David Szpilman

David Szpilman
Brazilian Lifesaving Society - Sobrasa · Medical director & Manager

Szpilman, D.

About

257
Publications
134,315
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
2,087
Citations
Introduction
Medical Director - Sobrasa Ten Cel BM MD RR - Fire Departament Rio de Janeiro Medical doctor - Rio de Janeiro City Founder Member - International Drowning Research Alliance - IDRA https://www.researchgate.net/profile/David_Szpilman Join www.sobrasa.org e facebook.com/SobrasaBrasil "Drowning is not an accident and you are not a victim! Prevent it and stay alive."
Additional affiliations
February 2015 - present
Civil Defense - Rio de Janeiro
Position
  • Education Center
January 2013 - February 2016
Hospital Municipal Miguel Couto
Position
  • Research and Education Center
June 1995 - present
SOBRASA - Sociedade Brasileira de Salvamento Aquático
Position
  • Managing Director

Publications

Publications (257)
Article
Full-text available
International Journal of Exercise Science 15(6): 1295-1305, 2022. Since the inclusion in the Olympic Games (2008), open swimming races have attracted greater media attention and, therefore, have a greater number of practitioners, especially in Brazil, an extremely favorable country for this sport. However, increasing reports of fatal incidents in o...
Article
Full-text available
Background: Choking is a prevalent source of injury and mortality worldwide. Traditional choking interventions, including abdominal thrusts and back blows, have remained the standard of care for decades despite limited published data. Suction-based airway clearance devices (ACDs) are becoming increasingly popular and there is an urgent need to eva...
Article
A tragédia do afogamento está presen¬te em nosso dia-a-dia com 15 mortes diárias (ano 2019). Incidente silencioso, cercado de mistérios e frequentemente atribuído a uma fatalidade inevitável do destino, ocor¬rem no ambiente extra-hospitalar em sua grande maioria e envolve principalmente a assistência pré-hospitalar prestada por lei¬gos, guarda-vida...
Preprint
Full-text available
Background: Foreign body airway obstructions (FBAO, choking) are a significant cause of preventable mortality. Abdominal thrusts, back blows, and chest compressions are traditional interventions; however, suction-based airway clearance devices (anti-choking devices, ACDs) have recently been marketed as an alternative. Of note, there is limited publ...
Article
Actualización a la evidencia sobre el ahogamiento, en el que se incluyen la terminología, aspectos de la prevención, los grados del ahogado, la derivación hospitalaria, el uso de oxígeno en ahogados y la reanimación cardiopulmonar
Article
Full-text available
Aim Snorkelling is a popular aquatic activity which may result in fatal and non-fatal drowning. However, little is known about the scale of injury, factors impacting risk and strategies for prevention. This review assesses the current literature on snorkelling-related drowning with the aim of assessing available data, improving safety recommendatio...
Article
Full-text available
Background Drowning is a significant public health issue with more than 320,000 deaths globally every year. These numbers are greatly underestimated, however, due to factors such as inadequate data collection, inconsistent categorization and failure to report in certain regions and cultures. The objective of this study was to develop a standardised...
Article
Background The ILCOR Basic Life Support Task Force and the international drowning research community considered it timely to undertake a scoping review of the literature to identify evidence relating to the initial resuscitation, hospital-based interventions and criteria for safe discharge related to drowning. Methods Medline, PreMedline, Embase,...
Article
Full-text available
A high level of swimming can be a protective factor against drowning, however, this relationship has not yet been empirically demonstrated, based on water competence level and aquatic environment. This study designed a drowning risk matrix based on the probabilistic analysis of a questionnaire answered by 3,181 participants. The occurrence of Aquat...
Article
Full-text available
Un alto nivel de natación puede ser un factor protector ante el ahogamiento, sin embargo, esta relación todavía no ha sido empíricamente demostrada, en base al nivel de habilidad y entorno acuático. Este estudio diseñó una matriz de riesgo de ahogamiento en base al análisis probabilístico de un cuestionario respondido por 3.181 participantes. Se an...
Article
Drowning is “the process of experiencing respiratory impairment from submersion or immersion in liquid”. According to WHO, drowning claim the lives of more than 40 people every hour of every day. Drowning involves some physiological principles and medical interventions that are unique. It occurs in a deceptively hostile environment that involves an...
