Childhood Hazard: Choking on Food Persists07/29/13
MONDAY, July 29 (HealthDay News) -- About 34 children are
treated in U.S. emergency rooms every day for choking on food,
according to a new report, despite education campaigns and other
"It's a very common thing," said researcher Dr. Gary Smith, director of the Center for Injury Research and Policy at Nationwide Children's Hospital, in Columbus, Ohio.
With his colleagues, he looked at a national database, comparing
the numbers of choking injuries year by year. In 2001, about 10,400
U.S. children were treated in emergency departments for non-fatal
choking on food. From 2001 through 2009, the annual estimate was
about 12,400 children, aged 14 and under, Smith found.
The researchers tracked only non-fatal injuries, Smith said,
because the database used does not provide adequate information on
food-related choking deaths.
The average age of the children treated was 4.5 years old. The
age group of children from newborns to 4 years old accounted for
about 62 percent of the episodes.
Common foods involved were candy, meat, bone, fruits and
vegetables. The new study appears online July 29 and in the August
print issue of
The study is thought to be the first nationally representative
one to focus only on the non-fatal childhood food-related choking
treated in U.S. emergency departments over a period of many
"We think much more attention needs to be paid to food choking," Smith said. He points to safeguards used for toys -- such as labeling toys for age-appropriateness and other education -- and says some of the same strategies can help reduce childhood food choking.
Among the strategies Smith proposes are food labeling, public
education and redesign of certain foods. Food labels could warn
parents of choking hazards for young children, much like toy labels
One example of food redesign that has made a difference, he
said, is the redesign of the standard lollipop into a safety-type
pop with a looped handle and other features.
Combining strategies always gives a better result, he said. "We
know that labeling is one thing we can do, but we know from
experience, from other public health [efforts], labeling is not
effective as a standalone."
The study findings verify what emergency doctors already know,
said Dr. Rodney Baker, director of the division of emergency
medicine at Miami Children's Hospital. "There is this significant
number of children who have to go to the ER because they choked on
food," he said.
The list of common foods linked with choking found by Smith's
team sounds somewhat familiar, Baker said. He said he also often
treats children who have choked on nuts and sometimes need to have
a procedure called bronchoscopy to remove the inhaled food from the
What is needed to reduce childhood food choking, Baker said, is
"more training, more teaching, more awareness." Some of the choking
incidents are hard to prevent, he said, but parents can take simple
precautions. For instance, "If you are giving your kids a hot dog,
cut it lengthwise," he said. That will eliminate the cylindrical
shape that can be hazardous when eaten by young children.
Parents and grandparents like to give children finger foods,
Baker said, as they are convenient and easy for the kids to eat.
However, he suggested they take precautions and avoid foods that
are easy to choke on, such as grapes and nuts.
Smith said that parents and other caretakers could also take a
first aid or CPR class that includes instruction in how to handle a
To learn more about choking prevention in children, visit the
Childhood Injury Prevention Alliance.
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