Article ; Online: Accidental strangulation in children by the automatic closing of a car window.
Revista Brasileira de terapia intensiva
2018 Volume 30, Issue 1, Page(s) 112–115
Abstract: Among the main causes of death in our country are car accidents, drowning and accidental burns. Strangulation is a potentially fatal injury and an important cause of homicide and suicide among adults and adolescents. In children, its occurrence is ... ...
| Title translation | Estrangulamento acidental em crianças por fechamento automático de vidro de carro. |
|---|---|
| Abstract | Among the main causes of death in our country are car accidents, drowning and accidental burns. Strangulation is a potentially fatal injury and an important cause of homicide and suicide among adults and adolescents. In children, its occurrence is usually accidental. However, in recent years, several cases of accidental strangulation in children around the world have been reported. A 2-year-old male patient was strangled in a car window. The patient was admitted to the pediatric intensive care unit with a Glasgow Coma Scale score of 8 and presented with progressive worsening of respiratory dysfunction and torpor. The patient also presented acute respiratory distress syndrome, acute pulmonary edema and shock. He was managed with protective mechanical ventilation, vasoactive drugs and antibiotic therapy. He was discharged from the intensive care unit without neurological or pulmonary sequelae. After 12 days of hospitalization, he was discharged from the hospital, and his state was very good. The incidence of automobile window strangulation is rare but of high morbidity and mortality due to the resulting choking mechanism. Fortunately, newer cars have devices that stop the automatic closing of the windows if resistance is encountered. However, considering the severity of complications strangulated patients experience, the intensive neuro-ventilatory and hemodynamic management of the pathologies involved is important to reduce morbidity and mortality, as is the need to implement new campaigns for the education of parents and caregivers of children, aiming to avoid easily preventable accidents and to optimize safety mechanisms in cars with electric windows. |
| MeSH term(s) | Accidents ; Asphyxia/etiology ; Asphyxia/therapy ; Automobiles ; Child, Preschool ; Glasgow Coma Scale ; Humans ; Intensive Care Units ; Male ; Pulmonary Edema/etiology ; Pulmonary Edema/therapy ; Respiration, Artificial ; Respiratory Distress Syndrome, Adult/etiology ; Respiratory Distress Syndrome, Adult/therapy ; Shock/etiology ; Shock/therapy ; Treatment Outcome |
| Language | Portuguese |
| Publishing date | 2018-05-09 |
| Publishing country | Brazil |
| Document type | Case Reports ; Journal Article |
| ZDB-ID | 2732162-9 |
| ISSN | 1982-4335 ; 0103-507X |
| ISSN (online) | 1982-4335 |
| ISSN | 0103-507X |
| DOI | 10.5935/0103-507x.20180017 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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