Should drowning victims with return of spontaneous circulation be actively rewarmed above 90-93°F?

The recommendation against actively rewarming drowning victims with return of spontaneous circulation is based on the understanding of hypothermia and the physiological responses of the body. In cases of hypothermia, the heart and other bodily functions are significantly affected. Rapid rewarming can lead to complications such as reperfusion injury or cardiovascular instability, which can further compromise the patient's condition.

When a drowning victim is rescued and shows return of spontaneous circulation, maintaining their current temperature (in the range of 90-93°F) allows for a more gradual acclimation back to normal body temperature. This controlled approach helps to minimize the risks associated with sudden temperature changes, allowing the body to adapt without causing additional stress.

Additionally, hypothermic patients may experience a phenomenon known as "afterdrop," where body temperature continues to drop after being removed from a cold environment. Actively introducing heat too quickly can exacerbate this condition. Therefore, carefully managing the rewarming process is essential in the medical treatment of drowning victims, ensuring their safety and promoting effective recovery.