Did You Know?!
In the European Union each year, an estimated 2,000 children (14 years or younger) choke on a toy.[Ref:34]
Peanuts create more bronchial inflammation than any other food. Even small nut fragments can be inhaled past the vocal cords.
As Dr. Chevalier Jackson stated (over 100 years ago), after a nut enters a toddler’s mouth, one of three things can happen: the nut can be spat out, it can swallowed whole, or it can be inhaled into a bronchus. Toddlers can not grind a nut (or even a nut fragment) to a paste, to allow safe swallowing.
For the prevention of peanut allergies, ONLY thinned, smooth peanut butter (or puffs or thin puree) should be given to infants.
No crunchy peanut butter – or solid nuts or nut fragments – should be given to children until at least 3 years of age.
When a piece of a nut (or another organic or plastic foreign body) partially blocks a bronchus, a plain (Inspiratory) chest Xray usually looks normal.
Please see A Problem with Xrays for more information.
Optical "Peanut" forceps were designed specifically for the removal of bronchial peanuts. Even with gentle technique, bronchial nuts fragment easily. A more recently designed forceps is shown in the "Bronchial Crayon" extraction case.