Prevention and awareness of pool suction-drain injuries in children: two case reports

Although rare, pool suction-drain injuries may result in potentially fatal consequences: risk of drowning due to hair or extremities entrapment, bowel evisceration, hypovolemic shock, and death. We present two case reports: the first patient was entrapped by a suction grate (placed at the bottom of a water park pool), resulting in an extensive circular lesion on his back; the second child was evaluated for foot entrapment by suction. Both patients were discharged after observation with a good prognosis and without complications. Accidents associated with suction systems are little known, for this reason it is important to emphasize primary prevention. While awaiting new technological tools, public awareness and careful supervision are fundamental. European standards and pool circulation systems must be respected, particularly the use of anti-vortex covers, automatic power cut-offs for filtration systems, dual- drain systems, poolside panic buttons, and supervision of swimmers.