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Paeds Casesacute-care-resuscitation-and-toxicology

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

Read the halo, beat the clock — oesophageal button battery in a toddler

A bedside structured clinical encounter testing recognition of an oesophageal button battery from the anteroposterior radiograph halo sign, two-hour emergency endoscopy timing, the honey demulcent adjunct and its contraindications, communication with the family, and the written safety net for delayed aorto-oesophageal fistula.

structured clinical encounter (acute care leadership)4 min readVerification in progress

Target exams

RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
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Study tools

Target exams

RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
A three-year-old is brought to the acute assessment area after a suspected remote-control battery ingestion, drooling and refusing drinks, with a disc-shaped radiopacity at the thoracic inlet on chest radiograph.

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 radiographic recognition of an oesophageal button battery, leadership of the two-hour emergency endoscopy pathway, the safe use of a temporising demulcent, communication with the family, and the written safety net for delayed bleeding. [1] [3]

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References4ShowHide
  1. [1]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
  2. [3]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
  3. [5]Tran C, Nunez C, Eslick GD, et al. Complications of button battery ingestion or insertion in children: a systematic review and pooled analysis of individual patient-level data World journal of pediatrics, 2024.PMID 39168931
  4. [10]Whelan R, Shaffer A, Dohar JE Button battery versus stacked coin ingestion: A conundrum for radiographic diagnosis International journal of pediatric otorhinolaryngology, 2019.PMID 31404782
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