A child who nearly drowned received CPR, was resuscitated quickly, and regained consciousness.

Even with a good initial response,delayed respiratory complications, such asacute respiratory distress syndrome (ARDS)orpulmonary edema, can develop within 24–48 hours after submersion. All pediatric near-drowning cases should bemonitored in an ICU settingfor at least 24 hours.

“Post-submersion patients are at high risk for delayed onset ARDS. Observation in a monitored setting is essential regardless of initial neurologic status.”

(Referenced from CCRN Pediatric – Direct Care: Pulmonary, Submersion Injuries and Post-Resuscitation Care)