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Clinical Pediatrics
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Pail Immersion Accidents

Susannah Walker

Edward Mallinckrodt Department of Pediatrics, Washington University School of Medicine, Division of Ambulatory Pediatrics, St. Louis Children's Hospital, St. Louis, Missouri

J. Neal Middelkamp

Edward Mallinckrodt Department of Pediatrics, Washington University School of Medicine, Division of Ambulatory Pediatrics, St. Louis Children's Hospital, St. Louis, Missouri

An unusual type of immersion accident is that involving a pail or bucket of water in the home. We describe four cases of drownings or near drownings in pails and summarize the literature. A review of this type of submersion resulted in a morbidity of 15.4% and mortality of 61.5%. Stable vital signs and normal neurologic examination initially are good prognostic indicators. A number of questions remain to be answered about the pathophysiological effect of these pail contents to the lungs. This hazard must now be included as a part of every discussion of poison prevention by pediatricians.

Clinical Pediatrics, Vol. 20, No. 5, 341-343 (1981)
DOI: 10.1177/000992288102000507
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