Article
Objective: Introducing a new, simple and inexpensive portable equipment for lifeguards, consisting of a pre-assembled full-size plastic blanket with a mask and HEPA filter, which could offer significant time-saving advantages to reduce COVID-19 risk transmission in the first few minutes of CPR after water rescue, avoiding the negative impact of de...
Article
Background Lifeguards are integral to beach safety and collect data which is used for a variety of purposes, although guidelines and best practice have yet to be established. This study served to identify and characterise existing beach lifeguard service provider (BLSP) data collection procedures in order to identify the degree of uniformity and ar...
Article
Full-text available
Severe acute respiratory syndrome (SARS-CoV-2), which causes coronavirus disease 2019 (Covid-19), is highly contagious. Lifeguards are the first line of response in aquatic emergencies and they will suffer a strong exposure to risk this first summer of the Covid-19 era, so their occupational health must be rethought in their professional practice d...
Preprint
Full-text available
GESTÃO DA COVID-19 EM ÁREAS AQUÁTICAS 5 medidas para reduzir o risco de transmissão por COVID-19 - Atualizado em 04/06/2020 FATOS IMPORTANTES 1. Ambientes aquáticos considerado próprios ao banho (piscinas, praias e rios) não demonstram importante potencial de transmissão da COVID-19 na água. No entanto podem apresentar alto potencial de transmissão...
Article
Full-text available
La aparición y la rápida expansión del coronavirus SARS-CoV-2, responsable de la enfermedad COVID- 19, desconocida hasta su aparición en Wuhan (China) en diciembre de 2019, ya presente en todos los países del mundo y declarada pandemia el día 11 de marzo de 2020 por la Organización Mundial de la Salud (OMS), está influyendo de forma negativa en un...
Research
Full-text available
The following recommendations were developed in April-May 2020 and based on the current knowledge of the SARSCoV- 2 virus (COVID-19). As countries, regions and aquatic organisations are at different stages of the disease and have different approaches to reducing the impact of the virus, there may be variations in practice that need to be considered...
Article
Full-text available
Occupational health recommendations for lifeguards in aquatic emergencies in the Covid-19 era: prevention, rescue and resuscitation Severe acute respiratory syndrome (SARS-CoV-2), which causes coronavirus disease 2019 (Covid-19), is highly contagious. Lifeguards are the first line of response in aquatic emergencies and they will suffer a strong exp...
Preprint
Full-text available
Tudo é novo nesta crise da COVID19: o que fazer? Como fazer? A quem proteger? Eu vou morrer? Devo continuar meu trabalho como guarda-vidas? Que risco eu corro? Posso ir à praia? No final de 2019, surge o COVID-19: um patógeno viral membro da família coronavírus responsável por uma doença respiratória aguda que pode levar a morte; tem maior gravidad...
Article
Full-text available
Introduction: In 1988, 25-year-old Brazilian Renata Agondi died while crossing the English Channel. In 2010, the American Fran Crippen, a famous medalist swimmer in open waters, died during a race. Events like these provoked changes in concerns related to safety in open waters events, yet with insufficient results. In recent years, there was an inc...
Conference Paper
Full-text available
This study focuses on the development of an operational service to prevent one of the major public health problems worldwide, drowning (https://soseas.ihcantabria.com/). Approximately, there are 360,000 annual deaths from drowning all around the world, although, global estimates may significantly underestimate the real values. In order to reduce th...
Article
Full-text available
In 2015, drowning in Brazil was responsible for 6,043 deaths and was the second leading cause of death in children. Although several prevention strategies have been promoted to reduce drowning, most are still based on low levels of evidence. This study evaluated the effectiveness of prevention and water safety interventions in reducing drowning mor...
Article
Full-text available
In 2015, drowning in Brazil was responsible for 6,043 deaths and was the second leading cause of death in children. Although several prevention strategies have been promoted to reduce drowning, most are still based on low levels of evidence. This study evaluated the effectiveness of prevention and water safety interventions in reducing drowning mor...
