Advertisement

Down syndrome people capable of learning and performing foreign body airway obstruction treatment algorithm

Published:March 20, 2018DOI:https://doi.org/10.1016/j.ajem.2018.03.044
      Foreign body airway obstruction (FBAO) is a preventable and potentially treatable cause of accidental death [
      • Perkins G.D.
      • Handley A.J.
      • Koster R.W.
      • Castrén M.
      • Smyth M.A.
      • Olasveengen T.
      • et al.
      European resuscitation council guidelines for resuscitation 2015. Section 2. Adult basic life support and automated external defibrillation.
      ]. Regarding FBAO, early intervention is usually successful; however, if the victim is unresponsive and cardiac arrest occurs, survival rate is very low [
      • Kinoshita K.
      • Azuhata T.
      • Kawano D.
      • Kawahara Y.
      Relationships between pre-hospital characteristics and outcome in victims of foreign body airway obstruction during meals.
      ]. As most chocking events are associated with eating and they are commonly witnessed, every citizen should be able to initiate the FBAO treatment algorithm that includes choking detection and, according to the victim's status, cough encouragement, giving back blows and abdominal thrusts and eventually starting cardiopulmonary resuscitation (CPR) [
      • Perkins G.D.
      • Handley A.J.
      • Koster R.W.
      • Castrén M.
      • Smyth M.A.
      • Olasveengen T.
      • et al.
      European resuscitation council guidelines for resuscitation 2015. Section 2. Adult basic life support and automated external defibrillation.
      ].
      To read this article in full you will need to make a payment
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The American Journal of Emergency Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Perkins G.D.
        • Handley A.J.
        • Koster R.W.
        • Castrén M.
        • Smyth M.A.
        • Olasveengen T.
        • et al.
        European resuscitation council guidelines for resuscitation 2015. Section 2. Adult basic life support and automated external defibrillation.
        Resuscitation. 2015; 95: 81-99
        • Kinoshita K.
        • Azuhata T.
        • Kawano D.
        • Kawahara Y.
        Relationships between pre-hospital characteristics and outcome in victims of foreign body airway obstruction during meals.
        Resuscitation. 2015; 88: 62-67
        • Chin C.J.
        • Khami M.M.
        • Husein M.
        A general review of the otolaryngologic manifestations of down syndrome.
        Int J Pediatr Otorhinolaryngol. 2014; 78: 899-904
        • Meyer C.
        • Thodoros D.
        • Hickson L.
        Management of swallowing and communication difficulties in down syndrome: a survey of speech-language pathologists.
        Int J Speech Lang Pathol. 2017; 19: 87-98
        • Rodríguez-Núñez A.
        • Regueiro-García A.
        • Jorge-Soto C.
        • Cañas-González J.
        • Leboráns-Inglesias P.
        • García-Crespo O.
        • et al.
        Quality of chest compressions by down syndrome people: a pilot trial.
        Resuscitation. 2015; 89: 119-122
        • Jorge-Soto C.
        • Barcala-Furelos R.
        • Gomez-Gonzalez C.
        • Leboráns-Iglesias P.
        • Campos-Varela I.
        • Rodriguez-Nuñez A.
        Brief trainig in automated external defibrillation use for persons with down syndrome.
        Resuscitation. 2017; 113: e5-6
        • De Graaf G.
        • Van Hove G.
        • Haveman M.
        A quantitative assessment of educational integration of students with down syndrome in the Netherlands.
        J Intellect Disabil Res. 2014; 58: 625-636
        • Nash H.
        • Heath J.
        The role of vocabulary, working memory and inference making ability in reading comprehension in Down syndrome.
        Res Dev Disabil. 2011; 32: 1782-1791
        • Visu-Petra L.
        • Benga O.
        • Tincaş I.
        • Miclea M.
        Visual-spatial processing in children and adolescents with Down's syndrome: a computerized assessment of memory skills.
        J Intellect Disabil Res. 2011; 51: 942-952
        • Lanfranchi S.
        • Baddeley A.
        • Gathercole S.
        • Vianello R.
        Working memory in down syndrome: is there a dual task deficit?.
        J Intellect Disabil Res. 2012; 56: 157-166