Simple Insights Into Convenient Tactics For Examination For Paediatrics

The third case involved a 2 year old who was snacking on grapes in the park when he started choking. Again, the grape proved impossible to dislodge, and an ambulance was called. Paramedics were on the scene within a minute and successfully cleared the airway. job interview skillsThe child suffered two seizures before reaching hospital and, on arrival, required emergency treatment to relieve swelling on his brain and to drain a build-up of watery fluid in his lungs. He spent five days in intensive care before making a full recovery. The airways of young children are small; they don’t have a full set of teeth to help them chew properly; their swallow reflex is underdeveloped; and they are easily distracted, all of which puts them at risk of choking, explain the authors. Grapes tend to be larger than a young child’s airway. And unlike small hard objects, such as nuts, the smooth soft surface of a grape enables it to form a tight seal in an airway, not only blocking this completely, but also making it more difficult to remove without specialist equipment, they emphasise. “There is general awareness of the need to supervise young children when they are eating and to get small solid objects, and some foods such as nuts, promptly out of the mouths of small children; but knowledge of the dangers posed by grapes and other similar foods is not widespread,” write the authors. While there are plenty of warnings on the packaging of small toys about the potential choking hazard they represent, no such warnings are available on foodstuffs, such as grapes and cherry tomatoes, they point out. As such, they advise that grapes and cherry tomatoes “should be chopped in half and ideally quartered before being given to young children (5 and under),” and emphasise “the importance of adult supervision of small children while they are eating.” ### Case report: The choking hazard of grapes: a plea for awareness About the journal Archives of Disease in Childhood is one of 60 specialist journals published by BMJ.try these out

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