Swimming-induced pulmonary oedema an uncommon condition diagnosed with POCUS ultrasound

• Published in: The American journal of emergency medicine Vol. 35; no. 12; pp. 1986.e3 - 1986.e4
• Main Authors: Alonso, Joaquín Valle, Chowdhury, Motiur, Borakati, Raju, Gankande, Upali
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.12.2017; Elsevier Limited
• Subjects: Adult; Alveoli; Angiography; Case reports; Cold water; Cough; Diuretics - therapeutic use; Diving; Dyspnea; Dyspnea - diagnostic imaging; Dyspnea - etiology; Dyspnea - physiopathology; Edema; Emergency medical care; Emergency medical services; Female; Furosemide - therapeutic use; Health risk assessment; Hemoptysis; Humans; Hypertension; Hypoxemia; Medical diagnosis; Military training; Physical Exertion; Point of care testing; Point-of-Care Systems; Pulmonary arteries; Pulmonary Edema - diagnostic imaging; Pulmonary Edema - etiology; Pulmonary Edema - physiopathology; Pulmonary Edema - therapy; Respiration; Swimming; Treatment Outcome; Ultrasonic imaging; Ultrasonography; Ultrasound
• ISSN: 0735-6757; 1532-8171
• DOI: 10.1016/j.ajem.2017.09.029

Swimming Induced Pulmonary Edema, or SIPE, is an emerging condition occurring in otherwise healthy individuals during surface swimming or diving that is characterized by cough, dyspnea, hemoptysis, and hypoxemia. It is typically found in those who spend time in cold water exercise with heavy swimming and surface swimming, such as civilian training for iron Man, triathalon, and military training. We report the case of a highly trained young female swimmer in excellent cardiopulmonary health, who developed acute alveolar pulmonary oedema in an open water swimming training diagnosed in the emergency department using POCUS ultrasound.