title: Survival from cardiac arrest due to sushi suffocation.
abstract: BACKGROUND
  Sushi suffocation is relatively uncommon, and it is an unignorable cause of sudden death; however, no reports on sushi suffocation have been published.
  
  
  METHODS
  A 60-year-old man was referred to our hospital for post resuscitative intensive care. He had choked on sushi and collapsed in the dining room of a mental hospital. A nursing assistant summoned a physician who attempted to extract the sushi. External cardiac massage was initiated after 7 minutes had elapsed and followed by endotracheal intubation. Return of spontaneous circulation was achieved after 7 minutes of resuscitation. A bronchoscopy demonstrated a large amount of shari in the trachea and right bronchus, which was removed with alligator forceps and a wire basket.
  
  
  RESULTS
  Neurological recovery was evident on day 2 of admission. He was transferred back to the mental hospital with no neurological complications.
  
  
  CONCLUSIONS
  Emergency physicians should consider sushi suffocation, including its clinical features and management.
authors.affiliation: Emergency Medical Center, Kagawa University Hospital, Kita, Kagawa, 761-0793, Japan ; Division of Critical Care Medicine and Trauma, National Hospital Organization Disaster Medical Center, Tachikawa, Tokyo, 190-0014, Japan.
authors.forename: Toru
authors.initials: T
authors.lastname: Hifumi
authors.affiliation: Division of Critical Care Medicine and Trauma, National Hospital Organization Disaster Medical Center, Tachikawa, Tokyo, 190-0014, Japan.
authors.forename: Nobuaki
authors.initials: N
authors.lastname: Kiriu
authors.affiliation: Division of Critical Care Medicine and Trauma, National Hospital Organization Disaster Medical Center, Tachikawa, Tokyo, 190-0014, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kato
authors.affiliation: Division of Critical Care Medicine and Trauma, National Hospital Organization Disaster Medical Center, Tachikawa, Tokyo, 190-0014, Japan.
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Koido
authors.affiliation: Emergency Medical Center, Kagawa University Hospital, Kita, Kagawa, 761-0793, Japan.
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Kuroda
keywords: Cardiopulmonary arrest; Food suffocation; Sushi