Choking Among Infants and Young Children (original) (raw)
Related papers
Accidental Choking in Children: An Area To Be Focused on
Cureus, 2022
Choking is one of the important modes of death in young children who are dying of unintentional injuries. Anatomical and physiological characteristics while eating could increase the incidence of choking in children under four years. Here, we have described two classical cases of choking in young children and discussed the important areas to be addressed. Parental awareness and education will be the important strategy that can prevent the incidence of choking.
Universal Journal of Public Health, 2023
Introduction: World Health Organization (WHO) reports show that choking is a leading cause of unintentional death complicated by respiratory tract obstruction in both children and adults. Objectives: We aimed to measure choking prevalence and the correct knowledge regarding its management in United Arab Emirates (UAE). Methods: A cross-sectional study was conducted among 404 adults ≥18 years across public places in the UAE. People with swallowing-related medical problems were excluded. Data about the prevalence, knowledge, and management of choking were collected using a self-administered questionnaire. Results: Among the participants, 43.3% (175) of adults experienced choking and 52.7% (212) witnessed a by-standing choking episode in an adult due to food. Only 23.7% (94) correctly knew that putting hands around the throat is the most appropriate sign of choking. Forty-seven percent (188) of participants correctly identified coins as the most dangerous item a child can choke on. Moreover, 62.7% (251) knew that choking management differs between children and adults where 63.0% (254) correctly chose applying pressure on the stomach for adults and 84.8% (341) correctly chose to hit on the back for children. Male gender, lower age, and lower education were identified as the factors associated with lower knowledge of choking. Conclusion: Altogether, the exact knowledge of choking and management techniques is insufficient. We recommend awareness campaigns, specifically targeting men, younger adults, and illiterate people.
Non-fatal asphyxiation and foreign body ingestion in children 0-14 years
Injury Prevention, 1997
Objectives-To examine the frequency and nature of non-fatal asphyxiation and foreign body ingestion injuries among children in the state of Victoria, Australia, and to identify possible areas for prevention. Methods-For children under 15 years, all Victorian public hospital admissions, July 1987 to June 1995, due to asphyxiation or 'foreign body entering through other orifice' (which includes ingestions), were reviewed. Emergency department presentations due to asphyxiation and foreign body ingestion provided information on circumstances of, and the type of foreign bodies involved in the injuries. Results-The childhood average annual admission rate for asphyxiation was 15.1 per 100 000. Food related asphyxiation peaked in infants under 1 year, and declined to low levels by 3 years. The main foods involved were nuts, carrot, apple, and candy. The rate of non-food related asphyxiation was relatively constant to 3 years of age and then declined by 6 years. Mechanical suffocation was less common. The annual admission rate for 'foreign body entering through other orifice' was 31.7 per 100 000. These injuries peaked in 2-3 year olds then gradually declined. About 80% of these foreign body admissions were ingestions, with coins being the major object ingested. Admission rates for these causes remained constant over the eight years. Asphyxiation resulted in a higher proportion admitted and longer hospital stays. Conclusions-Prevention of suffocation and strangulation needs to focus on a safe sleeping environment and avoidance of ropes and cords, while foreign body asphyxiation and ingestion needs a focus on education of parents and child carers regarding age, appropriate food, risk of play with coins, and other small items. Legislation for toy small parts could be extended to those used by children up to the age of 5 years, and to other products marketed for children. Design changes and warning labels also have a place in prevention.
Foreign body ingestion and aspiration at a pediatric center in northern Iran
Caspian Journal of Pediatrics (CJP) Babol University of Medical Sciences, 2020
Background: Aspiration or ingestion of foreign bodies (FBs) is a common health problem leading to hospitalization of children around the world. The purpose of this study was to detect the FBS of aspirated or swallowed in children. Methods: The present cross-sectional descriptive-analytical study was conducted on 77 hospitalized children due to FBs aspirated or swallowed from 2008 to 2013 at Amirkola Children's Hospital. Information including demographic profile, type of FBs and their location, clinical manifestations, treatment used and possible complications were extracted from their medical records, and the data were analyzed. Results: Out of 76 cases, 51 (67.1%) were boys; 47.4% of children were 1-2 years old (mean age 2.6±2.2 years), and 67.1% of the bodies were in the gastrointestinal tract. The most common FBs were foodstuff (42.1%), metallic bodies (39.5%) and non-metallic bodies (18.4%), respectively. The most common symptoms were cough (84%) in respiratory FBs and vomiting (57%) in gastrointestinal FBs. The mean duration of hospitalization was 74.8±57.1 hours in gastrointestinal FBs and 126.7±56 hours in respiratory FBs. There was a significant statistical relationship between location of FBs (p=0.000) and type of swallowed or aspirated bodies (p=0.041) with the duration of hospitalization. No mortality was observed. Conclusions: Findings show that foodstuffs are the most abundant FBs aspirated or swallowed in children aged 1-2 years. Obviously, educating parents and caregivers to take required care of children, especially while eating in this particular age group, is a key element in reducing such injuries.
