Which statement about positional asphyxia is correct?

• A. It is a serious complication of improper restraint
• B. It occurs only in infants
• C. It is preventable with more restraint
• D. It is a normal physiological response

Answer: (A)

Positional asphyxia happens when a person’s position interferes with their ability to breathe, often during restraint when chest movement is restricted or the head/neck are positioned in a way that narrows the airway. This is a serious, potentially fatal complication that can occur with improper restraint, not just in a specific age group. It’s not prevented by applying more restraint—actually, extra restraint can worsen breathing. It’s not a normal physiological response; it’s an injury risk created by positioning, so prevention relies on safe restraint techniques, limiting time in restrictive positions, and closely monitoring breathing and airway safety.