Editing Choking (section)

=== Respiratory ===
Initial respiratory symptoms can include involuntary cough, gurgling, gagging, shortness of breath, labored breathing, or wheezing.<ref>{{Cite web |title=Choking Definition, Symptoms, Causes, First Aid, Heimlich Maneuver |url=https://www.emedicinehealth.com/choking/article_em.htm |access-date=2022-09-12 |website=eMedicineHealth |language=en}}</ref> Children often present with excessive drooling and [[stridor]] (high pitched breathing sounds).<ref name=":22"/> Classic triad of choking symptoms in children is coughing, wheezing, and diminished breath sounds, however, a 10-year review showed that this grouping of symptoms was present together in only about 60% of patients.<ref>{{Cite journal |last1=Tan |first1=H. K. |last2=Brown |first2=K. |last3=McGill |first3=T. |last4=Kenna |first4=M. A. |last5=Lund |first5=D. P. |last6=Healy |first6=G. B. |date=2000-12-01 |title=Airway foreign bodies (FB): a 10-year review |url=https://pubmed.ncbi.nlm.nih.gov/11115682/ |journal=International Journal of Pediatric Otorhinolaryngology |volume=56 |issue=2 |pages=91–99 |doi=10.1016/s0165-5876(00)00391-8 |issn=0165-5876 |pmid=11115682}}</ref>

Loss of consciousness may occur if breathing is not restored. In the setting of lower airway aspiration, patients may develop pneumonia like symptoms such as fever, chest pain, foul smelling sputum, or blood in sputum (hemoptysis). In the case of long term foreign body aspiration, patients may present with signs of lobar pneumonia or pleural effusion.<ref name=":83" />

The time a choking victim is still alive without [[Brain injury|brain damage]]<ref>{{Cite web |date=2021-04-06 |title=How Long Can the Brain Be without Oxygen before Brain Damage? |url=https://infobloom.com/how-long-can-the-brain-be-without-oxygen-before-brain-damage.htm |archive-url=https://web.archive.org/web/20210406211957/https://infobloom.com/how-long-can-the-brain-be-without-oxygen-before-brain-damage.htm |archive-date=2021-04-06 |access-date=2021-05-22}}</ref> can vary, but typically brain damage can occur when the patient remains without air for approximately three minutes (it is variable). Death can occur if breathing is not restored in six to ten minutes (varies depending on the person). However, life can be extended by using [[#Unconscious victims|cardiopulmonary resuscitation for unconscious victims of choking]] (see more details further below).