Skip to main content
MedVellum
QuestionsVideosPricing

MedVellum

Fellowship exam preparation across every specialty: source-verified topics, questions in every format, and videos.

Product

  • Specialties
  • Questions
  • Videos
  • Exam tools
  • Pricing

Verification & policy

  • Verified register
  • Editorial policy
  • Privacy
  • Terms

Account

  • Sign in
  • Create account
  • Dashboard
  • Account & billing

© 2026 MedVellum. For education only — not a substitute for clinical judgement.

llms.txtPsychiatry LLM catalogSitemap

Paeds Casesacute-care-resuscitation-and-toxicology

Paeds Cases · acute-care-resuscitation-and-toxicology

Two hours, not two days — button-battery and magnet ingestion

A bedside structured clinical encounter testing recognition of a child with a suspected oesophageal button battery, securing the airway, taking the localising radiograph and identifying the halo sign, leading the two-hour endoscopic removal pathway, giving the honey adjunct in the eligible child with its limits, anticipating the multiple-magnet counterpoint, recognising delayed complications, communication, safeguarding in parallel, handover and disposition.

structured clinical encounter (resuscitation leadership)4 min readVerification in progress

Target exams

RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
On this page
Study tools

Target exams

RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
A three-year-old child is brought to the acute assessment area drooling and refusing drinks after a remote control was found missing a battery, with a soft stridor at rest.

Station status

This is one MedVellum formative structured clinical encounter. The scoring, prompts and performance descriptions are educational feedback tools. They are not an official college station, timing, mark allocation, pass score or reproduced examination format. The encounter assesses first-impression recognition, leadership of resuscitation, securing the airway, taking the localising radiograph and identifying the halo sign, leading the two-hour endoscopic removal pathway, giving the honey adjunct in the eligible child with its limits, anticipating the multiple-magnet counterpoint, recognising delayed complications, communication, reassessment, escalation and safe transfer of information. [1] [2]

Paediatrics Fellowship Pro

Continue reading

You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship library.

Sign in to continueSee pricing
References6ShowHide
  1. [1]Mubarak A, Benninga MA, Broekaert I, et al. Diagnosis, Management, and Prevention of Button Battery Ingestion in Childhood: A European Society for Paediatric Gastroenterology Hepatology and Nutrition Position Paper Journal of pediatric gastroenterology and nutrition, 2021.PMID 33555169
  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. [5]Goh S, Siu JM, Philteos J, et al. Pediatric Esophageal Button Battery Protocol Reduces Time From Presentation to Removal The Laryngoscope, 2024.PMID 38934450
  4. [6]Schmidt YM, Muensterer O, Wendling-Keim D The use of honey in button battery ingestions: a systematic review Frontiers in pediatrics, 2023.PMID 37842023
  5. [8]Eck JB, Ames WA Anesthetic Implications of Button Battery Ingestion in Children Anesthesiology, 2020.PMID 32011339
  6. [9]Altokhais T Magnet Ingestion in Children Management Guidelines and Prevention Frontiers in pediatrics, 2021.PMID 34422734
Paediatrics Fellowship Pro

$29/ monthor $279 / year

The complete Paediatrics Fellowship library, every exam format, one subscription.

  • Complete library for one chosen specialty
  • Timed MCQ mock exams and spaced review
  • Clinical cases & cross-table vivas
See pricingSign in
PreviousRun the survey, not the label — major trauma and the trauma teamacute-care-resuscitation-and-toxicologyNextAllergic disease in children: integrated approach: Caseallergy-and-immunology