Pathway for the Evaluation/Treatment of the Child with Foreign Body Ingestion

Suspected Foreign Body Ingestion
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IMAGING
AP single view (chest, neck, abdomen)
Lateral if: Battery/magnet suspected Esophageal location
FB location uncertain
All coins
Triage, Imaging
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Resuscitation Room:
Impending/Existing
Respiratory or Circulatory Failure
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GENERAL TIMING OF ENDOSCOPY

Emergent (ASAP) Urgent ( < 24 Hours) Non-Urgent ( > 24 Hours)
Esophageal Location
  • BUTTON BATTERY – NO DELAY
  • Obstructive symptoms
  • Respiratory distress
  • Significant pain
  • Sharp pointed objects
  • Multiple magnets
Stomach Location
  • Multiple magnets
Esophageal Location
  • Minimal symptoms
  • Sharp longer objects in stomach with no symptoms
Stomach Location
  • FB ≥ 2 cm wide and ≥ 5 cm long

IMPORTANT PHONE NUMBERS
Operating Room 4-5444
Poison Control Center (PCC) 4-2100 or 800-222-1222
Nat'l Battery Ingestion Hotline 202-625-3333

Posted: July 2013
Authors: B. Sahn, MD, P. Mamula, MD, F. Henretig MD, J. Collins, MD, S. Sobol, MD, C. Ford, MD
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