UK guidance and should be considered for incorporation into its next iteration. Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.