Which of the following would be routinely ordered for the majority of wet-drowning victims?

1. Positive end-expiratory pressure (PEEP)
2. Hemodialysis
3. Extracorporeal membrane oxygenation (ECMO)
4. Mechanical ventilation
a. 1, 4
b. 3, 4
c. 1, 2, 4
d. 1, 2, 3, 4

A
Because of the lung changes that occur when water is inhaled, mechanical ventilation with PEEP will be needed by most patients.

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