Dear Editor,

I read the article by Skulec et al. “Rescuer fatigue does not correlate to energy expenditure during simulated basic life support,” with great interest. (1) Although conventional cardiopulmonary resuscitation (CCPR) has been considered a standard CPR method since 1960, compression-only CPR (COCPR) has emerged as an alternative method to CCPR because of some evidence favoring COCPR. (2,3)

Therefore, numerous studies have attempted to determine whether COCPR could indeed improve the quality of CPR. A systematic review of these studies confirmed several obvious differences. (4)

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Foreign body (FB) ingestion in pediatrics is a worldwide problem of significant relevance especially for children aged 6 months-3 years. (1,2) We have performed a retrospective collaborative study to evaluate features and outcomes of FB ingestions in all 0-to-18-year-old patients from January 2001 to December 2012 in our polyclinic. Our evaluation was performed using the GIPSE database, recording and tabulating patient’s age and sex, hours and month of admission to the emergency department, type of FB ingested, symptoms, examinations performed, advice required, type of therapy, and data about eventual hospitalization, in a specific database.

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Asphyxia is a major cause of cardiac arrest in children, (1-3) therefore restoring the airway and ensuring adequate oxygenation of the patient are essential life-saving procedures. (3,4) According to the 2010 guidelines of the European Resuscitation Council (ERC), the gold standard for airway management during resuscitation for both adults and children is endotracheal intubation (ETI). (1)

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