Risk Management and Recommendations for the Prevention of Fatal Foreign Body Aspiration: Four Cases Aged 1.5 to 3 Years and Mini-Review of the Literature
| Autor: | Federica Colosimo, Alessandro Feola, Nunzio Di Nunno, Giulio Di Mizio, Emilpaolo Manno, Alessio Asmundo, Monica Salerno, Raffaele Serra, Filomena Casella, Angelo Montana |
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| Přispěvatelé: | Montana, A., Salerno, M., Feola, A., Asmundo, A., Di Nunno, N., Casella, F., Manno, E., Colosimo, F., Serra, R., Di Mizio, G. |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
health promotion Health Toxicology and Mutagenesis medicine.medical_treatment lcsh:Medicine Review Community 03 medical and health sciences foreign body aspiration 0302 clinical medicine Heimlich Maneuver autopsy children prevention Health care Medicine Humans 030212 general & internal medicine Cardiopulmonary resuscitation 030223 otorhinolaryngology Children Retrospective Studies Risk Management business.industry Foreign body aspiration Public health Prevention lcsh:R Public Health Environmental and Occupational Health Infant medicine.disease Foreign Bodies Airway Obstruction Health promotion Food Family medicine Child Preschool community Autopsy Foreign body business Choking |
| Zdroj: | International Journal of Environmental Research and Public Health, Vol 17, Iss 4700, p 4700 (2020) International Journal of Environmental Research and Public Health |
| ISSN: | 1661-7827 1660-4601 |
| Popis: | (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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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