Emergency Department Clinical Pathway for the
Evaluation/Treatment of Children with Foreign Body Ingestion
Suspected Foreign Body Ingestion
Guidance for Referred Patients
- Patients transferred for confirmed
- Esophageal, nasal or airway Button Battery
- Activate Button Battery Notification
- Cluster notification to ENT, GI, Gen Surgery and OR to prepare for patient
- Patient goes directly to OR
- Pre-hospital recommendations
- National Capital Poison Center
Button Battery Ingestion Triage and Treatment Guideline - National Battery Ingestion Hotline:
800-498-8666
IMAGING
AP single view (chest, neck, abdomen)
Lateral if: Battery/magnet suspected Esophageal location
FB location uncertain
All coins
AP single view (chest, neck, abdomen)
Lateral if: Battery/magnet suspected Esophageal location
FB location uncertain
All coins
Triage, Imaging
Resuscitation Room:
Impending/Existing
Respiratory or
Circulatory Failure
Impending/Existing
Respiratory or
Circulatory Failure
Suspect ingested
or nasal button battery
Notify PEM and expedite X-ray
or nasal button battery
Notify PEM and expedite X-ray
Emergent (ASAP) | Urgent (< 24 Hours) | Non-Urgent (> 24 Hours) |
---|---|---|
Esophageal Location
|
Esophageal Location
|
Stomach Location
|
IMPORTANT PHONE NUMBERS
Operating Room 5-4444
Poison Control Center (PCC) 4-2100 or 800-222-1222
National Battery Ingestion Hotline 800-498-8666
Posted: July 2013
Revised: February 2022
Authors: P. Mamula, MD; S. Sobol, MD; C. Ford, MD
Revised: February 2022
Authors: P. Mamula, MD; S. Sobol, MD; C. Ford, MD
Evidence
- NBIH Button Battery Ingestion Triage and Treatment Guideline
- Management of Ingested Foreign Bodies in Children: A Clinical Report of the NASPGHAN Endoscopy Committee.
- The OH–NO of Pediatric Foreign Body Ingestions: Lithium Batteries (Button Batteries)
- 2011 Annual Report of the American Association of Poison Control Center’ National Poison Data System (NPDS): 29th Annual Report
- Management of Ingested Foreign Bodies in Childhood and Review of the Literature
- Management of Ingested Magnets in Children
- Emerging Battery-ingestion Hazard: Clinical Implications
- Management of Button Battery-induced Hemorrhage in Children
- Goldfrank's Toxicologic Emergencies, 9th ed.
- Acute Elevation of Blood Lead Levels Within Hours of Ingestion of Large Quantities of Lead Shot
- Management of Lead Poisoning from Ingested Fishing Sinkers
- VanArsdale JL et al. Lead Poisoning from a Toy Necklace
- Lead Foreign Body Ingestion in Children
- Study Authors Advise Giving Honey to Children who Swallow Button Batteries