Division of Otolaryngology, British Columbia's Children Hospital, University of British Columbia, Vancouver, British Columbia.
J Otolaryngol Head Neck Surg. 2009 Dec;38(6):646-51.
To evaluate the effectiveness of the BC Children's Hospital (BCCH) Safe Start Choking Prevention campaign, which began in 2002 and used newspaper, magazine, radio, and television interviews of parents, injury prevention experts, and physicians to educate the public about choking risks, prevention, and treatment (CRPT); to compare our campaign with other campaigns; and to determine if a new strategy is needed to educate the public about CRPT.
A retrospective analysis of the number of cases of laryngeal, bronchial, and esophageal foreign bodies (LBEFBs) that required rigid endoscopy under general anesthesia at BCCH and/or admission to BCCH was conducted. Data from January 1997 to December 2002 to January 2003 to December 2006 were compared. The world literature on choking prevention and analysis of barriers to CRPT public education was reviewed.
The data demonstrate the ineffectiveness of our traditional media campaign. The number of total operating room visits at BCCH for LBEFBs increased marginally after our choking prevention campaign began. Published reports from Israel and Crete indicate that educational campaigns that included direct teaching of CRPT by otolaryngologists and other health educators to parents and their children are effective; however, such campaigns would be difficult to replicate within larger populations.
A new strategy for CPRT public education is required. We are creating an animated video and a comprehensive, interactive website to teach CRPT to preteens, teenagers, and adults (with prospective validation of knowledge transfer and long-term outcome measurement).
评估 BC 儿童医院（BCCH）安全启动窒息预防运动的有效性，该运动始于 2002 年，利用报纸、杂志、广播和电视采访家长、伤害预防专家和医生，向公众宣传窒息风险、预防和治疗（CRPT）；将我们的运动与其他运动进行比较；并确定是否需要新的策略来教育公众有关 CRPT。
对 BCCH 进行全身麻醉下硬性内镜检查和/或入院治疗的喉部、支气管和食管异物（LBEFB）病例数进行回顾性分析。比较 1997 年 1 月至 2002 年 12 月至 2006 年 12 月的数据。审查了有关窒息预防的世界文献和 CRPT 公众教育障碍的分析。
数据表明我们传统媒体运动的无效性。我们的窒息预防运动开始后，BCCH 总手术室就诊人数略有增加。来自以色列和克里特岛的报告表明，由耳鼻喉科医生和其他健康教育家向父母和孩子直接教授 CRPT 的教育运动是有效的；然而，在更大的人群中很难复制此类运动。
需要制定 CPRT 公众教育的新策略。我们正在创建一个动画视频和一个全面的互动网站，向青少年、青少年和成年人教授 CRPT（具有知识转移和长期结果测量的前瞻性验证）。
