Annals of Emergency Medicine
Volume 41, Issue 2 , Pages 223-226, February 2003

“Suffocation roulette”: A case of recurrent syncope in an adolescent boy

Department of Pediatrics, Dana Children's Hospital, Tel Aviv Sourasky Medical Center, Affiliated to Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Israel

Received 24 July 2002; received in revised form 26 August 2002; accepted 5 September 2002.

Abstract 

We present the case of a 12-year-old boy admitted with a complaint of recurrent syncopal episodes. A careful history taking revealed the cause of the syncopal episodes to be a dangerous game played by adolescents called “suffocation roulette.” We believe that recognition of this game as a possible cause of syncopal events, together with prompt educative intervention, might prevent adolescent morbidity and mortality and also might eliminate the need for unnecessary medical investigations. [Ann Emerg Med. 2003;41:223–226.]

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 Address for reprints: Gil Z. Shlamovitz, MD, Department of Pediatrics, Dana Children's Hospital, Tel Aviv Sourasky Medical Center, 6 Weizmann Street, Tel Aviv 64239, Israel; E-mail gilshla@netvision.net.il.

PII: S0196-0644(02)84972-1

doi:10.1067/mem.2003.49

Annals of Emergency Medicine
Volume 41, Issue 2 , Pages 223-226, February 2003