Sand aspiration in a child: Extracorporeal membrane oxygenation (ECMO) as a new management tool
Bibliographic record
Abstract
Sand aspiration is rare in children. It is a potentially lethal injury, with outcomes ranging from full recovery to global cerebral asphyxia and death. The medical literature was searched for cases of sand aspiration in children, including mechanisms of injury and treatment methods. We found only ten reports of pediatric sand aspiration. The majority were treated with bronchoscopy and lavage. We present a unique case of sand aspiration in a ten-year-old boy caused by an accidental burial, which was successfully treated with bronchoscopy and extra-corporeal membrane oxygenation (ECMO) as a rescue therapy. This is the first ever case of the use of ECMO in the management of sand aspiration. We argue that ECMO is an effective and potentially life-saving measure in severe cases of sand aspiration requiring high ventilatory pressures allowing repeated bronchoscopies while resting the lungs.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".