On choking and ingestion hazards for children in the United States
arXiv: Applications, 2019
The risks of Unintentional Suffocation injuries in the U.S. must be reconsidered in view of the existent mortality and morbidity statistics. In particular, fatal injuries due to the Sudden Unexpected Infant Death Syndrome [SUIDS] should be treated on their own and separated from this group. Because of a non-appropriate nomenclature, the risks of injuries due to Aspiration and/or Ingestion of Foreign Bodies have been overestimated in the recent decades, and should be reconsidered by a factual scrutiny of the statistical data.
Risk Anal, 1995
I Inchcape Testing Services, Risk Analysis & Management, 195 Anderson Ave., Moonachie, New Jersey 07074. a strategy addressing issues surrounding the detectability of lodged aspirated or ingested foreign objects. 2. COLLECTION OF INJURY DATA To build a significant statistical base for data collection, The Small Parts Research Project recruited a number of children's hospitals in the United States and Canada to submit data on aspiration and choking incidents. The total nonfood, nonliquid injury incident count totaled 91 9, while aspiration and ingestion injuries due to food accounted for 418 more incidents. Of the 919 nonfood, object-related injuries, 15 were not identified, seven were caused by teeth or other dental items, and three were caused by medical devices.
International Journal of Environmental Research and Public Health
(1) Background: Foreign body aspiration (FBA) is a significant public health concern among the pediatric population, and fatalities are dramatic for families. It typically involves organic foreign bodies (mainly food) aspirated by children under three years old, usually at home or school. This review aimed to focus on the preventive measures around four actual cases of fatal foreign body aspiration, emphasizing the correct execution of the Heimlich maneuver and cardiopulmonary resuscitation, supervised mealtimes, and high-risk foods. (2) Methods: Four fatal cases of foreign body aspiration in children are presented here. The children were in a free environment, such as school, home, and the countryside, and were in the presence of teachers, parents, and a grandmother who did not supervise the children adequately. A literature review was performed via the MEDLINE database using the key terms: "foreign body aspiration," "infant choking, 1.5 to 3 years," "food and foreign body aspiration," "common household," "prevention of foreign body aspiration," "guidelines," "recommendations," "training of caregivers (parents, educators)," "resuscitation," "Heimlich maneuver," and "disengagement of the upper airways." We focused on the prevention of foreign body aspiration. (3) Results: a complete postmortem examination was performed. In three cases, the foreign bodies were food (mozzarella cheese, pear, or raw bean), while in one case, the foreign body was a pebble. (4) Conclusions: This review aimed to discuss recent scientific literature and provide a perspective on the benefits of a dedicated approach to the management of fatal foreign body aspiration in children by caregivers who usually have no experience with the best ways of supervising children in a safe environment, especially regarding the correct execution of resuscitation maneuvers, such as the Heimlich maneuver. Recommendation updates could improve healthcare quality in a pediatric setting and reduce medico-legal implications.
Choking – A Public Health Problem- Are We Prepared?
Indian Journal of Community Health
Choking or acute airway obstruction is the emergency condition which is usually first dealt by general public and only then by health professionals. It has been documented in literature that educating the public about choking hazards and its management can positively affect the incidence of choking events and mortality. (1) In the developed countries, Basic Life Support (BLS) courses and First Aid courses are routinely done by public and are aggressively pursued by government and health care givers but in India there is no such uniform program. Indian Society of Anesthesiologists (ISA) has developed indigenous CPR guidelines and they are also organizing affordable nationwide CPR training modules, at present their program does not deal with the choking, but hopefully as their program will gain more acceptance, they will also incorporate choking modules. (2) Etiology of choking varies according to the age group and different preventive and management strategies are required for differ...
Children Deaths Due to Foreign Body Aspiration
2022
Background: Foreign body aspiration (FBA) in childhood is a common and fatal accident. This study aimed to investigate the prevalence and epidemiological characteristics of pediatric patients who have died as a result of foreign body aspiration between 2005-2014 in XXXXXXX/XXXXX. Methods: In this retrospective study, medicolegal reports of pediatric cases who died as a result of foreign body aspiration and were autopsied between 2005 and 2014 and were examined by the xxxxxxx Forensic Medicine Institute. The analysis of the research data was done with the Statistical Package for the Social Sciences Results: A total of 6309 forensic autopsies were performed between the years examined, 0.8% (n=51) of them were child deaths due to foreign body aspiration. The average age of the cases was found to be 2.10 ± 2.90, 90.2% of them are in the 0-4 age range. 60.8% of the cases are male. 82.4% of the aspiration material is vegetative products. In terms of foreign body localization, obstruction was found in both main bronchus distal in 45.1% of the cases. Conclusion: It is thought that increasing the awareness of parents and professional caregivers against foreign body aspiration and having received first aid training may lead to a decrease in the incidence and mortality rates.
Injury Prevention, 2010
children. The size, shape, type and site of arrest of the FB lead to variability in the clinical picture. The present study included data from 65 cases of FB inhalation presenting over 1 year at the Children's Hospital Gutierrez, Buenos Aires, Argentina, compared with information from four well-known published case series chosen as representative of other cultural and geographical backgrounds: the USA, Europe, North Africa (Egypt) and Asia (India). The mean age of children studied was 4.03 years. Injuries happened mainly at home (53 cases [81.54%]) and under adult supervision (59 cases [90.77%])