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.
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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]
References6ShowHide
- [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]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
- [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
- [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
- [8]Eck JB, Ames WA Anesthetic Implications of Button Battery Ingestion in Children Anesthesiology, 2020.PMID 32011339
- [9]Altokhais T Magnet Ingestion in Children Management Guidelines and Prevention Frontiers in pediatrics, 2021.PMID 34422734