Survival from cardiac arrest due to sushi suffocation  

作　　者：Toru Hifumi Nobuaki Kiriu Hiroshi Kato Yuichi Koido Yasuhiro Kuroda 

机构地区：[1]Emergency Medical Center, Kagawa University Hospital [2]Division of Critical Care Medicine and Trauma, National Hospital Organization Disaster Medical Center

出　　处：《World Journal of Emergency Medicine》2014年第2期154-156,共3页世界急诊医学杂志（英文）

摘　　要：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.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 clinica features and management.

关 键 词：Food suffocation SUSHI Cardiopulmonary arrest 

分 类 号：R541[医药卫生—心血管疾病]