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October 1989, Vol 143, No. 10 >
Article | October 1989

Choking on a 'Large' Object: Applications for Regulation and Practice

ALAN F. MEYERS, MD, MPH; MARIE BOND, EDM
Am J Dis Child. 1989;143(10):1132-1133. doi:10.1001/archpedi.1989.02150220020006.
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Sir.—Choking on foreign bodies is a preventable cause of morbidity and mortality in small children. In 1985, small toys or their parts were responsible for 12 000 such injuries in the United States, with 18 fatalities reported during the period from January 1985 to September 1986.1 We describe a child who suffered near-fatal choking on an object considered "large" by current standards.

Patient Report.—A 10-month-old male infant and his 3-year-old sister were seen for well-child visits by their pediatrician, who administered the Denver Developmental Screening Test. That evening, their father found the infant thrashing about on the bed where he and his sister had been playing, his head extended and eyes rolled back. He felt a hard object in the child's mouth but was unable to remove it. The child became dusky and limp. After 2 to 3 minutes, a 2.5-cm wooden cube was dislodged. The child's

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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