Table 2.
Diagnostic checkpoints and management of SIPE.
| History | Exercise in cold water |
| Absence of water aspiration | |
| Absence of diseases concerning the cardiopulmonary system | |
| Acute onset of symptoms during or immediately after swimming | |
| Symptoms | Cough and/or dyspnoea and/or chest tightness |
| Haemoptysis | |
| Clinical findings | Auscultation suggesting airway process (cracles, rales, wheezing) |
| Diagnostic testing | Hypoxemiaa |
| Radiological findings compatible with pulmonary edema | |
| Management | Normalization of environment |
| Supportive oxygen | |
| Occasionally β2-agonists | |
| Monitoring, occasionally follow up examinations |
a
defined as arterial oxygen <60 mmHg or pulse oximeter values <90%, http://www.mayoclinic.org/symptoms/hypoxemia/basics/definition/sym-20050930.