Survival from cardiac arrest due to sushi suffocation.

Autor: Hifumi T; Emergency Medical Center, Kagawa University Hospital, Kita, Kagawa, 761-0793, Japan ; Division of Critical Care Medicine and Trauma, National Hospital Organization Disaster Medical Center, Tachikawa, Tokyo, 190-0014, Japan., Kiriu N; Division of Critical Care Medicine and Trauma, National Hospital Organization Disaster Medical Center, Tachikawa, Tokyo, 190-0014, Japan., Kato H; Division of Critical Care Medicine and Trauma, National Hospital Organization Disaster Medical Center, Tachikawa, Tokyo, 190-0014, Japan., Koido Y; Division of Critical Care Medicine and Trauma, National Hospital Organization Disaster Medical Center, Tachikawa, Tokyo, 190-0014, Japan., Kuroda Y; Emergency Medical Center, Kagawa University Hospital, Kita, Kagawa, 761-0793, Japan.
Jazyk: angličtina
Zdroj: World journal of emergency medicine [World J Emerg Med] 2014; Vol. 5 (2), pp. 154-6.
DOI: 10.5847/wjem.j.1920-8642.2014.02.015
Abstrakt: Background: Sushi suffocation is relatively uncommon, and it is an unignorable cause of sudden death; however, no reports on sushi suffocation have been published.
Methods: A 60-year-old man was referred to our hospital for post resuscitative intensive care. He had choked on sushi and collapsed in the dining room of a mental hospital. A nursing assistant summoned a physician who attempted to extract the sushi. External cardiac massage was initiated after 7 minutes had elapsed and followed by endotracheal intubation. Return of spontaneous circulation was achieved after 7 minutes of resuscitation. A bronchoscopy demonstrated a large amount of shari in the trachea and right bronchus, which was removed with alligator forceps and a wire basket.
Results: Neurological recovery was evident on day 2 of admission. He was transferred back to the mental hospital with no neurological complications.
Conclusion: Emergency physicians should consider sushi suffocation, including its clinical features and management.
Databáze: MEDLINE
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