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Saving a child’s life in an accident with a backpack strap wrapped around his neck

Recently, City Children’s Hospital received a case of a 2-year-old female child, living in Vinh Loc B, Binh Chanh, Ho Chi Minh City. Taking the medical history recorded on the afternoon of the same day of admission, the child was playing at the nursery, approached the backpack with a string hanging on the wall, played, accidentally put his head in the backpack strap around his neck, the child turned to make a three rope The backpack strangled the child, the child tried to get out, but turned around and continued to make the backpack cord wrap more, the girls discovered in time to remove the backpack strap from the child’s neck and quickly brought it to the City Children’s Hospital. Here, the doctors noted that the child was cyanotic, lethargic, comatose, stiff limbs, rolled eyes, weak breathing, haemorrhagic spots around the eyes, forehead on both cheeks, skin abrasions on the P neck area 4 cm long, 0.5 wide. cm. Children were diagnosed with daily life accidents due to backpack straps wrapped around their necks, respiratory failure, cerebral hypoxia, intubated to help with breathing, anti-convulsions, anti-brain edema with mannitol 20% and sodium chloride 0.9%, Adjust water electrolytes, antibiotics. Arterial blood gas test showed metabolic acidosis, liver damage (AST/ALT 256/253 units/L), bicarbonate compensation and liver support. Results after more than 1 week of treatment, the child’s condition improved gradually, was weaned from the ventilator, breathed oxygen, then breathed fresh air, sober and well fed.

A 2-year-old female child with a life-threatening accident was diagnosed with a daily-life accident caused by a backpack strap wrapped around her neck, and was actively treated with mechanical ventilation, anti-convulsant, and anti-cerebral edema.
A 2-year-old female child with a life-threatening accident was diagnosed with a daily-life accident caused by a backpack strap wrapped around her neck, and was actively treated with mechanical ventilation, anti-convulsant, and anti-cerebral edema.

Through this case, we remind parents in the coming summer, in addition to taking care of the prevention of dengue fever, hand, foot and mouth disease, etc., parents should pay attention to any accidents in the home and kindergarten that may happen any accident. At all times, there should always be someone to look after children, especially children under 3 years old. Every year in the summer, City Children’s Hospital receives children from suffocation, bee stings, snake bites, burns, electric shocks, wrong chemicals, foreign bodies in the airways, choking on milk, choking on porridge, accidents and falls. , injuries caused by sharp objects, etc., so parents with young children are very careful to design a “safe house” for children to “play and mess around” without much worry.

  Save the lives of two cases of hemorrhagic fever shock with severe respiratory failure
After more than 1 week of treatment, the child's condition improved gradually, was weaned from the ventilator, breathed fresh air, was awake and fed well
After more than 1 week of treatment, the child’s condition improved gradually, was weaned from the ventilator, breathed fresh air, was awake and fed well

Doctor of CK2 Nguyen Minh Tien
City Children’s Hospital


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