In near-drowning management, blood transfusion is indicated only if there is which condition?

• A. Persistent hypothermia
• B. Seizures
• C. Bloodborne infection
• D. Significant blood loss

Answer: (D)

The key idea here is when a blood transfusion is actually needed in near-drowning care. Transfusion is not part of routine management for drowning itself; it’s reserved for situations where there is significant blood loss leading to hypovolemia and impaired oxygen delivery. Restoring circulating volume and red blood cell mass helps improve tissue perfusion and oxygen carrying capacity in that scenario.

Persistent hypothermia is treated with active rewarming and supportive care, not transfusion. Seizures are managed with stabilization and seizure-control measures if needed, not transfusion. Bloodborne infection concerns are addressed through prevention and appropriate infection control, not transfusion as a preventive measure. Therefore, significant blood loss is the situation that would justify a transfusion in near-drowning management.