Emergency Department Clinical Pathway for the
Evaluation/Treatment of Children with Foreign Body Ingestion

Triage Imaging
AP chest X-ray
Suspected Foreign Body (FB) Ingestion
Button Battery Referral to CHOP PHL
Triage, Imaging
Resuscitation Room
respiratory or
circulatory failure
Suspected ingested
or nasal button battery
Notify PEM and expedite X-ray
FLOC/RN Team Assessment
History and Physical, Imaging

Button Batteries

Confirmed Esophageal Button Battery
Activate Button Battery Notification

Emergent endoscopic removal
OR Board Runner 5-4444


Posted: July 2013
Last Revised: January 2024
Editors: Clinical Pathways Team