Survival from cardiac arrest due to sushi suffocation
	    		
		   		
		   			
		   		
	    	
    	 
    	10.5847/wjem.j.issn.1920-8642.2014.02.015
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Hifumi TORU
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Kiriu NOBUAKI
			        		
			        		;
		        		
		        		
		        		
			        		Kato HIROSHI
			        		
			        		;
		        		
		        		
		        		
			        		Koido YUICHI
			        		
			        		;
		        		
		        		
		        		
			        		Kuroda YASUHIRO
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Emergency Medical Center
			        		
		        		
	        		
        		 
        	
        	
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Food suffocation;
			        		
			        		
			        		
				        		Sushi;
			        		
			        		
			        		
				        		Cardiopulmonary arrest
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			World Journal of Emergency Medicine
	            		
	            		 2014;5(2):154-156
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	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.