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If oral rehydration fails or mental status changes occur, patients should seek emergency services without delay

Nat Rev Cardiol 10(9):531547 Verdonschot JAJ, Hazebroek MR, Derks KWJ, Barandiarn Aizpurua A, Merken JJ, Wang P, Bierau J, van den Wijngaard A, Schalla SM, Abdul Hamid MA, van Bilsen M, van Empel VPM, Knackstedt C, Brunner-La Rocca HP, Brunner HG, Krapels IPC, Heymans SRB (2018) Titin cardiomyopathy leads to altered mitochondrial energetics, increased fibrosis and long-term life-threatening arrhythmias

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Hildebrand TM, Nunes Nesi A, Arajo WL, Braun HP

So that, to me, is pretty strong evidence

Pulmonary aspiration happens when food or stomach contents are inhaled into the lungs