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EM VivasForeign body ingestion and aspiration

EM Vivas · Foreign body ingestion and aspiration

Button battery and aspirated peanut

Viva on battery emergency and rigid bronchoscopy.

clinical1 min readVerification in progress

Target exams

ACEMFRCEMABEM
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Study tools

Target exams

ACEMFRCEMABEM
Prompt
Toddler drooling after possible disc ingestion; second child with monophonic wheeze after choking on peanut. Management priorities?

Interpretation

Reveal interpretationShowHide

Radiograph for halo/step-off. Oesophageal battery = OGD within 2 hours; honey bridge if eligible. Peanut aspiration: calm, oxygen, rigid bronchoscopy even if CXR normal. Two magnets = emergency. No blind sweep.[1][2][3][4][5]

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References5ShowHide
  1. [1]Litovitz T, Whitaker N, Clark L, White NC, Marsolek M. Emerging battery-ingestion hazard: clinical implications. Pediatrics, 2010.PMID 20498173
  2. [2]Kramer RE, Lerner DG, Lin T, et al. Management of ingested foreign bodies in children: a clinical report of the NASPGHAN Endoscopy Committee. Journal of Pediatric Gastroenterology and Nutrition, 2015.PMID 25611037
  3. [3]Cole S, Wilkinson S, Kubba H Rigid bronchoscopy is the gold standard management of inhaled foreign bodies in children: myth or maxim? Breathe, 2026.PMID 42344147
  4. [4]Nezhentsev A, Neville JJ, Hall NJ Diagnosis and management of paediatric magnet ingestion: a systematic review of clinical practice guidelines. Emerg Med J, 2026.PMID 41381185
  5. [5]Bieliński JR, Huntley R, Dunne CL, et al. Do We Actually Help Choking Children? The Quality of Evidence on the Effectiveness and Safety of First Aid Rescue Manoeuvres: A Narrative Review. Medicina (Kaunas), 2024.PMID 39597012
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