Stories about: Critical Care Transport

Challenging Case: Aspiration of a Pretzel

pretzel aspirationA 2.5-year-old boy presented to South Shore Hospital Emergency Department (ED) during a severe snowstorm having aspirated a chocolate-covered pretzel.

On arrival he was awake and crying, but would begin falling asleep when not stimulated, raising fears of hypercarbia and impending respiratory failure. He was in severe respiratory distress, with suprasternal and subcostal retractions and biphasic stridor. He was tachycardic, tachypneic, with an oxygen saturation of 84 percent on room air. Prior to arrival, his mother had performed the Heimlich maneuver, and emergency medical services had administered racemic epinephrine to alleviate continued stridor and cough, with minimal improvement. …Read More

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