Article
Full-text available
Aim Despite an obstructed airway (choking) being a relatively preventable injury, it has a considerable mortality burden globally, with increasing incidence. Given new technologies in choking management, this systematic review aimed to assess current literature on the effectiveness of anti-choking suction devices at relieving obstructions. Methods...
Chapter
Full-text available
capítulo "Prevenir é salvar. Educar para não se afogar. " (Sociedade Brasileira de Salvamento Aquático) Introdução O risco de se perder a vida em afogamentos é 200 vezes maior que em acidentes de trân-sito. No Brasil, é responsável por 1 morte a cada 75 minutos. A cadeia de sobrevivência no afogamento inclui a assistência pró-ativa de prevenção pra...
Chapter
Full-text available
Evitável em 99% das vezes o afogamento é chamado erroneamente de acidente e com isto nos remete a uma idéia de ser um acaso da natureza e algo inevitável. A Cura do incidente AFOGAMENTO é a PREVENÇÃO.
Book
Full-text available
O gibi piscina+segura é uma forma lúdica de educar na segurança de piscinas, usado principalmente pelos professores de natação em suas aulas. The pool + safe comic book is a playful way to educate on pool safety, mainly used by swimming teachers in their classes. https://www.sobrasa.org/gibi-de-prevencao-em-piscinas/
Conference Paper
Full-text available
The working group objective was to develop a proposed clarification statement and practical categorization framework that provide coherence and uniformity for the term “non-fatal drowning”. The group also outlined a process for stakeholder review and ratification of the clarification statement and category descriptions, and a communication plan for...
Conference Paper
Full-text available
Evaluar la capacidad de personas no expertas en la realización de un rescate acuático y determinar el riesgo teórico de sufrir un ahogamiento que correrían si lo llevasen a cabo en un caso real. OBJETIVO 44 individuos consiguieron terminar el rescate (86%). Los 7 restantes (14%) precisaron ayuda para volver a tierra. Tras clasificar a los participa...
Presentation
Full-text available
Look at https://www.youtube.com/watch?v=h8PLcXU69n8&t=39s While compression-only CPR (CCPR) for the treatment of out of hospital sudden cardiac arrest (SCA) has gained great momentum, it has come atthe cost of a misunderstanding as to the proper treatment for cardiac arrest due primarily to a non-cardiac cause. With SCA of presumed cardiac origin,...
Conference Paper
Full-text available
Te atreves a ignorar los desencadenantes obvios que pueden precipitar tu muerte por ahogamiento? Gran Canaria-III Congreso Internacional-V Congreso Nacional de Seguridad, Emergencias y Socorrismo: La calidad desde La prevención y la primera intervención". Abril 2019, book of abstracts Los caminos sociales, fisiológicos y fisiopatológicos que conduc...
Data
A realidade dos dados sobre afogamento aqui apresentados não destaca um novo problema em nosso país, mas uma velha e grave endemia pouco conhecida e divulgada em nossa sociedade. Este Boletim 2018, elaborado pela Sobrasa e sua Diretoria 2018-22 (clique para ver toda diretoria), sobre afogamentos e incidentes aquáticos no Brasil tem o objetivo de...
Article
Full-text available
A realidade dos dados sobre afogamento aqui apresentados não destaca um novo problema em nosso país, mas uma velha e grave endemia pouco conhecida e divulgada em nossa sociedade. Este Boletim 2018, elaborado pela Sobrasa e sua Diretoria 2018-22 (clique para ver toda diretoria), sobre afogamentos e incidentes aquáticos no Brasil tem o objetivo de...
Article
Full-text available
Drowning is a common and often preventable cause of death, especially in children. The mass media often propagate misinformation about “dry” and “secondary” drowning, diverting attention from appropriate efforts to prevent drowning and rescue and treat those who do drown.
Chapter
Full-text available
Afogamento 1. FINALIDADE Este Procedimento Operacional Padrão tem a finalidade de padronizar as operações de Atendimento Pré-hospitalar de Urgência e Emergência (APHUE) para afogamentos. Tem como objetivo central servir como um roteiro operacional padronizado e ostensivo, principalmente com foco na atuação protocolar dos profissionais de saúde, p...
Article
Full-text available
International data severely underestimates actual drowning numbers. Almost all victims are able to help themselves or are rescued in time. This study aims to report the occurrence of Drowning Chain of Survival actions and resuscitations needed in a fully operational lifeguard service. Methodology: Data was collected from Dec-2009 to Mar-2015 by l...
