What are end-organ effects of submersion injuries?

Pulmonary (Noncardiogenic edema and ARDS) Neuro (cerebral edema, high intracranial pressure) Cardiovascular (arrhythmia secondary to hypothermia and hypoxemia (sinus tachycardia, bradycardia and a.fib, takotsubo cardiomyopathy, CAD (spasm)) Renal (failure, tubular necrosis) Coagulation (hemolysis and coagulopathy) Acid-base (metabolic/respiratory acidosis)