It has been reported that the incidence of hemolysis due to massive aspiration of water in near-drowning is considered to be rather rare. We present a case of a young man who was submerged in a swimming pool and was transported to our hospital in cardiac arrest. After successful cardiopulmonary resuscitation he developed hemolysis, pulmonary edema and disseminated intravascular coagulation. A possible cause of hemolysis is proposed and treatment based on th epathophysiology of pulmonary aspiration of fresh water is discussed.
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