Article
Full-text available
We therefore urge all authors to describe drowning incidents using the terminology advised by ILCOR and the WHO. Those who survive the initial incident should be considered to have survived a non-fatal drowning.
Article
Full-text available
The most frequent jellyfish in Southern Brazil causes mainly local pain and skin plaques. A 3-year-old female bather presented an erythematous, irregular plaque on the left forearm after contact with a jellyfish and intense facial angioedema with facial flushing. The lungs had vesicular murmur, wheezes, and snorts, and pink and spumous secretion in...
Article
Full-text available
We read with great interest the recent case report by Galbiati et al. on a 15-year-old drowning victim with favourable outcome despite a long period of submersion.(1) We applaud the authors for raising awareness of drowning and its treatment, but were surprised the manuscript included the term 'nearly drowned'. In 2003 this journal co-published an...
Article
Full-text available
Background In 2002, the World Congress on Drowning developed a uniform definition for drowning. The aim of this study is to determine the prevalence of “non-uniform drowning terminology” (NUDT) and “non-uniform drowning definitions” (NUDD) in peer-reviewed scientific literature from 2010 to 2016, and compare these findings with those from our unpub...
Conference Paper
Full-text available
Worldwide, more and more people are practicing sports to have fun, to exercise, for competition or health purposes. Aquatic sports are included in the top list of riskier sports, as the environment per se carries a possibility of death by drowning if the person gets in trouble or unconscious in water and is not rescued in time. Not only are the aqu...
Conference Paper
Full-text available
Despite great progress worldwide in water safety and drowning prevention, major challenges remain for MIC/LIC. One of the greatest is language. The chosen language of the ILS is English, but this can be a barrier to dialog, comprehension, and implementation in non-English speaking countries. This presentation will explore the challenges and a sol...
Article
Full-text available
Drowning is defined as the process of experiencing respiratory impairment from submersion or immersion in liquid. ◊ Drowning is a leading cause of injury and death among young people. ◊ It has been estimated that 80% to 90% of all drownings are preventable. ◊ Hypoxaemia is the primary cause of morbidity and mortality, and its reversal must remain t...
Conference Paper
Full-text available
According to the WHO drowning is a neglected public health threat claiming 372.000 lives per year worldwide, 40 1.043 people died in Paraná State (3.32 per 100.000 pop). The Paraná State has 199.307,922 Km² extension and a population of 10.439.601 (IBGE-2010). crossing the state where most drowning cases occur are: Parana, Paranapanema, Iguacu, Tib...
Conference Paper
Full-text available
Drowning kills 17 Brazilians each day, much of them (75%) in freshwater venues, where the prevention messages have great difficult to reach the public. The best prevention campaign is the one that would be tailored to this venue, groups at-risk, easy to remember and particularly being able to be repeated over and over along friends and family. Th...
Conference Paper
Full-text available
Understanding the process of drowning from the beginning to the end will help establish interventions that can reduce such incidents. In order to end this, a group of researchers designed the Drowning Timeline after a process of discussion and consensus(1). This systematic model aims to identify the different stages of drowning and the actions that...
Conference Paper
Full-text available
Brazil is one of the largest water surface exposing hundred of million inhabitants every day, year around to water incidents. In 2013, drowning was responsible for 6.030 deaths(2.9/100.000 inhabitants) and was the second leading cause of death of children aged 1 to 9 years old. The Brazilian Lifesaving Society(SOBRASA) was founded in 1995 with the...
Conference Paper
Full-text available
Disaster is “a sudden, calamitous event that seriously disrupts the functioning of a community or society and causes human, material, and economic or environmental losses that exceed the community’s or society’s ability to cope using its own resources”(IRF). Brazil has one of the largest aquatic areas in the world leading to one of highest rates...
Conference Paper
Full-text available
In compliance with the European recommendations, , the Lifeguard (LG) became a regulated professional activity in Portugal in 2012, demanding proper physical and psychological preparation. This study aims to evaluate and monitor the skill level of Portuguese LG on performance a rescue in ocean beaches. Drowning literature supports, depending on sev...