Nonfatal choking-related episodes among children--United States, 2001

    Insights

    Choking is a significant risk for children, with over 17,000 treated in emergency departments in 2001. Candy, gum, and coins were common culprits, highlighting the need for parental awareness and prevention strategies.

    Area of Science:

    • Pediatrics
    • Public Health
    • Emergency Medicine

    Background:

    • Choking hazards from food and nonfood items pose a significant risk to children.
    • In 2000, 160 children under 14 died from foreign body airway obstruction, with nonfood items causing 59% of these fatalities.

    Purpose of the Study:

    • To analyze nonfatal choking-related episodes in children treated in U.S. hospital emergency departments (EDs) in 2001.
    • To identify common food and nonfood substances involved in pediatric choking incidents.

    Main Methods:

    • Utilized data from the National Electronic Injury Surveillance System-All Injury Program (NEISS-AIP).
    • Analyzed emergency department visits for children aged 14 years and younger for choking-related episodes in 2001.

    Main Results:

    • An estimated 17,537 children were treated in EDs for choking-related episodes in 2001.
    • Candy/gum (19.0%) and coins (12.7%) were the most frequent causes of nonfatal choking episodes.

    Conclusions:

    • Parents and caregivers need awareness of common choking hazards for children.
    • Education on risk reduction and first aid for choking is crucial for child safety.

    Related Concept Videos

    Pharmaceutical Poisoning: Potential Scenarios01:26

    Pharmaceutical Poisoning: Potential Scenarios

    Pharmaceutical poisoning can occur through various channels, impacting an estimated 2 million hospitalized patients in the U.S. annually with serious adverse drug responses. These scenarios encompass both therapeutic uses, such as drug toxicity, where even standard dosages can lead to severe central nervous system depression, and non-therapeutic exposures, including accidental ingestion by children, and environmental and occupational exposures.Unintentional poisonings often involve exploratory...
    Pyloric Obstruction01:11

    Pyloric Obstruction

    Pyloric obstruction, also referred to as gastric outlet obstruction, is a condition characterized by narrowing or blockage at the pylorus—the muscular valve regulating the flow of stomach contents into the duodenum. When this passage becomes impaired, the stomach cannot effectively empty its contents into the small intestine. This disruption leads to a range of gastrointestinal symptoms, including early satiety, bloating, epigastric pain, postprandial nausea, persistent vomiting, and...
    Esophageal Strictures-I: Introduction01:30

    Esophageal Strictures-I: Introduction

    Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
    Etiology
    The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
    Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

    Cardiopulmonary Resuscitation II: ACLS Airway Management

    Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...
    Esophageal Perforation-II: Clinical Manifestations and Management01:28

    Esophageal Perforation-II: Clinical Manifestations and Management

    Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
    Clinical Manifestations:
    Drug Dosing: Infants and Children01:29

    Drug Dosing: Infants and Children

    Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...